Department of Biomedical Data Science, The Geisel School of Medicine at Dartmouth College, Lebanon, New Hampshire.
Department of Molecular and Systems Biology, The Geisel School of Medicine at Dartmouth College, Lebanon, New Hampshire.
Mol Cancer Res. 2019 Jan;17(1):109-119. doi: 10.1158/1541-7786.MCR-18-0173. Epub 2018 Aug 31.
Melanoma is the most aggressive type of skin cancer in the United States with an increasing incidence. Melanoma lesions often exhibit high immunogenicity, with infiltrating immune cells playing important roles in regression of tumors occurring spontaneously or caused by therapeutic treatment. Computational and experimental methods have been used to estimate the abundance of immune cells in tumors, but their applications are limited by the requirement of large gene sets or multiple antibodies. Although the prognostic role of immune cells has been appreciated, a systematic investigation of their association with clinical factors, genomic features, prognosis and treatment response in melanoma is still lacking. This study, identifies a 25-gene signature based on RNA-seq data from The Cancer Genome Atlas (TCGA)-Skin Cutaneous Melanoma (TCGA-SKCM) dataset. This signature was used to calculate sample-specific Leukocyte Infiltration Scores (LIS) in six independent melanoma microarray datasets and scores were found to vary substantially between different melanoma lesion sites and molecular subtypes. For metastatic melanoma, LIS was prognostic in all datasets with high LIS being associated with good survival. The current approach provided additional prognostic information over established clinical factors, including age, tumor stage, and gender. In addition, LIS was predictive of patient survival in stage III melanoma, and treatment efficacy of tumor-specific antigen vaccine. IMPLICATIONS: This study identifies a 25-gene signature that effectively estimates the level of immune cell infiltration in melanoma, which provides a robust biomarker for predicting patient prognosis.
黑色素瘤是美国最具侵袭性的皮肤癌,发病率不断上升。黑色素瘤病变常表现出高度的免疫原性,浸润的免疫细胞在肿瘤自发消退或治疗引起的消退中发挥重要作用。计算和实验方法已被用于估计肿瘤中免疫细胞的丰度,但它们的应用受到需要大量基因集或多种抗体的限制。尽管免疫细胞的预后作用已得到认可,但对其与黑色素瘤临床因素、基因组特征、预后和治疗反应的关联进行系统研究仍很缺乏。本研究基于癌症基因组图谱(TCGA)-皮肤黑色素瘤(TCGA-SKCM)数据集的 RNA-seq 数据,确定了一个 25 基因的特征。该特征用于计算六个独立黑色素瘤微阵列数据集的样本特异性白细胞浸润评分(LIS),发现评分在不同黑色素瘤病变部位和分子亚型之间存在很大差异。对于转移性黑色素瘤,LIS 在所有数据集均具有预后意义,高 LIS 与良好的生存相关。目前的方法提供了比既定临床因素(包括年龄、肿瘤分期和性别)更多的预后信息。此外,LIS 可预测 III 期黑色素瘤患者的生存和肿瘤特异性抗原疫苗的治疗效果。 意义:本研究确定了一个 25 基因的特征,可有效估计黑色素瘤中免疫细胞浸润的水平,为预测患者预后提供了一个强大的生物标志物。
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