Mutated genes on ctDNA detecting postoperative recurrence presented reduced neoantigens in primary tumors in colorectal cancer cases.

Mutated genes on ctDNA detecting postoperative recurrence presented reduced neoantigens in primary tumors in colorectal cancer cases.
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DOI:
10.1038/s41598-023-28575-3
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发表时间:
2023-01-24
期刊:
影响因子:
4.6
通讯作者:
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中科院分区:
综合性期刊3区
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突变ctDNA的检测和测序是结直肠癌术后处理中不可替代的临床手段之一。然而,我们很想了解突变基因的基本特征,这些突变基因包括原发部位的整个突变基因中的转移部位。在目前的回顾研究中,我们使用47个血浆样本对ctDNA进行了靶向重测序,并建立了一个携带原发和复发肿瘤之间常见突变基因的癌症小组。我们发现,ctDNA中的突变基因表现出免疫抵抗特征,表现为原发肿瘤中由于丧失表达或与HLA结合而导致呈递新抗原的能力受损。与所有原发肿瘤突变基因的预测新抗原相比,该板上常见突变基因的新抗原肽有丰富的表达,但不与人类白细胞抗原结合。因此,可以在术后频繁检测ctDNA突变以确定复发;然而,这些突变的基因来自免疫耐受克隆,因为在原发结直肠癌肿瘤中失去了新的抗原提呈。
The detection and sequencing of the mutated ctDNA is one of the irreplaceable clinical measures in the postoperative management of colorectal cancer (CRC) cases. However, we are curious to comprehend the essential traits of mutated genes comprising metastatic sites out of whole mutated genes in primary sites. In the current retrospective study, we conducted target resequencing of ctDNA using 47 plasma samples and established a cancer panel carrying the commonly mutated genes between primary and recurrent tumors. We found that mutated genes in ctDNA indicated immune-resistance traits with respect to the impaired ability to present neoantigens by loss of expression or binding affinity to HLA in the primary tumor. Compared with the estimated neoantigens from all mutated genes in primary tumors, the neoantigen peptides from commonly mutated genes on the panel showed abundant expression but no binding affinity to HLA. Therefore, ctDNA mutations can be frequently and postoperatively detected to identify recurrence; however, these mutated genes were derived from immune-tolerated clones owing to the loss of neoantigen presentation in primary CRC tumors.
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