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Peer-Review Record

Analysis of the Peritumoral Tissue Unveils Cellular Changes Associated with a High Risk of Recurrence

Cancers 2023, 15(13), 3450; https://doi.org/10.3390/cancers15133450
by Audrey Michot 1,2,3,*, Pauline Lagarde 2,3, Tom Lesluyes 2, Elodie Darbo 1,3, Agnès Neuville 2, Jessica Baud 1, Gaëlle Perot 4,5, Iris Bonomo 2, Mathilde Maire 2, Maxime Michot 2, Jean-Michel Coindre 2,3, François Le Loarer 1,2,3 and Frédéric Chibon 4,5
Reviewer 1:
Reviewer 2:
Reviewer 3: Anonymous
Cancers 2023, 15(13), 3450; https://doi.org/10.3390/cancers15133450
Submission received: 15 May 2023 / Revised: 22 June 2023 / Accepted: 26 June 2023 / Published: 30 June 2023

Round 1

Reviewer 1 Report

Comments for authors and editorial teams:
The study entitled
 "Analysis of the peritumoral tissue unveils cellular changes associated with a high risk of recurrence is novel and interesting. However, some minor concerns should be considered to improve the novelty as well as the flow of the manuscript:
1- Abstract: Acceptable
2- Keywords: Acceptable

3- Introduction: Acceptable but could be better by wider literature review particularly related new & update articles from domestic researchers.

4- Methodology: Acceptable
5- Results: Acceptable
6- Discussion: Could be scientifically than present level using more and wider literature review and explanation of related and domestic survey and of course then using from them as Bibliography/References.
7- Bibliography/References: More domestic and update Ref(s). are necessary. Authors should do more literature review for using related domestic articles and therefore some more domestic Ref(s). (using from domestic Ref(s). is scientific discipline for publication of academic data.)

8- I could not see running title in manuscript. It is compulsory.

9- Table & Graph quality: Acceptable

Final decision: Manuscript is acceptable for publication after minor correction 

Important: Improve the quality this nice article by using new references like:

Googe PB, Theocharis S, Pergaris A, Li H, Yan Y, McKenna EF, Moschos SJ

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A Nomogram for Predicting Early Recurrence in Patients with High-Grade Gliomas.

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Combined assessment of peritumoral Th1/Th2 polarization and peripheral immunity as a new biomarker in the prediction of BCG response in patients with high-risk NMIBC.

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Peritumoral histopathologic findings in patients with chronic viral hepatitis-associated hepatocellular carcinoma.

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Potassium and glutamate transport is impaired in scar-forming tumor-associated astrocytes.

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Prognostic significance of imaging features of peritumoral adipose tissue in FDG PET/CT of patients with colorectal cancer.

European journal of radiology. 2021

 

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Peritumoral ductular reaction can be a prognostic factor for intrahepatic cholangiocarcinoma.

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Wadiura LI, Millesi M, Makolli J, Wais J, Kiesel B, Mischkulnig M, Mercea PA, Roetzer T, Knosp E, Rössler K, Widhalm G

High Diagnostic Accuracy of Visible 5-ALA Fluorescence in Meningioma Surgery According to Histopathological Analysis of Tumor Bulk and Peritumoral Tissue.

Lasers in surgery and medicine. 2020

Frati A, Armocida D, Arcidiacono UA, Pesce A, D'Andrea G, Cofano F, Garbossa D, Santoro A

Peritumoral Brain Edema in Relation to Tumor Size Is a Variable That Influences the Risk of Recurrence in Intracranial Meningiomas.

Tomography (Ann Arbor, Mich.). 2022

                Zhang F, Wang Y, Chen G, Li Z, Xing X, Putz-Bankuti C, Stauber RE, Liu X, Madl T

Growing Human Hepatocellular Tumors Undergo a Global Metabolic Reprogramming.

Cancers. 2021

                Furuse M, Kuwabara H, Ikeda N, Hattori Y, Ichikawa T, Kagawa N, Kikuta K, Tamai S, Nakada M, Wakabayashi T, Wanibuchi M, Kuroiwa T, Hirose Y, Miyatake SI

PD-L1 and PD-L2 expression in the tumor microenvironment including peritumoral tissue in primary central nervous system lymphoma.

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                Wei H, Jiang H, Zheng T, Zhang Z, Yang C, Ye Z, Duan T, Song B

LI-RADS category 5 hepatocellular carcinoma: preoperative gadoxetic acid-enhanced MRI for early recurrence risk stratification after curative resection.

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Peritumoral edema in preoperative magnetic resonance imaging is an independent prognostic factor for hepatocellular carcinoma.

Clinical imaging. 2021

 

                Guo X, Zhu Y, Wang X, Xu K, Hong Y

Peritumoral Edema Is Associated With Postoperative Hemorrhage and Reoperation Following Vestibular Schwannoma Surgery.

Frontiers in oncology. 2021

                Chiu FY, Le NQK, Chen CY

A Multiparametric MRI-Based Radiomics Analysis to Efficiently Classify Tumor Subregions of Glioblastoma: A Pilot Study in Machine Learning.

