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IF 6.6 2区 医学 Q1 ONCOLOGY Pub Date : 2022-05-01 DOI: 10.1002/1878-0261.12992
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引用次数: 0
Pre- and post-treatment blood-based genomic landscape of patients with ROS1 or NTRK fusion-positive solid tumours treated with entrectinib. 恩曲替尼治疗ROS1或NTRK融合阳性实体瘤患者治疗前后基于血液的基因组景观
IF 5 2区 医学 Q1 ONCOLOGY Pub Date : 2022-05-01 Epub Date: 2022-04-22 DOI: 10.1002/1878-0261.13214
Rafal Dziadziuszko, Tiffany Hung, Kun Wang, Voleak Choeurng, Alexander Drilon, Robert C Doebele, Fabrice Barlesi, Charlie Wu, Lucas Dennis, Joel Skoletsky, Ryan Woodhouse, Meijuan Li, Ching-Wei Chang, Brian Simmons, Todd Riehl, Timothy R Wilson

Genomic tumour profiling informs targeted treatment options. Entrectinib is a tyrosine kinase inhibitor with efficacy in NTRK fusion-positive (-fp) solid tumours and ROS1-fp non-small cell lung cancer. FoundationOne® Liquid CDx (F1L CDx), a non-invasive in vitro next-generation sequencing (NGS)-based diagnostic, detects genomic alterations in plasma circulating tumour DNA (ctDNA). We evaluated the clinical validity of F1L CDx as an aid in identifying patients with NTRK-fp or ROS1-fp tumours and assessed the genomic landscape pre- and post-entrectinib treatment. Among evaluable pre-treatment clinical samples (N = 85), positive percentage agreements between F1L CDx and clinical trial assays (CTAs) were 47.4% (NTRK fusions) and 64.5% (ROS1 fusions); positive predictive value was 100% for both. The objective response rate for CTA+ F1L CDx+ patients was 72.2% in both cohorts. The median duration of response significantly differed between F1L CDx+ and F1L CDx- samples in ROS1-fp (5.6 vs. 17.3 months) but not NTRK-fp (9.2 vs. 12.9 months) patients. Fifteen acquired resistance mutations were detected. We conclude that F1L CDx is a clinically valid complement to tissue-based testing to identify patients who may benefit from entrectinib and those with acquired resistance mutations associated with disease progression.

基因组肿瘤分析为有针对性的治疗方案提供信息。enterrectinib是一种酪氨酸激酶抑制剂,对NTRK融合阳性(‐fp)实体瘤和ROS1‐fp非小细胞肺癌有效。FoundationOne®Liquid CDx (F1L CDx)是一种基于非侵入性体外新一代测序(NGS)的诊断方法,可检测血浆循环肿瘤DNA (ctDNA)的基因组变化。我们评估了F1L CDx作为鉴定NTRK - fp或ROS1 - fp肿瘤患者的辅助手段的临床有效性,并评估了肠替尼治疗前后的基因组图谱。在可评估的治疗前临床样本(N = 85)中,F1L CDx和临床试验测定(cta)之间的阳性百分比一致性为47.4% (NTRK融合)和64.5% (ROS1融合);阳性预测值均为100%。在两个队列中,CTA+ F1L CDx+患者的客观缓解率为72.2%。在ROS1 - fp患者中,F1L CDx+和F1L CDx -样本的中位反应持续时间显著差异(5.6个月对17.3个月),但NTRK - fp患者的中位反应持续时间无显著差异(9.2个月对12.9个月)。检测到15个获得性耐药突变。我们得出结论,F1L CDx是一种临床有效的组织检测补充,用于识别可能受益于enterrectinib的患者和那些与疾病进展相关的获得性耐药突变患者。
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引用次数: 0
Issue Information 问题信息
IF 6.6 2区 医学 Q1 ONCOLOGY Pub Date : 2022-05-01 DOI: 10.1002/1878-0261.12993
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引用次数: 0
Arachidonic acid, a clinically adverse mediator in the ovarian cancer microenvironment, impairs JAK‐STAT signaling in macrophages by perturbing lipid raft structures 花生四烯酸是卵巢癌微环境中的一种临床不良介质,通过扰乱脂筏结构损害巨噬细胞中的JAK - STAT信号
IF 6.6 2区 医学 Q1 ONCOLOGY Pub Date : 2022-04-22 DOI: 10.1002/1878-0261.13221
Mohamad K Hammoud, Raimund Dietze, J. Pesek, F. Finkernagel, Annika Unger, Tim Bieringer, Andrea Nist, T. Stiewe, A. Bhagwat, W. Nockher, S. Reinartz, S. Müller-Brüsselbach, Johannes Graumann, R. Müller
