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Temporal dynamics of immune cell patterns in bladder cancer patients receiving Bacillus Calmette-Guérin therapy 接受卡介苗杆菌治疗的膀胱癌患者免疫细胞模式的时间动态。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-31 DOI: 10.1038/s41416-024-02883-5
Jiang-Li Lu, Yun-Lin Ye, Dan-Dan Zheng, Xin-Yu Shi, Li-Ling Hu, Xiao-Yi Yuan, Tao-Nong Cai, Kun Meng, Neng-Qiao Wen, Yu-Ying Li, Ding-Kang Wang, Fu-Jin Shi, Dan-Ya Liu, Qing-Yu He, Zi-Ke Qin, Chris Zhiyi Zhang, Yun Cao
Bacillus Calmette-Guérin (BCG) is capable of enhancing the infiltration of immune cells into the tumour. However the temporal dynamics of immune cell patterns in patients receiving BCG instillation remains unclear. Ninety-six patients who underwent intravesical BCG therapy, comprising 46 responders and 50 non-responders, were retrospectively enroled to explore the evolving immune landscape. This study involved a detailed examination of sequential samples collected before, during, and after BCG treatment to assess BCG’s influence on the immune microenvironment, employing techniques such as immunohistochemistry, fluorescent multiplex immunohistochemistry, and mass spectrometry techniques. Our study found that initial BCG instillation leads to enhanced immune cell infiltration, correlating with treatment efficacy, with responders exhibiting more pronounced increases. Non-responders experience a rise in immune cell infiltration and PD-L1 expression during the first instillation, which returns to baseline after treatment. In non-responders, BCG re-challenge fail to further increase immune cell infiltration into the tumour or improve patient outcomes. Strikingly, proteomics data revealed that GBP1 expression was induced by BCG treatment in non-responders. Our findings demonstrated the induction of tumour PD-L1 expression by BCG in non-responders, and therefore provide insights for the combination of BCG and anti-PD1/anti-PD-L1 therapy.
背景:卡介苗(Bacillus Calmette-Guérin,BCG)能够增强免疫细胞对肿瘤的浸润。然而,接受卡介苗灌注的患者体内免疫细胞模式的时间动态仍不清楚:对接受卡介苗鞘内注射治疗的 96 名患者(包括 46 名应答者和 50 名非应答者)进行了回顾性登记,以探索不断变化的免疫格局。这项研究采用免疫组化、荧光多重免疫组化和质谱分析等技术,对卡介苗治疗前、治疗中和治疗后采集的连续样本进行详细检查,以评估卡介苗对免疫微环境的影响:我们的研究发现,卡介苗的初次灌注会导致免疫细胞浸润增强,这与治疗效果相关,有反应者的免疫细胞浸润增强更为明显。非应答者的免疫细胞浸润和PD-L1表达在首次灌注时上升,治疗后恢复至基线。在无应答者中,卡介苗再挑战未能进一步增加肿瘤的免疫细胞浸润或改善患者预后。令人震惊的是,蛋白质组学数据显示,卡介苗治疗诱导了非应答者体内GBP1的表达:我们的研究结果表明,卡介苗可诱导非应答者的肿瘤PD-L1表达,从而为卡介苗和抗PD1/抗PD-L1疗法的联合应用提供了启示。
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引用次数: 0
Recurrent somatic mutations of FAT family cadherins induce an aggressive phenotype and poor prognosis in anaplastic large cell lymphoma FAT家族粘附素的复发性体细胞突变会诱发无性大细胞淋巴瘤的侵袭性表型和不良预后。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-30 DOI: 10.1038/s41416-024-02881-7
Matteo Villa, Geeta G. Sharma, Federica Malighetti, Mario Mauri, Giulia Arosio, Nicoletta Cordani, Cosimo Lobello, Hugo Larose, Alessandra Pirola, Deborah D’Aliberti, Luca Massimino, Lucrezia Criscuolo, Lisa Pagani, Clizia Chinello, Cristina Mastini, Diletta Fontana, Silvia Bombelli, Raffaella Meneveri, Federica Lovisa, Lara Mussolin, Andrea Janikova, Šárka Pospíšilová, Suzanne D. Turner, Giorgio Inghirami, Fulvio Magni, Mario Urso, Fabio Pagni, Daniele Ramazzotti, Rocco Piazza, Roberto Chiarle, Carlo Gambacorti-Passerini, Luca Mologni
Anaplastic Large Cell Lymphoma (ALCL) is a rare and aggressive T-cell lymphoma, classified into ALK-positive and ALK-negative subtypes, based on the presence of chromosomal translocations involving the ALK gene. The current standard of treatment for ALCL is polychemotherapy, with a high overall survival rate. However, a subset of patients does not respond to or develops resistance to these therapies, posing a serious challenge for clinicians. Recent targeted treatments such as ALK kinase inhibitors and anti-CD30 antibody-drug conjugates have shown promise but, for a fraction of patients, the prognosis is still unsatisfactory. We investigated the genetic landscape of ALK + ALCL by whole-exome sequencing; recurring mutations were characterized in vitro and in vivo using transduced ALCL cellular models. Recurrent mutations in FAT family genes and the transcription factor RUNX1T1 were found. These mutations induced changes in ALCL cells morphology, growth, and migration, shedding light on potential factors contributing to treatment resistance. In particular, FAT4 silencing in ALCL cells activated the β-catenin and YAP1 pathways, which play crucial roles in tumor growth, and conferred resistance to chemotherapy. Furthermore, STAT1 and STAT3 were hyper-activated in these cells. Gene expression profiling showed global changes in pathways related to cell adhesion, cytoskeletal organization, and oncogenic signaling. Notably, FAT mutations associated with poor outcome in patients. These findings provide novel insights into the molecular portrait of ALCL, that could help improve treatment strategies and the prognosis for ALCL patients.
