Wang Xin, Jin Hongming, Feng Xiaotong, Liang Zhijian, Jin Ruoyi, Li Xiao
Thoracic Oncology Institute, Peking University People's Hospital, Beijing 100044, China.
Department of Thoracic Surgery, Peking University People's Hospital, Beijing 100044, China.
Cancers (Basel). 2024 Aug 25;16(17):2966. doi: 10.3390/cancers16172966.
Thymic epithelial tumors (TETs), consisting of thymomas, thymic carcinomas (TCs), and thymic neuroendocrine tumors, are rare diseases. Surgery remains the prime option in resectable and early-stage TETs, while chemotherapy, targeted therapy, and immunotherapy are also potential treatment modalities. However, the inadequate comprehension of the molecular landscape of TETs impedes the exploitation of such therapies. Hence, we conducted a meta-analysis which includes 21 studies reporting on genomic alterations in TETs and 14 studies reporting on PD-L1 expression levels, respectively. The pooled estimated rates of the most frequently mutated genes and PD-L1 expression levels were analyzed using the R software. We uncovered that the pooled estimated overall mutation rate is 0.65 ([0.49; 0.81]), and the top three genes with highest mutation frequency in thymomas and TCs are (0.4263 [0.3590; 0.4936]), (0.1101 [0.0000; 0.2586]), and (0.0341 [0.0104; 0.0710]), and (0.1797 [0.0732; 0.3203]), (0.0608 [0.0139; 0.1378]), and (0.0318 [0.0087; 0.0639]), respectively. A uniform mutational rate in thymomas and mutational rate in thymic squamous cell carcinomas (TSCCs) are also observed. The pooled estimated expression level of PD-L1 is 0.71 ([0.59-0.81]). This systematic review provides an overview of the gene alteration landscape and PD-L1 expression levels in TETs, discovers several potential confounding factors that may contribute to the high heterogeneity, and facilitates deeper investigations into the elucidation of the molecular landscape of TETs.
胸腺上皮肿瘤(TETs)包括胸腺瘤、胸腺腺癌(TCs)和胸腺神经内分泌肿瘤,是罕见病。手术仍然是可切除的早期TETs的主要治疗选择,而化疗、靶向治疗和免疫治疗也是潜在的治疗方式。然而,对TETs分子格局的理解不足阻碍了这些疗法的应用。因此,我们进行了一项荟萃分析,分别纳入了21项报告TETs基因组改变的研究和14项报告PD-L1表达水平的研究。使用R软件分析了最常突变基因的合并估计率和PD-L1表达水平。我们发现合并估计的总体突变率为0.65([0.49;0.81]),胸腺瘤和TCs中突变频率最高的前三个基因分别是(0.4263 [0.3590;0.4936])、(0.1101 [0.0000;0.2586])和(0.0341 [0.0104;0.0710]),以及(0.1797 [0.0732;0.3203])、(0.0608 [0.0139;0.1378])和(0.0318 [0.0087;0.0639])。在胸腺瘤中还观察到一致的突变率,在胸腺鳞状细胞癌(TSCCs)中也观察到突变率。PD-L1的合并估计表达水平为0.71([0.59 - 0.81])。这项系统评价提供了TETs基因改变格局和PD-L1表达水平的概述,发现了几个可能导致高度异质性的潜在混杂因素,并有助于更深入地研究以阐明TETs的分子格局。