Cancer Discovery,
Journal Year:
2022,
Volume and Issue:
12(10), P. 2350 - 2371
Published: July 19, 2022
Intrahepatic
cholangiocarcinoma
(iCCA)
exhibits
extensive
intratumoral
heterogeneity
and
an
extremely
high
mortality
rate.
Here,
we
performed
whole-exome
sequencing,
RNA
T-cell
receptor
(TCR)
multiplexed
immunofluorescence
on
207
tumor
regions
from
45
patients
with
iCCA.
Over
half
of
iCCA
displayed
immune
infiltration,
were
classified
into
sparsely,
heterogeneously,
highly
infiltrated
subgroups
distinct
immunogenomic
characteristics.
Sparsely
tumors
active
copy-number
loss
clonal
neoantigens,
heterogeneous
infiltration
played
important
role
in
the
subclonal
evolution
across
subregions.
Highly
characterized
by
activation
a
similar
TCR
repertoire
subregions,
but
counteracted
exhaustion
pervasive
antigen
presentation
defects.
Notably,
FGFR2
mutations
fusions
correlated
low
mutation
burden
reduced
infiltration.
Our
work
delineated
dynamic
tumor-immune
interactions
developed
robust
classification
system
to
divide
evasion
groups
different
prognoses.
This
study
elucidates
impact
spatial
upon
reveals
mechanisms
microenvironments,
which
can
be
exploited
for
development
personalized
immunotherapy
strategies.
article
is
highlighted
In
Issue
feature,
p.
2221.
Signal Transduction and Targeted Therapy,
Journal Year:
2022,
Volume and Issue:
7(1)
Published: May 3, 2022
Abstract
With
advances
in
sequencing
and
instrument
technology,
bioinformatics
analysis
is
being
applied
to
batches
of
massive
cells
at
single-cell
resolution.
High-throughput
can
be
utilized
for
multi-omics
characterization
tumor
cells,
stromal
or
infiltrated
immune
evaluate
progression,
responses
environmental
perturbations,
heterogeneous
composition
the
microenvironment,
complex
intercellular
interactions
between
these
factors.
Particularly,
T
cell
receptors,
alone
combination
with
RNA
sequencing,
useful
fields
immunology
immunotherapy.
Clinical
insights
obtained
from
are
critically
important
exploring
biomarkers
disease
progression
antitumor
treatment,
as
well
guiding
precise
clinical
decision-making
patients
malignant
tumors.
In
this
review,
we
summarize
applications
evolution,
immunology,
Additionally,
analyze
response
heterogeneity
resistance
checkpoint
The
limitations
cancer
research
also
discussed.
JCI Insight,
Journal Year:
2019,
Volume and Issue:
4(10)
Published: May 15, 2019
Immune
checkpoint
blockade
(ICB)
immunotherapy
induces
potent
antitumor
immunity
across
multiple
solid
tumors,
although
few
patients
respond
well
to
this
therapy.
An
emerging
biomarker
for
predicting
responsiveness
ICB
is
tumor
mutational
burden
(TMB).
Although
several
surrogate
biomarkers,
including
deficient
mismatch
repair,
TP53/KRAS
mutations,
and
comutations
in
DNA
damage
response
pathways,
have
been
shown
be
effective
the
immunotherapy,
each
positive
only
a
small
cohort
of
candidates,
many
potential
responders
are
inevitably
missed.
Here,
we
found
that
titin
(TTN),
which
frequently
detected
associated
with
increased
TMB
correlated
objective
ICB.
In
7
public
clinical
cohorts,
all
mutated
TTN
showed
longer
progression-free
survival
or
overall
than
those
wild-type
status.
Furthermore,
an
improved
rate
higher
were
identified
cohorts
accessible
information.
Identification
mutation
as
predictor
outcomes
ICBs
provides
clinically
feasible
assessment
estimating
therapy
outcomes.
Clinical and Translational Radiation Oncology,
Journal Year:
2019,
Volume and Issue:
20, P. 30 - 38
Published: Oct. 23, 2019
Spatially
Fractionated
Radiation
therapy
(SFRT)
has
a
history
of
over
100
years.
The
principle
SFRT
is
distinctive
from
the
standard
radiation
approaches,
as
it
treats
total
tumor
with
non-uniform
dose,
effectively
treating
while
staying
within
normal
tissue
tolerance
surrounding
structures.
Historically,
frequently
used
to
treat
bulky
malignant
tumors
high
dose
in
stereotactic
radiosurgery
(SRS)/stereotactic
body
radiotherapy
(SBRT)
range
(10–20
Gy
per
fraction)
using
megavoltage
x-ray
beams.
Cell Reports,
Journal Year:
2019,
Volume and Issue:
29(8), P. 2164 - 2174.e5
Published: Nov. 1, 2019
Impacts
of
genetic
and
non-genetic
intra-tumor
heterogeneity
(ITH)
on
tumor
phenotypes
evolvability
remain
debated.
We
analyze
ITH
in
lung
squamous
cell
carcinoma
at
the
levels
genome,
transcriptome,
tumor-immune
interactions
histopathological
characteristics
by
multi-region
bulk
single-cell
sequencing.
Genomic
alone
is
a
weak
indicator
immune
transcriptomic
that
impact
multiple
cancer-related
pathways,
including
those
related
to
proliferation
inflammation,
which
turn
contribute
regional
differences
histopathology
subtype
classification.
Tumor
subclones
have
substantial
score,
suggestive
non-neutral
clonal
dynamics.
