Antigen presentation

抗原呈递
  • 文章类型: Journal Article
    背景:抗原加工机制(APM)在产生可被免疫系统识别和靶向的肿瘤特异性抗原中起关键作用。APM组分的适当功能对于在肿瘤细胞表面上呈递这些抗原是必不可少的。使免疫检测和破坏。在许多癌症中,APM的缺陷会导致免疫逃避,有助于肿瘤进展和不良的临床结果。然而,肉瘤中APM的状态没有得到很好的表征,限制了这些患者有效的免疫治疗策略的发展。
    方法:我们调查了在2001-2021年间手术的126例8种骨和软组织肉瘤患者。组织微阵列在每种情况下绘制11个特定区域。通过免疫组织化学确定APM蛋白的存在/不存在。使用贝叶斯网络。
    结果:所有研究的肉瘤在APM中都有一些缺陷。受损程度最低的成分是HLAI类亚基β2-微球蛋白和HLAII类。蛋白酶体LMP10亚基在平滑肌肉瘤(LMS)中存在缺陷,粘液样脂肪肉瘤(MLPS),去分化脂肪肉瘤(DDLPS),而在未分化多形性肉瘤(UPS)中,MHCI转运单元TAP2发生了改变,胃肠道间质瘤(GIST),和脊索瘤(CH)。在不同的肿瘤区域中,与高淋巴细胞浸润区相比,高等级区显示出不同的表达模式。还观察到患者水平的异质性。任何APM成分的丢失是LMS和DDLPS的远处转移(DM)和LMS的总生存期(OS)的预后。
    结论:肉瘤在APM组件中表现出高度缺陷,组织学和肿瘤区域之间存在差异。最常见的改变的APM成分是HLAI类亚基β2-微球蛋白,HLAI类亚基α(HC10),和MHCI运输单元TAP2。APM成分的丢失是DM和OS的预后,并且与LMS和DDLPS临床相关。本研究探讨了肉瘤的分子机制,丰富个性化的治疗方法。
    BACKGROUND: The antigen processing machinery (APM) plays a critical role in generating tumor-specific antigens that can be recognized and targeted by the immune system. Proper functioning of APM components is essential for presenting these antigens on the surface of tumor cells, enabling immune detection and destruction. In many cancers, defects in APM can lead to immune evasion, contributing to tumor progression and poor clinical outcomes. However, the status of the APM in sarcomas is not well characterized, limiting the development of effective immunotherapeutic strategies for these patients.
    METHODS: We investigated 126 patients with 8 types of bone and soft tissue sarcoma operated between 2001-2021. Tissue microarrays mapped 11 specific areas in each case. The presence/absence of APM protein was determined through immunohistochemistry. Bayesian networks were used.
    RESULTS: All investigated sarcomas had some defects in APM. The least damaged component was HLA Class I subunit β2-microglobulin and HLA Class II. The proteasome LMP10 subunit was defective in leiomyosarcoma (LMS), myxoid liposarcoma (MLPS), and dedifferentiated liposarcoma (DDLPS), while MHC I transporting unit TAP2 was altered in undifferentiated pleomorphic sarcoma (UPS), gastrointestinal stromal tumor (GIST), and chordoma (CH). Among different neoplastic areas, high-grade areas showed different patterns of expression compared to high lymphocytic infiltrate areas. Heterogeneity at the patient level was also observed. Loss of any APM component was prognostic of distant metastasis (DM) for LMS and DDLPS and of overall survival (OS) for LMS.
    CONCLUSIONS: Sarcomas exhibit a high degree of defects in APM components, with differences among histotypes and tumoral areas. The most commonly altered APM components were HLA Class I subunit β2-microglobulin, HLA Class I subunit α (HC10), and MHC I transporting unit TAP2. The loss of APM components was prognostic of DM and OS and clinically relevant for LMS and DDLPS. This study explores sarcoma molecular mechanisms, enriching personalized therapeutic approaches.
