肉瘤样分化的表观基因组特征指导肾细胞癌的治疗。

Epigenomic signatures of sarcomatoid differentiation to guide the treatment of renal cell carcinoma.

机构信息

Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA; Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Center for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, MA, USA.

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA; Center for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, MA, USA; The Eli and Edythe L. Broad Institute, Cambridge, MA, USA.

出版信息

Cell Rep. 2024 Jun 25;43(6):114350. doi: 10.1016/j.celrep.2024.114350. Epub 2024 Jun 12.

Abstract

Renal cell carcinoma with sarcomatoid differentiation (sRCC) is associated with poor survival and a heightened response to immune checkpoint inhibitors (ICIs). Two major barriers to improving outcomes for sRCC are the limited understanding of its gene regulatory programs and the low diagnostic yield of tumor biopsies due to spatial heterogeneity. Herein, we characterized the epigenomic landscape of sRCC by profiling 107 epigenomic libraries from tissue and plasma samples from 50 patients with RCC and healthy volunteers. By profiling histone modifications and DNA methylation, we identified highly recurrent epigenomic reprogramming enriched in sRCC. Furthermore, CRISPRa experiments implicated the transcription factor FOSL1 in activating sRCC-associated gene regulatory programs, and FOSL1 expression was associated with the response to ICIs in RCC in two randomized clinical trials. Finally, we established a blood-based diagnostic approach using detectable sRCC epigenomic signatures in patient plasma, providing a framework for discovering epigenomic correlates of tumor histology via liquid biopsy.

摘要

具有肉瘤样分化的肾细胞癌(sRCC)与生存不良和对免疫检查点抑制剂(ICIs)的高反应相关。提高 sRCC 治疗效果的两个主要障碍是对其基因调控程序的了解有限,以及由于空间异质性导致肿瘤活检的诊断率低。在此,我们通过对 50 名 RCC 患者和健康志愿者的组织和血浆样本的 107 个表观基因组文库进行分析,对 sRCC 的表观基因组景观进行了描述。通过分析组蛋白修饰和 DNA 甲基化,我们确定了富含 sRCC 的高度重现的表观基因组重编程。此外,CRISPRa 实验表明转录因子 FOSL1 参与激活与 sRCC 相关的基因调控程序,并且在两项随机临床试验中,FOSL1 表达与 RCC 对 ICI 的反应相关。最后,我们建立了一种基于血液的诊断方法,使用患者血浆中可检测到的 sRCC 表观基因组特征,为通过液体活检发现肿瘤组织学的表观基因组相关性提供了框架。

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