Spatial immunophenotypes predict response to anti-PD1 treatment and capture distinct paths of T cell evasion in triple negative breast cancer
Autor: | Hayri E. Balcioglu, Iris Nederlof, Mieke Timmermans, John W.M. Martens, Reno Debets, Renée Foekens, Olga I. Isaeva, Rebecca Wijers, Hugo M. Horlings, Marcel Smid, Anita M. A. C. Trapman-Jansen, Dora Hammerl, Roberto Salgado, Leonie Voorwerk, Marleen Kok |
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Přispěvatelé: | Medical Oncology |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
T-Lymphocytes Science T cell Programmed Cell Death 1 Receptor Immunology Cell Antigens Differentiation Myelomonocytic Datasets as Topic General Physics and Astronomy Receptors Cell Surface Triple Negative Breast Neoplasms Diseases Biology Article General Biochemistry Genetics and Molecular Biology Immunophenotyping Cohort Studies Lymphocytes Tumor-Infiltrating Medical research Immune system SDG 3 - Good Health and Well-being Antigens CD Tumor Microenvironment medicine Humans Breast RNA-Seq Receptor Immune Checkpoint Inhibitors Wnt Signaling Pathway Mastectomy Triple-negative breast cancer Cancer Spatial Analysis Multidisciplinary T-cell receptor Wnt signaling pathway General Chemistry Prognosis Phenotype Neoadjuvant Therapy medicine.anatomical_structure Drug Resistance Neoplasm Cancer research Female Tumor Escape Biomarkers |
Zdroj: | Nature Communications, 12(1):5668. Nature Publishing Group Nature Communications, Vol 12, Iss 1, Pp 1-13 (2021) Nature Communications |
ISSN: | 2041-1723 |
Popis: | Only a subgroup of triple-negative breast cancer (TNBC) responds to immune checkpoint inhibitors (ICI). To better understand lack of response to ICI, we analyze 681 TNBCs for spatial immune cell contextures in relation to clinical outcomes and pathways of T cell evasion. Excluded, ignored and inflamed phenotypes can be captured by a gene classifier that predicts prognosis of various cancers as well as anti-PD1 response of metastatic TNBC patients in a phase II trial. The excluded phenotype, which is associated with resistance to anti-PD1, demonstrates deposits of collagen-10, enhanced glycolysis, and activation of TGFβ/VEGF pathways; the ignored phenotype, also associated with resistance to anti-PD1, shows either high density of CD163+ myeloid cells or activation of WNT/PPARγ pathways; whereas the inflamed phenotype, which is associated with response to anti-PD1, revealed necrosis, high density of CLEC9A+ dendritic cells, high TCR clonality independent of neo-antigens, and enhanced expression of T cell co-inhibitory receptors. Only a subset of triple negative breast cancer patients respond to immunotherapy. Here, the authors analysed spatial immune contextures, which can be captured by a gene classifier, in relation to genomic alterations, mechanisms of T cell evasion and response to anti-PD1 treatment. |
Databáze: | OpenAIRE |
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