PMID- 35621268 OWN - NLM STAT- MEDLINE DCOM- 20230119 LR - 20230207 IS - 2045-7634 (Electronic) IS - 2045-7634 (Linking) VI - 12 IP - 1 DP - 2023 Jan TI - The characteristics and clinical relevance of tumor fusion burden in head and neck squamous cell carcinoma. PG - 852-861 LID - 10.1002/cam4.4890 [doi] AB - BACKGROUND: Recent studies suggest that tumor fusion burden (TFB) is a hallmark of immune infiltration in prostate cancer, the correlation of TFB with immune microenvironment, and genomic patterns in head and neck squamous cell carcinomas (HNSC) remain largely unclear. METHODS: Gene fusion, genomic, transcriptomic, and clinical data of HNSC patients from the cancer genome atlas (TCGA) database were collected to analyze the correlation of TFB with mutation patterns, tumor immune microenvironment, and survival time in HNSC patients. RESULTS: Human papillomavirus (HPV) (-) patients with low TFB exhibited significantly enhanced CD8+ T cells infiltration and cytolysis activity and increased level of interferon-gamma (IL-gamma), human leukocyte antigen (HLA) class I, and chemokines. Moreover, TFB was positively correlated with TP53 mutation, score of gene copy number, and loss of heterozygosity (LOH), as well as the biological progress of epithelial-mesenchymal transition (EMT), metastasis, and stem cell characteristics. Further analysis revealed that HPV (-) HNSC patients with low TFB have a better prognosis. CONCLUSIONS: Our data revealed the correlation of TFB with tumor immune microenvironment and predictive features for immunotherapy, implying tumors with low TFB may be potential candidates for immunotherapeutic agents. Moreover, the TFB low group had prolonged overall survival (OS) in the HPV (-) HNSC cohort. CI - (c) 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. FAU - He, Lirui AU - He L AD - Department of Gastrointestinal Surgery, Peking University Shenzhen Hospital, Shenzhen, China. FAU - Ren, Dandan AU - Ren D AD - Genecast Biotechnology Co., Ltd, Jiangsu Province, China. FAU - Lv, Guoqing AU - Lv G AD - Department of Gastrointestinal Surgery, Peking University Shenzhen Hospital, Shenzhen, China. FAU - Mao, Beibei AU - Mao B AD - Genecast Biotechnology Co., Ltd, Jiangsu Province, China. FAU - Wu, Lijia AU - Wu L AD - Genecast Biotechnology Co., Ltd, Jiangsu Province, China. FAU - Liu, Xiaoyu AU - Liu X AD - Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, Hunan Province, China. FAU - Gong, Longlong AU - Gong L AUID- ORCID: 0000-0002-5844-6078 AD - Genecast Biotechnology Co., Ltd, Jiangsu Province, China. FAU - Liu, Ping AU - Liu P AD - Department of Oncology, The Second Xiangya Hospital of Central South University, Changsha, Hunan Province, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220527 PL - United States TA - Cancer Med JT - Cancer medicine JID - 101595310 RN - 0 (Biomarkers, Tumor) SB - IM MH - Male MH - Humans MH - Squamous Cell Carcinoma of Head and Neck/genetics MH - *Head and Neck Neoplasms/genetics MH - *Papillomavirus Infections/complications MH - Clinical Relevance MH - Gene Expression Profiling MH - Tumor Microenvironment/genetics MH - Biomarkers, Tumor/genetics MH - Prognosis PMC - PMC9844600 OTO - NOTNLM OT - head and neck squamous cell carcinoma OT - human papillomavirus OT - immune infiltration OT - tumor fusion burden COIS- The authors made no disclosures. EDAT- 2022/05/28 06:00 MHDA- 2023/01/20 06:00 PMCR- 2022/05/27 CRDT- 2022/05/27 07:53 PHST- 2022/04/01 00:00 [revised] PHST- 2021/06/10 00:00 [received] PHST- 2022/05/17 00:00 [accepted] PHST- 2022/05/28 06:00 [pubmed] PHST- 2023/01/20 06:00 [medline] PHST- 2022/05/27 07:53 [entrez] PHST- 2022/05/27 00:00 [pmc-release] AID - CAM44890 [pii] AID - 10.1002/cam4.4890 [doi] PST - ppublish SO - Cancer Med. 2023 Jan;12(1):852-861. doi: 10.1002/cam4.4890. Epub 2022 May 27.