PTCH1型
医学
癌症研究
结直肠癌
生物
癌症
肿瘤科
免疫系统
内科学
免疫疗法
免疫学
刺猬
遗传学
基因
作者
Yanni Wang,Huan Chen,Xi Ji,Lihong Wu,Ying Yang,Jiao Zhang,Lijia Wu,Chang Liu,Na Zhuo,Shuang Li,Jifang Gong,Jian Li,Xiaotian Zhang,Xicheng Wang,Zhi Peng,Changsong Qi,Zhenghang Wang,Jie Li,Li Yan,Zhihao Lü,Henghui Zhang,Lin Shen
标识
DOI:10.1007/s00262-021-02966-9
摘要
Immunotherapy has emerged as an effective therapeutic strategy for various cancers, including colorectal cancer (CRC), but only a subset of MSI-H patients can benefit from such therapy. Patched1 (PTCH1) is a frequently altered gene in CRCs and its mutations contribute to unregulated Hedgehog (Hh) signaling. In the study, we evaluated the association of PTCH1 mutations with CRC immunity based on our single-center cohort and multiple cancer genomic datasets. Among 21 enrolled patients, six (28.6%) harbored a PTCH1 mutation based on WES analyses. In CRC patients, the PTCH1 mutation subgroup experienced a higher durable clinical benefit rate than the PTCH1 wild-type subgroup (100% vs. 40%, P = 0.017). In addition, patients with the PTCH1 mutation experienced greater progression-free survival (PFS, P = 0.037; HR, 0.208) and overall survival (OS, P = 0.045; HR, 0.185). A validation cohort from the MSKCC also confirmed the correlation between PTCH1 mutation and better prognosis (P = 0.022; HR, 0.290). Mechanically, diverse antitumor immune signatures were more highly enriched in PTCH1-mutated tumors than in PTCH1 wild-type tumors. Furthermore, PTCH1-mutated tumors had higher proportions of CD8 + T cells, activated NK cells, and M1 type macrophage infiltration, as well as elevated gene signatures of several steps in the cancer-immunity cycle. Notably, the PTCH1 mutation was correlated with tumor mutational burden (TMB), loss of heterozygosity score, and copy number variation burden. Our results show that the mutation of PTCH1 is a potential biomarker for predicting the response of CRC patients to immunotherapy.
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