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ctDNA 检测到的基因突变提示结直肠癌患者原发肿瘤中的新抗原减少与术后复发相关。

Mutated genes on ctDNA detecting postoperative recurrence presented reduced neoantigens in primary tumors in colorectal cancer cases.

机构信息

Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Gastroenterological Center, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan.

Departmnet of Surgery, Uji-Tokushukai Medical Center, Kyoto, 611-0041, Japan.

出版信息

Sci Rep. 2023 Jan 24;13(1):1366. doi: 10.1038/s41598-023-28575-3.

Abstract

The detection and sequencing of the mutated ctDNA is one of the irreplaceable clinical measures in the postoperative management of colorectal cancer (CRC) cases. However, we are curious to comprehend the essential traits of mutated genes comprising metastatic sites out of whole mutated genes in primary sites. In the current retrospective study, we conducted target resequencing of ctDNA using 47 plasma samples and established a cancer panel carrying the commonly mutated genes between primary and recurrent tumors. We found that mutated genes in ctDNA indicated immune-resistance traits with respect to the impaired ability to present neoantigens by loss of expression or binding affinity to HLA in the primary tumor. Compared with the estimated neoantigens from all mutated genes in primary tumors, the neoantigen peptides from commonly mutated genes on the panel showed abundant expression but no binding affinity to HLA. Therefore, ctDNA mutations can be frequently and postoperatively detected to identify recurrence; however, these mutated genes were derived from immune-tolerated clones owing to the loss of neoantigen presentation in primary CRC tumors.

摘要

检测和测序突变的 ctDNA 是结直肠癌(CRC)病例术后管理中不可或缺的临床措施之一。然而,我们很想了解主要部位中包含转移部位的突变基因的基本特征,而不是所有的突变基因。在目前的回顾性研究中,我们使用 47 个血浆样本进行了 ctDNA 的靶向重测序,并建立了一个携带原发和复发性肿瘤之间常见突变基因的癌症基因 panel。我们发现 ctDNA 中的突变基因表明存在免疫抵抗特性,因为主要肿瘤中表达缺失或与 HLA 的结合亲和力受损,导致无法呈递新抗原。与从主要肿瘤中所有突变基因估计的新抗原相比,来自 panel 上常见突变基因的新抗原肽表达丰富,但与 HLA 没有结合亲和力。因此,ctDNA 突变可以经常在术后检测到以识别复发;然而,这些突变基因是由于原发性 CRC 肿瘤中丧失新抗原呈递而来自免疫耐受克隆。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44d6/9873919/0cb8afd1c7ba/41598_2023_28575_Fig1_HTML.jpg

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