The DOI matches its Crossref record; 76 of the 76 references it cites were found in a registry or an index.
Tumor Microenvironment Characterization in Gastric Cancer Identifies Prognostic and Immunotherapeutically Relevant Gene Signatures
Published version of a preprint
Abstract
Tumor microenvironment (TME) cells constitute a vital element of tumor tissue. Increasing evidence has elucidated their clinicopathologic significance in predicting outcomes and therapeutic efficacy. Nonetheless, no studies have reported a systematic analysis of cellular interactions in the TME. In this study, we comprehensively estimated the TME infiltration patterns of 1,524 gastric cancer patients and systematically correlated the TME phenotypes with genomic characteristics and clinicopathologic features of gastric cancer using two proposed computational algorithms. Three TME phenotypes were defined, and the TMEscore was constructed using principal component analysis algorithms. The high TMEscore subtype was characterized by immune activation and response to virus and IFNγ. Activation of transforming growth factor β, epithelial–mesenchymal transition, and angiogenesis pathways were observed in the low TMEscore subtype, which are considered T-cell suppressive and may be responsible for significantly worse prognosis in gastric cancer [hazard ratio (HR), 0.42; 95% confidence interval (CI), 0.33–0.54; P < 0.001]. Multivariate analysis revealed that the TMEscore was an independent prognostic biomarker, and its value in predicting immunotherapeutic outcomes was also confirmed (IMvigor210 cohort: HR, 0.63; 95% CI, 0.46–0.89; P = 0.008; GSE78220 cohort: HR, 0.25; 95% CI, 0.07–0.89; P = 0.021). Depicting a comprehensive landscape of the TME characteristics of gastric cancer may, therefore, help to interpret the responses of gastric tumors to immunotherapies and provide new strategies for the treatment of cancers.
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“Recent studies reported that alteration of tumour immune microenvironment in gastric cancer is a pivotal strategy for predicting the immunotherapeutic responses and prognosis, which might provide new treatment strategies for patients [26, 27].”
From Phosphoserine phosphatase as a prognostic biomarker in patients with gastric cancer and its potential association with immune cells (2022) · cites this paper as [27]
Citations
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“The adjusted P value for multiple testing was calculated using the Benjamini–Hochberg correction (32).”
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“Gene sets were downloaded from the MSigDB database of the Broad Institute (36), and HALLMARK gene sets were selected to perform quantification of pathway activity.”
Methodlimma powers differential expression analyses for RNA-sequencing and microarray studies
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“Next, the clusterProfiler R package (32) was adopted to annotate gene patterns.”
MethodAlgorithm AS 136: A K-Means Clustering Algorithm
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“TMB (nonsynonymous variants), which is significantly associated with efficacy of immunotherapy, was also evaluated with ROC analysis (50) in the IMvigor210 cohort (61).”
MethodRobust enumeration of cell subsets from tissue expression profiles
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Complex heatmaps reveal patterns and correlations in multidimensional genomic data
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MethodInferring tumour purity and stromal and immune cell admixture from expression data
Yoshihara, K., Shahmoradgoli, M., Martínez, E., Vegesna, R., Kim, H., Torres-Garcia, W., Treviño, V., Shen, H., Laird, P. W., Levine, D. A., et al. (2013) · Nature Communications · doi:10.1038/ncomms3612 · Cited by 9,778 · cited 1×
“Moreover, the abundance of immune cells and other cells in the TME can be estimated using computational methods (16-18).”
Cited by
Sorted by citations
Zeng, D., Ye, Z., Shen, R., Yu, G., Wu, J., Xiong, Y., Zhou, R., Qiu, W., Huang, N., Sun, L., et al. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.687975 · Cited by 1,274
Self-citationZhang, B., Wu, Q., Li, B., Wang, D., Wang, L., & Zhou, Y. L. (2020) · Molecular Cancer · doi:10.1186/s12943-020-01170-0 · Cited by 940
Sathe, A., Grimes, S. M., Lau, B. T., Chen, J., Suarez, C. J., Huang, R. J., Poultsides, G. A., & Ji, H. P. (2020) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-19-3231 · Cited by 395
“This resembles findings from recent studies in gastric cancer where molecular subtypes could be differentiated by gene signatures based on a combination of immunosuppression, immune activation, and stromal activation processes rather than the leucocyte fractions within the TME (48, 49).”
ResultGambardella, V., Castillo, J., Tarazona, N., Gimeno-Valiente, F., Martínez‐Ciarpaglini, C., Cabeza-Segura, M., Roselló, S., Roda, D., Huerta, M., Cervantes, A. M. R., et al. (2020) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2020.102015 · Cited by 337
Wu, J., Li, L., Zhang, H., Zhao, Y., Zhang, H., Wu, S., & Xu, B. (2021) · Oncogene · doi:10.1038/s41388-021-01853-y · Cited by 255
Metadata
- Authors
- Zeng, D., Li, M., Zhou, R., Zhang, J., Sun, H., Shi, M., Bin, J., Liao, Y., Rao, J., & Liao, W.
- Affiliations
- Nanfang Hospital (CN)
- Southern Medical University (CN)
- ORCID
- Venue
- Cancer Immunology Research
- Published
- 2019-05-01
- Volume
- 7
- Issue
- 5
- Pages
- 737-750
- ISSN
- 2326-6066 (ISSN-L)
- 2326-6074
- OpenAlex
- W2920600229
- Semantic Scholar
- 180648d1827a7e8c086f03b00ca69831a1ca538e
- Cited by
- 986
- References
- 76
- Citations by year
- 2026: 38 · 2025: 87 · 2024: 164 · 2023: 211 · 2022: 251 · 2021: 162 · 2020: 64 · 2019: 9
- FWCI
- 53.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Immunology Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (81772580)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Health Sciences › Medicine › Oncology › Gastric Cancer Management and Outcomes
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Keywords
- gastric cancer, tumor microenvironment, prognostic factors, immunotherapy response, immune cell infiltration, T cell suppression, epithelial-mesenchymal transition, angiogenesis, TGF-beta signaling, IFN-gamma response, gene expression signatures, IMvigor210
- MeSH terms
- Antineoplastic Agents, Immunological, Algorithms, Humans, Immunotherapy, Phenotype, Prognosis, Stomach Neoplasms, Gene Expression Regulation, Neoplastic, Tumor Microenvironment
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