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第46卷第3期 古丽努尔·阿不力米提,凯迪尔耶·阿卜杜萨拉木,陆                     冰,等. CLEC5A在胃癌组织中表达的临床意义及
                  2026年3月      与肿瘤浸润免疫细胞的相关性研究[J]. 南京医科大学学报(自然科学版),2026,46(3):333-342·339                    ·


                         A     TPM)  5   Purity P=1.51e-04  B cell_TIMER  T cell CD8+_TIMER  T cell CD4+_TIMER
                             CLEC5A Expression  (log2  Level  4 3 2  STAD
                                                              Pho=0.032
                                             Pho=-0.193
                                                                               Pho=0.33
                                                                                                Pho=0.165
                                                              P=5.33e-01
                                                                              P=4.18e-11
                                                                                               P=1.30e-03
                                0 1
                                     0.25 0.50 0.75 1.00 0  1  2  3  4 0  0.5  1.0  1.5  0  0.5 1.0  1.5 2.0
                                        Purity       Macrophage_TIMER  Neutrophil_TIMER  Myeloid dendritic cell_TIMER
                                5 4          Pho=-0.193      P=2.77e-15       P=9.04e-14       P=2.92e-12
                               TPM)
                             CLEC5A Expression  (log2  3 2  STAD
                                                              Pho=0.391
                                                                               Pho=0.37
                                                                                                Pho=0.348
                                             P=1.51e-04
                               Level
                                0 1
                                     0.25 0.50 0.75 1.00
                                                    0  0.3  0.6  0.9  0  0.2  0.4  0.6 0  0.5  1.0  1.5
                                                              Infiltration level
                                  B
                                     0.6                                  P<0.001
                                     0.5
                                                P=0.005
                                                      P=0.035                  P<0.001
                                     0.4      P=0.622
                                            P=0.001
                                         P=0.001
                                                        P=0.004
                                     0.3                                                 P<0.001
                                                                                              P<0.001
                                                                                      P<0.001
                                                                             P=0.247
                                     0.2                     P<0.001              P=0.541
                                                                                    P=0.691
                                                                     P=0.032
                                                                  P<0.001
                                                           P=0.552
                                     0.1                        P=0.928                     P<0.001
                                                   P=0.752             P=0.007
                                                  T cells regulatory (Tregs)
                                       0
                                    B cells native T cells CD4 memory activated  NK cells resting Monocytes Dendritic cells activated  Eosinophils
                                                    T cells folllcular
                                         T cells CD4 memory resting
                                                       T cells gamma delta
                                                             NK cells activated
                                                                                Mast cells resting
                                                                        Dendritic cells resting
                                           T cells CD4 native
                                                                      Macrophages M1
                                                                        Macrophages M2
                                                                                           Neutrophils
                                      B cells memory
                                          Plasma cells
                                             T cells CD8
                                                                                 Mast cells activated
                                                                   Macrophages M0
                                                        T cells folllcular helper  Macrophages M1  T cells CD8  NK cells activated  Mast cells resting  Monocytes  Dendritic cells resting  Plasma cells  T cells regulatory  B cells native  B cells memory  T cells gamma delta  Macrophages M2  Eosinophils  Macrophages M0  NK cells resting  Mast cells activated  Neutrophils
