Table 2.
Ref | N | Stage | UC only | Methods | Relation with survival | |||||
---|---|---|---|---|---|---|---|---|---|---|
Outcome Parameter |
Immune Marker | HR 1 | 95% CI | p | Adjusted for | |||||
[8] | 253 | NMBIC: 201 MIBC: 52 |
Yes | IHC | PFS-NMIBC | CD68 | 1.52 | 1.08–2.14 | 0.016 | - |
CD163 | NR | NR | NS | |||||||
CSS-MIBC | CD68 | 3.88 | 1.00–15.08 | 0.051 | ||||||
CD163 | 0.99 | 0.69–1.41 | 0.95 | |||||||
CD68/CD3 > 1 | 7.73 | 3.13–19.10 | 9.5 × 10-6 | T stage | ||||||
[42] | 94 | T1, high grade | Yes | IHC | RFS | CD163 | 2.11 | 1.04–4.28 | 0.038 | Gender, age, tumor size, multifocality, CIS, bladder instillations |
PFS | CD163 | 6.69 | 1.99–22.50 | 0.002 | ||||||
CSS | CD163 | 5.86 | 1.41–24.30 | 0.015 | ||||||
[40] | 302 | NMIBC: 212 MIBC: 90 |
Yes | IHC | RFS | CD68 INT/ST CD204 INT/ST CD169 INT/ST | NR | NR | NS | - |
OS | CD68 INT | 1.38 | 1.88–2.18 | 0.162 | ||||||
CD68 ST | 0.91 | 0.53–1.57 | 0.735 | Age, tumor size, T and N stages, grade | ||||||
CD204 INT | 1.04 | 0.59–1.84 | 0.887 | |||||||
CD204 ST | 1.981 | 1.10–3.56 | 0.022 | |||||||
CD169 INT | 1.51 | 0.91–2.52 | 0.11 | |||||||
CD169 ST | 1.60 | 0.94–2.73 | 0.08 | |||||||
[17] | 44 | NMIBC: 5 MIBC: 39 |
No | IHC | DSS | CD169 | 0.13 | 0.01–0.76 | 0.021 | T and N stages, CD8+ T cells |
[12] | 404 | MIBC | Yes | RNA-seq, TIMER | OS | TAMs | 17.35 | 5.86–51.33 | 0.009 | Age, stage, CD4+ and CD8+ T cells, neutrophils, TAMs and DCs |
[24] | 405 | MIBC | Yes | RNA-seq 6, CIBERSORT | OS | TAMs | 16.57 | 4.98–55.17 | <0.000 | - |
M1 TAMs | 0.72 | 0.04–13.68 | 0.83 | |||||||
M2 TAMs | 0.94 | 0.16–5.65 | 0.95 | |||||||
118 | MIBC | No | IHC | OS | CD68 INT | 1.03 | 1.01–1.05 | 0.005 | ||
CD68 ST | 1.02 | 1.01–1.02 | <0.000 | |||||||
140 | MIBC | No | IHC | OS | CD68 INT | 1.04 | 1.02–1.05 | <0.000 | ||
CD68 ST | 1.01 | 1.01–1.02 | <0.000 | |||||||
[10] | 115 | Low-grade NMIBC | Yes | IHC | RFS | CD68 | 3.88 2 | 1.00–15.08 | 0.051 | Tumor size, stage, GZMB and CD3,4,8,20,56 |
[43] | 141 |
MIBC | No | IHC |
OS | CD68 | 1.23 | 0.76–1.99 | 0.40 | T stage, grade, LVI and AC |
RFS | CD68 | 1.40 | 0.78–2.52 | 0.26 | ||||||
[30] | 93 | Ta: 69 T1: 24 |
No | IHC | RFS | CD68 | 1.19 | 0.56–2.54 | 0.65 | Gender, smoking status, age, stage, grade and multifocality |
[44] | 134 | NMIBC: 19 MIBC: 115 |
Yes | IHC | OS | CD163 | NR 3 | NR | 0.074 | - |
PFS | CD163 | NR 3 | NR | 0.090 | ||||||
[45] | 184 | NMIBC: 81 MIBC: 11 |
Yes | IHC | OS | CD68 | 1.01 | 0.99–1.01 | 0.19 | Grade, T stage, age and multifocality |
Abbreviations: CSS = cancer-specific survival; Gal-9 = Galectin-9; GZMB = granzyme B; IHC = immunohistochemistry; IM = invasive margin; INT = intraepithelial; MFS = metastasis-free survival; MIBC = muscle-invasive bladder cancer; NMIBC = nonmuscle invasive bladder cancer; OS = overall survival; PFS = progression-free survival; RFS = recurrence-free survival; RNA-seq = RNA sequencing; ST = stromal; TAMs = tumor-associated macrophages; UC: urothelial carcinoma. 1 HR greater than 1 indicates increased risk of recurrence or death in patients with higher immune cell infiltration. 2 OR instead of HR. OR >1 indicates increased risk of recurrence. 3 3. Five-year OS 22% vs. 35.3% in patients with high vs. low CD163+ infiltration; Five-year PFS 23.7% vs. 32.2%.