Survival of ovarian carcinoma is associated with the abundance of immunosuppressed CD163highCD206high tumor‐associated macrophages (TAMs) and high levels of arachidonic acid (AA) in the tumor microenvironment. Here, we show that both associations are functionally linked. Transcriptional profiling revealed that high CD163 and CD206/MRC1 expression in TAMs is strongly associated with an inhibition of cytokine‐triggered signaling, mirrored by an impaired transcriptional response to interferons and IL‐6 in monocyte‐derived macrophages by AA. This inhibition of pro‐inflammatory signaling is caused by dysfunctions of the cognate receptors, indicated by the inhibition of JAK1, JAK2, STAT1, and STAT3 phosphorylation, and by the displacement of the interferon receptor IFNAR1, STAT1 and other immune‐regulatory proteins from lipid rafts. AA exposure led to a dramatic accumulation of free AA in lipid rafts, which appears to be mechanistically crucial, as the inhibition of its incorporation into phospholipids did not affect the AA‐mediated interference with STAT1 phosphorylation. Inhibition of interferon‐triggered STAT1 phosphorylation by AA was reversed by water‐soluble cholesterol, known to prevent the perturbation of lipid raft structure by AA. These findings suggest that the pharmacologic restoration of lipid raft functions in TAMs may contribute to the development new therapeutic approaches.
卵巢癌的生存与肿瘤微环境中免疫抑制CD163highCD206high的肿瘤相关巨噬细胞(tam)的丰度和高水平的花生四烯酸(AA)有关。在这里,我们表明这两种关联在功能上是联系在一起的。转录谱分析显示,tam中CD163和CD206/MRC1的高表达与细胞因子触发信号的抑制密切相关,这反映在AA对单核细胞源性巨噬细胞中干扰素和IL - 6的转录反应受损。这种对促炎信号的抑制是由同源受体的功能障碍引起的,表现为JAK1、JAK2、STAT1和STAT3磷酸化的抑制,以及干扰素受体IFNAR1、STAT1和其他免疫调节蛋白在脂筏中的移位。AA暴露导致游离AA在脂筏中的大量积累,这似乎是至关重要的机制,因为抑制其与磷脂的结合并不影响AA介导的对STAT1磷酸化的干扰。AA对干扰素触发的STAT1磷酸化的抑制作用被水溶性胆固醇逆转,已知水溶性胆固醇可以防止AA对脂筏结构的扰动。这些发现表明,在tam中脂质筏功能的药理学恢复可能有助于开发新的治疗方法。
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引用次数: 7
Human papilloma virus integration sites and genomic signatures in head and neck squamous cell carcinoma 头颈部鳞状细胞癌中人乳头状瘤病毒整合位点和基因组特征
IF 6.6 2区 医学 Q1 ONCOLOGY Pub Date : 2022-04-10 DOI: 10.1002/1878-0261.13219
Juliette Mainguené, S. Vacher, M. Kamal, A. Hamza, J. Masliah-Planchon, S. Baulande, Sabrina Ibadioune, E. Borcoman, W. Cacheux, V. Calugaru, L. Courtois, C. Crozes, M. Deloger, E. Girard, J. Delord, A. Dubray-Vautrin, L. Larbi Chérif, C. Dupain, E. Jeannot, J. Klijanienko, S. Lameiras, C. Lecerf, A. Modesto, A. Nicolas, R. Rouzier, E. Saâda-Bouzid, P. Saintigny, A. Sudaka, N. Servant, C. le Tourneau, I. Bièche
A prevalence of around 26% of human papillomavirus (HPV) in head and neck squamous cell carcinoma (HNSCC) has been previously reported. HPV induced oncogenesis mainly involving E6 and E7 viral oncoproteins. In some cases, HPV viral DNA has been detected to integrate with the host genome and possibly contributes to carcinogenesis by affecting the gene expression. We retrospectively assessed HPV integration sites and signatures in 80 HPV positive patients with HNSCC, by using a double capture‐HPV method followed by next‐generation Sequencing. We detected HPV16 in 90% of the analyzed cohort and confirmed five previously described mechanistic signatures of HPV integration [episomal (EPI), integrated in a truncated form revealing two HPV‐chromosomal junctions colinear (2J‐COL) or nonlinear (2J‐NL), multiple hybrid junctions clustering in a single chromosomal region (MJ‐CL) or scattered over different chromosomal regions (MJ‐SC) of the human genome]. Our results suggested that HPV remained episomal in 38.8% of the cases or was integrated/mixed in the remaining 61.2% of patients with HNSCC. We showed a lack of association of HPV genomic signatures to tumour and patient characteristics, as well as patient survival. Similar to other HPV associated cancers, low HPV copy number was associated with worse prognosis. We identified 267 HPV‐human junctions scattered on most chromosomes. Remarkably, we observed four recurrent integration regions: PDL1/PDL2/PLGRKT (8.2%), MYC/PVT1 (6.1%), MACROD2 (4.1%) and KLF5/KLF12 regions (4.1%). We detected the overexpression of PDL1 and MYC upon integration by gene expression analysis. In conclusion, we identified recurrent targeting of several cancer genes such as PDL1 and MYC upon HPV integration, suggesting a role of altered gene expression by HPV integration during HNSCC carcinogenesis.
