基因组分析揭示了根据PD1/PDL1表达分层的肺癌患者中与免疫相关的基因差异:对免疫治疗疗效的影响。
Genomic Profiling Reveals Immune-Related Gene Differences in Lung Cancer Patients Stratified by PD1/PDL1 Expression: Implications for Immunotherapy Efficacy.
作者信息
Ye Zhifeng, Huang Ting, Hu Keke, Zhou HeRan, Huang Ling, Wang Lu
机构信息
Hangzhou TCM Hospital of Zhejiang Chinese Medical University (Hangzhou Hospital of Traditional Chinese Medicine), Zhejiang, Hangzhou, China.
出版信息
J Appl Genet. 2025 Feb;66(1):105-114. doi: 10.1007/s13353-024-00841-8. Epub 2024 Feb 16.
Lung cancer remains a leading cause of global cancer-related mortality, and the exploration of innovative therapeutic approaches, such as PD1/PDL1 immunotherapy, is critical. This study leverages comprehensive data from the Cancer Genome Atlas (TCGA) to investigate the differential expression of PD1/PDL1 in lung cancer patients and explores its implications. Clinical data, RNA expression, somatic mutations, and copy number variations of 1017 lung cancer patients were obtained from TCGA. Patients were categorized into high (HE) and low (LE) PD1/PDL1 expression groups based on mRNA levels. Analyses included differential gene expression, functional enrichment, protein-protein interaction networks, and mutational landscape exploration. The study identified 391 differentially expressed genes, with CD4 and PTPRC among the upregulated genes in the HE group. Although overall survival did not significantly differ between HE and LE groups, enrichment analysis revealed a strong association with immunoregulatory signaling pathways, emphasizing the relevance of PD1/PDL1 in immune response modulation. Notably, TP53 mutations were significantly correlated with high PD1/PDL1 expression. This study provides a comprehensive analysis of PD1/PDL1 expression in lung cancer, uncovering potential biomarkers and highlighting the intricate interplay between PD1/PDL1 and the immune response. The identified upregulated genes, including CD4 and PTPRC, warrant further investigation for their roles in the context of lung cancer and immunotherapy. The study underscores the importance of considering molecular heterogeneity in shaping personalized treatment strategies for lung cancer patients. Limitations, such as the retrospective nature of TCGA data, should be acknowledged.
肺癌仍然是全球癌症相关死亡的主要原因,探索诸如PD1/PDL1免疫疗法等创新治疗方法至关重要。本研究利用来自癌症基因组图谱(TCGA)的综合数据,调查肺癌患者中PD1/PDL1的差异表达并探讨其意义。从TCGA获得了1017例肺癌患者的临床数据、RNA表达、体细胞突变和拷贝数变异。根据mRNA水平将患者分为高(HE)和低(LE)PD1/PDL1表达组。分析包括差异基因表达、功能富集、蛋白质-蛋白质相互作用网络和突变图谱探索。该研究鉴定出391个差异表达基因,CD4和PTPRC在HE组中上调基因之列。尽管HE组和LE组之间的总生存期无显著差异,但富集分析显示与免疫调节信号通路有很强关联,强调了PD1/PDL1在免疫反应调节中的相关性。值得注意的是,TP53突变与高PD1/PDL1表达显著相关。本研究对肺癌中PD1/PDL1表达进行了全面分析,揭示了潜在生物标志物,并突出了PD1/PDL1与免疫反应之间的复杂相互作用。所鉴定出的上调基因,包括CD4和PTPRC,其在肺癌和免疫治疗背景下的作用值得进一步研究。该研究强调了在为肺癌患者制定个性化治疗策略时考虑分子异质性的重要性。应认识到诸如TCGA数据的回顾性等局限性。