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.
基金:
National Natural Science Foundation of China [82173158]; Natural Science Foundation of Fujian Province [2021J06023]; Science and Technology Innovation Joint Fund Project of Fujian Province [2019Y9089]; Construction Project of Fujian Province Minimally Invasive Medical Center [2021662]; Public Technology Service Center Fujian Medical University
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
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Wang Jia-Bin,Qiu Qing-Zhu,Zheng Qiao-Ling,et al.Tumor Immunophenotyping-Derived Signature Identifies Prognosis and Neoadjuvant Immunotherapeutic Responsiveness in Gastric Cancer[J].ADVANCED SCIENCE.2023,10(15):doi:10.1002/advs.202207417.
APA:
Wang, Jia-Bin,Qiu, Qing-Zhu,Zheng, Qiao-Ling,Zhao, Ya-Jun,Xu, Yu...&Huang, Chang-Ming.(2023).Tumor Immunophenotyping-Derived Signature Identifies Prognosis and Neoadjuvant Immunotherapeutic Responsiveness in Gastric Cancer.ADVANCED SCIENCE,10,(15)
MLA:
Wang, Jia-Bin,et al."Tumor Immunophenotyping-Derived Signature Identifies Prognosis and Neoadjuvant Immunotherapeutic Responsiveness in Gastric Cancer".ADVANCED SCIENCE 10..15(2023)