背景:无细胞大细胞淋巴瘤(ALCL)是一种罕见的侵袭性T细胞淋巴瘤,根据涉及ALK基因的染色体易位分为ALK阳性亚型和ALK阴性亚型。目前治疗 ALCL 的标准是多化疗,总生存率较高。然而,一部分患者对这些疗法没有反应或产生耐药性,这给临床医生带来了严峻的挑战。最近的靶向治疗,如ALK激酶抑制剂和抗CD30抗体-药物共轭物已显示出希望,但对一部分患者来说,预后仍不令人满意:我们通过全外显子组测序研究了ALK+ALCL的遗传结构;使用转导的ALCL细胞模型对体外和体内的复发突变进行了表征:结果:发现了FAT家族基因和转录因子RUNX1T1的反复突变。结果:发现了FAT家族基因和转录因子RUNX1T1的反复突变,这些突变诱导了ALCL细胞形态、生长和迁移的变化,揭示了导致耐药性的潜在因素。特别是,ALCL细胞中的FAT4沉默激活了在肿瘤生长中起关键作用的β-catenin和YAP1通路,并导致对化疗的耐药性。此外,STAT1和STAT3在这些细胞中被过度激活。基因表达谱分析显示,与细胞粘附、细胞骨架组织和致癌信号转导相关的通路发生了全面变化。值得注意的是,FAT突变与患者的不良预后有关:这些发现为了解 ALCL 的分子特征提供了新的视角,有助于改善 ALCL 患者的治疗策略和预后。
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引用次数: 0
The potential clinical utility of Whole Genome Sequencing for patients with cancer: evaluation of a regional implementation of the 100,000 Genomes Project 全基因组测序对癌症患者的潜在临床效用:对十万基因组计划地区实施情况的评估。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-30 DOI: 10.1038/s41416-024-02890-6
Elaine Y. L. Leung, Helen L. Robbins, Shafquat Zaman, Neeraj Lal, Dion Morton, Lisa Dew, Anthony P. Williams, Yvonne Wallis, Jennie Bell, Manoj Raghavan, Gary Middleton, Andrew D. Beggs
The 100,000 Genomes Project established infrastructure for Whole Genome Sequencing (WGS) in the United Kingdom. A retrospective study of cancer patients recruited to the 100,000 Genomes Project by the West Midlands Genomics Medicine Centre, evaluating clinical relevance of results. After excluding samples with no sequencing data (1678/4851; 34.6%), 3166 sample sets (germline and somatic) from 3067 participants were sequenced. Results of 1256 participants (41.0%) were interpreted (excluding participants who died (308/3067; 10.0%) or were clinically excluded (1503/3067; 49.0%)). Of these, 323 (25.7%) had no variants in genes which may alter management (Domain 1 genes). Of the remaining 933 participants, 552 (59.2%) had clinical recommendations made (718 recommendations in total). These included therapeutic recommendations (377/933; 40.4%), such as clinical trial, unlicensed or licensed therapies or high TMB recommendations, and germline variants warranting clinical genetics review (85/933; 9.1%). At the last follow up, 20.2% of all recommendations were followed (145/718). However, only a small proportion of therapeutic recommendations were followed (5.1%, 25/491). The 100,000 Genomes Project has established infrastructure and regional experience to support personalised cancer care. The majority of those with successful sequencing had actionable variants. Ensuring GTAB recommendations are followed will maximise benefits for patients.
