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肺肿瘤中的选择强度与临床特征的相关性优于肿瘤突变负担。

Strength of selection in lung tumors correlates with clinical features better than tumor mutation burden.

机构信息

Institute for Clinical and Translational Research, Baylor College of Medicine, One Baylor Plaza, Mailstop: BCM451, Houston, TX, 77030, USA.

出版信息

Sci Rep. 2024 Jun 3;14(1):12732. doi: 10.1038/s41598-024-63468-z.

DOI:10.1038/s41598-024-63468-z
PMID:38831004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11148192/
Abstract

Single nucleotide substitutions are the most common type of somatic mutations in cancer genome. The goal of this study was to use publicly available somatic mutation data to quantify negative and positive selection in individual lung tumors and test how strength of directional and absolute selection is associated with clinical features. The analysis found a significant variation in strength of selection (both negative and positive) among tumors, with median selection tending to be negative even though tumors with strong positive selection also exist. Strength of selection estimated as the density of missense mutations relative to the density of silent mutations showed only a weak correlation with tumor mutation burden. In the "all histology together" analysis we found that absolute strength of selection was strongly correlated with all clinically relevant features analyzed. In histology-stratified analysis selection was strongest in small cell lung cancer. Selection in adenocarcinoma was somewhat higher compared to squamous cell carcinoma. The study suggests that somatic mutation- based quantifying of directional and absolute selection in individual tumors can be a useful biomarker of tumor aggressiveness.

摘要

单核苷酸取代是癌症基因组中最常见的体细胞突变类型。本研究的目的是利用公开的体细胞突变数据来量化个体肺癌肿瘤中的负向和正向选择,并检验定向和绝对选择的强度与临床特征的相关性。分析发现,肿瘤之间的选择强度(负向和正向)存在显著差异,中位选择倾向于为负向,尽管也存在具有强烈正向选择的肿瘤。选择强度估计为错义突变相对于沉默突变的密度,与肿瘤突变负担仅显示出微弱的相关性。在“所有组织学综合”分析中,我们发现绝对选择强度与分析的所有临床相关特征都强烈相关。在组织学分层分析中,小细胞肺癌的选择最强。与鳞状细胞癌相比,腺癌的选择略高。该研究表明,基于体细胞突变的个体肿瘤定向和绝对选择的定量分析可能是肿瘤侵袭性的有用生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/11148192/d453e247d0bc/41598_2024_63468_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/11148192/ba36b50ce2b4/41598_2024_63468_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/11148192/3fcde1733064/41598_2024_63468_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/11148192/d453e247d0bc/41598_2024_63468_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/11148192/ba36b50ce2b4/41598_2024_63468_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/11148192/3fcde1733064/41598_2024_63468_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b4/11148192/d453e247d0bc/41598_2024_63468_Fig3_HTML.jpg

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本文引用的文献

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Assessment of Tumor Mutational Burden and Outcomes in Patients With Diverse Advanced Cancers Treated With Immunotherapy.评估接受免疫治疗的多种晚期癌症患者的肿瘤突变负担和结局。
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Therapy sculpts the complex interplay between cancer and the immune system during tumour evolution.治疗在肿瘤进化过程中塑造了癌症和免疫系统之间的复杂相互作用。
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d/d-H, a New Test to Distinguish Different Selection Modes in Protein Evolution and Cancer Evolution.
d/d-H,一种新的测试方法,可区分蛋白质进化和癌症进化中的不同选择模式。
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Association of High Tumor Mutation Burden in Non-Small Cell Lung Cancers With Increased Immune Infiltration and Improved Clinical Outcomes of PD-L1 Blockade Across PD-L1 Expression Levels.非小细胞肺癌中高肿瘤突变负荷与 PD-L1 表达水平相关的免疫浸润增加和 PD-L1 阻断临床获益改善的相关性。
JAMA Oncol. 2022 Aug 1;8(8):1160-1168. doi: 10.1001/jamaoncol.2022.1981.
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Oncotarget. 2022 May 25;13:756-767. doi: 10.18632/oncotarget.28231. eCollection 2022.
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