Favorable outcome of patients with lung adenocarcinoma harboring POLE mutations and expressing high PD-L1

Abstract Mutations in polymerase ε (POLE) confer favorable prognosis and outcomes in various cancer types, but their role in non-small cell lung cancer (NSCLC) is unknown. Utilizing the data of 513 patients with adenocarcinoma (LUAD) and 497 patients with squamous cell carcinoma (LUSC) from The Cancer Genome Atlas (TCGA) cohort, we tested the prognostic value of POLE mutations and programmed cell death ligand 1 (PD-L1) expression in the two main subtypes of NSCLC. POLE mutation is a favorable biomarker for the improved overall survival (OS) of the LUSC patients (P = 0.033, 28 mutant vs. 469 wildtype patients), but not that of the LUAD patients (P = 0.12, 31 mutant vs. 482 wildtype patients). POLE-mutant LUAD patients with high expression of PD-L1 (Mut-High, n = 6) exhibited improved OS (P = 0.024) when compared to POLE-mutant patients with low PD-L1 expression (Mut-Low, n = 24) and other patients without POLE mutation (n = 476). This benefit was not due to the high content of the tumor infiltrating lymphocytes. Instead, the antitumor immune response was activated in Mut-High patients so that these patients were likely responding more effectively to immuno-oncology (IO) treatments; whereas genes involved with metabolic pathways were enriched in Mut-Low group, which may cause the decreased OS of these patients. Our study sheds light on the molecular basis of NSCLC and adds to our understanding of responses to chemotherapy and IO therapy.

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PID https://www.doi.org/10.6084/m9.figshare.c.4068587.v1
PID https://www.doi.org/10.6084/m9.figshare.c.4068587
URL http://dx.doi.org/10.6084/m9.figshare.c.4068587
URL http://dx.doi.org/10.6084/m9.figshare.c.4068587.v1
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Author Liu, Liang
Author Ruiz, Jimmy
Author O’Neill, Stacey
Author Grant, Stefan
Author W. Petty
Author Yang, Meng
Author Kexin Chen
Author Umit Topaloglu
Author Pasche, Boris
Author Zhang, Wei
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Collected From Datacite
Hosted By figshare
Publication Date 2018-01-01
Publisher Figshare
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keyword FOS: Biological sciences
keyword FOS: Clinical medicine
keyword FOS: Health sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::a7315df07aba6a38a78c927df97cd996
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Last Updated 19 December 2020, 21:44 (CET)
Created 19 December 2020, 21:44 (CET)