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  • 文章类型: Journal Article
    缺陷核糖体产物(DRiP)是在翻译过程中或翻译后快速降解的非功能性蛋白质,是MHCI类配体的必需来源。DRiP的特征是源自新生基因产物的大量子集,这些产物的降解速度比其相应的天然退休人员池更快。到目前为止,质谱分析显示大量的I类HLA肽来源于DRiPs。然而,没有描述蛋白水平的特异性病毒DRiP.在这项研究中,我们旨在表征和鉴定衍生自病毒蛋白的DRiPs。
    使用淋巴细胞脉络膜脑膜炎病毒(LCMV)的核蛋白(NP),其N端与泛素结合,或泛素样修饰剂FAT10或ISG15研究了DRiPs的发生。借助于FLAG标签通过蛋白质印迹监测DRiP的形成和降解。流式细胞术和细胞毒性T细胞用于研究抗原呈递。
    我们确定了几个来自LCMV-NP的短寿命DRiP。值得注意的是,只有当LCMV-NP被泛素或泛素样修饰剂修饰时,才能观察到这些DRiP,但不是野生型形式。使用蛋白酶体抑制剂,我们可以证明LCMV-NP衍生的DRiPs的降解是蛋白酶体依赖性的。有趣的是,当细胞在FCS饥饿的帮助下受到压力时,可以增强DRiPs的合成。当LCMV-NP被泛素或泛素样修饰剂修饰时,观察到NP118-126表达增强。或在FCS饥饿下。
    放在一起,我们首次可视化来自病毒蛋白的DRiPs。此外,DRiPs形成,因此MHC-I呈递,在细胞应激条件下增强。我们对MHCI类抗原呈递中DRiP的研究为开发疫苗接种策略开辟了新方法。
    UNASSIGNED: Defective ribosomal products (DRiPs) are non-functional proteins rapidly degraded during or after translation being an essential source for MHC class I ligands. DRiPs are characterized to derive from a substantial subset of nascent gene products that degrade more rapidly than their corresponding native retiree pool. So far, mass spectrometry analysis revealed that a large number of HLA class I peptides derive from DRiPs. However, a specific viral DRiP on protein level was not described. In this study, we aimed to characterize and identify DRiPs derived from a viral protein.
    UNASSIGNED: Using the nucleoprotein (NP) of the lymphocytic choriomeningitis virus (LCMV) which is conjugated N-terminally to ubiquitin, or the ubiquitin-like modifiers FAT10 or ISG15 the occurrence of DRiPs was studied. The formation and degradation of DRiPs was monitored by western blot with the help of a FLAG tag. Flow cytometry and cytotoxic T cells were used to study antigen presentation.
    UNASSIGNED: We identified several short lived DRiPs derived from LCMV-NP. Of note, these DRiPs could only be observed when the LCMV-NP was modified with ubiquitin or ubiquitin-like modifiers, but not in the wild type form. Using proteasome inhibitors, we could show that degradation of LCMV-NP derived DRiPs were proteasome dependent. Interestingly, the synthesis of DRiPs could be enhanced when cells were stressed with the help of FCS starvation. An enhanced NP118-126 presentation was observed when the LCMV-NP was modified with ubiquitin or ubiquitin-like modifiers, or under FCS starvation.
    UNASSIGNED: Taken together, we visualize for the first time DRiPs derived from a viral protein. Furthermore, DRiPs formation, and therefore MHC-I presentation, is enhanced under cellular stress conditions. Our investigations on DRiPs in MHC class I antigen presentation open up new approaches for the development of vaccination strategies.
