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Fibroblast activation protein in the tumor microenvironment predicts outcomes of PD-1 blockade therapy in advanced non-small cell lung cancer

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机构: [1]Hebei Med Univ, Dept Tumor Immunotherapy, Hosp 4, Shijiazhuang 050035, Hebei, Peoples R China [2]Hebei Med Univ, Dept Oncol, Hosp 4, Shijiazhuang 050011, Hebei, Peoples R China [3]Hebei Med Univ, Dept Pathol, Hosp 4, Shijiazhuang 050011, Hebei, Peoples R China [4]Canc Res Inst Hebei Prov, Shijiazhuang 050011, Hebei, Peoples R China [5]Hebei Med Univ, China Int Cooperat Lab Stem Cell Res, Shijiazhuang 050011, Hebei, Peoples R China
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关键词: Fibroblast activation protein Programmed cell death-1 blockade Cancer-associated fibroblasts Tumor microenvironment Non-small cell lung cancer Biomarker

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Purpose The identification of robust predictive biomarkers of the response to programmed cell death-1 (PD-1) blockade remains a critical concern. Here, we investigated on fibroblast activation protein (FAP) as a microenvironment-derived biomarker of clinical outcomes of PD-1 blockade therapy, and the correlation between FAP expression and T cell infiltration in advanced non-small cell lung cancer (NSCLC). Methods A total of 135 patients with advanced NSCLC who received PD-1 blockade therapy were retrospectively analyzed. The potential associations among FAP expression, CD3 + T cell and CD8 + T cell infiltration, and clinical outcomes of immunotherapy were validated by immunohistochemistry, bioinformatic analyses, and statistical measurements. Results FAP was widely expressed in advanced NSCLC tissues. FAP was correlated with decreased density of CD8 + T cells (Spearman's rho - 0.32, p < 0.001) and immunosuppressive tumor microenvironment (TME) status. No correlations were detected between FAP and PD-L1 expression or with the density of CD3 + T cells. The patients with higher expression of FAP showed worse response rate (16.4% vs. 38.7%, p < 0.001) and worse progression-free survival (HR = 2.56, 95% CI 1.69-3.87, p < 0.001). In addition, FAP contributed to shortened overall survival in subgroups of the patients with squamous cell lung cancer (p = 0.020), PD-1 blockade monotherapy (p = 0.017), and first-line therapy (p = 0.028). Conclusion FAP is a potential predictive biomarker of resistance to PD-1 blockade. Further investigation is warranted to identify a strategy for targeting FAP to alleviate the immunosuppressive TME and broaden the clinical effectiveness of PD-1 blockade therapy.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2023]版:
Q3 ONCOLOGY
最新[2023]版:
Q3 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Hebei Med Univ, Dept Tumor Immunotherapy, Hosp 4, Shijiazhuang 050035, Hebei, Peoples R China
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通讯机构: [1]Hebei Med Univ, Dept Tumor Immunotherapy, Hosp 4, Shijiazhuang 050035, Hebei, Peoples R China [4]Canc Res Inst Hebei Prov, Shijiazhuang 050011, Hebei, Peoples R China [5]Hebei Med Univ, China Int Cooperat Lab Stem Cell Res, Shijiazhuang 050011, Hebei, Peoples R China
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