The germline HLA-A02B62 supertype is associated with a PD-L1-positive tumour immune microenvironment and poor prognosis in stage I lung cancer

Background: Germline HLA class I molecule supertypes are shown to correlate with response to anti-PD-1 therapy. Here, we investigate the significance of germline HLA-A and HLA-B supertypes in tumour microenvironment of non-small-cell lung cancer. Methods: Totally 278 NSCLC patients were collected re...

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Main Authors: Ruijiang Lin, Xiaohua Chen, Fei Su, Hongbin Wang, Biao Han, Yanhui Chen, Cuixiang Zhang, Minjie Ma
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402306156X
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author Ruijiang Lin
Xiaohua Chen
Fei Su
Hongbin Wang
Biao Han
Yanhui Chen
Cuixiang Zhang
Minjie Ma
author_facet Ruijiang Lin
Xiaohua Chen
Fei Su
Hongbin Wang
Biao Han
Yanhui Chen
Cuixiang Zhang
Minjie Ma
author_sort Ruijiang Lin
collection DOAJ
description Background: Germline HLA class I molecule supertypes are shown to correlate with response to anti-PD-1 therapy. Here, we investigate the significance of germline HLA-A and HLA-B supertypes in tumour microenvironment of non-small-cell lung cancer. Methods: Totally 278 NSCLC patients were collected retrospectively. HLA genotyping was conducted using next-generation sequencing. The evaluation of tumour-infiltrating lymphocytes was performed by multiplex immunohistochemistry assay. Correlations among HLA supertypes, tumour infiltrating lymphocytes, and clinicopathological characteristics were assessed. Results: HLA-A03 and HLA-B62 were the supertypes with the highest proportions, at 69.1% and 52.2%, respectively. HLA-A02 or HLA-B62, but not HLA-A03, associated with higher PD-L1+ tumour and stromal cells levels, CD68+ cells, and CD68+PD-L1+ cells. Patients with both HLA-A02 and HLA-B62 supertypes displayed significantly higher PD-L1+ cells, CD68+ cells, and CD8+ cells levels than patients with other supertypes (P = 0.0301, P = 0.0479, P = 0.0192). These cells collectively constitute a hot but immunosuppressive tumour microenvironment. Accordingly, patients with both HLA-A02 and HLA-B62 supertypes had short progression-free survival after surgery (HR = 2.27, P = 0.0373). Conclusions: The HLA-A02B62 supertype could serve as a possible indicator of poor prognosis in early-stage lung cancer. However, it may also act as a favorable prognostic factor for immunotherapy, given its association with a PD-L1-positive tumour microenvironment.
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spelling doaj.art-298ed844cfa3441d9384ca5df09f27692023-08-30T05:53:12ZengElsevierHeliyon2405-84402023-08-0198e18948The germline HLA-A02B62 supertype is associated with a PD-L1-positive tumour immune microenvironment and poor prognosis in stage I lung cancerRuijiang Lin0Xiaohua Chen1Fei Su2Hongbin Wang3Biao Han4Yanhui Chen5Cuixiang Zhang6Minjie Ma7Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, Gansu, ChinaDepartment of Radiotherapy, The First Hospital of Lanzhou University, Lanzhou, Gansu, ChinaDepartment of Oncology, The First Hospital of Lanzhou University, Lanzhou, Gansu, ChinaDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, Gansu, ChinaDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, Gansu, ChinaGenecast Precision Medicine Technology Institute, Beijing, ChinaGenecast Precision Medicine Technology Institute, Beijing, ChinaDepartment of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, Gansu, China; Corresponding author. Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, 730000, Gansu, China.Background: Germline HLA class I molecule supertypes are shown to correlate with response to anti-PD-1 therapy. Here, we investigate the significance of germline HLA-A and HLA-B supertypes in tumour microenvironment of non-small-cell lung cancer. Methods: Totally 278 NSCLC patients were collected retrospectively. HLA genotyping was conducted using next-generation sequencing. The evaluation of tumour-infiltrating lymphocytes was performed by multiplex immunohistochemistry assay. Correlations among HLA supertypes, tumour infiltrating lymphocytes, and clinicopathological characteristics were assessed. Results: HLA-A03 and HLA-B62 were the supertypes with the highest proportions, at 69.1% and 52.2%, respectively. HLA-A02 or HLA-B62, but not HLA-A03, associated with higher PD-L1+ tumour and stromal cells levels, CD68+ cells, and CD68+PD-L1+ cells. Patients with both HLA-A02 and HLA-B62 supertypes displayed significantly higher PD-L1+ cells, CD68+ cells, and CD8+ cells levels than patients with other supertypes (P = 0.0301, P = 0.0479, P = 0.0192). These cells collectively constitute a hot but immunosuppressive tumour microenvironment. Accordingly, patients with both HLA-A02 and HLA-B62 supertypes had short progression-free survival after surgery (HR = 2.27, P = 0.0373). Conclusions: The HLA-A02B62 supertype could serve as a possible indicator of poor prognosis in early-stage lung cancer. However, it may also act as a favorable prognostic factor for immunotherapy, given its association with a PD-L1-positive tumour microenvironment.http://www.sciencedirect.com/science/article/pii/S240584402306156XHLA supertypePD-L1TilsPrognosisNSCLC
spellingShingle Ruijiang Lin
Xiaohua Chen
Fei Su
Hongbin Wang
Biao Han
Yanhui Chen
Cuixiang Zhang
Minjie Ma
The germline HLA-A02B62 supertype is associated with a PD-L1-positive tumour immune microenvironment and poor prognosis in stage I lung cancer
Heliyon
HLA supertype
PD-L1
Tils
Prognosis
NSCLC
title The germline HLA-A02B62 supertype is associated with a PD-L1-positive tumour immune microenvironment and poor prognosis in stage I lung cancer
title_full The germline HLA-A02B62 supertype is associated with a PD-L1-positive tumour immune microenvironment and poor prognosis in stage I lung cancer
title_fullStr The germline HLA-A02B62 supertype is associated with a PD-L1-positive tumour immune microenvironment and poor prognosis in stage I lung cancer
title_full_unstemmed The germline HLA-A02B62 supertype is associated with a PD-L1-positive tumour immune microenvironment and poor prognosis in stage I lung cancer
title_short The germline HLA-A02B62 supertype is associated with a PD-L1-positive tumour immune microenvironment and poor prognosis in stage I lung cancer
title_sort germline hla a02b62 supertype is associated with a pd l1 positive tumour immune microenvironment and poor prognosis in stage i lung cancer
topic HLA supertype
PD-L1
Tils
Prognosis
NSCLC
url http://www.sciencedirect.com/science/article/pii/S240584402306156X
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