据报道,人乳头瘤病毒(HPV)在头颈部鳞状细胞癌(HNSCC)中的患病率约为26%。HPV诱导的肿瘤发生主要涉及E6和E7病毒癌蛋白。在某些情况下,已检测到HPV病毒DNA与宿主基因组整合,并可能通过影响基因表达而导致致癌。我们通过使用双捕获-HPV方法和下一代测序,对80例HNSCC HPV阳性患者的HPV整合位点和特征进行了回顾性评估。我们在90%的分析队列中检测到HPV16,并证实了先前描述的五种HPV整合的机制特征[附加型(EPI),以截短的形式整合,显示两个HPV染色体连接共线(2J-COL)或非线性(2J-NL),多个杂合连接聚集在单个染色体区域(MJ‐CL)或分散在不同染色体区域(MJ-SC)人类基因组的一部分]。我们的研究结果表明,在38.8%的病例中,HPV仍然是游离型的,在其余61.2%的HNSCC患者中,HPV是整合/混合的。我们发现HPV基因组特征与肿瘤和患者特征以及患者生存率缺乏相关性。与其他HPV相关癌症相似,低HPV拷贝数与预后较差相关。我们鉴定了267个分布在大多数染色体上的人乳头状瘤病毒-人类连接。值得注意的是,我们观察到四个重复整合区域:PDL1/PL2/PLGRKT(8.2%)、MYC/PVT1(6.1%)、MACROD2(4.1%)和KLF5/KLF12区域(4.1%。总之,我们确定了几种癌症基因(如PDL1和MYC)在HPV整合过程中的反复靶向,这表明HPV整合改变的基因表达在HNSCC致癌过程中的作用。
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引用次数: 6
Mesenchymal tumor cells drive adaptive resistance of Trp53−/− breast tumor cells to inactivated mutant Kras 间充质肿瘤细胞驱动Trp53−/−乳腺肿瘤细胞对失活突变Kras的适应性抵抗
IF 6.6 2区 医学 Q1 ONCOLOGY Pub Date : 2022-04-09 DOI: 10.1002/1878-0261.13220
L. J. van Weele, Sabra I. Djomehri, S. Cai, Jane Antony, Shaheen S. Sikandar, D. Qian, W. H. D. Ho, R. West, F. Scheeren, M. Clarke
As precision medicine increases the response rate of treatment, tumors frequently bypass inhibition, and reoccur. In order for treatment to be effective long term, the mechanisms enabling treatment adaptation need to be understood. Here, we report a mouse model that, in the absence of p53 and the presence of oncogenic KrasG12D, develops breast tumors. Upon inactivation of KrasG12D, tumors initially regress and enter remission. Subsequently, the majority of tumors adapt to the withdrawal of KrasG12D expression and return. KrasG12D‐independent tumor cells show a strong mesenchymal profile with active RAS‐RAF‐MEK‐ERK (MAPK/ERK) signaling. Both KrasG12D‐dependent and KrasG12D‐independent tumors display a high level of genomic instability, and KrasG12D‐independent tumors harbor numerous amplified genes that can activate the MAPK/ERK signaling pathway. Our study identifies both epithelial‐mesenchymal transition (EMT) and active MAPK/ERK signaling in tumors that adapt to oncogenic KrasG12D withdrawal in a novel Trp53−/− breast cancer mouse model. To achieve long‐lasting responses in the clinic to RAS‐fueled cancer, treatment will need to focus in parallel on obstructing tumors from adapting to oncogene inhibition.