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  • 文章类型: Journal Article
    怀孕的建立涉及母体免疫系统内保护和耐受性之间的微调平衡,因为女性需要接受外来抗原(半同种异体胎儿),同时仍然能够对抗来自子宫的病原体。在马,第一次子宫接触父系抗原是在交配期间,精子被引入子宫组织并排出子宫淋巴管。此外,有人认为,精浆及其中的蛋白质在为雌性肠道准备合适的免疫环境中起着至关重要的作用,但这在马中尚未得到证实。因此,本研究的目的是评估精浆授精或精浆减少授精后的子宫内膜转录组。我们假设精浆减少会改变子宫内膜转录组并影响与免疫耐受有关的转录本,抗原呈递和胚胎生长发育。要做到这一点,在四个发情周期的过程中,采用随机切换设计对六只(n=6)母马进行了授精。经直肠触诊母羊,通过超声检查检查发现排卵前卵泡(>35毫米),同时增加子宫水肿和宫颈松弛,然后用四个治疗组之一治疗,包括(1)30mL乳酸林格溶液(LRS;NegCon),(2)500×106精子与30mL精浆(SP),(3)30mL乳酸林格溶液(LRS;洗出)和(4)500×106个精子,精浆通过梯度离心减少,并重悬于30mLLRS(SP-)中。施用人绒毛膜促性腺激素(hCG)以标准化排卵时间,并在授精后7天收集子宫内膜活检。利用Trizol分离RNA,RNA-Seq由Novogene进行,总作图97.79%,读取深度4000万。p值设定为<0.05。比较SP+和SP-时,鉴定了158个差异表达基因(DEGs)。受影响的生物过程包括抗原加工和调节,胆固醇合成,和免疫/炎症反应。使用DAVIDv6.8进行的基因本体论(GO)富集分析显示,这些DEGs中的许多参与了诸如抗原呈递(HLA-DMβ链,HLA-DRB,HLA-DQA和RASGRP1),免疫细胞信号(CXCL9,CXCL1,DEFB1和MIP-2B),胚胎生长和发育(INHA,KLF2,RDH10,LAMA3和SLC34A2)和胚胎代谢(ABCA1,ABCA2,APOA1,LDL,INSR,IGFBP2和IGFBP3)。总的来说,在胚胎早期暴露于子宫环境时,从授精剂量减少的精浆会影响子宫内膜转录组。进一步的工作是合理的,以评估这些改变对胚胎成熟的影响,胎盘发育,妊娠结局和子代发育。
    The establishment of pregnancy involves a fine-tuned balance between protection and tolerance within the maternal immune system, as the female needs to accept a foreign antigen (the semi-allogenic fetus) while still being able to combat pathogens from the uterus. In the horse, the first uterine exposure to paternal antigens is during mating when sperm is introduced to the tissue and draining lymphatics of the uterus. Additionally, it has been suggested that seminal plasma and its proteins within it play an essential role in preparing the female tract for a suitable immunologic environment but this has not been confirmed in the horse. Therefore, the objective of this study was to evaluate the endometrial transcriptome following insemination either with seminal plasma or with reduced seminal plasma. We hypothesised that reduced seminal plasma would alter the endometrial transcriptome and affect transcripts relating to immunotolerance, antigen presentation and embryo growth and development. To do so, six (n = 6) mares were inseminated in a randomised switch-back design over the course of four oestrous cycles. Mares were rectally palpated and scanned via ultrasonography for the detection of a pre-ovulatory follicle (>35 mm) alongside increasing uterine oedema and relaxed cervix, and then treated with one of four treatment groups including (1) 30 mL lactated Ringers solution (LRS; NegCon), (2) 500 × 106 spermatozoa in conjunction with 30 mL seminal plasma (SP+), (3) 30 mL lactated Ringers solution (LRS; wash out) and (4) 500 × 106 spermatozoa with seminal plasma reduced via gradient centrifugation and resuspended in 30 mL LRS (SP-). Human chorionic gonadotropin (hCG) was administered to standardise the time to ovulation and endometrial biopsies were collected 7 days after insemination. RNA was isolated utilising Trizol, and RNA-Seq was performed by Novogene, with 97.79% total mapping and 40 million read depth. p value was set to <0.05. When comparing SP+ to SP-, 158 differentially expressed genes (DEGs) were identified. Biological processes impacted included antigen processing and regulation, cholesterol synthesis, and immune/inflammatory response. Gene ontology (GO) enrichment analysis using DAVID v6.8 revealed that many of these DEGs were involved in biological process such as antigen presentation (HLA-DM beta chain, HLA-DRB, HLA-DQA and RASGRP1), immune cell signalling (CXCL9, CXCL1, DEFB1 and MIP-2B), embryo growth and development (INHA, KLF2, RDH10, LAMA3 and SLC34A2) and embryo metabolism (ABCA1, ABCA2, APOA1, LDL, INSR, IGFBP2 and IGFBP3). Overall, reduction of seminal plasma from the insemination dose impacted the endometrial transcriptome at the time of early embryonic exposure to the uterine environment. Further work is justified to evaluate these alterations impact on embryo maturation, placental development, pregnancy outcome and development of offspring.
