病毒相关癌症的基因组景观
Yoonhee Nam1, Karen Gomez1, Jean-Baptiste Reynier1,2
1Program for Mathematical Genomics and Department of Systems Biology, Columbia University, New York, NY, USA.
感染导致15%-20%的人类癌症. 病毒阳性瘤表现出明显的遗传特征,并且可能对免疫治疗有更好的反应,特别是在胃癌和头癌中.
科学领域:
- 在瘤学瘤学.
- 病毒学 病毒学
- 基因组学就是基因组学.
背景情况:
- 大约15%-20%的人类癌症与病毒感染有关.
- 全球病毒相关癌症的发病率各不相同,不成比例地影响发展中国家.
研究的目的:
- 对9种与5种不同病毒相关的癌症类型的病毒阳性和病毒阴性瘤进行比较分析.
- 研究病毒感染对癌症的流行病学,基因组学和治疗影响.
主要方法:
- 1971年病毒阳性和病毒阴性瘤的比较分析.
- 基因组分析,包括突变负担,突变特征和驱动基因分析.
- 对PD-(L) 1抑制剂反应率和免疫细胞透的临床试验数据的分析.
主要成果:
- 病毒阳性瘤在男性中更频繁,具有显著的地理差异.
- 病毒阳性瘤表现出较低的体质突变负担,独特的突变特征和改变的驱动基因突变 (例如,较少的TP53 / CDKN2A突变,更多的DDX3X / EIF4A1突变).
- 病毒阳性与更高的PD-(L) 1抑制剂反应率,增加CD8+T细胞透率和T细胞受体克隆选择相关,特别是在胃癌和头癌中.
结论:
- 病毒感染显著影响癌症的发展,遗传学和免疫微环境.
- 与病毒相关的癌症相比,与它们的病毒阴性对应物呈现出不同的基因组景观.
- 病毒阳性可能预测在特定癌症类型中对免疫检查点抑制剂治疗的良好反应.
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