Academic Journal

Immune-Related Gene Signatures to Predict the Effectiveness of Chemoimmunotherapy in Triple-Negative Breast Cancer Using Exploratory Subgroup Discovery

التفاصيل البيبلوغرافية
العنوان: Immune-Related Gene Signatures to Predict the Effectiveness of Chemoimmunotherapy in Triple-Negative Breast Cancer Using Exploratory Subgroup Discovery
المؤلفون: Olha Kholod, William I. Basket, Jonathan B. Mitchem, Jussuf T. Kaifi, Richard D. Hammer, Christos N. Papageorgiou, Chi-Ren Shyu
المصدر: Cancers; Volume 14; Issue 23; Pages: 5806
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2022
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: triple-negative breast cancer, exploratory subgroup discovery, chemoimmunotherapy
الوصف: Triple-negative breast cancer (TNBC) is an aggressive subtype of breast cancer with limited therapeutic options. Although immunotherapy has shown potential in TNBC patients, clinical studies have only demonstrated a modest response. Therefore, the exploration of immunotherapy in combination with chemotherapy is warranted. In this project we identified immune-related gene signatures for TNBC patients that may explain differences in patients’ outcomes after anti-PD-L1+chemotherapy treatment. First, we ran the exploratory subgroup discovery algorithm on the TNBC dataset comprised of 422 patients across 24 studies. Secondly, we narrowed down the search to twelve homogenous subgroups based on tumor mutational burden (TMB, low or high), relapse status (disease-free or recurred), tumor cellularity (high, low and moderate), menopausal status (pre- or post) and tumor stage (I, II and III). For each subgroup we identified a union of the top 10% of genotypic patterns. Furthermore, we employed a multinomial regression model to predict significant genotypic patterns that would be linked to partial remission after anti-PD-L1+chemotherapy treatment. Finally, we uncovered distinct immune cell populations (T-cells, B-cells, Myeloid, NK-cells) for TNBC patients with various treatment outcomes. CD4-Tn-LEF1 and CD4-CXCL13 T-cells were linked to partial remission on anti-PD-L1+chemotherapy treatment. Our informatics pipeline may help to select better responders to chemoimmunotherapy, as well as pinpoint the underlying mechanisms of drug resistance in TNBC patients at single-cell resolution.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
Relation: Clinical Trials of Cancer; https://dx.doi.org/10.3390/cancers14235806
DOI: 10.3390/cancers14235806
الاتاحة: https://doi.org/10.3390/cancers14235806
Rights: https://creativecommons.org/licenses/by/4.0/
رقم الانضمام: edsbas.38E1A522
قاعدة البيانات: BASE