随着精准医学提高治疗的有效率,肿瘤经常绕过抑制,复发。为了使治疗长期有效,需要了解使治疗适应的机制。在这里,我们报道了一种小鼠模型,该模型在缺乏p53和致癌KrasG12D的情况下,发展为乳腺肿瘤。在KrasG12D失活后,肿瘤最初消退并进入缓解期。随后,大多数肿瘤适应于KrasG12D表达的撤回并返回。KrasG12D非依赖性肿瘤细胞表现出强大的间充质特征,具有活性的RAS‐RAF‐MEK‐ERK(MAPK/ERK)信号传导。KrasG12D依赖性和KrasG12D-非依赖性肿瘤都表现出高度的基因组不稳定性,并且KrasG11D-非依赖型肿瘤携带许多可以激活MAPK/ERK信号通路的扩增基因。我们的研究在一个新的Trp53−/-乳腺癌症小鼠模型中确定了适应致癌KrasG12D退出的肿瘤中的上皮-间质转化(EMT)和活性MAPK/ERK信号传导。为了在临床上实现对RAS引发的癌症的长期反应,治疗需要同时关注阻止肿瘤适应癌基因抑制。
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引用次数: 1
Issue Information 问题信息
IF 6.6 2区 医学 Q1 ONCOLOGY Pub Date : 2022-04-01 DOI: 10.1002/1878-0261.12990
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引用次数: 0
Co-occurrence of CDKN2A/B and IFN-I homozygous deletions correlates with an immunosuppressive phenotype and poor prognosis in lung adenocarcinoma. 肺腺癌中CDKN2A/B和IFN-Ⅰ纯合子缺失的共同发生与免疫抑制表型和不良预后相关
IF 5 2区 医学 Q1 ONCOLOGY Pub Date : 2022-04-01 Epub Date: 2022-03-15 DOI: 10.1002/1878-0261.13206
Yuan Peng, Yonghong Chen, Mengmeng Song, Xiaoyue Zhang, Pansong Li, Xian Yu, Yusheng Huang, Ni Zhang, Liyan Ji, Lei Xia, Xuefeng Xia, Xin Yi, Benxu Tan, Zhenzhou Yang

Homozygous deletion (HD) of CDKN2A and CDKN2B (CDKN2A/BHD ) is the most frequent copy-number variation (CNV) in lung adenocarcinoma (LUAD). CDKN2A/BHD has been associated with poor outcomes in LUAD; however, the mechanisms of its prognostic effect remain unknown. We analyzed genome, transcriptome, and clinical data from 517 patients with LUAD from the Cancer Genome Atlas (TCGA) and from 788 primary LUAD tumor and matched control samples from the MSK-IMPACT clinical cohort. CDKN2A/BHD was present in 19.1% of the TCGA-LUAD cohort and in 5.7% of the MSK-IMPACT cohort. CDKN2A/BHD patients had shorter disease-free survival and overall survival compared with CDKN2A/BWT individuals in both cohorts. Differences in clinical features did not influence the outcomes in the CDKN2A/BHD population. Mutation analyses showed that overall tumor mutational burden and mutations in classical drivers such as EGFR and RB1 were not associated with CDKN2A/BHD . In contrast, homozygous deletion of type I interferons (IFN-IHD ) frequently co-occurred with CDKN2A/BHD . CDKN2A/B and IFN-I are co-located in the same p21.3 region of chromosome 9. The co-occurrence of CDKN2A/BHD and IFN-IHD was not related to whole-genome doubling, chromosome instability, or aneuploidy. Patients with co-occurring CDKN2A/BHD and IFN-IHD had shorter disease-free survival and overall survival compared with CDKN2A/BWT patients. CDKN2A/BHD IFN-IHD had downregulated several key immune response pathways, suggesting that poor prognosis in CDKN2A/BHD LUAD could potentially be attributed to an immunosuppressive tumor microenvironment as a result of IFN-I depletion.

