Immunological characteristics of peripheral T cells as prognostic markers for Camrelizumab and Apatinib combination therapy in advanced squamous non-small-cell lung cancer

IF 3 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Molecular immunology Pub Date : 2025-02-01 Epub Date: 2025-01-26 DOI:10.1016/j.molimm.2025.01.011
Liangliang Wu , Xiaoyu Zhi , Shengzhi Xie , Keren Li , Man Chen , Gong Li , Qiyan Wu , Shunchang Jiao , Jinliang Wang , Tianyi Liu
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Abstract

Purpose

To determine the characteristic changes of peripheral blood T cells and identify potential biomarkers that associated with the clinical efficacy of combined immunotherapy and anti-angiogenic therapy in patients with advanced squamous non-small cell lung cancer (NSCLC).

Methods

We performed a comprehensive immunological assessment of peripheral blood mononuclear cell samples from advanced squamous NSCLC patients before and after combination of immunotherapy (Camrelizumab) and anti-angiogenic therapy (Apatinib) using spectral flow cytometry. Correlations between these immunological features and clinical efficacy were analyzed.

Results

Our findings revealed that, following two treatment cycles, the concentration of type 1 T helper (Th1) cells in the peripheral circulation was significantly higher in the responder group than in the non-responder group, correlating with a statistically significant improvement in survival outcomes. Post-treatment, CD137 expression within Th1 cells in the responders, whereas TIM-3 expression was significantly reduced. In the validation cohort, elevated CD4+ CXCR3+ CD137+ cells in the peripheral blood were associated with a positive clinical reaction to the treatment and extended survival.

Conclusions

Our findings suggest that peripheral blood circulating CD4+ CXCR3+ CD137+ cells serve as biomarkers of response to combined immunotherapy and anti-angiogenic therapy in patients with advanced squamous NSCLC, providing potential guidance for improving clinical outcomes.
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外周血T细胞的免疫学特性作为Camrelizumab和Apatinib联合治疗晚期鳞状非小细胞肺癌的预后标志物。
目的:了解晚期鳞状非小细胞肺癌(NSCLC)患者外周血T细胞的特征性变化,并寻找与免疫联合抗血管生成治疗临床疗效相关的潜在生物标志物。方法:我们使用光谱流式细胞术对晚期鳞状NSCLC患者外周血单个核细胞样本进行了免疫治疗(Camrelizumab)和抗血管生成治疗(Apatinib)前后的综合免疫学评估。分析这些免疫学特征与临床疗效的相关性。结果:我们的研究结果显示,在两个治疗周期后,应答组外周循环中1型 T辅助(Th1)细胞的浓度显著高于无应答组,与生存结果的统计学显著改善相关。治疗后,应答者的Th1细胞内CD137表达显著降低,而TIM-3表达显著降低。在验证队列中,外周血中CD4+ CXCR3+ CD137+细胞升高与治疗的阳性临床反应和延长生存期相关。结论:我们的研究结果表明,外周血循环CD4+ CXCR3+ CD137+细胞可作为晚期鳞状非小细胞肺癌患者对联合免疫治疗和抗血管生成治疗反应的生物标志物,为改善临床结果提供潜在的指导。
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来源期刊
Molecular immunology
Molecular immunology 医学-免疫学
CiteScore
6.90
自引率
2.80%
发文量
324
审稿时长
50 days
期刊介绍: Molecular Immunology publishes original articles, reviews and commentaries on all areas of immunology, with a particular focus on description of cellular, biochemical or genetic mechanisms underlying immunological phenomena. Studies on all model organisms, from invertebrates to humans, are suitable. Examples include, but are not restricted to: Infection, autoimmunity, transplantation, immunodeficiencies, inflammation and tumor immunology Mechanisms of induction, regulation and termination of innate and adaptive immunity Intercellular communication, cooperation and regulation Intracellular mechanisms of immunity (endocytosis, protein trafficking, pathogen recognition, antigen presentation, etc) Mechanisms of action of the cells and molecules of the immune system Structural analysis Development of the immune system Comparative immunology and evolution of the immune system "Omics" studies and bioinformatics Vaccines, biotechnology and therapeutic manipulation of the immune system (therapeutic antibodies, cytokines, cellular therapies, etc) Technical developments.
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