背景:10 万基因组计划在英国建立了全基因组测序(WGS)基础设施:十万基因组计划在英国建立了全基因组测序(WGS)基础设施:对西米德兰兹基因组医学中心(West Midlands Genomics Medicine Centre)纳入十万基因组计划的癌症患者进行回顾性研究,评估结果的临床相关性:在排除没有测序数据的样本(1678/4851;34.6%)后,对来自3067名参与者的3166个样本集(种系和体细胞)进行了测序。对 1256 名参与者(41.0%)的结果进行了解读(不包括死亡参与者(308/3067;10.0%)或临床排除参与者(1503/3067;49.0%))。其中,323 人(25.7%)的基因中没有可能改变管理的变异(领域 1 基因)。在其余 933 名参与者中,有 552 人(59.2%)获得了临床建议(共 718 项建议)。其中包括治疗建议(377/933;40.4%),如临床试验、无证或有证疗法或高 TMB 建议,以及需要进行临床遗传学审查的种系变异(85/933;9.1%)。在最后一次随访中,20.2%的建议得到了遵从(145/718)。然而,只有一小部分治疗建议得到了遵循(5.1%,25/491):结论:十万基因组计划建立了支持个性化癌症治疗的基础设施和地区经验。大多数成功测序者都有可操作的变异。确保遵循GTAB的建议将为患者带来最大益处。
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引用次数: 0
Crucial immunological roles of the invasion front in innate and adaptive immunity in cervical cancer 侵袭前沿在宫颈癌先天性免疫和适应性免疫中的关键免疫学作用。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-29 DOI: 10.1038/s41416-024-02877-3
Yuhya Hirahara, Kanako Shimizu, Satoru Yamasaki, Tomonori Iyoda, Shogo Ueda, Shinya Sato, Jotaro Harada, Haruya Saji, Satoshi Fujii, Yohei Miyagi, Etsuko Miyagi, Shin-ichiro Fujii
The immunostimulatory actions of innate and adaptive immune responses play a crucial role in the cancer-immunity cycle. Although cervical cancer (CC) exhibits a high recurrence rate, the relation with lymphocytes in the tumor tissue have not been analyzed. We analyzed NKT, NK, and T cells, not only in peripheral blood (PB), but also tumor tissue through histological analysis from 23 patients with CC collected before treatment. A correlation of them between PB and the tumor tissue were assessed. We detected functional NKT and NKG2Dhi NK cells and effector CD4+ Tregs in PB. In the tumor, we detected the infiltration of LAG-3+ TIM-3+ CD4+ and CD8+ T cells rather than NK cells particularly in the invasion front (IF) by fluorescent multiplex immunohistochemistry. The heatmap and correlation analysis revealed that LAG-3+ TIM-3+ CD8+ T cells are highly associated with CD69+ CD103− exhausted CD8+ T cells. We identified the statistical relationship between CD4+Tregs in PB and the number of LAG-3+ TIM-3+ CD4+ T cells in the IF, which may be related to recurrence in patients with CC. LAG-3+ TIM-3+ T cells located in the IF may play a key role in regulation of the tumor immune microenvironment.
