Abramson Family Cancer Research Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Clin Cancer Res. 2017 Jun 15;23(12):3129-3138. doi: 10.1158/1078-0432.CCR-16-2128. Epub 2016 Dec 22.
Immunotherapy has the potential to improve the dismal prognosis in pancreatic ductal adenocarcinoma (PDA), but clinical trials, including those with single-agent PD-1 or PD-L1 inhibition, have been disappointing. Our aim was to examine the immune landscape of PDA as it relates to aspects of tumor biology, including neoepitope burden. We used publicly available expression data from 134 primary resection PDA samples from The Cancer Genome Atlas to stratify patients according to a cytolytic T-cell activity expression index. We correlated cytolytic immune activity with mutational, structural, and neoepitope features of the tumor. Human PDA displays a range of intratumoral cytolytic T-cell activity. PDA tumors with low cytolytic activity exhibited significantly increased copy number alterations, including recurrent amplifications of and and recurrent deletions and mutations of In sharp contrast to other tumor types, high cytolytic activity in PDA did not correlate with increased mutational burden or neoepitope load (MHC class I and class II). Cytolytic-high tumors exhibited increased expression of multiple immune checkpoint genes compared to cytolytic-low tumors, except for expression, which was uniformly low. These data identify a subset of human PDA with high cytolytic T-cell activity. Rather than being linked to mutation burden or neoepitope load, immune activation indices in PDA were inversely linked to genomic alterations, suggesting that intrinsic oncogenic processes drive immune inactivity in human PDA. Furthermore, these data highlight the potential importance of immune checkpoints other than PD-L1/PD-1 as therapeutic targets in this lethal disease. .
免疫疗法有可能改善胰腺导管腺癌 (PDA) 的惨淡预后,但临床试验,包括单药 PD-1 或 PD-L1 抑制,都令人失望。我们的目的是研究 PDA 的免疫景观,因为它与肿瘤生物学的各个方面有关,包括新抗原负担。我们使用了来自癌症基因组图谱的 134 个原发性切除 PDA 样本的公开表达数据,根据细胞毒性 T 细胞活性表达指数对患者进行分层。我们将细胞毒性免疫活性与肿瘤的突变、结构和新抗原特征相关联。人类 PDA 显示出一系列肿瘤内细胞毒性 T 细胞活性。细胞毒性活性低的 PDA 肿瘤表现出明显增加的拷贝数改变,包括 和 的反复扩增以及 和 的反复缺失和突变。与其他肿瘤类型形成鲜明对比的是,PDA 中的高细胞毒性活性与增加的突变负担或新抗原负荷(MHC 类 I 和类 II)无关。与细胞毒性低的肿瘤相比,细胞毒性高的肿瘤表现出多种免疫检查点基因的表达增加,除了 的表达普遍较低。这些数据确定了具有高细胞毒性 T 细胞活性的人类 PDA 的一个亚组。在 PDA 中,免疫激活指数与基因组改变呈负相关,而不是与突变负担或新抗原负荷相关,这表明内在致癌过程导致人类 PDA 中的免疫无活性。此外,这些数据突出了免疫检查点(除 PD-L1/PD-1 外)作为这种致命疾病治疗靶点的潜在重要性。
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