T Cell-to-Stroma Enrichment (TSE) score: a gene expression metric that predicts response to immune checkpoint inhibitors in patients with urothelial cancer

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Publicado en:bioRxiv (May 31, 2022), p. n/a
Autor principal: Rijnders, Maud M
Otros Autores: Nakauma-Gonzalez, J Alberto, Robbrecht, Debbie Gj, Gil-Jimenez, Alberto, Aarts, Maureen Jb, Boormans, Joost L, Hamberg, Paul, Michiel S Van Der Heijden, Szabados, Bernadett E, Geert Jlh Van Leenders, Mehra, Niven, Voortman, Jens, Westgeest, Hans M, De Wit, Ronald, Astrid Am Van Der Veldt, Reno Debets, Lolkema, Martijn P
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Cold Spring Harbor Laboratory Press
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022 |a 2692-8205 
024 7 |a 10.1101/2022.05.30.493997  |2 doi 
035 |a 2671806007 
045 0 |b d20220531 
100 1 |a Rijnders, Maud M 
245 1 |a T Cell-to-Stroma Enrichment (TSE) score: a gene expression metric that predicts response to immune checkpoint inhibitors in patients with urothelial cancer 
260 |b Cold Spring Harbor Laboratory Press  |c May 31, 2022 
513 |a Working Paper 
520 3 |a Immune checkpoint inhibitors (ICIs) improve overall survival in patients with metastatic urothelial cancer (mUC). To identify predictive markers of response, whole-genome DNA (n=70) and RNA-sequencing (n=41) were performed using fresh metastatic biopsies prior to treatment with pembrolizumab. PD-L1 combined positivity score failed, while tumor mutational burden and APOBEC mutagenesis modestly predicted response. Using gene expression analysis, we defined the T cell-to-stroma enrichment (TSE) score, a signature-based metric that captures the relative abundance of T cells and stromal cells. Patients with a positive and negative TSE score show progression free survival rate at 6 months of 67% and 0%, respectively. The significant predictive value of the TSE score was validated in two independent ICI treated cohorts of patients with mUC (IMvigor210) and muscle-invasive UC (ABACUS). The TSE score represents a clinically applicable marker that may select patients with metastatic and primary UC who do not benefit from ICI treatment. Competing Interest Statement Martijn P. J. Lolkema has received research support from JnJ, Sanofi, Astellas and MSD, and consultancy fees from Incyte, Amgen, JnJ, Bayer, Servier, Roche, INCa, Pfizer, Sanofi, Astellas, AstraZeneca, Merck Sharp & Dohme, Novartis, Julius Clinical and the Hartwig Medical Foundation (all paid to the Erasmus MC Cancer Institute). Debbie G.J. Robbrecht has received research support from Treatmeds and consultancy fees from Bristol-Myers Squibb, Bayer, AstraZeneca, Merck, Pfizer (all paid to the Erasmus MC Cancer Institute). Ronald de Wit has received consultancy fees from Sanofi, Merck, Astellas, Bayer, Hengrui and Orion, speaker fees from Sanofi and Astellas, research support from Sanofi and Bayer (all paid to the Erasmus MC Cancer Institute). Astrid A.M. van der Veldt has received consultancy fees from for BMS, MSD, Merck, Novartis, Roche, Sanofi, Pierre Fabre, Ipsen, Eisai, Pfizer (all paid to the Erasmus MC Cancer Institute). Michiel S. van der Heijden has received research support from Bristol-Myers Squibb, AstraZeneca and Roche, and consultancy fees from Bristol-Myers Squibb, Merck Sharp & Dohme, Roche, AstraZeneca, Seattle Genetics and Janssen (all paid to the Netherlands Cancer Institute). Joost L. Boormans has received research support from Decipher Biosciences and Merck Sharp & Dohme, and consultancy fees from Merck Sharp & Dohme, Eight Medical, Ambu, APIM therapeutics, Bristol-Myers Squibb, Astellas Roche and Janssen (all paid to the Erasmus MC Cancer Institute). Niven Mehra has received research support from Astellas, Janssen, Pfizer, Roche and Sanofi Genzyme, and consultancy fees from Roche, MSD, BMS, Bayer, Astellas and Janssen (all paid to the Radboud University Medical Center). Hans M. Westgeest has received consultancy fees from Roche and Astellas (all paid to the Amphia hospital, Breda), Paul Hamberg has received consultancy fees from Astellas, Merck Sharp & Dohme, Pfizer AstraZeneca, Bristol-Myers Squibb and Ipsen. Maureen J.B. Aarts has received advisory board / consultancy honoraria from Amgen, Bristol Myers Squibb, Novartis, MSD-Merck, Merck-Pfizer, Pierre Fabre, Sanofi, Astellas, Bayer, research grants from Merck-Pfizer, and not related to current work and paid to Maastricht UMC+ Comprehensive Cancer Center. Geert J.L.H. van Leenders has received research grants from Roche and AstraZenaca, and has been member of advisory boards of Roche and Merck. Maud Rijnders, J. Alberto Nakauma-Gonzalez, Alberto Gil-Jimenez and Jens Voortman declare no competing interests. 
610 4 |a Amgen Inc AstraZeneca Merck Sharp & Dohme Bristol-Myers Squibb Co Erasmus MC Pfizer Inc 
653 |a Cancer 
653 |a PD-L1 protein 
653 |a Gene expression 
653 |a Metastasis 
653 |a Biopsy 
653 |a Genomes 
653 |a Pembrolizumab 
653 |a Lymphocytes T 
653 |a Mutagenesis 
653 |a Stromal cells 
653 |a Tumors 
653 |a Metastases 
653 |a Patients 
653 |a Urothelial cancer 
653 |a Invasiveness 
653 |a Immune checkpoint inhibitors 
700 1 |a Nakauma-Gonzalez, J Alberto 
700 1 |a Robbrecht, Debbie Gj 
700 1 |a Gil-Jimenez, Alberto 
700 1 |a Aarts, Maureen Jb 
700 1 |a Boormans, Joost L 
700 1 |a Hamberg, Paul 
700 1 |a Michiel S Van Der Heijden 
700 1 |a Szabados, Bernadett E 
700 1 |a Geert Jlh Van Leenders 
700 1 |a Mehra, Niven 
700 1 |a Voortman, Jens 
700 1 |a Westgeest, Hans M 
700 1 |a De Wit, Ronald 
700 1 |a Astrid Am Van Der Veldt 
700 1 |a Reno Debets 
700 1 |a Lolkema, Martijn P 
773 0 |t bioRxiv  |g (May 31, 2022), p. n/a 
786 0 |d ProQuest  |t Biological Science Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/2671806007/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full text outside of ProQuest  |u https://www.biorxiv.org/content/10.1101/2022.05.30.493997v1