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一种与免疫原性细胞死亡相关的分类预测了头颈部鳞状细胞癌的预后和免疫治疗反应。

An Immunogenic Cell Death-Related Classification Predicts Prognosis and Response to Immunotherapy in Head and Neck Squamous Cell Carcinoma.

机构信息

Department of Orthopedics, The People's Hospital of Jiangmen, Jiangmen, China.

Department of Otolaryngology, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou, China.

出版信息

Front Immunol. 2021 Nov 19;12:781466. doi: 10.3389/fimmu.2021.781466. eCollection 2021.

Abstract

Immunogenic cell death (ICD) has been classified as a form of regulated cell death (RCD) that is sufficient to activate an adaptive immune response. Accumulating evidence has demonstrated the ability of ICD to reshape the tumor immune microenvironment through the emission of danger signals or DAMPs, which may contribute to the immunotherapy. Currently, identification of ICD-associated biomarkers that stratify patients according to their benefit from ICD immunotherapy would be of great advantage. Here, we identified two ICD-associated subtypes by consensus clustering. ICD-high subtype was associated with the favorable clinical outcomes, abundant immune cell infiltration, and high activity of immune response signaling. Besides, we established and validated an ICD-related prognostic model that predicted the survival of HNSCC and was associated with tumor immune microenvironment. In conclusion, we established a new classification system of HNSCC based on ICD signatures. This stratification had significant clinical outcomes for estimating prognosis, as well as the immunotherapy of HNSCC patients.

摘要

免疫原性细胞死亡(ICD)已被归类为一种调节性细胞死亡(RCD)形式,足以激活适应性免疫反应。越来越多的证据表明,ICD 通过发出危险信号或 DAMPs 重塑肿瘤免疫微环境的能力可能有助于免疫治疗。目前,根据 ICD 免疫治疗的获益对患者进行分层的 ICD 相关生物标志物的鉴定将具有很大的优势。在这里,我们通过共识聚类确定了两种与 ICD 相关的亚型。ICD 高亚型与有利的临床结局、丰富的免疫细胞浸润和高免疫反应信号活性相关。此外,我们建立并验证了一个与肿瘤免疫微环境相关的 ICD 相关预后模型,可预测 HNSCC 的生存。总之,我们建立了一个基于 ICD 特征的新的 HNSCC 分类系统。这种分层对估计预后以及 HNSCC 患者的免疫治疗具有显著的临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f20/8640500/0003175e9af0/fimmu-12-781466-g001.jpg

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