背景:先天性免疫反应和适应性免疫反应的免疫刺激作用在癌症-免疫循环中起着至关重要的作用。虽然宫颈癌(CC)的复发率很高,但尚未分析其与肿瘤组织中淋巴细胞的关系:方法:我们不仅对外周血(PB)中的 NKT、NK 和 T 细胞进行了分析,还通过组织学分析对 23 名宫颈癌患者治疗前的肿瘤组织进行了分析。评估了外周血与肿瘤组织之间的相关性:结果:我们在PB中检测到了功能性NKT和NKG2Dhi NK细胞以及效应CD4+ Tregs。在肿瘤中,我们通过荧光多重免疫组化检测到 LAG-3+ TIM-3+ CD4+ 和 CD8+ T 细胞而非 NK 细胞的浸润,尤其是在侵袭前沿(IF)。热图和相关性分析表明,LAG-3+ TIM-3+ CD8+ T细胞与CD69+ CD103- 精疲力竭的CD8+ T细胞高度相关。我们确定了 PB 中 CD4+Tregs 与 IF 中 LAG-3+ TIM-3+ CD4+ T 细胞数量之间的统计学关系,这可能与 CC 患者的复发有关:结论:位于IF中的LAG-3+ TIM-3+ T细胞可能在调节肿瘤免疫微环境中发挥关键作用。
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引用次数: 0
A proteome-wide association study identifies putative causal proteins for breast cancer risk 一项全蛋白质组关联研究确定了乳腺癌风险的潜在致病蛋白质。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-28 DOI: 10.1038/s41416-024-02879-1
Tianying Zhao, Shuai Xu, Jie Ping, Guochong Jia, Yongchao Dou, Jill E. Henry, Bing Zhang, Xingyi Guo, Michele L. Cote, Qiuyin Cai, Xiao-Ou Shu, Wei Zheng, Jirong Long
Genome-wide association studies (GWAS) have identified more than 200 breast cancer risk-associated genetic loci, yet the causal genes and biological mechanisms for most loci remain elusive. Proteins, as final gene products, are pivotal in cellular function. In this study, we conducted a proteome-wide association study (PWAS) to identify proteins in breast tissue related to breast cancer risk. We profiled the proteome in fresh frozen breast tissue samples from 120 cancer-free European-ancestry women from the Susan G. Komen Tissue Bank (KTB). Protein expression levels were log2-transformed then normalized via quantile and inverse-rank transformations. GWAS data were also generated for these 120 samples. These data were used to build statistical models to predict protein expression levels via cis-genetic variants using the elastic net method. The prediction models were then applied to the GWAS summary statistics data of 133,384 breast cancer cases and 113,789 controls to assess the associations of genetically predicted protein expression levels with breast cancer risk overall and its subtypes using the S-PrediXcan method. A total of 6388 proteins were detected in the normal breast tissue samples from 120 women with a high detection false discovery rate (FDR) p value < 0.01. Among the 5820 proteins detected in more than 80% of participants, prediction models were successfully built for 2060 proteins with R > 0.1 and P < 0.05. Among these 2060 proteins, five proteins were significantly associated with overall breast cancer risk at an FDR p value < 0.1. Among these five proteins, the corresponding genes for proteins COPG1, DCTN3, and DDX6 were located at least 1 Megabase away from the GWAS-identified breast cancer risk variants. COPG1 was associated with an increased risk of breast cancer with a p value of 8.54 × 10–4. Both DCTN3 and DDX6 were associated with a decreased risk of breast cancer with p values of 1.01 × 10–3 and 3.25 × 10–4, respectively. The corresponding genes for the remaining two proteins, LSP1 and DNAJA3, were located in previously GWAS-identified breast cancer risk loci. After adjusting for GWAS-identified risk variants, the association for DNAJA3 was still significant (p value of 9.15 × 10–5 and adjusted p value of 1.94 × 10–4). However, the significance for LSP1 became weaker with a p value of 0.62. Stratification analyses by breast cancer subtypes identified three proteins, SMARCC1, LSP1, and NCKAP1L, associated with luminal A, luminal B, and ER-positive breast cancer. NCKAP1L was located at least 1Mb away from the GWAS-identified breast cancer risk variants. After adjusting for GWAS-identified breast cancer risk variants, the association for protein LSP1 was still significant (adjusted p value of 6.43 × 10–3 for luminal B subtype). We conducted the first breast-tissue-based PWAS and identified seven proteins associated with breast cancer, including five proteins not previously implicated. These findings help improve o
背景:全基因组关联研究(GWAS)已经发现了 200 多个与乳腺癌风险相关的基因位点,但大多数位点的致病基因和生物学机制仍然难以确定。蛋白质作为基因的最终产物,在细胞功能中起着举足轻重的作用。在这项研究中,我们进行了一项全蛋白质组关联研究(PWAS),以确定乳腺组织中与乳腺癌风险相关的蛋白质:我们分析了苏珊-科曼组织库(KTB)中 120 名无癌症欧洲裔女性的新鲜冷冻乳腺组织样本中的蛋白质组。蛋白质表达水平经过对数2转换,然后通过量纲和反秩转换进行归一化处理。这 120 个样本还生成了 GWAS 数据。这些数据被用来建立统计模型,使用弹性网方法通过顺式遗传变异预测蛋白质表达水平。然后将预测模型应用于 133,384 例乳腺癌病例和 113,789 例对照的 GWAS 统计摘要数据,使用 S-PrediXcan 方法评估基因预测的蛋白质表达水平与乳腺癌总体风险及其亚型的关联:结果:在 120 名女性的正常乳腺组织样本中,共检测到 6388 个蛋白质,其假发现率 (FDR) p 值为 0.1,P 值为 -4。DCTN3和DDX6都与乳腺癌风险的降低有关,P值分别为1.01 × 10-3和3.25 × 10-4。其余两种蛋白质 LSP1 和 DNAJA3 的相应基因位于先前 GWAS 确定的乳腺癌风险位点上。在对 GWAS 确定的风险变异进行调整后,DNAJA3 的相关性仍然显著(p 值为 9.15 × 10-5,调整后的 p 值为 1.94 × 10-4)。然而,LSP1 的显著性变弱,p 值为 0.62。按乳腺癌亚型进行的分层分析发现,SMARCC1、LSP1 和 NCKAP1L 这三种蛋白质与管腔 A 型、管腔 B 型和 ER 阳性乳腺癌有关。NCKAP1L与GWAS确定的乳腺癌风险变异至少相距1Mb。在对 GWAS 确定的乳腺癌风险变异进行调整后,蛋白质 LSP1 的相关性仍然显著(对于管腔 B 亚型,调整后的 p 值为 6.43 × 10-3):我们首次进行了基于乳腺组织的PWAS,发现了7种与乳腺癌相关的蛋白质,包括5种以前未涉及的蛋白质。这些发现有助于我们更好地了解乳腺癌发生的潜在遗传机制。
