Tissue and peripheral T cell receptor repertoire predicts immunotherapy response and progression-free survival in NSCLC patients

[EN] Immunotherapy has opened new avenues of treatment for patients with advanced non-small cell lung cancer (NSCLC) without previous hope of survival. Unfortunately, only a small percentage of patients benefit from it and there is not an effective biomarker to predict patients' response. S...

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Detalles Bibliográficos
Autores: Pino-Gonzalez, Manuel, Lazaro-Quintela, Martin, Alonso-Alvarez, Irene, Gallardo-Gomez, Maria, Juaneda-Magdalena, Laura, Francisco-Fernandez, Alejandro, Calabuig-Farinas, Silvia, Martinez-Fernandez, Monica, Jantus-Lewintre, Eloisa|||0000-0001-7395-4380
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Politècnica de València (UPV)
Repositorio:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Idioma:inglés
OAI Identifier:oai:dnet:riunet______::93d88b6c18f83d79f64d9b55d5eb737a
Acceso en línea:https://riunet.upv.es/handle/10251/233693
Access Level:acceso abierto
Palabra clave:Non-small cell lung cancer
Pembrolizumab
Predictive biomarker
Immunotherapy response
T cell receptor
TCR repertoire
Descripción
Sumario:[EN] Immunotherapy has opened new avenues of treatment for patients with advanced non-small cell lung cancer (NSCLC) without previous hope of survival. Unfortunately, only a small percentage of patients benefit from it and there is not an effective biomarker to predict patients' response. Since T cells are key effectors of antitumor immunity, T cell receptor (TCR) has emerged as a potential predictive biomarker. Here, we evaluated the potential of baseline TCR repertoire, as a predictive biomarker in advanced NSCLC patients treated with pembrolizumab at first-line. After obtaining peripheral blood and tissue samples at baseline, next-generation sequencing targeting TCR beta/gamma was performed. We found an uneven tumor-infiltrating TCR beta repertoire, and the use of various tumor-infiltrating and circulating TRBV/J genes were able of predicting the immunotherapy response. Our results support the potential of evaluating tissue and circulating TCR beta repertoire prior to pembrolizumab, revealing it as a promising immunotherapy response biomarker in NSCLC patients.