Detection of Anti-CMV TCR CDR3s via Blood and Tumor Exome Files Correlates With Increased Survival for Stomach

Utsav Kapoor1, Michael T Aboujaoude1, Konrad J Cios1

  • 1Department of Molecular Medicine, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.

Insights

Cytomegalovirus (CMV) T-cell receptor (TCR) sequences detected via whole exome sequencing correlate with better survival in stomach and soft tissue cancers. However, CMV TCRs found via RNA sequencing suggest poorer outcomes, prompting further research.

Area of Science:

  • Immunology
  • Oncology
  • Genomics

Background:

  • The role of anti-cytomegalovirus (CMV) T-cell responses in cancer is increasingly recognized.
  • Immunogenomic approaches have not been extensively used to study the association between CMV and cancer survival outcomes.

Purpose of the Study:

  • To investigate the association between cytomegalovirus (CMV) T-cell receptor (TCR) sequences and survival outcomes in stomach adenocarcinoma (STAD) and soft tissue sarcoma (SARC) using immunogenomic methods.
  • To explore the potential prognostic value of anti-CMV TCR complementarity determining region-3 (CDR3) amino acid (AA) sequences.

Main Methods:

  • Extracted T-cell receptor (TCR) recombination reads from whole exome sequencing (WXS) and RNA sequencing (RNAseq) data of STAD and SARC samples from The Cancer Genome Atlas (TCGA).
  • Matched TCR complementarity determining region-3 (CDR3) amino acid (AA) sequences to known anti-CMV CDR3 sequences.
  • Correlated the presence of anti-CMV TCR CDR3 sequences with patient survival probabilities.

Main Results:

  • Recovery of anti-CMV TCR CDR3 sequences from WXS data (blood or tumor) correlated with better survival in both STAD and SARC.
  • Detection of anti-CMV TCR CDR3 sequences from RNAseq data correlated with lower survival probabilities in both cancer types.
  • These findings suggest a dichotomy based on the sequencing method, possibly indicating prior CMV exposure versus active CMV response during cancer.

Conclusions:

  • TCR CDR3 sequences, particularly those targeting CMV, may serve as important prognostic indicators for STAD and SARC.
  • Further research into anti-CMV CDR3 sequences could aid in developing novel immunotherapies for these cancers.