A blood-based miRNA signature with prognostic value for overall survival in advanced stage non-small cell lung cancer treated with immunotherapy.


Journal

NPJ precision oncology
ISSN: 2397-768X
Titre abrégé: NPJ Precis Oncol
Pays: England
ID NLM: 101708166

Informations de publication

Date de publication:
31 Mar 2022
Historique:
received: 14 10 2021
accepted: 11 02 2022
entrez: 1 4 2022
pubmed: 2 4 2022
medline: 2 4 2022
Statut: epublish

Résumé

Immunotherapies have recently gained traction as highly effective therapies in a subset of late-stage cancers. Unfortunately, only a minority of patients experience the remarkable benefits of immunotherapies, whilst others fail to respond or even come to harm through immune-related adverse events. For immunotherapies within the PD-1/PD-L1 inhibitor class, patient stratification is currently performed using tumor (tissue-based) PD-L1 expression. However, PD-L1 is an accurate predictor of response in only ~30% of cases. There is pressing need for more accurate biomarkers for immunotherapy response prediction. We sought to identify peripheral blood biomarkers, predictive of response to immunotherapies against lung cancer, based on whole blood microRNA profiling. Using three well-characterized cohorts consisting of a total of 334 stage IV NSCLC patients, we have defined a 5 microRNA risk score (miRisk) that is predictive of overall survival following immunotherapy in training and independent validation (HR 2.40, 95% CI 1.37-4.19; P < 0.01) cohorts. We have traced the signature to a myeloid origin and performed miRNA target prediction to make a direct mechanistic link to the PD-L1 signaling pathway and PD-L1 itself. The miRisk score offers a potential blood-based companion diagnostic for immunotherapy that outperforms tissue-based PD-L1 staining.

Identifiants

pubmed: 35361874
doi: 10.1038/s41698-022-00262-y
pii: 10.1038/s41698-022-00262-y
pmc: PMC8971493
doi:

Types de publication

Journal Article

Langues

eng

Pagination

19

Informations de copyright

© 2022. The Author(s).

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Auteurs

Timothy Rajakumar (T)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Rastislav Horos (R)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Julia Jehn (J)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Judith Schenz (J)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Thomas Muley (T)

Department of Thoracic Oncology, Thoraxklinik and National Center for Tumor Diseases (NCT) at Heidelberg University Hospital, Heidelberg, Germany.

Oana Pelea (O)

MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.

Sarah Hofmann (S)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Paul Kittner (P)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Mustafa Kahraman (M)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Marco Heuvelman (M)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Tobias Sikosek (T)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Jennifer Feufel (J)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Jasmin Skottke (J)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Dennis Nötzel (D)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Franziska Hinkfoth (F)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Kaja Tikk (K)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Alberto Daniel-Moreno (A)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Jessika Ceiler (J)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany.

Nathaniel Mercaldo (N)

Institute for Technology Assessment, Department of Radiology, Massachusetts General Hospital, Boston, USA.

Florian Uhle (F)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Sandra Uhle (S)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Markus A Weigand (MA)

Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany.

Mariam Elshiaty (M)

Department of Thoracic Oncology, Thoraxklinik and National Center for Tumor Diseases (NCT) at Heidelberg University Hospital, Heidelberg, Germany.

Fabienne Lusky (F)

Department of Thoracic Oncology, Thoraxklinik and National Center for Tumor Diseases (NCT) at Heidelberg University Hospital, Heidelberg, Germany.

Hannah Schindler (H)

Department of Thoracic Oncology, Thoraxklinik and National Center for Tumor Diseases (NCT) at Heidelberg University Hospital, Heidelberg, Germany.

Quentin Ferry (Q)

Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, USA.

Tatjana Sauka-Spengler (T)

MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.

Qianxin Wu (Q)

Wellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, UK.

Klaus F Rabe (KF)

LungenClinic Grosshansdorf, Airway Research Center North, German Center for Lung Research (DZL), Grosshansdorf, Germany.
Department of Medicine, Christian Albrechts University of Kiel, Kiel, Germany.

Martin Reck (M)

LungenClinic Grosshansdorf, Airway Research Center North, German Center for Lung Research (DZL), Grosshansdorf, Germany.

Michael Thomas (M)

Department of Thoracic Oncology, Thoraxklinik and National Center for Tumor Diseases (NCT) at Heidelberg University Hospital, Heidelberg, Germany.
Translational Lung Research Center (TLCR) at Heidelberg University Hospital, member of the German Center for Lung Research (DZL), Heidelberg, Germany.

Petros Christopoulos (P)

Department of Thoracic Oncology, Thoraxklinik and National Center for Tumor Diseases (NCT) at Heidelberg University Hospital, Heidelberg, Germany.
Translational Lung Research Center (TLCR) at Heidelberg University Hospital, member of the German Center for Lung Research (DZL), Heidelberg, Germany.

Bruno R Steinkraus (BR)

Hummingbird Diagnostics GmbH, Im Neuenheimer Feld 583, 69120, Heidelberg, Germany. bsteinkraus@hb-dx.com.

Classifications MeSH