Salerno Elise P, Bedognetti Davide, Mauldin Ileana S, Deacon Donna H, Shea Sofia M, Pinczewski Joel, Obeid Joseph M, Coukos George, Wang Ena, Gajewski Thomas F, Marincola Francesco M, Slingluff Craig L
Division of Surgical Oncology, Department of Surgery, University of Virginia , Charlottesville, VA, USA.
Infectious Disease and Immunogenetics Section (IDIS), Department of Transfusion Medicine, Clinical Center and Trans-NIH Center for Human Immunology (CHI), National Institutes of Health, Bethesda, MD, USA; Sidra Medical and Research Center, Doha, Qatar.
Oncoimmunology. 2016 Oct 18;5(12):e1240857. doi: 10.1080/2162402X.2016.1240857. eCollection 2016.
We have identified eight genes whose expression in human melanoma metastases and ovarian cancers is associated with a lack of Th1 immune signatures. They encode molecules with mechanical barrier function in the skin and other normal tissues and include filaggrin (FLG), tumor-associated calcium signal transducer 2 (TACSTD2), and six desmosomal proteins (DST, DSC3, DSP, PPL, PKP3, and JUP). This association has been validated in an independent series of 114 melanoma metastases. In these, DST expression alone is sufficient to identify melanomas without immune signatures, while FLG and the other six putative barrier molecules are overexpressed in a different subset of melanomas lacking immune signatures. Similar associations have been identified in a set of 186 ovarian cancers. RNA-seq data from 471 melanomas and 307 ovarian cancers in the TCGA database further support these findings and also reveal that overexpression of barrier molecules is strongly associated with early patient mortality for melanoma ( = 0.0002) and for ovarian cancer ( < 0.01). Interestingly, this association persists for FLG for melanoma ( = 0.012) and ovarian cancer ( = 0.006), whereas DST overexpression is negatively associated with CD8 gene expression, but not with patient survival. Thus, overexpression of FLG or DST identifies two distinct patient populations with low immune cell infiltration in these cancers, but with different prognostic implications for each. These data raise the possibility that molecules with mechanical barrier function in skin and other tissues may be used by cancer cells to protect them from immune cell infiltration and immune-mediated destruction.
我们已经鉴定出八个基因,其在人类黑色素瘤转移灶和卵巢癌中的表达与缺乏Th1免疫特征相关。它们编码在皮肤和其他正常组织中具有机械屏障功能的分子,包括丝聚合蛋白(FLG)、肿瘤相关钙信号转导蛋白2(TACSTD2)以及六种桥粒蛋白(DST、DSC3、DSP、PPL、PKP3和JUP)。这种关联已在114例黑色素瘤转移灶的独立队列中得到验证。在这些样本中,仅DST的表达就足以识别出没有免疫特征的黑色素瘤,而FLG和其他六种假定的屏障分子在另一组缺乏免疫特征的黑色素瘤中过表达。在一组186例卵巢癌中也发现了类似的关联。来自TCGA数据库中471例黑色素瘤和307例卵巢癌的RNA测序数据进一步支持了这些发现,并且还揭示屏障分子的过表达与黑色素瘤(P = 0.0002)和卵巢癌(P < 0.01)患者的早期死亡率密切相关。有趣的是,这种关联在黑色素瘤(P = 0.012)和卵巢癌(P = 0.006)中对于FLG仍然存在,而DST的过表达与CD8基因表达呈负相关,但与患者生存率无关。因此,FLG或DST的过表达可识别出这两种癌症中免疫细胞浸润低的两个不同患者群体,但对每个群体具有不同的预后意义。这些数据提出了一种可能性,即皮肤和其他组织中具有机械屏障功能的分子可能被癌细胞用来保护它们免受免疫细胞浸润和免疫介导破坏。