Liao Wanqian, Wang Yu, Wang Rui, Fu Bibo, Chen Xiangfu, Ouyang Ying, Bai Bing, Jin Ying, Lu Yunxin, Liu Furong, Zhang Yang, Shi Dongni, Zhang Dongsheng
Department of Medical Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Integrated Traditional Chinese and Western Medicine Research Center, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.
Int J Mol Sci. 2025 Jan 27;26(3):1089. doi: 10.3390/ijms26031089.
Advanced gastric cancer (AGC) is characterized by poor prognosis and limited responsiveness to immunotherapy. Tumor-associated macrophages (TAMs) play a pivotal role in cancer progression and therapeutic outcomes. In this study, we developed a novel gene signature associated with M1-like TAMs using data from the Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA) to predict prognosis and immunotherapy response. This gene signature was determined as an independent prognostic indicator for AGC, with high-risk patients exhibiting an immunosuppressive tumor immune microenvironment (TIME) and poorer survival outcomes. Furthermore, Interferon regulatory factor 8 () was identified as a key gene and validated through in vitro and in vivo experiments. overexpression reshaped the suppressive TIME, leading to an increased presence of M1-like TAMs, IFN-γ CD8 T cells, and Granzyme B CD8 T cells. Notably, the combination of overexpression and anti-PD-1 therapy significantly inhibited tumor growth in syngeneic mouse models. AGC patients with elevated expression were found to be more responsive to anti-PD-1 treatment. These findings highlight potential biomarkers for prognostic evaluation and immunotherapy in AGC, offering insights that could guide personalized treatment strategies.
晚期胃癌(AGC)的特点是预后不良且对免疫治疗的反应有限。肿瘤相关巨噬细胞(TAM)在癌症进展和治疗结果中起关键作用。在本研究中,我们利用来自基因表达综合数据库(GEO)和癌症基因组图谱(TCGA)的数据,开发了一种与M1样TAM相关的新型基因特征,以预测预后和免疫治疗反应。该基因特征被确定为AGC的独立预后指标,高危患者表现出免疫抑制性肿瘤免疫微环境(TIME)和较差的生存结果。此外,干扰素调节因子8()被鉴定为关键基因,并通过体外和体内实验进行了验证。的过表达重塑了抑制性TIME,导致M1样TAM、IFN-γ CD8 T细胞和颗粒酶B CD8 T细胞的数量增加。值得注意的是,过表达与抗PD-1治疗的联合在同基因小鼠模型中显著抑制了肿瘤生长。发现表达升高的AGC患者对抗PD-1治疗更敏感。这些发现突出了AGC预后评估和免疫治疗的潜在生物标志物,为指导个性化治疗策略提供了见解。