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甲状腺转录因子-1 在接受抗 PD-1/PD-L1 治疗的肺腺癌患者中的预后价值。

Prognostic value of Thyroid Transcription Factor-1 expression in lung adenocarcinoma in patients treated with anti PD-1/PD-L1.

机构信息

Platform of Transfer in Biological Oncology, Georges François Leclerc Cancer Center - UNICANCER, Dijon, France.

Medical school, University of Burgundy-Franche Comté, Maison de l'université Esplanade Erasme, Dijon, Burgundy, France.

出版信息

Oncoimmunology. 2021 Aug 2;10(1):1957603. doi: 10.1080/2162402X.2021.1957603. eCollection 2021.


DOI:10.1080/2162402X.2021.1957603
PMID:34377595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8331027/
Abstract

Anti-PD1/PD-L1-directed immune checkpoint inhibitors are game changers in advanced non-small-cell lung cancer, but biomarkers are lacking. The aim of our study was to find clinically relevant biomarkers of the efficacy of ICI in non-squamous NSCLC. We conducted a retrospective study of patients receiving ICI for advanced non squamous NSCLC in two cohorts. For a subset of patients, RNAseq data were generated on tumor biopsy taken before ICI. The primary end point was progression-free survival under ICI. Secondary end point was overall survival from ICI initiation. In the cohort, we studied 231 patients. Clinico-pathological characteristics included KRAS mutant status (n = 88), TTF1-positive expression (n = 136), LIPI (Lung Immune Prognostic Index) score of 0 (n = 116). In our cohort, lack of TTF1 expression, LIPI score >0, line of treatment >1, and liver metastases were associated with poorer PFS. TTF1 and PD-L1 status could be used to stratify survival and improve the AUC for prediction of prognosis in comparison with the PD-L1 gold standard. Using an external cohort of 154 patients, we confirmed the independent prognostic role of TTF1. TTF1 expression and PD-L1 can be used to stratify risk and predict PFS and OS in patients treated with ICI for NS-NSCLC.

摘要

抗 PD1/PD-L1 免疫检查点抑制剂是晚期非小细胞肺癌的治疗变革者,但目前缺乏生物标志物。本研究旨在寻找与免疫检查点抑制剂(ICI)在非鳞状 NSCLC 疗效相关的临床相关生物标志物。我们对两个队列中接受 ICI 治疗的晚期非鳞状 NSCLC 患者进行了回顾性研究。对于一部分患者,在接受 ICI 治疗前对肿瘤活检进行了 RNAseq 数据分析。主要终点是 ICI 治疗下的无进展生存期。次要终点是从 ICI 开始的总生存期。在该队列中,我们研究了 231 名患者。临床病理特征包括 KRAS 突变状态(n=88)、TTF1 阳性表达(n=136)、LIPI(肺免疫预后指数)评分 0(n=116)。在我们的队列中,缺乏 TTF1 表达、LIPI 评分>0、治疗线数>1 和肝转移与较差的 PFS 相关。TTF1 和 PD-L1 状态可用于分层生存,并与 PD-L1 金标准相比提高预后预测的 AUC。通过对 154 名患者的外部队列进行验证,我们证实了 TTF1 的独立预后作用。TTF1 表达和 PD-L1 可用于分层风险,并预测接受 ICI 治疗的 NS-NSCLC 患者的 PFS 和 OS。

相似文献

[1]
Prognostic value of Thyroid Transcription Factor-1 expression in lung adenocarcinoma in patients treated with anti PD-1/PD-L1.

Oncoimmunology. 2021

[2]
Switching administration of anti-PD-1 and anti-PD-L1 antibodies as immune checkpoint inhibitor rechallenge in individuals with advanced non-small cell lung cancer: Case series and literature review.

Thorac Cancer. 2020-7

[3]
Association of the Lung Immune Prognostic Index With Immune Checkpoint Inhibitor Outcomes in Patients With Advanced Non-Small Cell Lung Cancer.

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[4]
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Eur J Cancer. 2021-5

[5]
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Ann Oncol. 2019-8-1

[6]
A single institution study evaluating outcomes of PD-L1 high KRAS-mutant advanced non-small cell lung cancer (NSCLC) patients treated with first line immune checkpoint inhibitors.

