PMID- 36010943 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220830 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 14 IP - 16 DP - 2022 Aug 16 TI - Tumor Antigenicity and a Pre-Existing Adaptive Immune Response in Advanced BRAF Mutant Colorectal Cancers. LID - 10.3390/cancers14163951 [doi] LID - 3951 AB - The main hypothesis of this study is that gene expression profiles (GEPs) integrating both tumor antigenicity and a pre-existing adaptive immune response can be used to generate distinct immune-related signatures of BRAF mutant colorectal cancers (BRAF-CRCs) to identify actionable biomarkers predicting response to immunotherapy. GEPs of 89 immunotherapy-naive BRAF-CRCs were generated using the Pan-Cancer IO 360 gene expression panel and the NanoString nCounter platform and were correlated with microsatellite instability (MSI) status and with CD8+ tumor-infiltrating lymphocyte (TIL) content. Hot/inflamed profiles were found in 52% of all cases, and high scores of Tumor Inflammation Signature were observed in 42% of the metastatic BRAF-CRCs. A subset of MSI tumors showed a cold profile. Antigen Processing Machinery (APM) signature was not differentially expressed in MSI tumors compared with MSS cases. By contrast, the APM signature was significantly upregulated in CD8+ BRAF-CRCs versus CD8- tumors. Our study demonstrates that a significant fraction of BRAF-CRCs may be a candidate for immunotherapy and that the simultaneous analysis of MSI status and CD8+ TIL content increases accuracy in identifying patients who can potentially benefit from immune checkpoint inhibitors. GEPs may be very useful in expanding the spectrum of patients with BRAF-CRCs who can benefit from immune checkpoint blockade. FAU - Bolzacchini, Elena AU - Bolzacchini E AD - Oncology Department, Sant'Anna Hospital, ASST-Lariana, 22100 Como, Italy. AD - Unit of Pathology, Department of Medicine and Surgery and Research Center for the Study of Hereditary and Familial Tumors, University of Insubria, 21100 Varese, Italy. FAU - Libera, Laura AU - Libera L AUID- ORCID: 0000-0003-2130-6669 AD - Unit of Pathology, Department of Medicine and Surgery and Research Center for the Study of Hereditary and Familial Tumors, University of Insubria, 21100 Varese, Italy. FAU - Church, Sarah E AU - Church SE AD - NanoString Technologies Inc., Seattle, WA 98109, USA. FAU - Sahnane, Nora AU - Sahnane N AD - ASST Sette-Laghi, 21100 Varese, Italy. FAU - Bombelli, Raffaella AU - Bombelli R AD - Unit of Pathology, Department of Medicine and Surgery and Research Center for the Study of Hereditary and Familial Tumors, University of Insubria, 21100 Varese, Italy. FAU - Digiacomo, Nunzio AU - Digiacomo N AD - Oncologia Medica Humanitas Gavazzeni, 24125 Bergamo, Italy. FAU - Giordano, Monica AU - Giordano M AD - Oncology Department, Sant'Anna Hospital, ASST-Lariana, 22100 Como, Italy. FAU - Petracco, Guido AU - Petracco G AD - Pathology Department, Ospedale S. Anna, ASST Lariana, 22100 Como, Italy. FAU - Sessa, Fausto AU - Sessa F AD - Unit of Pathology, Department of Medicine and Surgery and Research Center for the Study of Hereditary and Familial Tumors, University of Insubria, 21100 Varese, Italy. AD - ASST Sette-Laghi, 21100 Varese, Italy. FAU - Capella, Carlo AU - Capella C AD - Unit of Pathology, Department of Medicine and Surgery and Research Center for the Study of Hereditary and Familial Tumors, University of Insubria, 21100 Varese, Italy. FAU - Furlan, Daniela AU - Furlan D AUID- ORCID: 0000-0002-5958-5379 AD - Unit of Pathology, Department of Medicine and Surgery and Research Center for the Study of Hereditary and Familial Tumors, University of Insubria, 21100 Varese, Italy. AD - ASST Sette-Laghi, 21100 Varese, Italy. LA - eng PT - Journal Article DEP - 20220816 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC9405961 OTO - NOTNLM OT - BRAF mutation OT - CD8+ OT - MHC Class I antigen OT - MSI OT - NanoString OT - PanCancer IO 360 OT - colorectal cancer OT - immune checkpoint inhibitors COIS- S.E.C. is an employee of NanoString Technologies Inc. (Seattle, WA, USA). The remaining authors declare no conflict of interest. EDAT- 2022/08/27 06:00 MHDA- 2022/08/27 06:01 PMCR- 2022/08/16 CRDT- 2022/08/26 01:14 PHST- 2022/07/19 00:00 [received] PHST- 2022/08/09 00:00 [revised] PHST- 2022/08/15 00:00 [accepted] PHST- 2022/08/26 01:14 [entrez] PHST- 2022/08/27 06:00 [pubmed] PHST- 2022/08/27 06:01 [medline] PHST- 2022/08/16 00:00 [pmc-release] AID - cancers14163951 [pii] AID - cancers-14-03951 [pii] AID - 10.3390/cancers14163951 [doi] PST - epublish SO - Cancers (Basel). 2022 Aug 16;14(16):3951. doi: 10.3390/cancers14163951.