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  • 文章类型: Journal Article
    膳食纤维对肠道T细胞发育的影响尚不清楚。在这里,我们表明低纤维饮食减少了小肠上皮细胞(IECs)的MHC-II抗原呈递,从而通过改变微生物区来损害CD4CD8αα上皮内淋巴细胞(DPIEL)的发育。膳食纤维支持分段丝状细菌(SFB)定植,它诱导1型先天淋巴细胞(ILC1s)分泌IFNγ,导致IEC上MHC-II上调。由SFB定植或外源IFNγ施用引起的IECMHC-II表达诱导DPIEL的分化。最后,我们表明,低纤维饮食促进双歧杆菌的过度生长,而口服假肠杆菌属减少了小肠中SFB的丰度。我们共同强调了膳食纤维在维持允许IECMHC-II抗原呈递的微生物群成员之间的平衡中的重要性,并定义了参与肠道上皮内T细胞发育的微生物群-ILC-IEC相互作用的机制。
    The impact of dietary fiber on intestinal T cell development is poorly understood. Here we show that a low fiber diet reduces MHC-II antigen presentation by small intestinal epithelial cells (IECs) and consequently impairs development of CD4+CD8αα+ intraepithelial lymphocytes (DP IELs) through changes to the microbiota. Dietary fiber supports colonization by Segmented Filamentous Bacteria (SFB), which induces the secretion of IFNγ by type 1 innate lymphoid cells (ILC1s) that lead to MHC-II upregulation on IECs. IEC MHC-II expression caused either by SFB colonization or exogenous IFNγ administration induced differentiation of DP IELs. Finally, we show that a low fiber diet promotes overgrowth of Bifidobacterium pseudolongum, and that oral administration of B. pseudolongum reduces SFB abundance in the small intestine. Collectively we highlight the importance of dietary fiber in maintaining the balance among microbiota members that allow IEC MHC-II antigen presentation and define a mechanism of microbiota-ILC-IEC interactions participating in the development of intestinal intraepithelial T cells.
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  • 文章类型: Journal Article
    CD1同种型是MHCI类-样分子,其将脂质-抗原呈递至T细胞并且已经与多种免疫应答相关。4种CD1同工型所结合和呈现的脂质库可能受细胞脂质组、亚细胞微环境,和装订口袋的属性。在这项研究中,通过鸟枪质谱,我们对可溶性CD1分子进行了全面的脂质组学分析.我们鉴定了1040脂质,其中293种存在于所有亚型中。比较分析显示,同种型结合几乎任何细胞脂质。CD1a和CD1c紧密地反映了细胞脂质,而CD1b和CD1d对鞘脂表现出偏好。发现每个CD1同工型都有独特的脂质种类,提示在脂质呈递和免疫反应中的一些不同的作用。这些发现有助于我们了解CD1系统在免疫中的作用,并可能对基于脂质的疗法的发展产生影响。
    CD1 isoforms are MHC class I-like molecules that present lipid-antigens to T cells and have been associated with a variety of immune responses. The lipid repertoire bound and presented by the four CD1 isoforms may be influenced by factors such as the cellular lipidome, subcellular microenvironment, and the properties of the binding pocket. In this study, by shotgun mass spectrometry, we performed a comprehensive lipidomic analysis of soluble CD1 molecules. We identified 1040 lipids, of which 293 were present in all isoforms. Comparative analysis revealed that the isoforms bind almost any cellular lipid.CD1a and CD1c closely mirrored the cellular lipidome, while CD1b and CD1d showed a preference for sphingolipids. Each CD1 isoform was found to have unique lipid species, suggesting some distinct roles in lipid presentation and immune responses. These findings contribute to our understanding of the role of CD1 system in immunity and could have implications for the development of lipid-based therapeutics.
