PMID- 36059644 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220907 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 12 DP - 2022 TI - Genomic and microbial factors affect the prognosis of anti-pd-1 immunotherapy in nasopharyngeal carcinoma. PG - 953884 LID - 10.3389/fonc.2022.953884 [doi] LID - 953884 AB - Antibodies targeting the programmed cell death protein-1 (PD-1) molecule have been reported to hold promising antitumor activities in patients with nasopharyngeal carcinoma (NPC). However, only a small subset of NPC patients benefits from the anti-PD-1 monotherapy and factors that affect the treatment response need further investigation. This study aimed to examine the impact of multiple genetic and environmental factors on outcome of anti-PD-1 immunotherapy by identifying tumor size, tumor mutation burden (TMB) based on whole exon sequencing, human leukocyte antigen class I (HLA-I) homo-/heterozygosity and supertypes, blood Epstein-Barr virus (EBV) DNA load, T cell proportions, and interferon-gamma(IFN-gamma) levels in a cohort of 57 NPC patients that received Nivolumab or Camrelizumab treatment. Moreover, we profiled the longitudinal changes in gut microbiota composition using shotgun metagenomics sequencing. We observed that high TMB combined with HLA-I heterozygosity was associated with improved clinical outcomes. In agreement with previous studies, we found that patients with higher plasma EBV DNA load showed worse progression-free survival. We found no evidence for an effect of gut bacterial diversity on the treatment response, but identified a higher abundance of seven specific gut bacteria at baseline of non-responders, including Blautia wexlera and Blautia obeum, as well as four other bacteria belonging to the Clostridiales order, and one Erysipelatoclostridium. Combined, this study provides insight into the influence of several genetic and environmental factors on anti-PD-1 immunotherapy responses in NPC patients. CI - Copyright (c) 2022 Xu, Ma, Fang, Peng, Gao, Moll, Qin, Yu, Hou, Kristiansen, Fang, Brix and Zhang. FAU - Xu, Liqin AU - Xu L AD - BGI-Shenzhen, Shenzhen, China. AD - Department of Biotechnology and Biomedicine, Technical University of Denmark, Kgs. Lyngby, Denmark. AD - Latvia MGI Tech SIA, Marupe, Latvia. FAU - Ma, Yuxiang AU - Ma Y AD - State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Fang, Chao AU - Fang C AD - BGI-Shenzhen, Shenzhen, China. AD - China National GeneBank, BGI-Shenzhen, Shenzhen, China. AD - Laboratory of Genomics and Molecular Biomedicine, Department of Biology, University of Copenhagen, Copenhagen, Denmark. FAU - Peng, Zhuobing AU - Peng Z AD - BGI-Shenzhen, Shenzhen, China. AD - China National GeneBank, BGI-Shenzhen, Shenzhen, China. AD - College of Life Sciences, University of Chinese Academy of Sciences, Beijing, China. FAU - Gao, Fangfang AU - Gao F AD - State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Moll, Janne Marie AU - Moll JM AD - Department of Biotechnology and Biomedicine, Technical University of Denmark, Kgs. Lyngby, Denmark. FAU - Qin, Shishang AU - Qin S AD - BGI-Shenzhen, Shenzhen, China. FAU - Yu, Qichao AU - Yu Q AD - BGI-Shenzhen, Shenzhen, China. AD - China National GeneBank, BGI-Shenzhen, Shenzhen, China. AD - College of Life Sciences, University of Chinese Academy of Sciences, Beijing, China. FAU - Hou, Yong AU - Hou Y AD - BGI-Shenzhen, Shenzhen, China. AD - Latvia MGI Tech SIA, Marupe, Latvia. AD - China National GeneBank, BGI-Shenzhen, Shenzhen, China. FAU - Kristiansen, Karsten AU - Kristiansen K AD - BGI-Shenzhen, Shenzhen, China. AD - Laboratory of Genomics and Molecular Biomedicine, Department of Biology, University of Copenhagen, Copenhagen, Denmark. AD - Institute of Metagenomics, Qingdao-Europe Advanced Institute for Life Sciences, Qingdao, China. FAU - Fang, Wenfeng AU - Fang W AD - State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Brix, Susanne AU - Brix S AD - Department of Biotechnology and Biomedicine, Technical University of Denmark, Kgs. Lyngby, Denmark. AD - Institute of Metagenomics, Qingdao-Europe Advanced Institute for Life Sciences, Qingdao, China. FAU - Zhang, Li AU - Zhang L AD - State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. LA - eng PT - Journal Article DEP - 20220817 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC9428750 OTO - NOTNLM OT - EBV OT - HLA OT - NPC OT - PD-1 OT - TMB OT - gut microbiota OT - immunotherapy COIS- The author's LX and YH were employed by the company Latvia MGI Tech SIA. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/09/06 06:00 MHDA- 2022/09/06 06:01 PMCR- 2022/01/01 CRDT- 2022/09/05 03:40 PHST- 2022/05/26 00:00 [received] PHST- 2022/07/27 00:00 [accepted] PHST- 2022/09/05 03:40 [entrez] PHST- 2022/09/06 06:00 [pubmed] PHST- 2022/09/06 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2022.953884 [doi] PST - epublish SO - Front Oncol. 2022 Aug 17;12:953884. doi: 10.3389/fonc.2022.953884. eCollection 2022.