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HPV 相关癌患者接受丙戊酸联合avelumab 治疗后外周血细胞的转录组分析。

Transcriptomic profiling of peripheral blood cells in HPV-associated carcinoma patients receiving combined valproic acid and avelumab.

机构信息

Division of Foundational Sciences, School of Dentistry, University of Alberta, Edmonton, AB, Canada.

Department of Medical Oncology, University of Alberta, Edmonton, AB, Canada.

出版信息

Mol Oncol. 2024 May;18(5):1209-1230. doi: 10.1002/1878-0261.13519. Epub 2023 Sep 17.

Abstract

Human papillomavirus (HPV)-associated cancer continues to evade the immune system by promoting a suppressive tumor microenvironment. Therefore, immunotherapy appears to be a promising approach for targeting HPV-associated tumors. We hypothesized that valproic acid (VA) as an epigenetic agent combined with avelumab may enhance the antitumor immunity in HPV-associated solid tumors. We performed bulk RNA-sequencing (RNA-Seq) on total peripheral blood mononuclear cells (PBMCs) of seven nonresponders (NRs) and four responders (Rs). A total of 39 samples (e.g., pretreatment, post-VA, postavelumab, and endpoint) were analyzed. Also, we quantified plasma analytes and performed flow cytometry. We observed a differential pattern in immune response following treatment with VA and/or avelumab in NRs vs. Rs. A significant upregulation of transcripts associated with NETosis [the formation of neutrophil extracellular traps (NETs)] and neutrophil degranulation pathways was linked to the presence of a myeloid-derived suppressor cell signature in NRs. We noted the elevation of IL-8/IL-18 cytokines and a distinct transcriptome signature at the baseline and endpoint in NRs. By using the receiver operator characteristics, we identified a cutoff value for the plasma IL-8/IL-18 to discriminate NRs from Rs. We found differential therapeutic effects for VA and avelumab in NRs vs. Rs. Thus, our results imply that measuring the plasma IL-8/IL-18 and bulk RNA-Seq of PBMCs may serve as valuable biomarkers to predict immunotherapy outcomes.

摘要

人乳头瘤病毒(HPV)相关癌症通过促进抑制性肿瘤微环境继续逃避免疫系统。因此,免疫疗法似乎是针对 HPV 相关肿瘤的一种有前途的方法。我们假设作为一种表观遗传药物的丙戊酸(VA)与avelumab 联合使用可能会增强 HPV 相关实体瘤的抗肿瘤免疫力。我们对 7 名无应答者(NRs)和 4 名应答者(Rs)的外周血单核细胞(PBMCs)的总 RNA 进行了测序(RNA-Seq)。总共分析了 39 个样本(例如,预处理、后 VA、后avelumab 和终点)。此外,我们还定量了血浆分析物并进行了流式细胞术分析。我们观察到 VA 和/或avelumab 治疗后 NRs 与 Rs 之间的免疫反应存在差异模式。与 NRs 中髓样来源的抑制细胞特征相关的 NETosis(中性粒细胞细胞外陷阱(NETs)的形成)和中性粒细胞脱颗粒途径的转录物的显著上调与存在相关。我们注意到 NRs 中基线和终点时 IL-8/IL-18 细胞因子的升高和独特的转录组特征。通过使用接收器操作特性,我们确定了血浆 IL-8/IL-18 的截止值,以将 NRs 与 Rs 区分开来。我们发现 VA 和 avelumab 在 NRs 与 Rs 中的治疗效果存在差异。因此,我们的结果表明,测量血浆 IL-8/IL-18 和 PBMCs 的批量 RNA-Seq 可能是预测免疫治疗结果的有价值的生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb08/11077001/b9e16f7b12fa/MOL2-18-1209-g004.jpg

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