Peripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.

<h4>Introduction</h4>Increasing evidence has shown that immune surveillance is compromised in a tumor-promoting microenvironment for patients with non-small cell lung cancer (NSCLC), and can be restored by appropriate chemotherapy.<h4>Methods</h4>To test this hypothesis, we a...

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Autores principales: Yung-Che Chen, Chang-Chun Hsiao, Kuang-Den Chen, Yu-Chiang Hung, Ching-Yuan Wu, Chien-Hao Lie, Shih-Feng Liu, Ming-Tse Sung, Chung-Jen Chen, Ting-Ya Wang, Jen-Chieh Chang, Petrus Tang, Wen-Feng Fang, Yi-Hsi Wang, Yu-Hsiu Chung, Tung-Ying Chao, Sum-Yee Leung, Mao-Chang Su, Chin-Chou Wang, Meng-Chih Lin
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:938176a574324bc8a0bc8d0f1e4e8aa32021-11-18T07:56:09ZPeripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.1932-620310.1371/journal.pone.0057053https://doaj.org/article/938176a574324bc8a0bc8d0f1e4e8aa32013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23451142/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Increasing evidence has shown that immune surveillance is compromised in a tumor-promoting microenvironment for patients with non-small cell lung cancer (NSCLC), and can be restored by appropriate chemotherapy.<h4>Methods</h4>To test this hypothesis, we analyzed microarray gene expression profiles of peripheral blood mononuclear cells from 30 patients with newly-diagnosed advanced stage NSCLC, and 20 age-, sex-, and co-morbidity-matched healthy controls. All the patients received a median of four courses of chemotherapy with cisplatin and gemcitabine for a 28-day cycle as first line treatment.<h4>Results</h4>Sixty-nine differentially expressed genes between the patients and controls, and 59 differentially expressed genes before and after chemotherapy were identified. The IL4 pathway was significantly enriched in both tumor progression and chemotherapy signatures. CXCR4 and IL2RG were down-regulated, while DOK2 and S100A15 were up-regulated in the patients, and expressions of all four genes were partially or totally reversed after chemotherapy. Real-time quantitative RT-PCR for the four up-regulated (S100A15, DOK2) and down-regulated (TLR7, TOP1MT) genes in the patients, and the six up-regulated (TLR7, CRISP3, TOP1MT) and down-regulated (S100A15, DOK2, IL2RG) genes after chemotherapy confirmed the validity of the microarray results. Further immunohistochemical analysis of the paraffin-embedded lung cancer tissues identified strong S100A15 nuclear staining not only in stage IV NSCLC as compared to stage IIIB NSCLC (p = 0.005), but also in patients with stable or progressive disease as compared to those with a partial response (p = 0.032). A high percentage of S100A15 nuclear stained cells (HR 1.028, p = 0.01) was the only independent factor associated with three-year overall mortality.<h4>Conclusions</h4>Our results suggest a potential role of the IL4 pathway in immune surveillance of advanced stage NSCLC, and immune potentiation of combination chemotherapy. S100A15 may serve as a potential biomarker for tumor staging, and a predictor of poor prognosis in NSCLC.Yung-Che ChenChang-Chun HsiaoKuang-Den ChenYu-Chiang HungChing-Yuan WuChien-Hao LieShih-Feng LiuMing-Tse SungChung-Jen ChenTing-Ya WangJen-Chieh ChangPetrus TangWen-Feng FangYi-Hsi WangYu-Hsiu ChungTung-Ying ChaoSum-Yee LeungMao-Chang SuChin-Chou WangMeng-Chih LinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 2, p e57053 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yung-Che Chen
Chang-Chun Hsiao
Kuang-Den Chen
Yu-Chiang Hung
Ching-Yuan Wu
Chien-Hao Lie
Shih-Feng Liu
Ming-Tse Sung
Chung-Jen Chen
Ting-Ya Wang
Jen-Chieh Chang
Petrus Tang
Wen-Feng Fang
Yi-Hsi Wang
Yu-Hsiu Chung
Tung-Ying Chao
Sum-Yee Leung
Mao-Chang Su
Chin-Chou Wang
Meng-Chih Lin
Peripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.
description <h4>Introduction</h4>Increasing evidence has shown that immune surveillance is compromised in a tumor-promoting microenvironment for patients with non-small cell lung cancer (NSCLC), and can be restored by appropriate chemotherapy.<h4>Methods</h4>To test this hypothesis, we analyzed microarray gene expression profiles of peripheral blood mononuclear cells from 30 patients with newly-diagnosed advanced stage NSCLC, and 20 age-, sex-, and co-morbidity-matched healthy controls. All the patients received a median of four courses of chemotherapy with cisplatin and gemcitabine for a 28-day cycle as first line treatment.<h4>Results</h4>Sixty-nine differentially expressed genes between the patients and controls, and 59 differentially expressed genes before and after chemotherapy were identified. The IL4 pathway was significantly enriched in both tumor progression and chemotherapy signatures. CXCR4 and IL2RG were down-regulated, while DOK2 and S100A15 were up-regulated in the patients, and expressions of all four genes were partially or totally reversed after chemotherapy. Real-time quantitative RT-PCR for the four up-regulated (S100A15, DOK2) and down-regulated (TLR7, TOP1MT) genes in the patients, and the six up-regulated (TLR7, CRISP3, TOP1MT) and down-regulated (S100A15, DOK2, IL2RG) genes after chemotherapy confirmed the validity of the microarray results. Further immunohistochemical analysis of the paraffin-embedded lung cancer tissues identified strong S100A15 nuclear staining not only in stage IV NSCLC as compared to stage IIIB NSCLC (p = 0.005), but also in patients with stable or progressive disease as compared to those with a partial response (p = 0.032). A high percentage of S100A15 nuclear stained cells (HR 1.028, p = 0.01) was the only independent factor associated with three-year overall mortality.<h4>Conclusions</h4>Our results suggest a potential role of the IL4 pathway in immune surveillance of advanced stage NSCLC, and immune potentiation of combination chemotherapy. S100A15 may serve as a potential biomarker for tumor staging, and a predictor of poor prognosis in NSCLC.
format article
author Yung-Che Chen
Chang-Chun Hsiao
Kuang-Den Chen
Yu-Chiang Hung
Ching-Yuan Wu
Chien-Hao Lie
Shih-Feng Liu
Ming-Tse Sung
Chung-Jen Chen
Ting-Ya Wang
Jen-Chieh Chang
Petrus Tang
Wen-Feng Fang
Yi-Hsi Wang
Yu-Hsiu Chung
Tung-Ying Chao
Sum-Yee Leung
Mao-Chang Su
Chin-Chou Wang
Meng-Chih Lin
author_facet Yung-Che Chen
Chang-Chun Hsiao
Kuang-Den Chen
Yu-Chiang Hung
Ching-Yuan Wu
Chien-Hao Lie
Shih-Feng Liu
Ming-Tse Sung
Chung-Jen Chen
Ting-Ya Wang
Jen-Chieh Chang
Petrus Tang
Wen-Feng Fang
Yi-Hsi Wang
Yu-Hsiu Chung
Tung-Ying Chao
Sum-Yee Leung
Mao-Chang Su
Chin-Chou Wang
Meng-Chih Lin
author_sort Yung-Che Chen
title Peripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.
title_short Peripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.
title_full Peripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.
title_fullStr Peripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.
title_full_unstemmed Peripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.
title_sort peripheral immune cell gene expression changes in advanced non-small cell lung cancer patients treated with first line combination chemotherapy.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/938176a574324bc8a0bc8d0f1e4e8aa3
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