Immune cell infiltration signatures identified molecular subtypes and underlying mechanisms in gastric cancer

Bibliographic Details
Title: Immune cell infiltration signatures identified molecular subtypes and underlying mechanisms in gastric cancer
Authors: Yilin Lin, Xiaoxian Pan, Long Zhao, Changjiang Yang, Zhen Zhang, Bo Wang, Zhidong Gao, Kewei Jiang, Yingjiang Ye, Shan Wang, Zhanlong Shen
Source: npj Genomic Medicine, Vol 6, Iss 1, Pp 1-16 (2021)
Publisher Information: Nature Portfolio, 2021.
Publication Year: 2021
Collection: LCC:Medicine
LCC:Genetics
Subject Terms: Medicine, Genetics, QH426-470
More Details: Abstract Increasing evidence has clarified that the tumor microenvironment (TME) is closely related to the prognosis and therapeutic efficacy of cancer. However, there is no reliable TME evaluation system used to accurately predict the prognosis of and therapeutic efficacy in gastric cancer. We evaluated the immune microenvironment score (IMS) of 1422 gastric cancer samples based on 51 immune cell signatures. We explored the relationship between the IMS and prognosis, immune cell infiltration, cancer subtype, and potential immune escape mechanisms. The results show that activation of the stroma and decreased levels of immune infiltration were associated with a low IMS. A high IMS was characterized by Epstein–Barr virus infection, increased mutation load, microsatellite instability, and immune cell infiltration. A high IMS was also related to high expression of immune checkpoint molecules (PD-1/PD-L1). Finally, patients with a high IMS had a better response to PD-1/PD-L1 inhibitors and may be more suitable for immune checkpoint inhibitors (area under the curve = 0.81). In addition, a low IMS may be converted into the immune-infiltrating subtype after romidepsin treatment. Stratification based on the IMS may enable gastric cancer patients to benefit more from immunotherapy and help identify new cancer treatment strategies.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2056-7944
Relation: https://doaj.org/toc/2056-7944
DOI: 10.1038/s41525-021-00249-x
Access URL: https://doaj.org/article/3f972addff4042068dae8f759c59a5a7
Accession Number: edsdoj.3f972addff4042068dae8f759c59a5a7
Database: Directory of Open Access Journals
More Details
ISSN:20567944
DOI:10.1038/s41525-021-00249-x
Published in:npj Genomic Medicine
Language:English