Department of Oncology, Digestive Disease Institute&Cancer Institute of Jiangsu University, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Department of Oncology, Zhong-Da Hospital, Medicine School, Southeast University, Nanjing, China.
Oncoimmunology. 2024 Jan 9;13(1):2303195. doi: 10.1080/2162402X.2024.2303195. eCollection 2024.
Many biological processes related to cell function and fate begin with chromatin alterations, and many factors associated with the efficacy of immune checkpoint inhibitors (ICIs) are actually downstream events of chromatin alterations, such as genome changes, neoantigen production, and immune checkpoint expression. However, the influence of genes as chromatin regulators on the efficacy of ICIs remains elusive, especially in gastric cancer (GC). In this study, thirty out of 1593 genes regulating chromatin associated with a favorable prognosis were selected for GC. CHAF1A, a well-defined oncogene, was identified as the highest linkage hub gene. High CHAF1A expression were associated with microsatellite instability (MSI), high tumor mutation burden (TMB), high tumor neoantigen burden (TNB), high expressions of PD-L1 and immune effector genes, and live infiltration of immune cells. High CHAF1A expression indicated a favorable response and prognosis in immunotherapy of several cohorts, which was independent of MSI, TMB, TNB, PD-L1 expression, immune phenotype and transcriptome scoring, and improved patient selection based on these classic biomarkers. , CHAF1A knockdown alone inhibited tumor growth but it impaired the effect of an anti-PD-1 antibody by increasing the relative tumor proliferation rate and decreasing the survival benefit, potentially through the activation of TGF-β signaling. In conclusion, CHAF1A may be a novel biomarker for improving patient selection in immunotherapy.
许多与细胞功能和命运相关的生物学过程都始于染色质改变,许多与免疫检查点抑制剂(ICIs)疗效相关的因素实际上是染色质改变的下游事件,如基因组改变、新抗原产生和免疫检查点表达。然而,作为染色质调节剂的基因对 ICIs 疗效的影响仍不清楚,特别是在胃癌(GC)中。在这项研究中,从与预后良好相关的 1593 个调节染色质的基因中选择了 30 个基因进行 GC 分析。CHAF1A 是一个明确的致癌基因,被鉴定为最高连锁枢纽基因。高 CHAF1A 表达与微卫星不稳定(MSI)、高肿瘤突变负担(TMB)、高肿瘤新抗原负担(TNB)、PD-L1 和免疫效应基因高表达以及免疫细胞浸润有关。高 CHAF1A 表达在几个队列的免疫治疗中提示良好的反应和预后,与 MSI、TMB、TNB、PD-L1 表达、免疫表型和转录组评分以及基于这些经典生物标志物的患者选择改善均无关。CHAF1A 单独敲低可抑制肿瘤生长,但通过增加相对肿瘤增殖率和降低生存获益,削弱了抗 PD-1 抗体的效果,可能通过激活 TGF-β 信号通路。总之,CHAF1A 可能是改善免疫治疗患者选择的新生物标志物。