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肿瘤类型中 PD-L1 阻断反应的分子决定因素。

Molecular determinants of response to PD-L1 blockade across tumor types.

机构信息

Genentech, South San Francisco, CA, USA.

Foundation Medicine, Cambridge, MA, USA.

出版信息

Nat Commun. 2021 Jun 25;12(1):3969. doi: 10.1038/s41467-021-24112-w.


DOI:10.1038/s41467-021-24112-w
PMID:34172722
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8233428/
Abstract

Immune checkpoint inhibitors targeting the PD-1/PD-L1 axis lead to durable clinical responses in subsets of cancer patients across multiple indications, including non-small cell lung cancer (NSCLC), urothelial carcinoma (UC) and renal cell carcinoma (RCC). Herein, we complement PD-L1 immunohistochemistry (IHC) and tumor mutation burden (TMB) with RNA-seq in 366 patients to identify unifying and indication-specific molecular profiles that can predict response to checkpoint blockade across these tumor types. Multiple machine learning approaches failed to identify a baseline transcriptional signature highly predictive of response across these indications. Signatures described previously for immune checkpoint inhibitors also failed to validate. At the pathway level, significant heterogeneity is observed between indications, in particular within the PD-L1 tumors. mUC and NSCLC are molecularly aligned, with cell cycle and DNA damage repair genes associated with response in PD-L1- tumors. At the gene level, the CDK4/6 inhibitor CDKN2A is identified as a significant transcriptional correlate of response, highlighting the association of non-immune pathways to the outcome of checkpoint blockade. This cross-indication analysis reveals molecular heterogeneity between mUC, NSCLC and RCC tumors, suggesting that indication-specific molecular approaches should be prioritized to formulate treatment strategies.

摘要

针对 PD-1/PD-L1 轴的免疫检查点抑制剂在多种适应症的癌症患者亚组中导致持久的临床反应,包括非小细胞肺癌(NSCLC)、尿路上皮癌(UC)和肾细胞癌(RCC)。在此,我们通过 RNA-seq 对 366 名患者的 PD-L1 免疫组化(IHC)和肿瘤突变负担(TMB)进行了补充,以确定能够预测这些肿瘤类型对检查点阻断反应的统一和适应症特异性分子谱。多种机器学习方法未能确定一个对这些适应症具有高度预测性的基线转录特征。以前描述的用于免疫检查点抑制剂的特征也未能得到验证。在通路水平上,不同适应症之间存在显著的异质性,特别是在 PD-L1 肿瘤中。mUC 和 NSCLC 在分子上是一致的,与 PD-L1-肿瘤中反应相关的细胞周期和 DNA 损伤修复基因。在基因水平上,CDK4/6 抑制剂 CDKN2A 被确定为反应的重要转录相关性,突出了非免疫途径与检查点阻断结果的关联。这种跨适应症分析揭示了 mUC、NSCLC 和 RCC 肿瘤之间的分子异质性,表明应该优先考虑适应症特异性分子方法来制定治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/91c15262bf77/41467_2021_24112_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/5a5d43d0cfcf/41467_2021_24112_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/3aee333bd446/41467_2021_24112_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/1fe1664479f5/41467_2021_24112_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/91c15262bf77/41467_2021_24112_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/5a5d43d0cfcf/41467_2021_24112_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/3aee333bd446/41467_2021_24112_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/1fe1664479f5/41467_2021_24112_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d806/8233428/91c15262bf77/41467_2021_24112_Fig4_HTML.jpg

相似文献

[1]
Molecular determinants of response to PD-L1 blockade across tumor types.

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[2]
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[3]
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[4]
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[5]
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[6]
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[8]
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[9]
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[10]
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引用本文的文献

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CDKN2A deletion is associated with immune desertification in diffuse pleural mesothelioma.

J Exp Clin Cancer Res. 2025-8-28

[2]
Clonal diversity shapes the tumour microenvironment leading to distinct immunotherapy responses in metastatic urothelial carcinoma.

Nat Commun. 2025-8-27

[3]
Interplay between tumor mutation burden and the tumor microenvironment predicts the prognosis of pan-cancer anti-PD-1/PD-L1 therapy.

Front Immunol. 2025-7-24

[4]
Adjuvant nivolumab in muscle-invasive urothelial carcinoma: exploratory biomarker analysis of the randomized phase 3 CheckMate 274 trial.

Nat Med. 2025-8-7

[5]
Blood-Epigenetic Biomarker Associations with Tumor Immunophenotype in Patients with Urothelial Carcinoma from JAVELIN Bladder 100.

Cancers (Basel). 2025-7-14

[6]
PET-based immunomapping of intratumoral CD4 cells to monitor acquired resistance to checkpoint inhibitors.

Sci Adv. 2025-6-27

[7]
Tumor antigens preferentially derive from unmutated genomic sequences in melanoma and non-small cell lung cancer.

Nat Cancer. 2025-5-22

[8]
New horizons at the interface of artificial intelligence and translational cancer research.

Cancer Cell. 2025-4-14

[9]
Chemotherapy-Mediated Induction of PD-L1 via SEI1 Facilitates Myeloma Immune Evasion.

Adv Sci (Weinh). 2025-5

[10]
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Cancer Med. 2025-3

本文引用的文献

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Cell Rep. 2018-3-13

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