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Tumour microenvironment (TME) characterization identified prognosis and immunotherapy response in muscle-invasive bladder cancer (MIBC)

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单位: [1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China [2]Department of Internal Medicine, Division of Nephrology, Leiden University Medical Center, Leiden 2333 ZA, The Netherlands [3]Department of Stomatology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China [4]Department of Biological Repositories, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
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关键词: Muscle-invasive bladder cancer Tumour microenvironment Immune checkpoint Tumour mutation burden Immunotherapy TCGA

摘要:
Tumour microenvironment (TME), which consists of widely diverse immune and stromal cells and the factors that they secrete, cultivates a chronic inflammatory, immunosuppressive, and pro-angiogenic intratumoural atmosphere, which has been reported to correlate with patient outcomes and treatment efficacy. In this study, we characterized TME pattern through the "Estimation of STromal and Immune cells in MAlignant Tumours using Expression data" (ESTIMATE) algorithm and build a TME-related signature (TMERS), which is serving as an independent prognostic factor in MIBC. Moreover, we found that the TMERS was highly positive correlated with immune infiltration, the expression of immune checkpoints and high malignancy molecular subtypes such as basal, infiltrated and basal/SCC-like. The value of the TMERS in assessing the immunotherapy response was evaluated using the tumour immune dysfunction and exclusion (TIDE) algorithm and confirmed in several cohorts treated with immune checkpoint inhibitors (ICIs). Furthermore, the TMERS had a negative correlation with the tumour mutation burden (TMB), which is a potential predictive biomarker of immunotherapy response. Remarkably, combining TMERS and TMB was more effective for survival and ICI response prediction. In conclusion, we established a novel TMERS which depicts the TME pattern and acts as a robust independent prognostic factor and predictive biomarker for the response to ICIs when combined with the TMB.

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出版当年[2020]版:
大类 | 2 区 医学
小类 | 2 区 免疫学 3 区 肿瘤学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 免疫学 3 区 肿瘤学
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出版当年[2019]版:
Q1 IMMUNOLOGY Q1 ONCOLOGY
最新[2023]版:
Q1 ONCOLOGY Q2 IMMUNOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

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第一作者单位: [1]Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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