Proliferation
other
pathways
also
show
differences,
sometimes
even
within
same
subclones.
Neo-epitope
burden
negatively
correlates
with
infiltration,
indicating
immune-mediated
purifying
selection
somatic
mutations.
Taken
together,
our
observations
suggest
major
determinant
impacts
evolutionary
dynamics
cancer.
Frontiers in Oncology,
Journal Year:
2021,
Volume and Issue:
11
Published: April 29, 2021
Immunotherapy
has
significantly
improved
the
clinical
outcome
of
patients
with
cancer.
However,
immune
response
rate
varies
greatly,
possibly
due
to
lack
effective
biomarkers
that
can
be
used
distinguish
responders
from
non-responders.
Recently,
studies
have
associated
high
tumor
neoantigen
burden
(TNB)
outcomes
in
treated
immunotherapy.
Therefore,
TNB
emerged
as
a
biomarker
for
immunotherapy
and
other
types
therapy.
In
present
review,
potential
application
was
evaluated.
The
methods
prediction
were
summarized
mechanisms
involved
investigated.
impact
increased
number
infiltrating
cells
on
efficacy
also
addressed.
Finally,
future
challenges
discussed.
Clinical Cancer Research,
Journal Year:
2020,
Volume and Issue:
26(10), P. 2354 - 2361
Published: Feb. 26, 2020
Abstract
Purpose:
The
role
of
plasma-based
tumor
mutation
burden
(pTMB)
in
predicting
response
to
pembrolizumab-based
first-line
standard-of-care
therapy
for
metastatic
non–small
cell
lung
cancer
(mNSCLC)
has
not
been
explored.
Experimental
Design:
A
500-gene
next-generation
sequencing
panel
was
used
assess
pTMB.
Sixty-six
patients
with
newly
diagnosed
mNSCLC
starting
therapy,
either
alone
or
combination
chemotherapy,
were
enrolled
(Clinicaltrial.gov
identifier:
NCT03047616).
Response
assessed
using
RECIST
1.1.
Associations
made
patient
characteristics,
6-month
durable
clinical
benefit
(DCB),
progression-free
survival
(PFS),
and
overall
(OS).
Results:
Of
66
patients,
52
(78.8%)
pTMB-evaluable.
Median
pTMB
16.8
mutations
per
megabase
(mut/Mb;
range,
1.9–52.5)
significantly
higher
achieving
DCB
compared
no
(21.3
mut/Mb
vs.
12.4
mut/Mb,
P
=
0.003).
For
≥
16
median
PFS
14.1
versus
4.7
months
<
[HR,
0.30
(0.16–0.60);
0.001].
OS
reached
8.8
0.48
(0.22–1.03);
0.061].
Mutations
ERBB2
exon
20,
STK11,
KEAP1,
PTEN
more
common
DCB.
absence
negative
predictor
associated
0.24
(0.11–0.49);
0.001]
0.31
(0.13–0.74);
0.009].
Conclusions:
is
improved
after
mNSCLC.
STK11/KEAP1/PTEN
may
help
identify
pTMB-high
unlikely
respond.
These
results
should
be
validated
larger
prospective
studies.
Cells,
Journal Year:
2019,
Volume and Issue:
8(9), P. 1013 - 1013
Published: Aug. 30, 2019
Combination
chemotherapy
has
been
a
mainstay
in
cancer
treatment
for
the
last
60
years.
Although
mechanisms
of
action
and
signaling
pathways
affected
by
most
treatments
with
single
antineoplastic
agents
might
be
relatively
well
understood,
combinations
remain
poorly
understood.
This
review
presents
common
alterations
response
to
cytotoxic
targeted
anticancer
drug
treatments,
discussion
how
knowledge
support
orient
development
innovative
strategies
combination
therapy.
The
ultimate
goal
is
highlight
possible
based
on
associated
resistance
against
drugs
maximize
selective
induction
cell
death.
We
consider
this
an
extensive
compilation
updated
known
information
promote
new
therapies
discussed
tested.
Frontiers in Immunology,
Journal Year:
2020,
Volume and Issue:
11
Published: Sept. 3, 2020
Increasing
studies
have
pointed
out
the
effects
of
tumor
immune
microenvironment
(TIM)
on
colon
cancer
(CC)
tumorigenesis,
prognosis
and
metastasis.
However,
there
has
no
reliable
molecular
marker
that
can
effectively
estimate
infiltration
predict
CC
relapse
risk.
Here,
we
leveraged
gene
expression
profile
clinical
characteristics
from
1430
samples,
including
four
GEO
databases
TCGA
database,
to
construct
an
risk
signature
could
be
used
as
a
predictor
survival
outcome
activity.
A
model
consisting
10
immune-related
genes
were
screened
in
LASSO-cox
then
aggregated
generate
based
regression
coefficients.
The
demonstrated
robust
prognostic
ability
discovery
validation
datasets,
this
association
remained
significant
multivariate
analysis
after
controlling
for
age,
gender,
stage
or
MSI
status.
Leucocyte
subpopulation
indicated
low-risk
was
enriched
with
cytotoxic
cells
(activated
CD4/CD8+
T
cell
NK
cell)
depleted
MDSC
regulatory
cell.
Further
patients
harbored
higher
mutation
load
lower
mutational
frequencies
significantly
mutated
APC
FBXW7.
Together,
our
constructed
represent
TIM
CC,
which
promotes
individualized
treatment
provides
promising
novel
immunotherapy.