Savelyeva Anna V, Medvedev Kirill E
Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX 75390 USA.
Department of Biophysics, University of Texas Southwestern Medical Center, Dallas, TX 75390 USA.
3 Biotech. 2023 Mar;13(3):110. doi: 10.1007/s13205-023-03530-1. Epub 2023 Mar 2.
Seminoma is the most common type of testicular germ cell tumors (TGCTs) among 15-44 years old men. Seminoma treatments include orchiectomy, platinum-based chemotherapy and radiotherapy. These radical treatment methods cause up to 40 severe adverse long-term side effects including secondary cancers. Immunotherapy based on immune checkpoint inhibitors, which showed its efficiency for many types of cancer, can be important alternative to the platinum-based therapy for seminoma patients. However, five independent clinical trials evaluating the efficiency of immune checkpoint inhibitors for TGCTs treatment were shut down at the phase II due to lacking clinical efficacy and detailed mechanisms of this phenomena are yet to be discovered. Recently we identified two distinct seminoma subtypes based on transcriptomic data and here we focused on the analysis of seminoma microenvironment and its subtype-specific characteristics. Our analysis revealed that less differentiated subtype 1 of seminoma has immune microenvironment with significantly lower immune score and larger fraction of neutrophils. Both are features of the immune microenvironment at an early developmental stage. On the contrary, subtype 2 seminoma is characterized by the higher immune score and overexpression of 21 genes related to senescence-associated secretory phenotype. Seminoma single cell transcriptomic data showed that 9 out of 21 genes are predominantly expressed in immune cells. Therefore, we hypothesized that senescence of immune microenvironment can be one of the reasons for seminoma immunotherapy failure.
The online version contains supplementary material available at 10.1007/s13205-023-03530-1.
精原细胞瘤是15至44岁男性中最常见的睾丸生殖细胞肿瘤(TGCT)类型。精原细胞瘤的治疗方法包括睾丸切除术、铂类化疗和放疗。这些根治性治疗方法会导致多达40种严重的长期不良副作用,包括继发性癌症。基于免疫检查点抑制剂的免疫疗法对多种癌症都显示出有效性,对于精原细胞瘤患者而言,它可能是铂类疗法的重要替代方案。然而,五项评估免疫检查点抑制剂治疗TGCT有效性的独立临床试验在II期因缺乏临床疗效而终止,这种现象的详细机制仍有待发现。最近,我们基于转录组数据鉴定出两种不同的精原细胞瘤亚型,在此我们重点分析精原细胞瘤的微环境及其亚型特异性特征。我们的分析表明,分化程度较低的精原细胞瘤亚型1具有免疫微环境,其免疫评分显著较低,中性粒细胞比例较大。这两者都是早期发育阶段免疫微环境的特征。相反,亚型2精原细胞瘤的特征是免疫评分较高,以及与衰老相关分泌表型相关的21个基因过表达。精原细胞瘤单细胞转录组数据显示,21个基因中有9个主要在免疫细胞中表达。因此,我们推测免疫微环境的衰老可能是精原细胞瘤免疫治疗失败的原因之一。
在线版本包含可在10.1007/s13205-023-03530-1获取的补充材料。