{"title":"A proteome-wide association study identifies putative causal proteins for breast cancer risk","authors":"Tianying Zhao,&nbsp;Shuai Xu,&nbsp;Jie Ping,&nbsp;Guochong Jia,&nbsp;Yongchao Dou,&nbsp;Jill E. Henry,&nbsp;Bing Zhang,&nbsp;Xingyi Guo,&nbsp;Michele L. Cote,&nbsp;Qiuyin Cai,&nbsp;Xiao-Ou Shu,&nbsp;Wei Zheng,&nbsp;Jirong Long","doi":"10.1038/s41416-024-02879-1","DOIUrl":"10.1038/s41416-024-02879-1","url":null,"abstract":"Genome-wide association studies (GWAS) have identified more than 200 breast cancer risk-associated genetic loci, yet the causal genes and biological mechanisms for most loci remain elusive. Proteins, as final gene products, are pivotal in cellular function. In this study, we conducted a proteome-wide association study (PWAS) to identify proteins in breast tissue related to breast cancer risk. We profiled the proteome in fresh frozen breast tissue samples from 120 cancer-free European-ancestry women from the Susan G. Komen Tissue Bank (KTB). Protein expression levels were log2-transformed then normalized via quantile and inverse-rank transformations. GWAS data were also generated for these 120 samples. These data were used to build statistical models to predict protein expression levels via cis-genetic variants using the elastic net method. The prediction models were then applied to the GWAS summary statistics data of 133,384 breast cancer cases and 113,789 controls to assess the associations of genetically predicted protein expression levels with breast cancer risk overall and its subtypes using the S-PrediXcan method. A total of 6388 proteins were detected in the normal breast tissue samples from 120 women with a high detection false discovery rate (FDR) p value &lt; 0.01. Among the 5820 proteins detected in more than 80% of participants, prediction models were successfully built for 2060 proteins with R &gt; 0.1 and P &lt; 0.05. Among these 2060 proteins, five proteins were significantly associated with overall breast cancer risk at an FDR p value &lt; 0.1. Among these five proteins, the corresponding genes for proteins COPG1, DCTN3, and DDX6 were located at least 1 Megabase away from the GWAS-identified breast cancer risk variants. COPG1 was associated with an increased risk of breast cancer with a p value of 8.54 × 10–4. Both DCTN3 and DDX6 were associated with a decreased risk of breast cancer with p values of 1.01 × 10–3 and 3.25 × 10–4, respectively. The corresponding genes for the remaining two proteins, LSP1 and DNAJA3, were located in previously GWAS-identified breast cancer risk loci. After adjusting for GWAS-identified risk variants, the association for DNAJA3 was still significant (p value of 9.15 × 10–5 and adjusted p value of 1.94 × 10–4). However, the significance for LSP1 became weaker with a p value of 0.62. Stratification analyses by breast cancer subtypes identified three proteins, SMARCC1, LSP1, and NCKAP1L, associated with luminal A, luminal B, and ER-positive breast cancer. NCKAP1L was located at least 1Mb away from the GWAS-identified breast cancer risk variants. After adjusting for GWAS-identified breast cancer risk variants, the association for protein LSP1 was still significant (adjusted p value of 6.43 × 10–3 for luminal B subtype). We conducted the first breast-tissue-based PWAS and identified seven proteins associated with breast cancer, including five proteins not previously implicated. These findings help improve o","PeriodicalId":9243,"journal":{"name":"British Journal of Cancer","volume":"131 11","pages":"1796-1804"},"PeriodicalIF":6.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41416-024-02879-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immune therapeutic strategies for the senescent tumor microenvironment 针对衰老肿瘤微环境的免疫治疗策略。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-28 DOI: 10.1038/s41416-024-02865-7
Tadahito Yasuda, Y. Alan Wang
Senescent cells can either to promote immunosuppressive tumor microenvironment or facilitate immune surveillance. Despite the revolutionary impact of cancer immunotherapy, durable responses in solid tumors, particularly in advanced stages, remain limited. Recent studies have shed light on the influence of senescent status within the tumor microenvironment (TME) on therapy resistance and major efforts are needed to overcome these challenges. This review summarizes recent advancements in targeting cellular senescence, with a particular focus on immunomodulatory approaches on the hallmarks of cellular senescence.
