Genomic Signatures of Immune Activation Predict Outcome in Advanced Stages of Ovarian Cancer and Basal-Like Breast Tumors

There is an unmet need for new therapies in metastatic ovarian cancer and basal-like breast cancer since no curative therapies are currently available. Immunotherapy has shown to be active in several solid tumors, but particularly more in those where a pre-activated immune state does exist. In this...

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Main Authors: Ana Alcaraz-Sanabria, Mariona Baliu-Piqué, Cristina Saiz-Ladera, Katerin Rojas, Aránzazu Manzano, Gloria Marquina, Antonio Casado, Francisco J. Cimas, Pedro Pérez-Segura, Atanasio Pandiella, Balázs Gyorffy, Alberto Ocana
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-01-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2019.01486/full
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author Ana Alcaraz-Sanabria
Mariona Baliu-Piqué
Cristina Saiz-Ladera
Katerin Rojas
Aránzazu Manzano
Gloria Marquina
Antonio Casado
Francisco J. Cimas
Pedro Pérez-Segura
Atanasio Pandiella
Balázs Gyorffy
Balázs Gyorffy
Alberto Ocana
Alberto Ocana
author_facet Ana Alcaraz-Sanabria
Mariona Baliu-Piqué
Cristina Saiz-Ladera
Katerin Rojas
Aránzazu Manzano
Gloria Marquina
Antonio Casado
Francisco J. Cimas
Pedro Pérez-Segura
Atanasio Pandiella
Balázs Gyorffy
Balázs Gyorffy
Alberto Ocana
Alberto Ocana
author_sort Ana Alcaraz-Sanabria
collection DOAJ
description There is an unmet need for new therapies in metastatic ovarian cancer and basal-like breast cancer since no curative therapies are currently available. Immunotherapy has shown to be active in several solid tumors, but particularly more in those where a pre-activated immune state does exist. In this work, we aim to identify biomarkers that could distinguish immune-activated tumors and predict response to therapies in ovarian and basal-like breast cancer, as well as their association with the level of tumor immune infiltration. We found that the combined expression of IFNG, CD30, CXCL13, and PRF1 correlated with better overall survival (OS) in advanced stage ovarian cancer. This was confirmed using an independent dataset from TCGA. Interestingly, we observed that this gene combination also predicted for better prognosis in ovarian tumors with low mutational load, which typically respond less to immunotherapy. Expression of IFNG, CD30, CXCL13, and PRF1 was associated with increased level of immune infiltrates (CD8+ T cells, dendritic cells, and neutrophils) within the tumor. Moreover, we found that these gene signature also correlated with an increased OS and with a higher level of tumor immune infiltrates (B cells, CD8+ T cells, CD4+ T cells, neutrophils, and dendritic cells) in basal-like breast cancer. In conclusion, our analysis identifies genes signatures with potential to recognize immune activated ovarian and basal-like breast cancers with favorable prognosis and with a remarkable predictive capacity in tumors with low mutational burden. The presented results led to a hypothesis being formulated, but prospective clinical studies are needed to support a potential clinical application.