                                  C                          T cells CD4 memory activated  T cells CD4 memory resting  (Tregs)  Dendritic cells activated
                                        T cells folllcular helper  1  0.12 0.22 0.1 -0.07 0.05 -0.03 0.15 -0.07  -0.06 -0.21 0.03  -0.2 -0.04 -0.04 -0.23 -0.19 -0.21 -0.08 -0.01 0.03  1.0
                                            Macrophages M1 0.12  1  0.21 0.33 -0.26 0.01 -0.07 0.04 0.04  -0.03 0.14 0.14  -0.21 0.03 0.01 -0.01 -0.23 -0.11 -0.19 -0.23 -0.26
                                                                                               0.8
                                               T cells CD8 0.22 0.21  1  0.46 -0.2 0.18 0.32 0.1 0.03  -0.12 -0.06 0.1  -0.43 0.06 -0.4 -0.17 -0.27 -0.28 -0.13 -0.04 -0.24
                                   T cells CD4 memory activated  0.1 0.33 0.46  1  -0.26 -0.26 -0.03 -0.28 -0.18  0.11 0.04 0.05  -0.37 0.05 -0.15 0.32 -0.06 -0.02 -0.07 -0.12 -0.01
                                                                                               0.6
                                           NK cells activated -0.07 -0.26 -0.2 -0.26  1  0.02 0.02 0.01 0.09  -0.09 -0.29 -0.06  0.05 -0.04 -0.14 -0.12 -0.15 -0.17 -0.01 -0.03 -0.06
                                           Mast cells resting 0.05 0.01 0.18 -0.26 0.02  1  0.09 0.22 0.06  -0.2 -0.3 -0.07  -0.14 -0.2 -0.09 -0.26 -0.17 -0.17 -0.08 0.11 -0.03
                                     T cells CD4 memory resting -0.03 -0.07 0.32 -0.03 0.02 0.09  1  0.13 0.16  -0.05 -0.07 0.19  0.12 -0.05 -0.37 -0.06 -0.04 -0.11 -0.12 -0.06 -0.04  0.4
                                                Monocytes 0.15 0.04 0.1 -0.28 0.01 0.22 0.13  1  0.31  -0.16 -0.01 -0.07  -0.02 0.08 -0.13 -0.44 -0.22 -0.17 -0.13 0.02 -0.12
                                        Dendritic cells resting -0.07 0.04 0.03 -0.18 0.09 0.06 0.16 0.31  1  -0.03 0.28 0.17  -0.03 0.07 -0.24 -0.3 -0.43 -0.14 -0.16 -0.03 -0.06  0.2
                                              Plasma cells -0.06 -0.03 -0.12 0.11 -0.09 -0.2 -0.05 -0.16 -0.03  1  0.23 0.17  0.02 0.03 -0.03 0.33 0.17 0.16 -0.06 -0.08 -0.07
                                      T cells regulatory(Tregs) -0.21 0.14 -0.06 0.04 -0.29 -0.3 -0.07 -0.01 0.28  0.12  1  0.24  0.08 0.21 -0.06 -0.02 -0.02 0.12 -0.29 -0.18 -0.08  0
                                              B cells native 0.03 0.14 0.1 0.05 -0.06 -0.07 0.19 -0.07 0.17  0.17 0.24  1  0.08 0.05 -0.27 -0.1 -0.14 -0.06 -0.07 -0.18 -0.17
                                             B cells memory -0.2 -0.21 -0.43 -0.37 0.05 -0.14 0.12 -0.02 -0.03  0.02 0.08 0.08  1  0.06 -0.15 0.01 0.11 0.01 -0.1 -0.09 -0.01  -0.2
                                          T cells gamma delta -0.04 0.03 0.06 0.05 -0.04 -0.2 -0.05 0.08 0.07  0.03 0.21 0.05  0.06  1  -0.08 -0.03 0.01 0.07 -0.1 -0.05 -0.05
                                            Macrophages M2 -0.04 0.01 0.4 0.15 -0.14 -0.09 -0.37 -0.13 -0.24  -0.03 -0.06 -0.27  -0.15 -0.08  1  0.09 0.26 0.08 -0.12 -0.12 -0.03  -0.4
                                               Eosinophils -0.23 -0.01 -0.17 0.32 -0.12 -0.26 -0.06 -0.44 -0.3  0.33 -0.02 -0.1  0.01 -0.03 0.09  1  0.33 0.45 0.03 -0.1 0.1
                                            Macrophages M0 -0.19 -0.23 -0.27 -0.06 -0.15 -0.17 -0.04 -0.22 -0.43  0.17 -0.02 -0.14  0.11 0.01 0.26 0.33  1  0.45 -0.06 -0.13 0.19  -0.6
                                       Dendritic cells activated -0.21 -0.11 -0.26 0.02 -0.17 -0.17 -0.11 -0.17 -0.14  0.16 0.12 -0.06  0.01 0.07 0.08 0.45 0.45  1  0.05 -0.12 -0.21
                                            NK cells resting 0.08 -0.19 -0.13 -0.07 -0.01 -0.08 -0.12 -0.13 -0.16  -0.06 -0.29 -0.07  -0.1 -0.1 -0.12 0.03 -0.06 0.05  1  -0.08 -0.06  -0.8
                                          Mast cells activated -0.01 -0.23 -0.04 -0.12 -0.03 0.11 -0.06 0.02 -0.03  -0.08 -0.18 -0.18  -0.09 -0.06 -0.12 -0.1 -0.13 -0.12 -0.08  1  0.21
                                               Neutrophils 0.03 0.26 -0.24 -0.01 -0.06 -0.03 -0.04 -0.12 -0.06  -0.07 -0.08 -0.17  -0.01 -0.05 -0.03 0.1 0.19 0.21 0.06 0.21  1
                                                                                               -1.0
                                                                                      +
                   A:CLEC5A expression level was significantly and positively correlated with the levels of infiltrating CD8 T cells(r=0.33,P < 0.001,macrophages
               (r=0.391,P<0.001),neutrophils(r=0.370,P<0.001)and myeloid dendritic cells(r=0.348,P<0.001)(n=415). B:Increased proportions of memory⁃
                         +
                activated CD4 T cells(P=0.016),resting NK cells(P<0.001),M0 macrophages(P<0.001),M2 macrophages(P<0.001),eosinophils(P<0.001),and
                neutrophils(P<0.001)were observed in the CLEC5A high expression group compared with the low expression group(n=375). C:The proportions of
                different TILs subpopulations were moderately correlated(n=375).
                                             图2   CLEC5A mRNA表达与TIL的相关性分析
                                     Figure 2  Correlation between CLEC5A mRNA expression and TIL
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