衰老细胞既可以促进免疫抑制性肿瘤微环境,也可以促进免疫监视。尽管癌症免疫疗法产生了革命性的影响,但对实体瘤,尤其是晚期实体瘤的持久反应仍然有限。最近的研究揭示了肿瘤微环境(TME)中的衰老状态对治疗耐受性的影响,而克服这些挑战需要付出巨大的努力。本综述总结了靶向细胞衰老的最新进展,尤其关注针对细胞衰老特征的免疫调节方法。
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引用次数: 0
Deep learning analysis of histopathological images predicts immunotherapy prognosis and reveals tumour microenvironment features in non-small cell lung cancer 组织病理学图像的深度学习分析可预测免疫疗法的预后,并揭示非小细胞肺癌的肿瘤微环境特征。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-25 DOI: 10.1038/s41416-024-02856-8
Youyu Wang, Xueming Ju, Rong Hua, Ji Chen, Xiaoqin Dai, Lunxu Liu, Guifang Wang, Yifeng Bai, Honglin Hu, Xiaohua Li
Non-small cell lung cancer (NSCLC) is one of the leading causes of cancer mortality worldwide. Immune checkpoint inhibitors (ICIs) have emerged as a crucial treatment option for patients with advanced NSCLC. However, only a subset of patients experience clinical benefit from ICIs. Therefore, identifying biomarkers that can predict response to ICIs is imperative for optimising patient selection. Hematoxylin and eosin (H&E) images of NSCLC patients were obtained from the local cohort (n = 106) and The Cancer Genome Atlas (TCGA) (n = 899). We developed an ICI-related pathological prognostic signature (ir-PPS) based on H&E stained histopathology images to predict prognosis in NSCLC patients treated with ICIs using deep learning. To accomplish this, we employed a modified ResNet model (ResNet18-PG), a widely-used deep learning architecture well-known for its effectiveness in handling complex image recognition tasks. Our modifications include a progressive growing strategy to improve the stability of model training and the use of the AdamW optimiser, which enhances the optimisation process by adjusting the learning rate based on training dynamics. The deep learning model, ResNet18-PG, achieved an area under the receiver operating characteristic curve (AUC) of 0.918 and a recall of 0.995 on the local cohort. The ir-PPS effectively risk-stratified NSCLC patients. Patients in the low-risk group (n = 40) had significantly improved progression-free survival (PFS) after ICI treatment compared to those in the high-risk group (n = 66, log-rank P = 0.004, hazard ratio (HR) = 3.65, 95%CI: 1.75–7.60). The ir-PPS demonstrated good discriminatory power for predicting 6-month PFS (AUC = 0.750), 12-month PFS (AUC = 0.677), and 18-month PFS (AUC = 0.662). The low-risk group exhibited increased expression of immune checkpoint molecules, cytotoxicity-related genes, an elevated abundance of tumour-infiltrating lymphocytes, and enhanced activity in immune stimulatory pathways. The ir-PPS signature derived from H&E images using deep learning could predict ICIs prognosis in NSCLC patients. The ir-PPS provides a novel imaging biomarker that may help select optimal candidates for ICIs therapy in NSCLC.
