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Various Subtypes of EGFR Mutations in Patients With NSCLC Define Genetic, Immunologic Diversity and Possess Different Prognostic Biomarkers

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机构: [1]Kunming Med Univ, Dept Geriatr Thorac Surg, Affiliated Hosp 1, Kunming, Peoples R China [2]Kunming Univ Sci & Technol, Kunming Peoples Hosp 4, Anning Peoples Hosp 1, Dept Thorac Surg, Kunming, Peoples R China [3]Kunming Med Univ, Affiliated Hosp 1, Dept Pulm & Crit Care Med, Kunming, Peoples R China [4]Kunming Med Univ, Dept Thorac Surg, Affiliated Hosp 3, Kunming, Peoples R China [5]First Peoples Hosp Yunnan Prov, Dept Thorac Surg, Kunming, Peoples R China [6]Kunming Med Univ, Yanan Hosp, Dept Oncol, Kunming, Peoples R China [7]Kunming Med Univ, Dept Thorac Surg, Yanan Hosp, Kunming, Peoples R China [8]Tradit Chinese Med, Yunnan Prov Hosp, Dept Oncol, Kunming, Peoples R China [9]3D Med Inc, Dept Med, Shanghai, Peoples R China
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关键词: NSCLC EGFR epidermal growth factor receptor immune microenviroment prognosis biomarkers

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Based on data analysis of 9649 Chinese primary NSCLC patients, we calculated the exact proportion of EGFR subtypes in NSCLC and evaluated the TMB level, PD-L1 expression level and tumor immune microenvironment among different EGFR mutation subtypes. Postoperative follow-up data for 98 patients were collected and analyzed. The results showed that several uncommon EGFR mutation subtypes have a higher proportion of TMB-high or strong positive PD-L1 expression than the total EGFR mutation group. In addition, different subtypes have different characteristics related to the immune microenvironment, such as G719 mutations being associated with more CD8(+) T cell infiltration into tumors; except for EGFR 19del, CD8(+) T cell infiltration into tumors of other EGFR mutation subtypes were similar to that of wildtype EGFR. Moreover, follow-up results revealed that components of the immune microenvironment have prognostic value for NSCLC patients, with different prognostic biomarkers for NSCLC patients with and without EGFR mutations. These results suggest that patients with different EGFR mutations need to be treated differently. The prognosis of NSCLC patients may be assessed through components of tumor immune microenvironment, and ICIs treatment may be considered for those with some uncommon EGFR mutation subtypes.

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 2 区 免疫学
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 免疫学
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出版当年[2022]版:
Q1 IMMUNOLOGY
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Q1 IMMUNOLOGY

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第一作者机构: [1]Kunming Med Univ, Dept Geriatr Thorac Surg, Affiliated Hosp 1, Kunming, Peoples R China
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