Journal of clinical medicine. 2021

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Application of diffusion kurtosis imaging to the study of edema in solid and peritumoral areas of glioma.

Magnetic resonance imaging. 2021

                Muscas G, van Niftrik CHB, Sebök M, Seystahl K, Piccirelli M, Stippich C, Weller M, Regli L, Fierstra J

Hemodynamic investigation of peritumoral impaired blood oxygenation-level dependent cerebrovascular reactivity in patients with diffuse glioma.

Magnetic resonance imaging. 2020

 

                Hsu JB, Lee TY, Cheng SJ, Lee GA, Chen YC, Le NQK, Huang SW, Kuo DP, Li YT, Chang TH, Chen CY

Identification of Differentially Expressed Genes in Different Glioblastoma Regions and Their Association with Cancer Stem Cell Development and Temozolomide Response.

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A High Preoperative Platelet-Lymphocyte Ratio Is a Negative Predictor of Survival After Liver Resection for Hepatitis B Virus-Related Hepatocellular Carcinoma: A Retrospective Study.

Frontiers in oncology. 2020

                Lee S, Kang TW, Song KD, Lee MW, Rhim H, Lim HK, Kim SY, Sinn DH, Kim JM, Kim K, Ha SY

Effect of Microvascular Invasion Risk on Early Recurrence of Hepatocellular Carcinoma After Surgery and Radiofrequency Ablation.

Annals of surgery. 2021

 

Xu L, Wan Y, Luo C, Yang J, Yang P, Chen F, Wang J, Niu T

Integrating intratumoral and peritumoral features to predict tumor recurrence in intrahepatic cholangiocarcinoma.

Physics in medicine and biology. 2021

 

                Flammang I, Reese M, Yang Z, Eble JA, Dhayat SA

Tumor-Suppressive miR-192-5p Has Prognostic Value in Pancreatic Ductal Adenocarcinoma.

Cancers. 2020

 

                Beebe E, Pöschel A, Kunz L, Wolski W, Motamed Z, Meier D, Guscetti F, Nolff MC, Markkanen E

Proteomic profiling of canine fibrosarcoma and adjacent peritumoral tissue.

Neoplasia (New York, N.Y.). 2022

 

                Azab MA, Ghozy S, Hassanein SF, Azzam AY

Specific Preoperative Dynamic Contrast-Enhanced MRI Semi-quantitative Markers Can Correlate With Vascularity in Specific Areas of Glioblastoma Tissue and Predict Recurrence.

Cureus. 2021

 

                Cui Y, Zeng W, Jiang H, Ren X, Lin S, Fan Y, Liu Y, Zhao J

Higher Cho/NAA Ratio in Postoperative Peritumoral Edema Zone Is Associated With Earlier Recurrence of Glioblastoma.

Frontiers in neurology. 2020

 

                Wang LL, Li JF, Lei JQ, Guo SL, Li JK, Xu YS, Dou Y

The value of the signal intensity of peritumoral tissue on Gd-EOB-DTPA dynamic enhanced MRI in assessment of microvascular invasion and pathological grade of hepatocellular carcinoma.

Medicine. 2021

 

                Vasilescu AM, Andriesi Rusu DF, Bradea C, Vlad N, Lupascu-Ursulescu C, Cianga Spiridon IA, Trofin AM, Tarcoveanu E, Lupascu CD

Protective or Risk Factors for Postoperative Pancreatic Fistulas in Malignant Pathology.

Life (Basel, Switzerland). 2021

 

                Paliashvili K, Popov A, Kalber TL, Patrick PS, Hayes A, Henley A, Raynaud FI, Ahmed HU, Day RM

Peritumoral Delivery of Docetaxel-TIPS Microparticles for Prostate Cancer Adjuvant Therapy.

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                Varghese JR, Gurusamy DS, Kalyanasundaram S, Kalyanaraman S

Role of podoplanin, E-cadherin, Ki-67 in the dissemination of tumor cells in ovarian surface epithelial carcinoma-An immunohistochemical study.

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 Silva M, Vivancos C, Duffau H

The Concept of «Peritumoral Zone» in Diffuse Low-Grade Gliomas: Oncological and Functional Implications for a Connectome-Guided Therapeutic Attitude.

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Author Response

The study entitled "Analysis of the peritumoral tissue unveils cellular changes associated with a high risk of recurrence” is novel and interesting. However, some minor concerns should be considered to improve the novelty as well as the flow of the manuscript:

1- Abstract: Acceptable
2- Keywords: Acceptable

3- Introduction: Acceptable but could be better by wider literature review particularly related new & update articles from domestic researchers.

 

We would like to thank the reviewer and we modified the introduction with adding more references.

 

4- Methodology: Acceptable
5- Results: Acceptable
6- Discussion: Could be scientifically than present level using more and wider literature review and explanation of related and domestic survey and of course then using from them as Bibliography/References.

 

It has been done accordingly to the proposed references.

