PMID- 32346613 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2372-7705 (Print) IS - 2372-7705 (Electronic) IS - 2372-7705 (Linking) VI - 17 DP - 2020 Jun 26 TI - Analysis of Lung Adenocarcinoma Subtypes Based on Immune Signatures Identifies Clinical Implications for Cancer Therapy. PG - 241-249 LID - 10.1016/j.omto.2020.03.021 [doi] AB - Lung cancer is the most common cause of cancer deaths worldwide, and lung adenocarcinoma (LUAD) is the most common histological subtype. However, the prognostic and predictive outcomes differ because of this cancer type heterogeneity. LUAD subtypes were identified on the basis of the immunogenomic profiling of 29 immune signatures. We named three LUAD subtypes: Immunity High, Immunity Medium, and Immunity Low. The Immunity High subtype was characterized by immune activation, e.g., increased immune scores, elevated stromal scores and the highest infiltration of CD8(+) T cells, and decreased tumor purities. Activated expressions of human leukocyte antigen (HLA) genes, immune checkpoint molecules, and T helper 1 (Th1)/interferon-gamma (IFNgamma) gene signature were also observed in the Immunity High subtype. N (6)-methyladenosine (m(6)A) RNA methylation, associated with cancer initiation and progression, was reduced in the Immunity High subtype. Functional and signaling pathway enrichment analysis further showed that differentially expressed genes between the Immunity High subtype and the other subtypes mainly participated in immune response and some cancer-associated pathways. In addition, the Immunity High subtype exhibited more sensitivity to immunotherapy and chemotherapy. Finally, candidate compounds that aimed at LUAD subtype differentiation were identified. Comprehensively characterizing the LUAD subtypes based on immune signatures may help to provide potential strategies for LUAD treatment. CI - (c) 2020 The Author(s). FAU - Xu, Feng AU - Xu F AD - Department of Respiratory Medicine, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Shantou, Guangdong 515041, P.R. China. FAU - Chen, Jie-Xin AU - Chen JX AD - Department of Endocrinology, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Shantou, Guangdong 515041, P.R. China. FAU - Yang, Xiong-Bin AU - Yang XB AD - Department of Rheumatology, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Shantou, Guangdong 515041, P.R. China. FAU - Hong, Xin-Bin AU - Hong XB AD - Department of Endocrinology, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Shantou, Guangdong 515041, P.R. China. FAU - Li, Zi-Xiong AU - Li ZX AD - Department of Rheumatology, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Shantou, Guangdong 515041, P.R. China. FAU - Lin, Ling AU - Lin L AD - Department of Rheumatology, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Shantou, Guangdong 515041, P.R. China. FAU - Chen, Yong-Song AU - Chen YS AD - Department of Endocrinology, The First Affiliated Hospital of Shantou University Medical College, No. 57 Changping Road, Shantou, Guangdong 515041, P.R. China. LA - eng PT - Journal Article DEP - 20200407 PL - United States TA - Mol Ther Oncolytics JT - Molecular therapy oncolytics JID - 101666776 PMC - PMC7183104 OTO - NOTNLM OT - immune response OT - immune signatures OT - lung adenocarcinoma EDAT- 2020/04/30 06:00 MHDA- 2020/04/30 06:01 PMCR- 2020/04/07 CRDT- 2020/04/30 06:00 PHST- 2020/02/23 00:00 [received] PHST- 2020/03/26 00:00 [accepted] PHST- 2020/04/30 06:00 [entrez] PHST- 2020/04/30 06:00 [pubmed] PHST- 2020/04/30 06:01 [medline] PHST- 2020/04/07 00:00 [pmc-release] AID - S2372-7705(20)30046-2 [pii] AID - 10.1016/j.omto.2020.03.021 [doi] PST - epublish SO - Mol Ther Oncolytics. 2020 Apr 7;17:241-249. doi: 10.1016/j.omto.2020.03.021. eCollection 2020 Jun 26.