背景:非小细胞肺癌(NSCLC非小细胞肺癌(NSCLC)是全球癌症死亡的主要原因之一。免疫检查点抑制剂(ICIs)已成为晚期非小细胞肺癌患者的重要治疗选择。然而,只有一部分患者能从 ICIs 中获得临床获益。方法:我们从本地队列(n = 106)和癌症基因组图谱(TCGA)(n = 899)中获得了NSCLC患者的血红素和伊红(H&E)图像。我们基于H&E染色组织病理学图像开发了ICI相关病理预后特征(ir-PPS),利用深度学习预测接受ICIs治疗的NSCLC患者的预后。为了实现这一目标,我们采用了改进的 ResNet 模型(ResNet18-PG),这是一种广泛使用的深度学习架构,因其在处理复杂图像识别任务方面的有效性而闻名。我们的修改包括采用渐进式增长策略来提高模型训练的稳定性,以及使用 AdamW 优化器,该优化器可根据训练动态调整学习率,从而增强优化过程:结果:深度学习模型 ResNet18-PG 在本地队列中的接收者工作特征曲线下面积 (AUC) 为 0.918,召回率为 0.995。ir-PPS有效地对NSCLC患者进行了风险分层。与高危组患者(n = 66,log-rank P = 0.004,危险比 (HR) = 3.65,95%CI:1.75-7.60)相比,低危组患者(n = 40)接受 ICI 治疗后的无进展生存期(PFS)明显改善。ir-PPS在预测6个月PFS(AUC = 0.750)、12个月PFS(AUC = 0.677)和18个月PFS(AUC = 0.662)方面表现出良好的鉴别力。低风险组的免疫检查点分子、细胞毒性相关基因表达增加,肿瘤浸润淋巴细胞数量增加,免疫刺激通路活性增强:利用深度学习从H&E图像中得出的ir-PPS特征可以预测NSCLC患者的ICIs预后。ir-PPS提供了一种新型成像生物标志物,可帮助选择NSCLC ICIs疗法的最佳候选者。
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引用次数: 0
Phase II Study of Irinotecan, Trifluridine/tipiracil (TAS-102) plus Bevacizumab as a Later-line Therapy for Patients with Metastatic Colorectal Cancer (mCRC): a prospective single-center explorative study 伊立替康、三氟啶/替比拉西(TAS-102)联合贝伐单抗作为转移性结直肠癌(mCRC)患者后期治疗的 II 期研究:一项前瞻性单中心探索性研究。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-24 DOI: 10.1038/s41416-024-02885-3
Baoqi Li, Wenwei Yang, Na Liu, Deying Bi, Tingting Yang, Guifu Wu, Yongkun Sun
To explore the efficacy and safety of the combination of irinotecan, trifluridine/tipiracil (TAS-102), and bevacizumab in a later‐line setting for metastatic colorectal cancer (mCRC) patients. This was a single-center, phase II trial. The mCRC patients who are refractory to standard first-line and second-line treatment are eligible. Patients who previously received irinotecan while progressing during maintenance therapy are also eligible. The primary endpoint was the objective response rate (ORR). Between August 1, 2022, and September 30, 2023, 35 patients were enrolled, and 31 of them were evaluable for efficacy. The ORR was 25.8% (8/31), and the disease control rate (DCR) was 93.5% (29/31). As of April 30, 2024, the median progression-free survival (PFS) was 9.2 months (95% CI 6.285-12.115), whereas the median overall survival (OS) was not reached with the 1-year OS rate of 73.5%. The most common grade 3/4 treatment-related adverse events were neutropenia (34.3%), anemia (17.1%), and thrombocytopenia (8.6%). Irinotecan, TAS-102 plus bevacizumab regimen preliminarily demonstrated promising efficacy with tolerable toxicity for mCRC patients as later‐line treatment. This regimen warrants further exploration in refractory mCRC patients.
