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Cancer type-dependent correlations between TP53 mutations and antitumor immunity
Lin Li1, Mengyuan Li1, Xiaosheng Wang1
1Biomedical Informatics Research Lab, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 211198, China; Cancer Genomics Research Center, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, 211198, China; Big Data Research Institute, China Pharmaceutical University, Nanjing, 211198, China.
TP53 mutations have varied effects on antitumor immunity across cancer types, influenced by tumor mutation burden and aneuploidy. This suggests TP53 status may predict immunotherapy response.
Area of Science:
- Oncology
- Cancer Genomics
- Immunology
Background:
- TP53 mutations are common in cancer and have been linked to both negative and positive effects on antitumor immunity.
- Contradictory findings necessitate further investigation into the mechanisms underlying TP53's role in anti-tumor responses.
Purpose of the Study:
- To investigate the differential impact of TP53 mutations on antitumor immunity across various cancer types.
- To explore the roles of tumor mutation burden (TMB) and tumor aneuploidy level (TAL) in mediating these effects.
- To assess the potential of TP53 mutation status as a biomarker for predicting immunotherapy response.
Main Methods:
- Analysis of five cancer cohorts from The Cancer Genome Atlas (TCGA) project.
- Comparison of antitumor immune signatures, TMB, and TAL between TP53-mutated and TP53-wildtype cancers.
- Correlation analysis between TMB, TAL, and antitumor immunity.
Main Results:
- TP53-mutated cancers showed higher immune signatures in breast invasive carcinoma (BRCA) and lung adenocarcinoma (LUAD), but lower in stomach adenocarcinoma (STAD), colon adenocarcinoma (COAD), and head and neck squamous cell carcinoma (HNSC).
- TP53 mutations were associated with increased TMB and TAL, with varying relative contributions across cancer types.
- TMB positively correlated with antitumor immunity, while TAL negatively correlated, with differential impact depending on cancer type.
- Distinct correlations between TP53 mutations and antitumor immunity are driven by the combined effects of TMB and TAL.
- TP53 mutation status showed differential correlations with immune checkpoint inhibitor response across cohorts.
Conclusions:
- The effect of TP53 mutations on antitumor immunity is context-dependent, influenced by TMB and TAL.
- TP53 mutation status may serve as a predictive biomarker for cancer immunotherapy response.
- Deregulation of p53-mediated pathways may also contribute to the observed variations.
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