A signature of enhanced proliferation associated with response and survival to anti-PD-L1 therapy in early-stage non-small cell lung cancer.

TitleA signature of enhanced proliferation associated with response and survival to anti-PD-L1 therapy in early-stage non-small cell lung cancer.
Publication TypeJournal Article
Year of Publication2024
AuthorsAltorki NK, Bhinder B, Borczuk AC, Elemento O, Mittal V, McGraw TE
JournalCell Rep Med
Volume5
Issue3
Pagination101438
Date Published2024 Mar 19
ISSN2666-3791
KeywordsCarcinoma, Non-Small-Cell Lung, Cell Proliferation, Humans, Lung Neoplasms, Progression-Free Survival, Small Cell Lung Carcinoma
Abstract

In early-stage non-small cell lung cancer, the combination of neoadjuvant anti-PD-L1 and subablative stereotactic body radiation therapy (SBRT) is associated with higher rates of major pathologic response compared to anti-PD-L1 alone. Here, we identify a 140-gene set, enriched in genes characteristic of highly proliferating cells, associated with response to the dual therapy. Analysis of on-treatment transcriptome data indicate roles for T and B cells in response. The 140-gene set is associated with disease-free survival when applied to the combined trial arms. This 140-gene set identifies a subclass of tumors in all 7 of The Cancer Genome Atlas tumor types examined. Worse survival is associated with the 140-gene signature in 5 of these tumor types. Collectively, our data support that this 140-gene set, discovered in association with response to combined anti-PD-L1 and SBRT, identifies a clinically aggressive subclass of solid tumors that may be more likely to respond to immunotherapies.

DOI10.1016/j.xcrm.2024.101438
Alternate JournalCell Rep Med
PubMed ID38401548
PubMed Central IDPMC10982989