A blood-based miRNA signature with prognostic value for overall survival in advanced stage non-small cell lung cancer treated with immunotherapy
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. F...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Research
2022
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| Online Access: | View Fulltext in Publisher |
| LEADER | 03071nam a2200517Ia 4500 | ||
|---|---|---|---|
| 001 | 10.1038-s41698-022-00262-y | ||
| 008 | 220511s2022 CNT 000 0 und d | ||
| 020 | |a 2397768X (ISSN) | ||
| 245 | 1 | 0 | |a A blood-based miRNA signature with prognostic value for overall survival in advanced stage non-small cell lung cancer treated with immunotherapy |
| 260 | 0 | |b Nature Research |c 2022 | |
| 856 | |z View Fulltext in Publisher |u https://doi.org/10.1038/s41698-022-00262-y | ||
| 520 | 3 | |a 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. © 2022, The Author(s). | |
| 700 | 1 | |a Ceiler, J. |e author | |
| 700 | 1 | |a Christopoulos, P. |e author | |
| 700 | 1 | |a Daniel-Moreno, A. |e author | |
| 700 | 1 | |a Elshiaty, M. |e author | |
| 700 | 1 | |a Ferry, Q. |e author | |
| 700 | 1 | |a Feufel, J. |e author | |
| 700 | 1 | |a Heuvelman, M. |e author | |
| 700 | 1 | |a Hinkfoth, F. |e author | |
| 700 | 1 | |a Hofmann, S. |e author | |
| 700 | 1 | |a Horos, R. |e author | |
| 700 | 1 | |a Jehn, J. |e author | |
| 700 | 1 | |a Kahraman, M. |e author | |
| 700 | 1 | |a Kittner, P. |e author | |
| 700 | 1 | |a Lusky, F. |e author | |
| 700 | 1 | |a Mercaldo, N. |e author | |
| 700 | 1 | |a Muley, T. |e author | |
| 700 | 1 | |a Nötzel, D. |e author | |
| 700 | 1 | |a Pelea, O. |e author | |
| 700 | 1 | |a Rabe, K.F. |e author | |
| 700 | 1 | |a Rajakumar, T. |e author | |
| 700 | 1 | |a Reck, M. |e author | |
| 700 | 1 | |a Sauka-Spengler, T. |e author | |
| 700 | 1 | |a Schenz, J. |e author | |
| 700 | 1 | |a Schindler, H. |e author | |
| 700 | 1 | |a Sikosek, T. |e author | |
| 700 | 1 | |a Skottke, J. |e author | |
| 700 | 1 | |a Steinkraus, B.R. |e author | |
| 700 | 1 | |a Thomas, M. |e author | |
| 700 | 1 | |a Tikk, K. |e author | |
| 700 | 1 | |a Uhle, F. |e author | |
| 700 | 1 | |a Uhle, S. |e author | |
| 700 | 1 | |a Weigand, M.A. |e author | |
| 700 | 1 | |a Wu, Q. |e author | |
| 773 | |t npj Precision Oncology | ||