Yu Qing-Jiang, Liang Yi-Zhi, Mei Xiao-Ping, Fang Tai-Yong
Department of Hepatobiliary Surgery, First Affiliated Hospital of Jiaxing University, Jiaxing 314000, China.
Department of Gastroenterology, Second Affiliated Hospital, Fujian Medical University, Quanzhou 362000, China.
EXCLI J. 2020 Jun 22;19:861-871. doi: 10.17179/excli2020-1224. eCollection 2020.
Tumor mutation burden (TMB) is associated with immunogenic responses and the survival of cancer patients. This study demonstrates how TMB levels impact the immune-related cells, genes, and miRNAs, and how miRNA/gene interactions respond to variations in the survival rate of patients with liver hepatocellular carcinoma (LIHC). LIHC patients were divided into two groups, either a low TMB (< median) or a high TMB (≥ median) group. We found that high TMB plays a positive role in immune-mediated infiltration, generating more CD4 T-cells and memory B cells. Among the 21 immune genes that altered significantly, only and were expected to up-regulate in LIHC patients with high TMB. A total of 19 miRNAs, which regulate various functional pathways, were significantly altered in patients with LIHC. One of the miRNA/gene pair, hsa-miR-33a/ was significantly associated with the survival rate of LIHC patients. Our results suggest that LIHC patients with high TMB can be treated more effectively with immunotherapy.
肿瘤突变负荷(TMB)与免疫原性反应及癌症患者的生存相关。本研究展示了TMB水平如何影响免疫相关细胞、基因和微小RNA(miRNA),以及miRNA/基因相互作用如何响应肝细胞癌(LIHC)患者生存率的变化。LIHC患者被分为两组,即低TMB(<中位数)组或高TMB(≥中位数)组。我们发现高TMB在免疫介导的浸润中起积极作用,产生更多的CD4 T细胞和记忆B细胞。在显著改变的21个免疫基因中,只有 和 预计在高TMB的LIHC患者中上调。共有19个调控各种功能途径的miRNA在LIHC患者中显著改变。其中一对miRNA/基因,即hsa-miR-33a/ 与LIHC患者的生存率显著相关。我们的结果表明,高TMB的LIHC患者可能通过免疫疗法得到更有效的治疗。