Department of Pharmacy, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Henan Key Laboratory of Precision Clinical Pharmacy, Zhengzhou University, Zhengzhou, China.
Front Immunol. 2022 Mar 10;13:861525. doi: 10.3389/fimmu.2022.861525. eCollection 2022.
Immunotherapy, closely associated with immune infiltration and tumor mutation burden (TMB), is emerging as a promising strategy for treating tumors, but its low response rate in hepatocellular carcinoma (HCC) remains a major challenge. Herein, we applied two algorithms to uncover the immune infiltration landscape of the immune microenvironment in 491 HCC patients. Three immune infiltration patterns were defined using the CIBERSORT method, and the immune cell infiltration (ICI) scores were established using principal component analysis. In the high ICI score group, the activation of the Wnt/β-catenin pathway was significantly enriched and expressions of immune checkpoint genes increased, which showed a pessimistic outcome. The low ICI score group was characterized by increased TMB and enrichment of metabolism-related pathways. Further analysis found that the ICI score exhibited a significant difference in age ≥65/age <65, grade I/grade II-IV, and response to immunotherapy. Moreover, the CTNNB1 mutation status was found to be closely associated with prognosis and immunotherapeutic efficiency, significantly affecting the ICI score and TMB, which might be regarded as a potential marker for the treatment of HCC. The evaluation of immune infiltration patterns can improve the understanding of the tumor immune microenvironment and provide new directions for the study of individualized immunotherapy strategies for HCC.
免疫疗法与免疫浸润和肿瘤突变负担(TMB)密切相关,它正成为治疗肿瘤的一种有前途的策略,但在肝细胞癌(HCC)中的低反应率仍是一个主要挑战。在此,我们应用两种算法来揭示 491 例 HCC 患者免疫微环境中的免疫浸润情况。使用 CIBERSORT 方法定义了三种免疫浸润模式,并使用主成分分析建立了免疫细胞浸润(ICI)评分。在高 ICI 评分组中,Wnt/β-catenin 通路的激活明显富集,免疫检查点基因的表达增加,提示预后不良。低 ICI 评分组的特点是 TMB 增加和代谢相关途径的富集。进一步分析发现,ICI 评分在年龄≥65/年龄<65、分级 I/分级 II-IV 和对免疫治疗的反应方面存在显著差异。此外,发现 CTNNB1 突变状态与预后和免疫治疗效率密切相关,显著影响 ICI 评分和 TMB,这可能被视为治疗 HCC 的一个潜在标志物。免疫浸润模式的评估可以提高对肿瘤免疫微环境的理解,并为 HCC 的个体化免疫治疗策略研究提供新的方向。
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