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Pathway signatures derived from on-treatment tumor specimens predict response to anti-PD1 blockade in metastatic melanoma.

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机构: [1]Department of Computer Science, Ying Wu College of Computing, New Jersey Institute of Technology, Newark, NJ 07102, USA [2]Department of ThoracicSurgery, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China [3]Department of Neurosurgery, Duke University School of Medicine,Durham, NC 27710, USA [4]The Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC 27710, USA [5]MassachusettsGeneral Hospital Cancer Center, Boston, MA 02114, USA [6]Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA [7]PhiladelphiaCollege of Osteopathic Medicine, Philadelphia, PA 19131, USA [8]Cancer Immunology, AstraZeneca, Gaithersburg, MD 20878, USA [9]Molecular and CellularOncogenesis Program and Melanoma Research Center, The Wistar Institute, Philadelphia, PA 19104, USA [10]Department of Pathology, Duke UniversitySchool of Medicine, Durham, NC 27710, USA
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Both genomic and transcriptomic signatures have been developed to predict responses of metastatic melanoma to immune checkpoint blockade (ICB) therapies; however, most of these signatures are derived from pre-treatment biopsy samples. Here, we build pathway-based super signatures in pre-treatment (PASS-PRE) and on-treatment (PASS-ON) tumor specimens based on transcriptomic data and clinical information from a large dataset of metastatic melanoma treated with anti-PD1-based therapies as the training set. Both PASS-PRE and PASS-ON signatures are validated in three independent datasets of metastatic melanoma as the validation set, achieving area under the curve (AUC) values of 0.45-0.69 and 0.85-0.89, respectively. We also combine all test samples and obtain AUCs of 0.65 and 0.88 for PASS-PRE and PASS-ON signatures, respectively. When compared with existing signatures, the PASS-ON signature demonstrates more robust and superior predictive performance across all four datasets. Overall, we provide a framework for building pathway-based signatures that is highly and accurately predictive of response to anti-PD1 therapies based on on-treatment tumor specimens. This work would provide a rationale for applying pathway-based signatures derived from on-treatment tumor samples to predict patients' therapeutic response to ICB therapies.© 2021. The Author(s).

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第一作者机构: [1]Department of Computer Science, Ying Wu College of Computing, New Jersey Institute of Technology, Newark, NJ 07102, USA
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通讯机构: [3]Department of Neurosurgery, Duke University School of Medicine,Durham, NC 27710, USA [4]The Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC 27710, USA [6]Department of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA [9]Molecular and CellularOncogenesis Program and Melanoma Research Center, The Wistar Institute, Philadelphia, PA 19104, USA [10]Department of Pathology, Duke UniversitySchool of Medicine, Durham, NC 27710, USA
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