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[基因名称]、[基因名称]和[基因名称]的突变可预测非小细胞肺癌对免疫检查点阻断疗法的反应。 (注:原文中三个基因名称未给出具体内容,所以翻译中用[基因名称]代替)

Mutations in , and Predict Response to Immune Checkpoint Blockade Therapy in Non-Small Cell Lung Cancer.

作者信息

Liu Dingxie, Benzaquen Jonathan, Morris Luc G T, Ilié Marius, Hofman Paul

机构信息

Bluewater Biotech LLC, New Providence, NJ 07974, USA.

Department of Pneumology, Pasteur Hospital, FHU OncoAge, 06000 Nice, France.

出版信息

Cancers (Basel). 2022 Jun 6;14(11):2816. doi: 10.3390/cancers14112816.

Abstract

Efficient predictive biomarkers are urgently needed to identify non-small cell lung cancer (NSCLC) patients who could benefit from immune checkpoint blockade (ICB) therapy. Since chromatin remodeling is required for DNA repair process, we asked whether mutations in chromatin remodeling genes could increase tumor mutational burden (TMB) and predict response to ICB therapy in NSCLC. Analysis of seven ICB-treated NSCLC cohorts revealed that mutations of three chromatin remodeling-related genes, including , and , were significantly associated with ICB response, and combined mutations of these three genes further enhance this association. NSCLC patients with mutations had comparable clinical outcomes to TMB-high patients in terms of objective response rate, durable clinical benefit and overall survival. Although mutations were positively correlated with TMB levels in NSCLC, the association of this mutation with better ICB response was independent of tumor TMB and programmed death-ligand 1 (PD-L1) level, and combination of mutations with TMB or PD-L1 further improve the prediction of ICB response in NSCLC patients. Cancer Genome Atlas (TCGA) pan-cancer analysis suggested that the association of mutations with ICB response observed here might not result from DNA repair defects. In conclusion, our data indicate that mutation has the potential to serve as a predictive biomarker, alone or combined with PD-L1 expression or TMB, for ICB therapy in NSCLC.

摘要

迫切需要有效的预测性生物标志物来识别可从免疫检查点阻断(ICB)治疗中获益的非小细胞肺癌(NSCLC)患者。由于DNA修复过程需要染色质重塑,我们探讨了染色质重塑基因的突变是否会增加肿瘤突变负担(TMB)并预测NSCLC患者对ICB治疗的反应。对7个接受ICB治疗的NSCLC队列的分析显示,3个与染色质重塑相关的基因(包括 、 和 )的突变与ICB反应显著相关,这3个基因的联合突变进一步增强了这种关联。具有 突变的NSCLC患者在客观缓解率、持久临床获益和总生存期方面与高TMB患者具有相当的临床结局。虽然 突变与NSCLC中的TMB水平呈正相关,但该突变与更好的ICB反应的关联独立于肿瘤TMB和程序性死亡配体1(PD-L1)水平, 突变与TMB或PD-L1的联合进一步改善了对NSCLC患者ICB反应的预测。癌症基因组图谱(TCGA)泛癌分析表明,此处观察到的 突变与ICB反应的关联可能不是由DNA修复缺陷导致的。总之,我们的数据表明, 突变有可能单独或与PD-L1表达或TMB联合作为NSCLC中ICB治疗的预测性生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc33/9179442/beb14501583b/cancers-14-02816-g001.jpg

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