 

7- Bibliography/References: More domestic and update Ref(s). are necessary. Authors should do more literature review for using related domestic articles and therefore some more domestic Ref(s). (using from domestic Ref(s). is scientific discipline for publication of academic data.)

 

We added more references.

 

 

8- I could not see running title in manuscript. It is compulsory.

9- Table & Graph quality: Acceptable

 

We propose a running title as “Impact of peritumoral tissue in soft-tissue-sarcoma progression" if necessary.

Reviewer 2 Report

Τhe title reflects the study. This manuscript presents a clear and clinically useful message. It is well written in terms of clarity, style, and use of English language. Materials and methods approach are sufficiently detailed. The discussion section explains adequately the subject in the context of published information. The conclusions accurately and clearly explain the main clinical message. The length is ideal. All figures are of good quality and relevant to the clinical message. All references are appropriate and current.

Author Response

Reviewer 2:

  

Τhe title reflects the study. This manuscript presents a clear and clinically useful message. It is well written in terms of clarity, style, and use of English language. Materials and methods approach are sufficiently detailed. The discussion section explains adequately the subject in the context of published information. The conclusions accurately and clearly explain the main clinical message. The length is ideal. All figures are of good quality and relevant to the clinical message. All references are appropriate and current.

 

We would like to thank the reviewer for this consideration.

 

Reviewer 3 Report

An interesting study to show that genomic and transcriptomic pseudocapsules of prospective sarcomas were analyzed and revealed to be correlated with a higher risk of recurrence after surgery. Some point should be noted as below.

1) The title should be better as “Analysis of the peritumoral tissue unveils cellular changes associated with a high risk of recurrence in soft-tissue sarcoma”.

2) Instead of Figure 1 “Cross-section of a tumor”, it is better to show the pathological changes (changes observed by HE staining ) in these groups such as Tumor, R1-t, R1-h and HT group.

3) Since genes changes including M2 were examined to be expressed differently in these groups, it needs to be confirmed by IHC method or other methods in these groups.

4) In Table 2, some selected UP and DOWN genes should be better listed.

5) The description in some parts of this article is confusing. For example, the S in Figure 2; The T S in Figure 3; Line 234, others shown in Figures 5? it might be Figure 4? The authors need to carefully check all the parts in this paper.

6) It is interesting that such as “ECM remodeling”, “The direct interaction of cancer cells with the immune cells” were mentioned in this study. Indeed, cancer cells and TME is considered as a pathological ecosystem, and pathological changes during the development of human diseases including cancer should be thought as “Ecological pathology” (Theranostics 2023; 13(5):1607-1631. https://www.thno.org/v13p1607.htm).  Based on this concept, the pseudocapsule should reflect the long-term ecological process of the crosstalk between tumor and stromal cells. Such advanced view might be helpful for this paper. 

 

 

 

 

Author Response

Reviewer 3:

 

 

An interesting study to show that genomic and transcriptomic pseudocapsules of prospective sarcomas were analyzed and revealed to be correlated with a higher risk of recurrence after surgery. Some point should be noted as below.

 

1) The title should be better as “Analysis of the peritumoral tissue unveils cellular changes associated with a high risk of recurrence in soft-tissue sarcoma”.

 

We would like to thank the reviewer and we changed the title with adding “in soft-tissue

sarcoma."

 

2) Instead of Figure 1 “Cross-section of a tumor”, it is better to show the pathological changes (changes observed by HE staining ) in these groups such as Tumor, R1-t, R1-h and HT group.

 

We have replaced the photograph of the tumor specimen by a histological slide as described above.

 

 

3) Since genes changes including M2 were examined to be expressed differently in these groups, it needs to be confirmed by IHC method or other methods in these groups.

 

We have added an IHC complentary analysis with M2 examination in Figures 9.

 

4) In Table 2, some selected UP and DOWN genes should be better listed.

 

We have replaced the GO alone by GO associated with significant genes involved.

 

 

5) The description in some parts of this article is confusing. For example, the “S” in Figure 2; The “T S” in Figure 3; Line 234, others shown in “Figures 5”? it might be Figure 4? The authors need to carefully check all the parts in this paper.

 

 Figure 2 was modified with HT, Figure 3 also with T, R1 and HT and in the text, we modified the line 234, « shown in Figure 4 ».

 

 

 

 

 

6) It is interesting that such as “ECM remodeling”, “The direct interaction of cancer cells with the immune cells” were mentioned in this study. Indeed, cancer cells and TME is considered as a pathological ecosystem, and pathological changes during the development of human diseases including cancer should be thought as “Ecological pathology” (Theranostics 2023; 13(5):1607-1631. https://www.thno.org/v13p1607.htm).  Based on this concept, the “pseudocapsule” should reflect the long-term ecological process of the crosstalk between tumor and stromal cells. Such advanced view might be helpful for this paper. 

 

 It has been done and referred in the discussion.

 

Round 2

Reviewer 3 Report

The authors have made good modifications according to the review suggestions. 

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