Cancer Treat Res Commun. 2021

[7]
Unraveling the influence of TTF-1 expression on immunotherapy outcomes in PD-L1-high non-squamous NSCLC: a retrospective multicenter study.

Front Immunol. 2024

[8]
Real-World Outcomes of Patients With Advanced Non-small Cell Lung Cancer Treated With Anti-PD1 Therapy on the Basis of PD-L1 Results in EBUS-TBNA vs Histological Specimens.

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[9]
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Eur J Cancer. 2021-2

[10]
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引用本文的文献

[1]
TTF-1 expression stratifies chemoimmunotherapy benefits in PD-L1-negative lung adenocarcinoma: a real-world biomarker validation.

J Thorac Dis. 2025-7-31

[2]
Diffuse and Strong TTF-1 Expression Predicts Response to Pemetrexed-Based Immunochemotherapy in Advanced Lung Adenocarcinoma.

Cancer Manag Res. 2025-8-7

[3]
TTF-1 Negativity Predicts Poor Outcomes in Advanced Non-Squamous NSCLC Also in the Immunotherapy Era: A Multicenter Cohort Study and Meta-Analysis.

Cancers (Basel). 2025-6-28

[4]
SLC34A2 inhibits tumorigenesis and progression via upregulating LRRK2/TTF-1/SELENBP1 axis in lung adenocarcinoma.

Cancer Gene Ther. 2025-7-2

[5]
A strong association between TTF-1 expression and interstitial lung disease in predicting the efficacy of PD-1 inhibitor for nonsquamous NSCLC patients.

ERJ Open Res. 2025-2-25

[6]
Impact of TTF-1 Expression on the Prognostic Prediction of Patients with Non-Small Cell Lung Cancer with PD-L1 Expression Levels of 1% to 49%, Treated with Chemotherapy vs. Chemoimmunotherapy: A Multicenter, Retrospective Study.

Cancer Res Treat. 2025-4

[7]
RNA sequencing identifies lung cancer lineage and facilitates drug repositioning.

PeerJ. 2024

[8]
Unraveling the influence of TTF-1 expression on immunotherapy outcomes in PD-L1-high non-squamous NSCLC: a retrospective multicenter study.

Front Immunol. 2024

[9]
Prognostic value of lung immune prognostic index in non-small cell lung cancer patients receiving immune checkpoint inhibitors: a meta-analysis.

Pathol Oncol Res. 2024

[10]
NKX2‑1 copy number alterations are associated with oncogenic, immunological and prognostic remodeling in non‑small cell lung cancer.

Oncol Lett. 2024-5-8

本文引用的文献

[1]
Association Between KRAS Variant Status and Outcomes With First-line Immune Checkpoint Inhibitor-Based Therapy in Patients With Advanced Non-Small-Cell Lung Cancer.

JAMA Oncol. 2021-6-1

[2]
PD-L1 as a biomarker of response to immune-checkpoint inhibitors.

Nat Rev Clin Oncol. 2021-6

[3]
Histopathological subtyping is a prognostic factor in stage IV lung adenocarcinoma.

Lung Cancer. 2020-9

[4]
Dendritic cells dictate responses to PD-L1 blockade cancer immunotherapy.

Sci Transl Med. 2020-3-11

[5]
Immune checkpoint inhibitors for patients with advanced lung cancer and oncogenic driver alterations: results from the IMMUNOTARGET registry.

Ann Oncol. 2019-8-1

[6]
KRAS and Immune Checkpoint Inhibitors-Serendipity Raising Expectations.

J Thorac Oncol. 2019-6

[7]
Retrospective efficacy analysis of immune checkpoint inhibitors in patients with EGFR-mutated non-small cell lung cancer.

Cancer Med. 2019-2-21

[8]
The evolving landscape of biomarkers for checkpoint inhibitor immunotherapy.

Nat Rev Cancer. 2019-3

[9]
Global Epidemiology of Lung Cancer.

Ann Glob Health. 2019-1-22

[10]
Efficacy of Immune Checkpoint Inhibitors in KRAS-Mutant Non-Small Cell Lung Cancer (NSCLC).

J Thorac Oncol. 2019-2-6

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