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  • 文章类型: Journal Article
    主要组织相容性复合物I类(MHCI)分子将肽呈递给CD8+T细胞,用于感染和癌症的免疫监视。最近的研究表明MHCI表达中的谱系特异性异质性。虽然呼吸系统疾病是导致死亡的主要原因之一,在小鼠中的研究表明,肺上皮细胞(LECs)在肺中表达最低水平的MHCI。本研究旨在回答三个问题:(i)人类LEC是否表达低水平的MHCI?(ii)LECMHCI表达在慢性呼吸系统疾病中是否受到调节?(iii)哪些因素调节了人类LEC中的MHCI水平?我们使用单细胞RNA测序和免疫染色分析了来自实质外植体的人类LEC。我们证实了人类LEC中的低组成型MHCI表达,在慢性呼吸系统疾病中具有显著的上调。我们观察到性二态,在稳态条件下,男性的MHCI水平较高,可能是由于不同的氧化还原平衡。我们的研究揭示了MHCI表达之间复杂的相互作用,性别,和呼吸道疾病。由于MHCI上调有助于其他模型中免疫病理学的发展,我们认为它可能对慢性肺病有类似的影响。
    Major histocompatibility complex class I (MHC I) molecules present peptides to CD8+ T-cells for immunosurveillance of infection and cancer. Recent studies indicate lineage-specific heterogeneity in MHC I expression. While respiratory diseases rank among the leading causes of mortality, studies in mice have shown that lung epithelial cells (LECs) express the lowest levels of MHC I in the lung. This study aims to answer three questions: (i) Do human LECs express low levels of MHC I? (ii) Is LEC MHC I expression modulated in chronic respiratory diseases? (iii) Which factors regulate MHC I levels in human LECs? We analyzed human LECs from parenchymal explants using single-cell RNA sequencing and immunostaining. We confirmed low constitutive MHC I expression in human LECs, with significant upregulation in chronic respiratory diseases. We observed a sexual dimorphism, with males having higher MHC I levels under steady-state conditions, likely due to differential redox balance. Our study unveils the complex interplay between MHC I expression, sex, and respiratory disease. Since MHC I upregulation contributes to the development of immunopathologies in other models, we propose that it may have a similar impact on chronic lung disease.
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  • 文章类型: Journal Article
    自身免疫性糖尿病是一种疾病,其特征是胰岛反应性T细胞选择性破坏内分泌胰腺的胰岛素分泌β细胞。自身免疫性疾病需要宿主遗传因素和环境触发因素之间的复杂相互作用,从而促进此类抗原特异性T淋巴细胞反应的激活。鉴于自身反应性T淋巴细胞在糖尿病发病机制中的关键参与,了解这些T淋巴细胞群体如何导致疾病对开发靶向治疗药物至关重要.为此,已经鉴定并研究了几个关键的抗原性T淋巴细胞表位,以了解它们对疾病的贡献,目的是开发有效的治疗方法以转化为临床环境.在这次审查中,我们讨论了致病性胰岛特异性T淋巴细胞反应在自身免疫性糖尿病中的作用,控制自身抗原呈递的机制和细胞类型,以及针对这种T淋巴细胞反应的治疗策略,以改善疾病。
    Autoimmune diabetes is a disease characterized by the selective destruction of insulin-secreting β-cells of the endocrine pancreas by islet-reactive T cells. Autoimmune disease requires a complex interplay between host genetic factors and environmental triggers that promote the activation of such antigen-specific T lymphocyte responses. Given the critical involvement of self-reactive T lymphocyte in diabetes pathogenesis, understanding how these T lymphocyte populations contribute to disease is essential to develop targeted therapeutics. To this end, several key antigenic T lymphocyte epitopes have been identified and studied to understand their contributions to disease with the aim of developing effective treatment approaches for translation to the clinical setting. In this review, we discuss the role of pathogenic islet-specific T lymphocyte responses in autoimmune diabetes, the mechanisms and cell types governing autoantigen presentation, and therapeutic strategies targeting such T lymphocyte responses for the amelioration of disease.
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  • 文章类型: Journal Article
    小胶质细胞是位于中枢神经系统(CNS)中的特化免疫细胞,在维持脑微环境的稳态中起着至关重要的作用。虽然传统上被认为是先天免疫系统的一部分,最近的研究强调了它们在适应性免疫中的作用。中枢神经系统不再被认为是免疫特权器官,越来越多的证据表明免疫系统和中枢神经系统之间的双向通信。小胶质细胞对全身免疫信号敏感,可以通过产生各种炎性细胞因子和趋化因子来响应全身炎症。这种反应是通过激活模式识别受体(PRR)介导的,识别体循环中与病原体和危险相关的分子模式。小胶质细胞对全身性炎症的反应与几种神经系统疾病有关,包括抑郁症,焦虑,和认知障碍。了解小胶质细胞和全身免疫之间的复杂相互作用对于开发治疗干预措施以调节CNS中的免疫反应至关重要。
    Microglia are specialized immune cells that reside in the central nervous system (CNS) and play a crucial role in maintaining the homeostasis of the brain microenvironment. While traditionally regarded as a part of the innate immune system, recent research has highlighted their role in adaptive immunity. The CNS is no longer considered an immune-privileged organ, and increasing evidence suggests bidirectional communication between the immune system and the CNS. Microglia are sensitive to systemic immune signals and can respond to systemic inflammation by producing various inflammatory cytokines and chemokines. This response is mediated by activating pattern recognition receptors (PRRs), which recognize pathogen- and danger-associated molecular patterns in the systemic circulation. The microglial response to systemic inflammation has been implicated in several neurological conditions, including depression, anxiety, and cognitive impairment. Understanding the complex interplay between microglia and systemic immunity is crucial for developing therapeutic interventions to modulate immune responses in the CNS.