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spelling doaj.art-2e80b49d6bc24d01b2d122ef6f2535532022-12-22T02:27:50ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2020-01-01910.3389/fonc.2019.01486506101Genomic Signatures of Immune Activation Predict Outcome in Advanced Stages of Ovarian Cancer and Basal-Like Breast TumorsAna Alcaraz-Sanabria0Mariona Baliu-Piqué1Cristina Saiz-Ladera2Katerin Rojas3Aránzazu Manzano4Gloria Marquina5Antonio Casado6Francisco J. Cimas7Pedro Pérez-Segura8Atanasio Pandiella9Balázs Gyorffy10Balázs Gyorffy11Alberto Ocana12Alberto Ocana13Translational Oncology Laboratory, Centro Regional de Investigaciones Biomedicas, Castilla-La Mancha University, Albacete, SpainExperimental Therapeutics Unit, Medical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria (IdISSC) and CIBERONC, Madrid, SpainExperimental Therapeutics Unit, Medical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria (IdISSC) and CIBERONC, Madrid, SpainExperimental Therapeutics Unit, Medical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria (IdISSC) and CIBERONC, Madrid, SpainExperimental Therapeutics Unit, Medical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria (IdISSC) and CIBERONC, Madrid, SpainExperimental Therapeutics Unit, Medical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria (IdISSC) and CIBERONC, Madrid, SpainExperimental Therapeutics Unit, Medical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria (IdISSC) and CIBERONC, Madrid, SpainTranslational Oncology Laboratory, Centro Regional de Investigaciones Biomedicas, Castilla-La Mancha University, Albacete, SpainExperimental Therapeutics Unit, Medical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria (IdISSC) and CIBERONC, Madrid, SpainInstituto de Biología Molecular y Celular del Cáncer and CIBERONC, CSIC, Salamanca, SpainDepartments of Bioinformatics and Pediatrics, Semmelweis University, Budapest, HungaryMTA TTK Lendület Cancer Biomarker Research Group, Institute of Enzymology, Budapest, HungaryTranslational Oncology Laboratory, Centro Regional de Investigaciones Biomedicas, Castilla-La Mancha University, Albacete, SpainExperimental Therapeutics Unit, Medical Oncology Department, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria (IdISSC) and CIBERONC, Madrid, SpainThere is an unmet need for new therapies in metastatic ovarian cancer and basal-like breast cancer since no curative therapies are currently available. Immunotherapy has shown to be active in several solid tumors, but particularly more in those where a pre-activated immune state does exist. In this work, we aim to identify biomarkers that could distinguish immune-activated tumors and predict response to therapies in ovarian and basal-like breast cancer, as well as their association with the level of tumor immune infiltration. We found that the combined expression of IFNG, CD30, CXCL13, and PRF1 correlated with better overall survival (OS) in advanced stage ovarian cancer. This was confirmed using an independent dataset from TCGA. Interestingly, we observed that this gene combination also predicted for better prognosis in ovarian tumors with low mutational load, which typically respond less to immunotherapy. Expression of IFNG, CD30, CXCL13, and PRF1 was associated with increased level of immune infiltrates (CD8+ T cells, dendritic cells, and neutrophils) within the tumor. Moreover, we found that these gene signature also correlated with an increased OS and with a higher level of tumor immune infiltrates (B cells, CD8+ T cells, CD4+ T cells, neutrophils, and dendritic cells) in basal-like breast cancer. In conclusion, our analysis identifies genes signatures with potential to recognize immune activated ovarian and basal-like breast cancers with favorable prognosis and with a remarkable predictive capacity in tumors with low mutational burden. The presented results led to a hypothesis being formulated, but prospective clinical studies are needed to support a potential clinical application.https://www.frontiersin.org/article/10.3389/fonc.2019.01486/fullovarian cancerbreast cancergenomic signaturesimmune infiltratesbiomarkers
spellingShingle Ana Alcaraz-Sanabria
Mariona Baliu-Piqué
Cristina Saiz-Ladera
Katerin Rojas
Aránzazu Manzano
Gloria Marquina
Antonio Casado
Francisco J. Cimas
Pedro Pérez-Segura
Atanasio Pandiella
Balázs Gyorffy
Balázs Gyorffy
Alberto Ocana
Alberto Ocana
Genomic Signatures of Immune Activation Predict Outcome in Advanced Stages of Ovarian Cancer and Basal-Like Breast Tumors
Frontiers in Oncology
ovarian cancer
breast cancer
genomic signatures
immune infiltrates
biomarkers
title Genomic Signatures of Immune Activation Predict Outcome in Advanced Stages of Ovarian Cancer and Basal-Like Breast Tumors
title_full Genomic Signatures of Immune Activation Predict Outcome in Advanced Stages of Ovarian Cancer and Basal-Like Breast Tumors
title_fullStr Genomic Signatures of Immune Activation Predict Outcome in Advanced Stages of Ovarian Cancer and Basal-Like Breast Tumors
title_full_unstemmed Genomic Signatures of Immune Activation Predict Outcome in Advanced Stages of Ovarian Cancer and Basal-Like Breast Tumors
title_short Genomic Signatures of Immune Activation Predict Outcome in Advanced Stages of Ovarian Cancer and Basal-Like Breast Tumors
title_sort genomic signatures of immune activation predict outcome in advanced stages of ovarian cancer and basal like breast tumors
topic ovarian cancer
breast cancer
genomic signatures
immune infiltrates
biomarkers
url https://www.frontiersin.org/article/10.3389/fonc.2019.01486/full
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