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体细胞拷贝数改变可预测接受细胞因子诱导的杀伤细胞联合化疗治疗的肺腺癌患者的临床获益

英文原题:Somatic copy number alteration predicts clinical benefit of lung adenocarcinoma patients treated with cytokine-induced killer plus chemotherapy.

PubMed 2022/01/12(内容时间) Cancer Gene Ther Q1 · IF 6.4(JCR 2025)

研究概要

体细胞拷贝数改变(SCNA)在癌症中广泛存在,可预测非小细胞肺癌(NSCLC)中免疫检查点抑制剂的疗效。

中文摘要

体细胞拷贝数改变(SCNA)在癌症中广泛存在,可预测非小细胞肺癌(NSCLC)中免疫检查点抑制剂的疗效。然而,SCNA在预测接受细胞因子诱导的杀伤(CIK)细胞或化疗(CT)治疗患者生存方面的价值尚不清楚。本研究旨在探讨接受CIK + CT或单纯CT治疗的NSCLC患者中SCNA与临床结局的相关性。我们对45例接受CIK + CT治疗的NSCLC患者以及来自The Cancer Genome Atlas的305例接受单纯CT治疗的NSCLC患者进行了全外显子组测序,结果显示,在接受CIK + CT治疗的NSCLC患者中,SCNA在预测无进展生存期(PFS)方面优于肿瘤突变负荷(TMB)和SCNA + TMB,尤其是在肺腺癌中,而SCNA无法预测单纯CT的疗效。此外,我们通过RNA测序和免疫组织化学研究了SCNA与免疫细胞浸润之间的关联。结果显示,SCNA与树突状细胞的表达呈负相关。总体而言,本研究揭示了SCNA与CIK + CT治疗反应之间的负相关,并表明SCNA是接受CIK + CT治疗的LUAD患者的预测指标。

展开英文摘要原文

Somatic copy number alterations (SCNA), which are widespread in cancer, can predict the efficacy of immune checkpoint inhibitors in non-small-cell lung cancer (NSCLC). However, the usefulness of SCNA for predicting the survival of patients treated with cytokine-induced killer (CIK) cells or chemotherapy (CT) is unknown. This study aimed to explore the correlation between SCNA and clinical outcome in NSCLC patients treated with CIK + CT or CT alone. We performed whole-exome sequencing on 45 NSCLC patients treated with CIK + CT, as well as 305 NSCLC patients treated with CT alone, from The Cancer Genome Atlas, which showed SCNA had a superiority in predicting the progression-free survival (PFS) over tumor mutation burden (TMB) and SCNA + TMB in NSCLC patients treated with CIK + CT, especially in lung adenocarcinoma, while SCNA could not predict the efficacy of CT alone. Additionally, we investigated the association between SCNA and immune cell infiltration by RNA sequencing and immunohistochemistry. The results revealed that SCNA was negatively associated with the expression of dendritic cells. Collectively, this study revealed a negative correlation between SCNA and response to CIK + CT and showed that SCNA is a predictive indicator in LUAD patients treated with CIK + CT.

论文信息

作者
Kou F、Wu L、Zhu Y、Li B、Huang Z、Ren X、Yang L
第一作者单位
Department of Immunology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.China
通讯作者单位
Department of Immunology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China. yanglili@tjmuch.com.China
文献类型
非美国政府资助研究
期刊
Cancer gene therapy2022 Aug
原文标识
PubMed 35022521 · DOI 10.1038/s41417-021-00422-5