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doi: 10.3389/fonc.2022.798401.
eCollection 2022.
Affiliations
Affiliations
- 1 Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
- 2 Department of Pathology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
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Yanan Cui et al.
Front Oncol.
.
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doi: 10.3389/fonc.2022.798401.
eCollection 2022.
Affiliations
- 1 Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
- 2 Department of Pathology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
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Abstract
Immune checkpoint inhibitors (ICIs) have exhibited promising efficacy in non-small cell lung cancer (NSCLC), but the response occurs in only a minority of patients. In clinic, biomarkers such as TMB (tumor mutation burden) and PD-L1 (programmed cell death 1 ligand 1) still have their limitations in predicting the prognosis of ICI treatment. Hence, reliable predictive markers for ICIs are urgently needed. A public immunotherapy dataset with clinical information and mutational data of 75 NSCLC patients was obtained from cBioPortal as the discovery cohort, and another immunotherapy dataset of 249 patients across multiple cancer types was collected as the validation. Integrated bioinformatics analysis was performed to explore the potential mechanism, and immunohistochemistry studies were used to verify it. AHNAK nucleoprotein 2 (AHNAK2) was reported to have pro-tumor growth effects across multiple cancers, while its role in tumor immunity was unclear. We found that approximately 11% of the NSCLC patients harbored AHNAK2 mutations, which were associated with promising outcomes to ICI treatments (ORR, p = 0.013). We further found that AHNAK2 deleterious mutation (del-AHNAK2 mut) possessed better predictive function in NSCLC than non-deleterious AHNAK2 mutation (PFS, OS, log-rank p < 0.05), potentially associated with stronger tumor immunogenicity and an activated immune microenvironment. This work identified del-AHNAK2 mut as a novel biomarker to predict favorable ICI response in NSCLC.
Keywords:
AHNAK2; NSCLC; biomarker; immune checkpoint inhibitors; immune microenvironment.
Copyright © 2022 Cui, Liu, Wu, Liang, Dai, Zhang and Guo.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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