Feng Minghao, Niu Yuxu, Liu Jiayuan, Liu Gang
Department of Thoracic Surgery, Shanghai East Hospital, Tongji University, 1800 Yuntai Road, Shanghai, 200120, China.
Department of Thoracic, The Sixth People's Hospital, Shanghai Jiaotong University, No.600, Yishan Rd, Shanghai, 200233, 210508, PR China.
Funct Integr Genomics. 2025 Sep 1;25(1):182. doi: 10.1007/s10142-025-01690-2.
Although immunotherapy for late-stage non-small cell lung carcinoma (NSCLC) has been clinically utilized, its prognosis remains highly heterogeneous, prompting us to investigate novel predictive immunotherapy biomarkers for NSCLC. We analyzed the correlations between MED12 nonsynonymous mutations and survival, clinical, genomic, transcriptomic information, and immune infiltration information through data mining across multiple datasets. We also investigated the mechanism of MED12 using luciferase assay, Western blot, ChIP-PCR, and siRNA. MED12 is significantly associated with survival in completely independent immunotherapy datasets, including MSKCC (N = 350), Naiyer2015 (N = 34), our own (N = 295) and the pan-cancer dataset, but not in the TCGA dataset, where patients received non-immunotherapy regimens. Mutations in MED12 showed no significant correlation with known metrics (TMB, IPS/CTLA4/PD1 status, PD-1/PD-L1 expression, and TCR/BCR status) or DNA Damage Repair (DDR) pathway mutations, yet they carried independent prognostic information according to the Cox multivariate regression. On the other hand, MED12 mutation is significantly associated with multiple immune-related pathways and immune infiltration of CD8 + T cells and activated NK cells. Lactate dehydrogenase assay revealed that knockdown of TAP2 restored the upregulation of CD8 + T cell cytotoxicity triggered by MED12 knockdown. ChIP-PCR, luciferase assay and siRNA knock down assay indicate that MED12 binds to the promoter region of STAT1 to suppress its transcription, while the transcription factor STAT1 promotes the transcription of TAP2, thus inhibiting the antigen processing and presentation. Collectively, MED12 mutation is an independent and valuable biomarker for predicting the response to immune checkpoint inhibitor (ICI)therapy in NSCLC by modulating CD8 + T cell cytotoxicity via the STAT1/TAP2 axis.
尽管晚期非小细胞肺癌(NSCLC)的免疫疗法已在临床上得到应用,但其预后仍存在高度异质性,这促使我们去研究NSCLC新的免疫疗法预测生物标志物。我们通过对多个数据集进行数据挖掘,分析了MED12非同义突变与生存、临床、基因组、转录组信息以及免疫浸润信息之间的相关性。我们还使用荧光素酶测定、蛋白质免疫印迹、染色质免疫沉淀PCR和小干扰RNA(siRNA)研究了MED12的机制。在完全独立的免疫疗法数据集中,包括纪念斯隆凯特琳癌症中心(MSKCC,N = 350)、奈耶尔2015数据集(N = 34)、我们自己的数据集(N = 295)以及泛癌数据集,MED12与生存显著相关,但在接受非免疫疗法方案的患者所在的TCGA数据集中并非如此。MED12中的突变与已知指标(肿瘤突变负荷、免疫预后评分/细胞毒性T淋巴细胞相关蛋白4/程序性死亡蛋白1状态、程序性死亡蛋白1/程序性死亡配体1表达以及T细胞受体/ B细胞受体状态)或DNA损伤修复(DDR)途径突变无显著相关性,但根据Cox多变量回归分析,它们携带独立的预后信息。另一方面,MED12突变与多个免疫相关途径以及CD8 + T细胞和活化自然杀伤细胞的免疫浸润显著相关。乳酸脱氢酶测定表明,TAP2基因敲低可恢复由MED12基因敲低触发的CD8 + T细胞细胞毒性上调。染色质免疫沉淀PCR、荧光素酶测定和小干扰RNA敲低试验表明,MED12与信号转导和转录激活因子1(STAT1)的启动子区域结合以抑制其转录,而转录因子STAT1促进抗原加工相关转运体2(TAP2)的转录,从而抑制抗原加工和呈递。总的来说,MED12突变是一种独立且有价值的生物标志物,可通过STAT1/TAP2轴调节CD8 + T细胞细胞毒性来预测NSCLC对免疫检查点抑制剂(ICI)治疗的反应。
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