Patkar Sushant, Mannheimer Josh, Harmon Stephanie, Mazcko Christina, Choyke Peter, Brown G Tom, Turkbey Baris, LeBlanc Amy, Beck Jessica
Artificial Intelligence Resource, Molecular Imaging Branch, National Cancer Institute, NIH, Bethesda, MD, USA.
Comparative Oncology Program, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD, USA.
bioRxiv. 2023 Sep 29:2023.09.27.559797. doi: 10.1101/2023.09.27.559797.
Osteosarcoma is a relatively rare but aggressive cancer of the bones with a shortage of effective biomarkers. Although less common in humans, Osteosarcomas are fairly common in adult pet dogs and have been shown to share many similarities with their human analogs. In this work, we analyze bulk transcriptomic data of 213 primary and 100 metastatic Osteosarcoma samples from 210 pet dogs enrolled in nation-wide clinical trials to uncover three Tumor Microenvironment (TME)-based subtypes: Immune Enriched (IE), Immune Enriched Dense Extra-Cellular Matrix-like (IE-ECM) and Immune Desert (ID) with distinct cell type compositions, oncogenic pathway activity and chromosomal instability. Furthermore, leveraging bulk transcriptomic data of canine primary tumors and their matched metastases from different sites, we characterize how the Osteosarcoma TME evolves from primary to metastatic disease in a standard of care clinical setting and assess its overall impact on clinical outcomes of canines. Most importantly, we find that TME-based subtypes of canine Osteosarcomas are conserved in humans and predictive of progression free survival outcomes of human patients, independently of known prognostic biomarkers such as presence of metastatic disease at diagnosis and percent necrosis following chemotherapy. In summary, these results demonstrate the power of using canines to model the human Osteosarcoma TME and discover novel biomarkers for clinical translation.
骨肉瘤是一种相对罕见但侵袭性强的骨癌,缺乏有效的生物标志物。骨肉瘤在人类中不太常见,但在成年宠物狗中相当普遍,并且已被证明与其人类同类肿瘤有许多相似之处。在这项研究中,我们分析了来自参与全国性临床试验的210只宠物狗的213个原发性和100个转移性骨肉瘤样本的大量转录组数据,以揭示三种基于肿瘤微环境(TME)的亚型:免疫富集型(IE)、免疫富集致密细胞外基质样型(IE-ECM)和免疫荒漠型(ID),它们具有不同的细胞类型组成、致癌途径活性和染色体不稳定性。此外,利用犬原发性肿瘤及其来自不同部位的匹配转移灶的大量转录组数据,我们描述了在标准治疗临床环境中骨肉瘤TME如何从原发性疾病演变为转移性疾病,并评估其对犬临床结局的总体影响。最重要的是,我们发现犬骨肉瘤基于TME的亚型在人类中具有保守性,并且可以预测人类患者的无进展生存结局,独立于已知的预后生物标志物,如诊断时是否存在转移性疾病和化疗后的坏死百分比。总之,这些结果证明了利用犬类来模拟人类骨肉瘤TME并发现可用于临床转化的新型生物标志物的能力。
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