Immune Checkpoints OX40 and OX40L in Small-Cell Lung Cancer: Predict Prognosis and Modulate Immune Microenvironment

BackgroundOX40 and OX40 ligand (OX40L), as essential immune checkpoint (IC) modulators, are highly correlated with cancer immunity regulation as well as tumor microenvironment (TME). Immunotherapy showed outstanding advantages in small-cell lung cancer (SCLC) therapy. However, functions and clinical...

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Autores principales: Peixin Chen, Hao Wang, Lishu Zhao, Haoyue Guo, Liping Zhang, Wei Zhang, Chenglong Sun, Sha Zhao, Wei Li, Jun Zhu, Jia Yu, Chunyan Wu, Yayi He
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:59e410262d1b481d828723a80de631512021-11-30T18:40:47ZImmune Checkpoints OX40 and OX40L in Small-Cell Lung Cancer: Predict Prognosis and Modulate Immune Microenvironment2234-943X10.3389/fonc.2021.713853https://doaj.org/article/59e410262d1b481d828723a80de631512021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.713853/fullhttps://doaj.org/toc/2234-943XBackgroundOX40 and OX40 ligand (OX40L), as essential immune checkpoint (IC) modulators, are highly correlated with cancer immunity regulation as well as tumor microenvironment (TME). Immunotherapy showed outstanding advantages in small-cell lung cancer (SCLC) therapy. However, functions and clinical significance of OX40 and OX40L in SCLC were not clear yet.Materials and MethodsSCLC samples of 143 patients were collected for immunohistochemistry (IHC) or whole-exome sequencing (WES). We comprehensively explored the expression and mutation of OX40/OX40L in SCLC, and systematically linked OX40/OX40L with TME.ResultsThe expression of OX40/OX40L on tumor cells and tumor-infiltrating lymphocytes (TILs) was found in the IHC cohort and verified in other cohorts with SCLC tissues and cell lines. The results showed co-expression patterns among OX40/OX40L, other ICs, and T-cell markers. The WES data suggested that OX40/OX40L mutation is rare in SCLC (<5%). Patients with positive OX40 protein expression on TILs showed substantially higher recurrence-free survival than those with negative expression (p=0.009). The external dataset also indicated that high OX40/OX40L expression was correlated with better prognosis [overall survival: OX40, p<0.001; OX40L, p=0.019]. Importantly, activation of immunity and high infiltration of CD4(+) and CD8(+) T cells were observed in the high OX40/OX40L expression group.ConclusionsCollectively, this work highlighted the significance of OX40 and OX40L in prognosis and TME cell infiltration characterization of SCLC. Evaluating the OX40/OX40L-expression levels of individual patients with SCLC might contribute to guiding more precise therapy.Peixin ChenPeixin ChenHao WangHao WangLishu ZhaoLishu ZhaoHaoyue GuoHaoyue GuoLiping ZhangWei ZhangChenglong SunChenglong SunSha ZhaoSha ZhaoWei LiWei LiJun ZhuJun ZhuJia YuJia YuChunyan WuYayi HeYayi HeFrontiers Media S.A.articlesmall cell lung cancerOX40 (CD134)OX40 ligandtumor immune microenvironmentprognosisNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic small cell lung cancer
OX40 (CD134)
OX40 ligand
tumor immune microenvironment
prognosis
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle small cell lung cancer
OX40 (CD134)
OX40 ligand
tumor immune microenvironment
prognosis
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Peixin Chen
Peixin Chen
Hao Wang
Hao Wang
Lishu Zhao
Lishu Zhao
Haoyue Guo
Haoyue Guo
Liping Zhang
Wei Zhang
Chenglong Sun
Chenglong Sun
Sha Zhao
Sha Zhao
Wei Li
Wei Li
Jun Zhu
Jun Zhu
Jia Yu
Jia Yu
Chunyan Wu
Yayi He
Yayi He
Immune Checkpoints OX40 and OX40L in Small-Cell Lung Cancer: Predict Prognosis and Modulate Immune Microenvironment
description BackgroundOX40 and OX40 ligand (OX40L), as essential immune checkpoint (IC) modulators, are highly correlated with cancer immunity regulation as well as tumor microenvironment (TME). Immunotherapy showed outstanding advantages in small-cell lung cancer (SCLC) therapy. However, functions and clinical significance of OX40 and OX40L in SCLC were not clear yet.Materials and MethodsSCLC samples of 143 patients were collected for immunohistochemistry (IHC) or whole-exome sequencing (WES). We comprehensively explored the expression and mutation of OX40/OX40L in SCLC, and systematically linked OX40/OX40L with TME.ResultsThe expression of OX40/OX40L on tumor cells and tumor-infiltrating lymphocytes (TILs) was found in the IHC cohort and verified in other cohorts with SCLC tissues and cell lines. The results showed co-expression patterns among OX40/OX40L, other ICs, and T-cell markers. The WES data suggested that OX40/OX40L mutation is rare in SCLC (<5%). Patients with positive OX40 protein expression on TILs showed substantially higher recurrence-free survival than those with negative expression (p=0.009). The external dataset also indicated that high OX40/OX40L expression was correlated with better prognosis [overall survival: OX40, p<0.001; OX40L, p=0.019]. Importantly, activation of immunity and high infiltration of CD4(+) and CD8(+) T cells were observed in the high OX40/OX40L expression group.ConclusionsCollectively, this work highlighted the significance of OX40 and OX40L in prognosis and TME cell infiltration characterization of SCLC. Evaluating the OX40/OX40L-expression levels of individual patients with SCLC might contribute to guiding more precise therapy.
format article
author Peixin Chen
Peixin Chen
Hao Wang
Hao Wang
Lishu Zhao
Lishu Zhao
Haoyue Guo
Haoyue Guo
Liping Zhang
Wei Zhang
Chenglong Sun
Chenglong Sun
Sha Zhao
Sha Zhao
Wei Li
Wei Li
Jun Zhu
Jun Zhu
Jia Yu
Jia Yu
Chunyan Wu
Yayi He
Yayi He
author_facet Peixin Chen
Peixin Chen
Hao Wang
Hao Wang
Lishu Zhao
Lishu Zhao
Haoyue Guo
Haoyue Guo
Liping Zhang
Wei Zhang
Chenglong Sun
Chenglong Sun
Sha Zhao
Sha Zhao
Wei Li
Wei Li
Jun Zhu
Jun Zhu
Jia Yu
Jia Yu
Chunyan Wu
Yayi He
Yayi He
author_sort Peixin Chen
title Immune Checkpoints OX40 and OX40L in Small-Cell Lung Cancer: Predict Prognosis and Modulate Immune Microenvironment
title_short Immune Checkpoints OX40 and OX40L in Small-Cell Lung Cancer: Predict Prognosis and Modulate Immune Microenvironment
title_full Immune Checkpoints OX40 and OX40L in Small-Cell Lung Cancer: Predict Prognosis and Modulate Immune Microenvironment
title_fullStr Immune Checkpoints OX40 and OX40L in Small-Cell Lung Cancer: Predict Prognosis and Modulate Immune Microenvironment
title_full_unstemmed Immune Checkpoints OX40 and OX40L in Small-Cell Lung Cancer: Predict Prognosis and Modulate Immune Microenvironment
title_sort immune checkpoints ox40 and ox40l in small-cell lung cancer: predict prognosis and modulate immune microenvironment
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/59e410262d1b481d828723a80de63151
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