致癌途径对肝细胞癌的分类提出了新的观点
Yuyuan Zhang1, Zaoqu Liu2, Jie Li1
1Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China; Interventional Institute of Zhengzhou University, Zhengzhou, Henan 450052, China; Interventional Treatment and Clinical Research Center of Henan Province, Zhengzhou, Henan 450052, China.
肝细胞癌 (HCC) 中改变的通路主导表型 (ADP) 预测预后和治疗反应. 在WNT ADP患者中,对索拉费尼布和TACE疗法的免疫力和敏感性有所增强.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 癌症生物学 癌症生物学
背景情况:
- 瘤性途径的遗传变化驱动癌症的发病,发展和治疗耐药性.
- 有限的研究探讨了与预后和向治疗相关的途径,如索拉费尼布和肝细胞癌 (HCC) 中的透管动脉化学栓塞 (TACE).
研究的目的:
- 研究HCC患者的正规路径改变之间的关系.
- 探索分子机制,免疫格局和与不同途径改变表型相关的临床结果.
主要方法:
- 分析了1928名来自11个独立数据集和内部队列的HCC患者.
- 关键路径 (p53,PI3K,WNT) 的选和共同发生和相互排他性模式的识别.
- 将患者分为三种改变通路的主导表型 (ADP) 的分层.
主要成果:
- 在TCGA-LIHC队列中发现的途径改变的详细景观.
- 与基因组不稳定性和不良预后相关的P53degadopi3KADP表型.
- 与中位预后,增强的免疫激活和对PD-L1治疗,索拉芬尼和TACE的敏感性相关的WNT ADP表型.
- ADPs表现出独立于常见的临床特征和分子分类.
结论:
- 改变路径的主导表型为分层HCC患者提供了一个新的框架.
- ADP可以识别高风险复发的个体.
- 这种方法可以优化精确治疗策略,以改善HCC的临床结果.
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