CDKN2A和CDKN2B的纯合缺失(HD)(CDKN2A/BHD)是肺腺癌(LUAD)中最常见的拷贝数变异(CNV)。CDKN2A/BHD与LUAD的不良结果相关;然而,其影响预后的机制尚不清楚。我们分析了来自癌症基因组图谱(TCGA)的517名LUAD患者的基因组、转录组和临床数据,以及来自MSK-IMPACT临床队列的788例原发性LUAD肿瘤和匹配对照样本。CDKN2A/BHD在19.1%的TCGA‐LUAD队列和5.7%的MSK‐IMPACT队列中存在。在两个队列中,与CDKN2A/BWT患者相比,CDKN2A/BHD患者的无病生存期和总生存期更短。临床特征的差异不会影响CDKN2A/BHD人群的结果。突变分析表明,总体肿瘤突变负荷和EGFR和RB1等经典驱动因素的突变与CDKN2A/BHD无关。相反,I型干扰素(IFN‐IHD)的纯合缺失经常与CDKN2A/BHD同时发生。CDKN2A/B和IFN-Ⅰ共同位于9号染色体的同一p21.3区域。CDKN2A/BHD和IFN-IHD的共同发生与全基因组加倍、染色体不稳定或非整倍体无关。与CDKN2A/BWT患者相比,同时发生CDKN2A/BHD和IFN-IHD的患者无病生存期和总生存期更短。CDKN2A/BHDIFN‐IHD下调了几个关键的免疫反应途径,这表明CDKN2A/BHD LUAD的不良预后可能归因于IFN‐I耗竭导致的免疫抑制肿瘤微环境。
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引用次数: 0
Issue Information 问题信息
IF 6.6 2区 医学 Q1 ONCOLOGY Pub Date : 2022-04-01 DOI: 10.1002/1878-0261.12991
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引用次数: 0
miR‐126 downregulates CXCL12 expression in intestinal epithelial cells to suppress the recruitment and function of macrophages and tumorigenesis in a murine model of colitis‐associated colorectal cancer miR-126下调肠上皮细胞中CXCL12的表达,以抑制结肠炎相关癌症小鼠模型中巨噬细胞的募集和功能以及肿瘤的发生
IF 6.6 2区 医学 Q1 ONCOLOGY Pub Date : 2022-04-01 DOI: 10.1002/1878-0261.13218
Shuai Wu, Wei Yuan, Wei-Wei Luo, K. Nie, Xing Wu, Xiangrui Meng, Zhaohua Shen, Xiaoyan Wang
Inflammatory bowel disease, characterised by chronic relapsing‐remitting colitis, is a significant risk factor for colorectal cancer (CRC). Previously, we showed that miR‐126 functions as a tumour suppressor in CRC and is inversely correlated with tumour proliferation, metastasis and patient prognosis. In the current study, we documented a protective role for miR‐126 in colitis‐associated CRC (CAC) and its underlying mechanism. We detected downregulated miR‐126 expression during colorectal tumorigenesis in the mouse CAC model and in specimens from patients with CRC. The deficiency of miR‐126 in intestinal epithelial cells (IECs) exacerbated tumorigenesis in mice. We identified CXCL12 as a direct target of miR‐126 in inhibiting the development of colitis and CAC. Moreover, miR‐126 regulated the recruitment of macrophages via CXCL12 and decreased the levels of proinflammatory cytokines (IL‐6, IL‐12 and IL‐23). In addition, IL‐6 secreted by macrophages, which were regulated by cocultured transfected CRC cells, altered the proliferation and migration of colon cells. Our data suggest that miR‐126 exerts an antitumour effect on CAC by regulating the crosstalk between IECs and macrophages via CXCL12‐IL‐6 signalling. Our study contributes to the understanding of cancer progression and suggests miR‐126 as a potential therapy for CRC.
以慢性复发缓解型结肠炎为特征的炎症性肠病是结直肠癌(CRC)的重要危险因素。先前,我们发现miR - 126在结直肠癌中作为肿瘤抑制因子发挥作用,并且与肿瘤增殖、转移和患者预后呈负相关。在目前的研究中,我们记录了miR - 126在结肠炎相关CRC (CAC)中的保护作用及其潜在机制。我们在小鼠CAC模型和结直肠癌患者标本中检测到miR - 126在结直肠肿瘤发生过程中的下调表达。miR - 126在小鼠肠上皮细胞(IECs)中的缺乏加剧了肿瘤的发生。我们发现CXCL12是miR - 126抑制结肠炎和CAC发展的直接靶点。此外,miR‐126通过CXCL12调节巨噬细胞的募集,并降低促炎细胞因子(IL‐6、IL‐12和IL‐23)的水平。此外,巨噬细胞分泌的IL - 6可通过共培养转染的CRC细胞调节,从而改变结肠细胞的增殖和迁移。我们的数据表明miR - 126通过CXCL12 - IL - 6信号传导调节IECs和巨噬细胞之间的串扰,从而对CAC发挥抗肿瘤作用。我们的研究有助于理解癌症的进展,并提示miR - 126作为CRC的潜在治疗方法。
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引用次数: 11
期刊
Molecular Oncology
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