目的:探讨伊立替康、三氟啶/替比拉西(TAS-102)和贝伐珠单抗联合疗法在晚期转移性结直肠癌(mCRC)患者中的疗效和安全性:这是一项单中心 II 期试验。对标准一线和二线治疗难治的 mCRC 患者符合条件。既往接受过伊立替康治疗但在维持治疗期间病情进展的患者也符合条件。主要终点是客观反应率(ORR):2022年8月1日至2023年9月30日期间,共有35名患者入组,其中31名患者的疗效可接受评估。ORR为25.8%(8/31),疾病控制率(DCR)为93.5%(29/31)。截至2024年4月30日,中位无进展生存期(PFS)为9.2个月(95% CI 6.285-12.115),而中位总生存期(OS)尚未达到,1年OS率为73.5%。最常见的3/4级治疗相关不良事件是中性粒细胞减少(34.3%)、贫血(17.1%)和血小板减少(8.6%):结论:伊立替康、TAS-102加贝伐单抗方案作为mCRC患者的晚期治疗方案,初步显示了良好的疗效和可耐受的毒性。该方案值得在难治性mCRC患者中进一步探索。
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引用次数: 0
Author Correction: CDK9 inhibition constrains multiple oncogenic transcriptional and epigenetic pathways in prostate cancer 作者更正:CDK9 抑制可抑制前列腺癌的多种致癌转录和表观遗传通路
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-24 DOI: 10.1038/s41416-024-02862-w
Razia Rahman, Muhammed H. Rahaman, Adrienne R. Hanson, Nicholas Choo, Jianling Xie, Scott L. Townley, Raj Shrestha, Ramin Hassankhani, Saiful Islam, Susanne Ramm, Kaylene J. Simpson, Gail P. Risbridger, Giles Best, Margaret M. Centenera, Steven P. Balk, Ganessan Kichenadasse, Renea A. Taylor, Lisa M. Butler, Wayne D. Tilley, Simon J. Conn, Mitchell G. Lawrence, Shudong Wang, Luke A. Selth
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引用次数: 0
Neurosurgical application of olaparib from a thermo-responsive paste potentiates DNA damage to prolong survival in malignant glioma 在神经外科手术中应用热响应糊剂中的奥拉帕利可增强 DNA 损伤,从而延长恶性胶质瘤的存活时间。
IF 6.4 1区 医学 Q1 ONCOLOGY Pub Date : 2024-10-22 DOI: 10.1038/s41416-024-02878-2
Riccardo Serra, Stuart J. Smith, Jonathan Rowlinson, Noah Gorelick, Cara Moloney, Phoebe McCrorie, Gareth J. Veal, Philip Berry, Anthony J. Chalmers, Ian Suk, Kevin M. Shakesheff, Cameron Alexander, Richard G. Grundy, Henry Brem, Betty M. Tyler, Ruman Rahman
There is increased pan-cancer specific interest in repurposing the poly adenosine diphosphate-ribose polymerase-1 (PARP-1) inhibitor, olaparib, for newly diagnosed or recurrent isocitrate dehydrogenase wild type glioblastoma. We explore whether intra-cavity delivery of olaparib confers a survival benefit in a pre-clinical high-grade glioma model. Primary tumor RNA sequencing data was used to determine PARP-1 as a target in the glioblastoma infiltrative margin. We assessed radiosensitization conferred by olaparib alone and concomitant to genotoxic insults in vitro using clonal growth assays, cell cycle analysis and immunocytochemistry, and in vivo upon post-surgical delivery from a temperature-sensitive polymeric paste. RNA-sequencing confirmed PARP-1 as a viable therapy target in glioblastoma infiltrative disease. Acute exposure of glioma cells to olaparib impaired proliferation and induced late-stage apoptosis associated with DNA damage in vitro, potentiated by radiation. Using high-grade glioma orthotopic allografts, a long-term overall survival benefit was observed upon interstitial olaparib delivery concomitant with radiotherapy, compared to systemic olaparib and standard glioblastoma treatment. Combined delivery of olaparib with either temozolomide or etoposide increased long-term survival, suggestive of olaparib functioning as DNA damage sensitizer. Collectively, our data support a rationale for localized olaparib delivery concomitant with the current clinical regimen for malignant glioma treatment.
背景:人们越来越关注将多腺苷二磷酸核糖聚合酶-1(PARP-1)抑制剂奥拉帕利重新用于新诊断或复发的异柠檬酸脱氢酶野生型胶质母细胞瘤。我们探讨了在临床前高级别胶质瘤模型中腔内给药奥拉帕利是否会带来生存益处:方法:利用原发肿瘤 RNA 测序数据确定 PARP-1 为胶质母细胞瘤浸润边缘的靶点。我们利用克隆生长试验、细胞周期分析和免疫细胞化学,在体外评估了奥拉帕利单独或与基因毒性损伤同时使用所产生的放射增敏作用,并在体内评估了手术后通过温度敏感的聚合糊剂给药所产生的放射增敏作用:结果:RNA测序证实PARP-1是胶质母细胞瘤浸润性疾病的可行治疗靶点。神经胶质瘤细胞急性暴露于奥拉帕利会影响增殖,并诱导体外与DNA损伤相关的晚期凋亡,辐射会增强这种作用。利用高级别胶质瘤正位异位移植,观察到与全身性奥拉帕利和标准胶质母细胞瘤治疗相比,在放疗的同时进行奥拉帕利间质给药可获得长期的总生存期。奥拉帕利与替莫唑胺或依托泊苷联合给药可提高长期生存率,这表明奥拉帕利具有DNA损伤增敏剂的功能:总之,我们的数据支持在目前治疗恶性胶质瘤的临床方案中同时使用局部奥拉帕利。
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引用次数: 0
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British Journal of Cancer
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