PD-1/PD-L轴表达与黑色素瘤及其他实体瘤的细胞溶解活性、突变负荷和预后的相关性

Association of PD-1/PD-L axis expression with cytolytic activity, mutational load, and prognosis in melanoma and other solid tumors.

作者信息

Danilova Ludmila, Wang Hao, Sunshine Joel, Kaunitz Genevieve J, Cottrell Tricia R, Xu Haiying, Esandrio Jessica, Anders Robert A, Cope Leslie, Pardoll Drew M, Drake Charles G, Taube Janis M

机构信息

Department of Oncology, The Johns Hopkins University School of Medicine, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD 21287.

Vavilov Institute of General Genetics, Russian Academy of Science, Moscow, Russia, 119333.

出版信息

Proc Natl Acad Sci U S A. 2016 Nov 29;113(48):E7769-E7777. doi: 10.1073/pnas.1607836113. Epub 2016 Nov 11.

Abstract

Programmed cell death protein-1 (PD-1)/programmed death ligand-1 (PD-L1) checkpoint blockade has led to remarkable and durable objective responses in a number of different tumor types. A better understanding of factors associated with the PD-1/PD-L axis expression is desirable, as it informs their potential role as prognostic and predictive biomarkers and may suggest rational treatment combinations. In the current study, we analyzed PD-L1, PD-L2, PD-1, and cytolytic activity (CYT) expression, as well as mutational density from melanoma and eight other solid tumor types using The Cancer Genome Atlas database. We found that in some tumor types, PD-L2 expression is more closely linked to Th1/IFNG expression and PD-1 and CD8 signaling than PD-L1 In contrast, mutational load was not correlated with a Th1/IFNG gene signature in any tumor type. PD-L1, PD-L2, PD-1, CYT expression, and mutational density are all positive prognostic features in melanoma, and conditional inference modeling revealed PD-1/CYT expression (i.e., an inflamed tumor microenvironment) as the most impactful feature, followed by mutational density. This study elucidates the highly interdependent nature of these parameters, and also indicates that future biomarkers for anti-PD-1/PD-L1 will benefit from tumor-type-specific, integrated, mRNA, protein, and genomic approaches.

摘要

程序性细胞死亡蛋白-1(PD-1)/程序性死亡配体-1(PD-L1)免疫检查点阻断已在多种不同肿瘤类型中引发显著且持久的客观反应。深入了解与PD-1/PD-L轴表达相关的因素很有必要,因为这有助于明确它们作为预后和预测生物标志物的潜在作用,并可能提示合理的联合治疗方案。在本研究中,我们使用癌症基因组图谱数据库分析了黑色素瘤及其他八种实体瘤类型中PD-L1、PD-L2、PD-1的表达和细胞溶解活性(CYT),以及突变密度。我们发现,在某些肿瘤类型中,与PD-L1相比,PD-L2表达与Th1/IFNG表达以及PD-1和CD8信号传导的联系更为紧密。相反,在任何肿瘤类型中,突变负荷均与Th1/IFNG基因特征无关。在黑色素瘤中,PD-L1、PD-L2、PD-1、CYT表达及突变密度均为阳性预后特征,条件推断模型显示PD-1/CYT表达(即炎症性肿瘤微环境)是最具影响力的特征,其次是突变密度。本研究阐明了这些参数之间高度相互依存的性质,同时表明未来抗PD-1/PD-L1生物标志物将受益于肿瘤类型特异性、综合的mRNA、蛋白质和基因组方法。

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