机构:[1]Department of Oncology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China,华中科技大学同济医学院附属同济医院[2]Department of Cancer Biotherapy Center, The Third Affiliated Hospital of Kunming Medical University (Tumor Hospital of Yunnan Province), Kunming, China,[3]Biological Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, United Kingdom,[4]Institute for Life Sciences, University of Southampton, Southampton, United Kingdom
Bevacizumab plus chemotherapy is a well-established first-line treatment for metastatic colorectal cancer (mCRC). We investigated whether polymorphisms of genes involved in immune regulation signaling are related to the clinical outcome of mCRC patients treated with bevacizumab-based chemotherapy. In this study, we genotyped 14 single-nucleotide polymorphisms (SNP) in IFN-gamma/IFNGRs/JAKs/STATs/PD-L1 pathway by using DNA from blood samples of 141 mCRC patients treated with first-line bevacizumab-based chemotherapy. In the univariate and multivariate analysis, patients with AA genotype of CD274:rs2297136 had a significantly better PFS and OS than patients with AG or GG genotype (10.8 versus 9.8, log-rank P=0.0031; 31.4 versus 20.9, log-rank P=0.0233). Patients with AG/GG genotype of IFNGR1:rs2234711, CT/TT genotype of IFNGR1:rs9376267 also showed longer OS than patients with AA or CC genotype, however, the statistic did not reach significant after adjusted by clinical factors in the multivariate analysis. A nomogram based on the genetic variants and clinic characteristics was developed with a good accuracy to predict patients' survival. Our result indicates that CD274:rs2297136 is one of the most important predictors for the prognosis of mCRC patients treated with bevacizumab-based chemotherapy, if further validated in larger population.
基金:
This study was supported by the State Key Program of National
Natural Science Foundation of China (Grant No.82130092) and
the Radiotherapy and Protection Engineering Center Innovation
Capacity Building Project of Hubei Province (Grant No.2018-
420114-35-03-071705).
第一作者机构:[1]Department of Oncology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China,
通讯作者:
推荐引用方式(GB/T 7714):
Qin Wan,Zhao Ben,Wang Duanrui,et al.A Genetic Variant in CD274 Is Associated With Prognosis in Metastatic Colorectal Cancer Patients Treated With Bevacizumab-Based Chemotherapy[J].FRONTIERS IN ONCOLOGY.2022,12:doi:10.3389/fonc.2022.922342.
APA:
Qin, Wan,Zhao, Ben,Wang, Duanrui,Liu, Jiamin,Zhou, Yilu...&Yuan, Xianglin.(2022).A Genetic Variant in CD274 Is Associated With Prognosis in Metastatic Colorectal Cancer Patients Treated With Bevacizumab-Based Chemotherapy.FRONTIERS IN ONCOLOGY,12,
MLA:
Qin, Wan,et al."A Genetic Variant in CD274 Is Associated With Prognosis in Metastatic Colorectal Cancer Patients Treated With Bevacizumab-Based Chemotherapy".FRONTIERS IN ONCOLOGY 12.(2022)