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Tumor Immunophenotyping-Derived Signature Identifies Prognosis and Neoadjuvant Immunotherapeutic Responsiveness in Gastric Cancer

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机构: [1]Fujian Med Univ, Dept Gastr Surg, Dept Gen Surg, Union Hosp, Fuzhou, Peoples R China [2]Fujian Med Univ, Key Lab Gastrointestinal Canc, Minist Educ, Fuzhou 350122, Peoples R China [3]Fujian Med Univ, Dept Med Microbiol, Fujian Key Lab Tumor Microbiol, Fuzhou 350122, Peoples R China [4]Fujian Med Univ, Union Hosp, Dept Pathol, Fuzhou 350001, Peoples R China [5]Univ Sci & Technol China, Dept Gastrointestinal Surg, West Dist Affiliated Hosp 1, Hefei 230031, Peoples R China [6]Kunming Med Univ, Affiliated Hosp 1, Dept Gastrointestinal & Hernia Surg, Kunming 650032, Peoples R China [7]China Med Univ, Liaoning Canc Hosp & Inst, Dept Gastrosurg, Canc Hosp, Shenyang 110042, Peoples R China [8]Bengbu Med Coll, Dept Gastrointestinal Surg, Affiliated Hosp 1, Bengbu 233004, Peoples R China [9]First Hosp Jilin University, Dept Gastrointestinal Surg, Changchun 130061, Peoples R China [10]Guangxi Med Univ, Affiliated Tumor Hosp, Dept Gastrointestinal Surg, Nanning 530021, Peoples R China
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关键词: gastric cancer immune contexture neoadjuvant immune checkpoint inhibitor therapy prognosis tumor microenvironment

摘要:
The effectiveness of neoadjuvant immune checkpoint inhibitor (ICI) therapy is confirmed in clinical trials; however, the patients suitable for receiving this therapy remain unspecified. Previous studies have demonstrated that the tumor microenvironment (TME) dominates immunotherapy; therefore, an effective TME classification strategy is required. In this study, five crucial immunophenotype-related molecules (WARS, UBE2L6, GZMB, BATF2, and LAG-3) in the TME are determined in five public gastric cancer (GC) datasets (n = 1426) and an in-house sequencing dataset (n = 79). Based on this, a GC immunophenotypic score (IPS) is constructed using the least absolute shrinkage and selection operator (LASSO) Cox, and randomSurvivalForest. IPSLow is characterized as immune-activated, and IPSHigh is immune-silenced. Data from seven centers (n = 1144) indicate that the IPS is a robust and independent biomarker for GC and superior to the AJCC stage. Furthermore, patients with an IPSLow and a combined positive score of >= 5 are likely to benefit from neoadjuvant anti-PD-1 therapy. In summary, the IPS can be a useful quantitative tool for immunophenotyping to improve clinical outcomes and provide a practical reference for implementing neoadjuvant ICI therapy for patients with GC.

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大类 | 1 区 材料科学
小类 | 1 区 化学:综合 1 区 材料科学:综合 2 区 纳米科技
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出版当年[2023]版:
Q1 CHEMISTRY, MULTIDISCIPLINARY Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY Q1 NANOSCIENCE & NANOTECHNOLOGY
最新[2023]版:
Q1 CHEMISTRY, MULTIDISCIPLINARY Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY Q1 NANOSCIENCE & NANOTECHNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Fujian Med Univ, Dept Gastr Surg, Dept Gen Surg, Union Hosp, Fuzhou, Peoples R China [2]Fujian Med Univ, Key Lab Gastrointestinal Canc, Minist Educ, Fuzhou 350122, Peoples R China [3]Fujian Med Univ, Dept Med Microbiol, Fujian Key Lab Tumor Microbiol, Fuzhou 350122, Peoples R China
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通讯机构: [1]Fujian Med Univ, Dept Gastr Surg, Dept Gen Surg, Union Hosp, Fuzhou, Peoples R China [2]Fujian Med Univ, Key Lab Gastrointestinal Canc, Minist Educ, Fuzhou 350122, Peoples R China [3]Fujian Med Univ, Dept Med Microbiol, Fujian Key Lab Tumor Microbiol, Fuzhou 350122, Peoples R China
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