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Genomic characteristics and prognosis of lung cancer patients with MSI-H: A cohort study

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机构: [1]Department of Respiratory Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [2]The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. [3]The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. [4]Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China. [5]3D Medicines Inc., Shanghai, China. [6]The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China. [7]Department of Medical Oncology, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, Guangdong, China. [8]The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China. [9]Chongqing General Hospital, University of Chinese Academy of Sciences, Chongqing, China. [10]Department of Cancer Center, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [11]Department of Respiratory Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing 400042, China
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关键词: Microsatellite Instability-High (MSI-H) Microsatellite Stability (MSS) Lung cancer Genetic characteristics EGFR

摘要:
Microsatellite instability (MSI) is the first pan-cancer biomarker approved to guide immune checkpoint inhibitor therapy for MSI-high (MSI-H) solid tumors. In lung cancer, the MSI-H frequency is very low, and the genetic characteristics and prognosis of lung cancer with MSI-H were rarely reported.Next-generation sequencing and immunohistochemistry were used detect MSI status, tumor mutation burden (TMB) and PD-L1 expression.Among 12,484 lung cancer patients screened, 66 were found with MSI-H, the proportion was as low as 0.5%. Compared with Microsatellite stability (MSS), TMB was higher in MSI-H lung cancer patients, while PD-L1 expression showed no considerable difference between MSI-H and MSS. After propensity score matching, compared with MSS, the most common companion mutations in MSI-H were TP53, BRCA2, TGFBR2, PTEN and KMT2C. In MSI-H lung adenocarcinoma with EGFR mutation, TGFBR2 and ERBB2 had higher mutation frequency than in MSS.The current study reveals the genetic characteristics of MSI-H lung cancer, which advanced our understanding of MSI-H lung cancer.Copyright © 2023. Published by Elsevier B.V.

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大类 | 2 区 医学
小类 | 3 区 肿瘤学 3 区 呼吸系统
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Q1 ONCOLOGY Q1 RESPIRATORY SYSTEM
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Q1 ONCOLOGY Q1 RESPIRATORY SYSTEM

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第一作者机构: [1]Department of Respiratory Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
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通讯机构: [1]Department of Respiratory Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [11]Department of Respiratory Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing 400042, China
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