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.
Oncoimmunology. 2021 Aug 2;10(1):1957603. doi: 10.1080/2162402X.2021.1957603. eCollection 2021.
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.
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。
Nat Rev Clin Oncol. 2021-6
Sci Transl Med. 2020-3-11
J Thorac Oncol. 2019-6
Nat Rev Cancer. 2019-3
Ann Glob Health. 2019-1-22
J Thorac Oncol. 2019-2-6