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ENPEP as a potential predictor of immune checkpoint inhibitor efficacy.

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机构: [1]Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing, China [2]Chongqing Key Laboratory of Tumor Immunotherapy, Chongqing, China [3]Center of Growth, Metabolism and aging, Key Laboratory of Bio-Resources and Eco-Environment, College of Life Sciences, Sichuan University, Chengdu, China [4]Research Institute, GloriousMed Clinical Laboratory (Shanghai) Co., Ltd, Shanghai, China
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关键词: biomarker ENPEP immunotherapy macrophage

摘要:
The gene ENPEP encodes glutamyl aminopeptidase, which can cut N-terminal aspartic acid from angiotensin II, and is related to tumorigenesis and immune microenvironment, however, the association between the expression of ENPEP and benefits of immune checkpoint inhibitors (ICIs) has had no investigation.We assess the immunotherapeutic predictive performance of ENPEP expression and mutation in multiple cohorts, including one discovery cohort (Pender cohort), four validation cohorts (Hugo cohort; Liu cohort; Mariathasan cohort; Zhao cohort), and one mutation cohort (Miao cohort). Cohorts from The Cancer Genome Atlas (TCGA) were used to explore mechanism and analysis prognosis.In the discovery cohort, patients with lower ENPEP expression had superior response rates (47.2% vs. 36.1%) and over-all survival (OS) (HR [95% CI] = 0.61 [0.39-0.96]; p = 0.032) compared with those with higher ENPEP expression. The association between ENPEP and immunotherapy efficacy was consistently observed in validation cohorts (Hugo: OS HR [95% CI] = 0.41 [0.11-1.45], p = 0.158; Liu: OS HR [95% CI] = 0.73 [0.44-1.20], p = 0.211; Mariathasan: OS HR [95% CI] = 0.84 [0.65-1.09], p = 0.181; Zhao: OS HR [95% CI] = 0.20 [0.04-1.01], p = 0.033; Pooled cohort: OS HR [95% CI] = 0.76 [0.61-0.95], p = 0.015), and in the mutation cohort (ENPEP mutation vs. wild type (WT), OS HR [95% CI] = 0.46 [0.26-0.93], p = 0.017). Reliably, ENPEP is associated with M2 macrophage infiltration and activation in TCGA.Our results demonstrated ENPEP is a potential biomarker to classify patients' response to ICIs treatment.© 2021 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学
最新[2023]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
第一作者:
第一作者机构: [1]Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing, China [2]Chongqing Key Laboratory of Tumor Immunotherapy, Chongqing, China
通讯作者:
通讯机构: [1]Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing, China [2]Chongqing Key Laboratory of Tumor Immunotherapy, Chongqing, China [*1]Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing, 400037, China. [*2]Chongqing Key Laboratory of Tumor Immunotherapy, Chongqing, 400037, China
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