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肿瘤β-连环蛋白表达与非小细胞肺癌抗PD-1抗体单药治疗的不良预后相关。

Tumor β-Catenin Expression Associated With Poor Prognosis to Anti-PD-1 Antibody Monotherapy in Non-small Cell Lung Cancer.

作者信息

Muto Satoshi, Ozaki Yuki, Yamaguchi Hikaru, Watanabe Masayuki, Okabe Naoyuki, Matsumura Yuki, Hamada Kazuyuki, Suzuki Hiroyuki

机构信息

Department of Chest Surgery, Fukushima Medical University, Fukushima, Japan.

出版信息

Cancer Diagn Progn. 2025 Jan 3;5(1):32-41. doi: 10.21873/cdp.10409. eCollection 2025 Jan-Feb.


DOI:10.21873/cdp.10409
PMID:39758230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11696345/
Abstract

BACKGROUND/AIM: Tumor intrinsic β-catenin signaling has been reported to influence the tumor immune microenvironment and may be a resistance mechanism to immune checkpoint inhibitors in various cancers. PATIENTS AND METHODS: We studied the association between tumor β-catenin expression and survival in 50 patients with non-small cell lung cancer (NSCLC) treated with anti-programmed death-1 antibody monotherapy. Tumor β-catenin expression was evaluated by immunohistochemistry. RESULTS: Patients with positive tumor β-catenin expression (20% of all patients) had worse progression-free survival and overall survival compared with those with negative tumor β-catenin expression. Patients with positive tumor β-catenin expression had reduced CD8 cell and CD11c cell infiltration into tumor nests than those with negative tumor β-catenin expression. RT-PCR of tumor tissue revealed that patients with positive tumor β-catenin expression showed lower gene expression of CD8A, CD4, IFN-γ, BATF3, and CCL4. Knockdown of CTNNB1 tended to increase CCL4 expression, likely mediated by ATF3, in a lung cancer cell line with positive β-catenin expression. CONCLUSION: NSCLC patients with positive tumor β-catenin expression that were treated with anti-programmed death-1 antibody monotherapy had poor prognosis.

摘要

背景/目的:据报道,肿瘤内在的β-连环蛋白信号传导会影响肿瘤免疫微环境,并且可能是多种癌症中免疫检查点抑制剂的耐药机制。 患者与方法:我们研究了50例接受抗程序性死亡-1抗体单药治疗的非小细胞肺癌(NSCLC)患者的肿瘤β-连环蛋白表达与生存之间的关联。通过免疫组织化学评估肿瘤β-连环蛋白表达。 结果:肿瘤β-连环蛋白表达阳性的患者(占所有患者的20%)与肿瘤β-连环蛋白表达阴性的患者相比,无进展生存期和总生存期更差。肿瘤β-连环蛋白表达阳性的患者与肿瘤β-连环蛋白表达阴性的患者相比,肿瘤巢内CD8细胞和CD11c细胞浸润减少。肿瘤组织的逆转录-聚合酶链反应(RT-PCR)显示,肿瘤β-连环蛋白表达阳性的患者CD8A、CD4、IFN-γ、BATF3和CCL4的基因表达较低。在β-连环蛋白表达阳性的肺癌细胞系中,CTNNB1的敲低倾向于增加CCL4表达,这可能由ATF3介导。 结论:接受抗程序性死亡-1抗体单药治疗的肿瘤β-连环蛋白表达阳性的NSCLC患者预后较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e654/11696345/dac5a9b56e45/cdp-5-37-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e654/11696345/a87354da24ce/cdp-5-36-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e654/11696345/dac5a9b56e45/cdp-5-37-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e654/11696345/a87354da24ce/cdp-5-36-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e654/11696345/dac5a9b56e45/cdp-5-37-g0001.jpg

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引用本文的文献

[1]
Cabozantinib overcomes ROS1 L2086F NSCLC resistance to lorlatinib: A case report.

Medicine (Baltimore). 2025-8-15

本文引用的文献

[1]
Wnt/β-Catenin Signaling and Resistance to Immune Checkpoint Inhibitors: From Non-Small-Cell Lung Cancer to Other Cancers.

Biomedicines. 2023-1-12

[2]
Molecular correlates of clinical response and resistance to atezolizumab in combination with bevacizumab in advanced hepatocellular carcinoma.

Nat Med. 2022-8

[3]
Lactic acid promotes PD-1 expression in regulatory T cells in highly glycolytic tumor microenvironments.

Cancer Cell. 2022-2-14

[4]
Highly immunogenic cancer cells require activation of the WNT pathway for immunological escape.

Sci Immunol. 2021-11-12

[5]
Tumor β-catenin expression is associated with immune evasion in non-small cell lung cancer with high tumor mutation burden.

Oncol Lett. 2021-3

[6]
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.

CA Cancer J Clin. 2021-5

[7]
Somatic HLA Class I Loss Is a Widespread Mechanism of Immune Evasion Which Refines the Use of Tumor Mutational Burden as a Biomarker of Checkpoint Inhibitor Response.

Cancer Discov. 2021-2

[8]
Association of tumour mutational burden with outcomes in patients with advanced solid tumours treated with pembrolizumab: prospective biomarker analysis of the multicohort, open-label, phase 2 KEYNOTE-158 study.

Lancet Oncol. 2020-9-10

[9]
Atezolizumab plus Bevacizumab in Unresectable Hepatocellular Carcinoma.

N Engl J Med. 2020-5-14

[10]
TATTON: a multi-arm, phase Ib trial of osimertinib combined with selumetinib, savolitinib, or durvalumab in EGFR-mutant lung cancer.

Ann Oncol. 2020-4

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