单位:[1]Department of Oncology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China华中科技大学同济医学院附属同济医院肿瘤科[2]Department of Medical Oncology, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou 450008, China河南省肿瘤医院[3]Bone Marrow Transplantation Center, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qingchun Road, Hangzhou 310003, China河南省肿瘤医院
Background Lung adenocarcinoma (LUAD) is a common pulmonary malignant disease with a poor prognosis. There were limited studies investigating the influences of the tumor immune microenvironment on LUAD patients' survival and response to immune checkpoint inhibitors (ICIs). Methods Based on TCGA-LUAD dataset, we constructed a prognostic immune signature and validated its predictive capability in the internal as well as total datasets. Then, we explored the differences of tumor-infiltrating lymphocytes, tumor mutation burden, and patients' response to ICI treatment between the high-risk score group and low-risk score group. Results This immune signature consisted of 17 immune-related genes, which was an independent prognostic factor for LUAD patients. In the low-risk score group, patients had better overall survival. Although the differences were non-significant, patients with low-risk scores had more tumor-infiltrating follicular helper T cells and fewer macrophages (M0), which were closely related to clinical outcomes. Additionally, the total TMB was markedly decreased in the low-risk score group. Using immunophenoscore as a surrogate of ICI response, we found that patients with low-risk scores had significantly higher immunophenoscore. Conclusion The 17-immune-related genes signature may have prognostic and predictive relevance with ICI therapy but needs prospective validation.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81874120,82073370]; Wuhan Science and Technology Bureau [2017060201010170]
第一作者单位:[1]Department of Oncology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
通讯作者:
推荐引用方式(GB/T 7714):
Yi Ming,Li Anping,Zhou Linghui,et al.Immune signature-based risk stratification and prediction of immune checkpoint inhibitor's efficacy for lung adenocarcinoma[J].CANCER IMMUNOLOGY IMMUNOTHERAPY.2021,70(6):1705-1719.doi:10.1007/s00262-020-02817-z.
APA:
Yi, Ming,Li, Anping,Zhou, Linghui,Chu, Qian,Luo, Suxia&Wu, Kongming.(2021).Immune signature-based risk stratification and prediction of immune checkpoint inhibitor's efficacy for lung adenocarcinoma.CANCER IMMUNOLOGY IMMUNOTHERAPY,70,(6)
MLA:
Yi, Ming,et al."Immune signature-based risk stratification and prediction of immune checkpoint inhibitor's efficacy for lung adenocarcinoma".CANCER IMMUNOLOGY IMMUNOTHERAPY 70..6(2021):1705-1719