可溶性和膜结合免疫检查点的双室外周血特征可预测淋巴瘤患者的预后。

A dual compartment peripheral blood signature of soluble and membrane-bound immune checkpoints predicts outcome in lymphoma patients.

作者信息

Gorgulho Joao, Trenkner Timo, Kinkel Eva, Fritzsche Britta, Kachel Paul, Peine Sven, Matschl Urte, Altfeld Markus, Huber Samuel, Lohse Ansgar W, Alsdorf Winfried, Bokemeyer Carsten, Hoelzemer Angelique, Beltran Wilfredo Garcia, von Felden Johann

机构信息

Department of Oncology, Hematology and Bone Marrow Transplantation with Section of Pneumology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.

Mildred Scheel Cancer Career Center, University Cancer Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

出版信息

Oncoimmunology. 2025 Dec;14(1):2543511. doi: 10.1080/2162402X.2025.2543511. Epub 2025 Aug 28.

Abstract

Lymphomas, particularly aggressive non-Hodgkin lymphomas (NHL), remain challenging due to poor outcomes in a subset of patients who fail initial therapy. Current minimally invasive biomarkers for risk stratification need further improvement. Immune checkpoint inhibitors (ICIs), while with limited efficacy in NHL, highlight the immune system's crucial role in cancer control. This study investigated the predictive and prognostic potential of soluble immune checkpoints (sICs) and their membrane-bound isoforms in the peripheral blood of lymphoma patients. Levels of sCD27, sCD28, and sCD80 were measured using multiplex immunoassay in 100 lymphoma patients and 62 healthy donors (HD). Expression of membrane-bound isoforms on PBMCs was analyzed via flow cytometry in 40 patients and 10 HD. All three sICs were significantly higher in lymphoma patients compared to HD. High levels were associated with significantly impaired disease control (DC) and survival at 12 and 24 months, progression free-survival (PFS) and overall survival (OS). The highest prediction capacity was achieved when assessing all three molecules in a combined score (p < 0.001, p = 0.013, for score 0 vs 3: DC:85% vs 18.5%, OS:87% vs 27%). Integrating expression of related membrane-bound markers on PBMCs led to a highly robust peripheral blood-based biomarker score comprising the soluble and membrane-bound compartments (2COMPIC-Score:3 sICs + 7 PBMC subsets) (p < 0.001, HR = 18.1;p = 0.001,HR = 19.2), corroborated by multivariate analysis, outperforming the clinically validated NCCN-IPI prognostic score. We unveil the potential of combining different minimally invasive liquid biopsy-based immune checkpoint assessments into a robust clinical score for prognostic prediction in lymphoma, mainly B(cell)-NHL. Pending prospective validation, our findings could aid clinicians in guiding therapeutic decisions.

摘要

淋巴瘤,尤其是侵袭性非霍奇金淋巴瘤(NHL),由于初始治疗失败的部分患者预后较差,仍然具有挑战性。目前用于风险分层的微创生物标志物需要进一步改进。免疫检查点抑制剂(ICI)虽然在NHL中的疗效有限,但凸显了免疫系统在癌症控制中的关键作用。本研究调查了可溶性免疫检查点(sIC)及其膜结合异构体在淋巴瘤患者外周血中的预测和预后潜力。使用多重免疫测定法在100例淋巴瘤患者和62名健康供体(HD)中测量了sCD27、sCD28和sCD80的水平。通过流式细胞术分析了40例患者和10名HD外周血单个核细胞(PBMC)上膜结合异构体的表达。与HD相比,所有三种sIC在淋巴瘤患者中均显著更高。高水平与12个月和24个月时疾病控制(DC)和生存率显著受损、无进展生存期(PFS)和总生存期(OS)相关。当以综合评分评估所有三种分子时,预测能力最高(对于评分为0与3:DC:85%对18.5%,OS:87%对27%,p < 0.001,p = 0.013)。整合PBMC上相关膜结合标志物的表达导致了一个高度稳健的基于外周血的生物标志物评分,包括可溶性和膜结合部分(2COMPIC评分:3种sIC + 7个PBMC亚群)(p < 0.001,HR = 18.1;p = 0.001,HR = 19.2),多变量分析证实了这一点,其表现优于临床验证的NCCN-IPI预后评分。我们揭示了将不同的基于微创液体活检的免疫检查点评估组合成一个强大的临床评分用于淋巴瘤(主要是B细胞-NHL)预后预测的潜力。在进行前瞻性验证之前,我们的发现可能有助于临床医生指导治疗决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef1/12396130/c50d22bbb798/KONI_A_2543511_F0001_OC.jpg

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