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CDC25C as a Predictive Biomarker for Immune Checkpoint Inhibitors in Patients With Lung Adenocarcinoma
Wengang Zhang1, Xiaoling Shang1, Fei Yang1
1Department of Medical Oncology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Abstract:
The application of immune checkpoint inhibitors (ICIs) in non-small cell lung cancer has significantly improved patient survival. However, most patients fail to respond to ICIs or develop drug resistance during treatment. Therefore, novel biomarkers are needed to predict the efficacy of ICIs or provide clues on how to overcome drug resistance. Here, it was revealed that cell division cycle 25C (CDC25C) expression was upregulated in lung adenocarcinoma (LUAD) compared to that of normal lung tissue in multiple databases. This was further verified by q-PCR. Furthermore, higher CDC25C expression was associated with shorter overall survival and worse pathological stage. Most importantly, a higher CDC25C expression was associated with shorter progression-free survival in LUAD patients treated with nivolumab, suggesting the role of the cell cycle in immunotherapy. In addition, CDC25C expression was significantly associated with immune cell infiltration and immune-related signatures in the LUAD tumor microenvironment. Moreover, CDC25C was differentially expressed and correlated with overall survival in multiple tumors, indicating that CDC25C is a broad-spectrum biomarker. Taken together, our study demonstrates that CDC25C is a prognostic biomarker for LUAD patients, especially for patients treated with ICIs. Our study also provides strong evidence for the role of the cell cycle in ICIs therapy and tumor microenvironment.
Insights
Cell division cycle 25C (CDC25C) is a prognostic biomarker for lung adenocarcinoma (LUAD) patients treated with immune checkpoint inhibitors (ICIs). Higher CDC25C expression indicates poorer survival and links to the tumor microenvironment and cell cycle in immunotherapy.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- Immune checkpoint inhibitors (ICIs) have improved survival in non-small cell lung cancer (NSCLC).
- However, many patients do not respond to ICIs or develop resistance, necessitating new biomarkers.
- Predictive biomarkers for ICI efficacy and resistance mechanisms are crucial for NSCLC treatment.
Purpose of the Study:
- To investigate the role of cell division cycle 25C (CDC25C) as a potential biomarker in lung adenocarcinoma (LUAD).
- To assess the association between CDC25C expression and patient survival, ICI treatment response, and the tumor microenvironment.
Main Methods:
- Analysis of CDC25C expression in LUAD using multiple databases and quantitative PCR (q-PCR).
- Correlation of CDC25C expression with overall survival, pathological stage, and progression-free survival in patients treated with nivolumab.
- Investigation of the relationship between CDC25C expression, immune cell infiltration, and immune-related signatures in the LUAD tumor microenvironment.
Main Results:
- CDC25C expression was upregulated in LUAD compared to normal lung tissue.
- Higher CDC25C expression correlated with shorter overall survival, worse pathological stage, and shorter progression-free survival in LUAD patients receiving nivolumab.
- CDC25C expression was significantly associated with immune cell infiltration and immune signatures within the LUAD tumor microenvironment.
- CDC25C demonstrated differential expression and prognostic value across multiple tumor types, suggesting broad applicability.
Conclusions:
- CDC25C serves as a prognostic biomarker for LUAD patients, particularly those undergoing ICI therapy.
- The study highlights the involvement of the cell cycle in ICI therapy efficacy and the tumor microenvironment.
- CDC25C is a potential broad-spectrum biomarker for predicting patient outcomes in various cancers.
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