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  • 文章类型: Journal Article
    小胶质细胞是中枢神经系统(CNS)的常驻吞噬细胞。作为一个常驻的大脑免疫细胞群体,小胶质细胞在启动过程中发挥关键作用,传播,和炎症的解决。中枢神经系统中常驻适应性免疫细胞的发现揭示了小胶质细胞和适应性免疫细胞之间的关系,用于健康和疾病期间的中枢神经系统免疫监测。小胶质细胞与外周免疫系统元件和其他CNS驻留细胞的相互作用介导神经保护和组织损伤之间的良好平衡。在这一章中,我们强调了小胶质细胞的先天免疫特性,专注于模式识别受体,炎症信号级联,吞噬作用,小胶质细胞和适应性免疫细胞之间的相互作用调节在中枢神经系统内引发炎症或神经保护反应的事件,调节免疫介导的疾病恶化或消退。
    Microglia are best known as the resident phagocytes of the central nervous system (CNS). As a resident brain immune cell population, microglia play key roles during the initiation, propagation, and resolution of inflammation. The discovery of resident adaptive immune cells in the CNS has unveiled a relationship between microglia and adaptive immune cells for CNS immune-surveillance during health and disease. The interaction of microglia with elements of the peripheral immune system and other CNS resident cells mediates a fine balance between neuroprotection and tissue damage. In this chapter, we highlight the innate immune properties of microglia, with a focus on how pattern recognition receptors, inflammatory signaling cascades, phagocytosis, and the interaction between microglia and adaptive immune cells regulate events that initiate an inflammatory or neuroprotective response within the CNS that modulates immune-mediated disease exacerbation or resolution.
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  • 文章类型: Journal Article
    尽管免疫检查点阻断(ICB)目前已被批准用于联合化疗治疗广泛期小细胞肺癌(SCLC),相对较少的患者对这些疗法表现出持久的临床获益(DCB).需要预测反应的生物标志物。对来自35例用ICB治疗的SCLC患者的活检进行转录组学分析;评估基因标记与应答的关联。21例患者在一线使用ICB联合铂类化疗治疗;14例患者在二线使用ICB治疗。二线SCLC中ICB后的DCB(14例患者中有3例)与炎症相关基因的转录组水平统计学上较高相关(p=0.003),抗原呈递机制(p=0.03),干扰素反应(p<0.05),和增加CD8T细胞(p=0.02)。相比之下,这些基因特征在一线设置中没有显著差异.我们的数据表明,二线环境中SCLC对ICB的反应可以通过肿瘤的基线炎症状态来预测;然而,这种与炎症的强关联在一线治疗中未见到.我们假设化疗会改变免疫环境,从而对ICB产生反应。需要其他生物标志物来预测一线治疗患者的反应。
    Although immune checkpoint blockade (ICB) is currently approved for the treatment of extensive-stage small-cell lung cancer (SCLC) in combination with chemotherapy, relatively few patients have demonstrated durable clinical benefit (DCB) to these therapies. Biomarkers predicting responses are needed. Biopsies from 35 SCLC patients treated with ICB were subjected to transcriptomic analysis; gene signatures were assessed for associations with responses. Twenty-one patients were treated with ICB in the first-line setting in combination with platinum-based chemotherapy; fourteen patients were treated in the second-line setting with ICB alone. DCB after ICB in SCLC in the second-line setting (3 of 14 patients) was associated with statistically higher transcriptomic levels of genes associated with inflammation (p = 0.003), antigen presentation machinery (p = 0.03), interferon responses (p < 0.05), and increased CD8 T cells (p = 0.02). In contrast, these gene signatures were not significantly different in the first-line setting. Our data suggest that responses to ICB in SCLC in the second-line setting can be predicted by the baseline inflammatory state of the tumor; however, this strong association with inflammation was not seen in the first-line setting. We postulate that chemotherapy alters the immune milieu allowing a response to ICB. Other biomarkers will be needed to predict responses in first-line therapy patients.
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