Avoiding Absolute Quantification Trap: A Novel Predictive Signature of Clinical Benefit to Anti-PD-1 Immunotherapy in Non-Small Cell Lung Cancer

Immunotherapy has been focused on by many oncologists and researchers. While, due to technical biases of absolute quantification, few traditional biomarkers for anti-PD-1 immunotherapy have been applied in regular clinical practice of non-small cell lung cancer (NSCLC). Therefore, there is an urgent...

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Autores principales: Chengming Liu, Sihui Wang, Sufei Zheng, Fei Xu, Zheng Cao, Xiaoli Feng, Yan Wang, Qi Xue, Nan Sun, Jie He
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/33bd7fb95ba8489280d6f58b400ea218
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spelling oai:doaj.org-article:33bd7fb95ba8489280d6f58b400ea2182021-11-19T07:52:47ZAvoiding Absolute Quantification Trap: A Novel Predictive Signature of Clinical Benefit to Anti-PD-1 Immunotherapy in Non-Small Cell Lung Cancer1664-322410.3389/fimmu.2021.782106https://doaj.org/article/33bd7fb95ba8489280d6f58b400ea2182021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fimmu.2021.782106/fullhttps://doaj.org/toc/1664-3224Immunotherapy has been focused on by many oncologists and researchers. While, due to technical biases of absolute quantification, few traditional biomarkers for anti-PD-1 immunotherapy have been applied in regular clinical practice of non-small cell lung cancer (NSCLC). Therefore, there is an urgent and unmet need for a feasible tool—immune to data source bias—for identifying patients who might benefit from ICIs in clinical practice. Using the strategy based on the relative ranking of gene expression levels, we herein proposed the novel BRGP index (BRGPI): four BRGPs significantly related with progression-free survival of NSCLC patients treated with anti-PD-1 immunotherapy in the multicohort analysis. Moreover, stratification and multivariate Cox regression analyses demonstrated that BRGPI was an independent prognostic factor. Notably, compared to PD-L1, BRGPI exerted the best predictive ability. Further analysis showed that the patients in the BRGPI-low and PD-L1-high subgroup derived more clinical benefits from anti-PD-1 immunotherapy. In conclusion, the prospect of applying the BRGPI to real clinical practice is promising owing to its powerful and reliable predictive value.Chengming LiuChengming LiuSihui WangSihui WangSufei ZhengSufei ZhengFei XuZheng CaoXiaoli FengYan WangQi XueNan SunNan SunJie HeJie HeFrontiers Media S.A.articleNSCLCimmune checkpoint inhibitorsclinical benefitprognosisBRGPIImmunologic diseases. AllergyRC581-607ENFrontiers in Immunology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic NSCLC
immune checkpoint inhibitors
clinical benefit
prognosis
BRGPI
Immunologic diseases. Allergy
RC581-607
spellingShingle NSCLC
immune checkpoint inhibitors
clinical benefit
prognosis
BRGPI
Immunologic diseases. Allergy
RC581-607
Chengming Liu
Chengming Liu
Sihui Wang
Sihui Wang
Sufei Zheng
Sufei Zheng
Fei Xu
Zheng Cao
Xiaoli Feng
Yan Wang
Qi Xue
Nan Sun
Nan Sun
Jie He
Jie He
Avoiding Absolute Quantification Trap: A Novel Predictive Signature of Clinical Benefit to Anti-PD-1 Immunotherapy in Non-Small Cell Lung Cancer
description Immunotherapy has been focused on by many oncologists and researchers. While, due to technical biases of absolute quantification, few traditional biomarkers for anti-PD-1 immunotherapy have been applied in regular clinical practice of non-small cell lung cancer (NSCLC). Therefore, there is an urgent and unmet need for a feasible tool—immune to data source bias—for identifying patients who might benefit from ICIs in clinical practice. Using the strategy based on the relative ranking of gene expression levels, we herein proposed the novel BRGP index (BRGPI): four BRGPs significantly related with progression-free survival of NSCLC patients treated with anti-PD-1 immunotherapy in the multicohort analysis. Moreover, stratification and multivariate Cox regression analyses demonstrated that BRGPI was an independent prognostic factor. Notably, compared to PD-L1, BRGPI exerted the best predictive ability. Further analysis showed that the patients in the BRGPI-low and PD-L1-high subgroup derived more clinical benefits from anti-PD-1 immunotherapy. In conclusion, the prospect of applying the BRGPI to real clinical practice is promising owing to its powerful and reliable predictive value.
format article
author Chengming Liu
Chengming Liu
Sihui Wang
Sihui Wang
Sufei Zheng
Sufei Zheng
Fei Xu
Zheng Cao
Xiaoli Feng
Yan Wang
Qi Xue
Nan Sun
Nan Sun
Jie He
Jie He
author_facet Chengming Liu
Chengming Liu
Sihui Wang
Sihui Wang
Sufei Zheng
Sufei Zheng
Fei Xu
Zheng Cao
Xiaoli Feng
Yan Wang
Qi Xue
Nan Sun
Nan Sun
Jie He
Jie He
author_sort Chengming Liu
title Avoiding Absolute Quantification Trap: A Novel Predictive Signature of Clinical Benefit to Anti-PD-1 Immunotherapy in Non-Small Cell Lung Cancer
title_short Avoiding Absolute Quantification Trap: A Novel Predictive Signature of Clinical Benefit to Anti-PD-1 Immunotherapy in Non-Small Cell Lung Cancer
title_full Avoiding Absolute Quantification Trap: A Novel Predictive Signature of Clinical Benefit to Anti-PD-1 Immunotherapy in Non-Small Cell Lung Cancer
title_fullStr Avoiding Absolute Quantification Trap: A Novel Predictive Signature of Clinical Benefit to Anti-PD-1 Immunotherapy in Non-Small Cell Lung Cancer
title_full_unstemmed Avoiding Absolute Quantification Trap: A Novel Predictive Signature of Clinical Benefit to Anti-PD-1 Immunotherapy in Non-Small Cell Lung Cancer
title_sort avoiding absolute quantification trap: a novel predictive signature of clinical benefit to anti-pd-1 immunotherapy in non-small cell lung cancer
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/33bd7fb95ba8489280d6f58b400ea218
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