Stromal gene signatures for diagnosis and use in immunotherapy
A technology of immunotherapy and matrix, applied in the direction of disease diagnosis, immunoglobulin, chemical instruments and methods, etc., which can solve the problems of not experiencing therapeutic benefits
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[0338] The present invention provides following embodiment:
[0339] 1. A method for treating an individual with a disease or condition, the method comprising:
[0340] a) determining the presence of a matrix gene signature comprising one or more of FAP, FN1, MMP2, PDGFRB, or THY1 in a sample from the individual, wherein the matrix gene signature is one or more of the genes An increase in the expression level relative to the median level identifies a treated individual; and
[0341] b) administering to said individual an effective amount of immunotherapy and an inhibitory stroma antagonist.
[0342] 2. A method for improving immunotherapy in an individual with a disease or condition, the method comprising:
[0343] a) determining the presence of a matrix gene signature comprising one or more of FAP, FN1, MMP2, PDGFRB, or THY1 in a sample from the individual, wherein the matrix gene signature is one or more of the genes An increase in the expression level relative to the med...
Embodiment 1
[0508] Example 1: Tumor-infiltrating stromal gene signatures across urothelial carcinoma (UC) and their association with resistance to anti-PD-L1 antibody therapy
[0509] foreword
[0510] To assess and understand the complexity of factors that may regulate or suppress antitumor immunity and thus contribute to resistance to immunomodulatory therapies, a highly sensitive immune gene expression assay was implemented to investigate Tumor microenvironment (TME) of tumor tissue before treatment.
[0511] Materials and methods
[0512] The Illumina TruSeq RNA Access RNA-seq kit was implemented to investigate the tumor microenvironment (TME) in pre-treatment tumor tissues from urothelial carcinoma patients (n=217). Illumina TruSeq RNA Access RNA-seq captures and investigates genes across the entire human genome (>20,000 genes).
[0513] RNA was extracted from formalin-fixed, paraffin-embedded archived tissue. Tumor tissue was collected clinically from the Phase II IMvigor210 stu...
Embodiment 2
[0521] Example 2: Tumor stromal signatures across five cancer types and their association with disease prognostic factors Introduction
[0522] To further assess and understand the complexity of factors that may regulate or suppress antitumor immunity and thus contribute to response or resistance to immunomodulatory therapies, a highly sensitive immune gene expression assay was implemented to investigate (BC), tumor microenvironment (TME) of pretreatment tumor tissues of lung cancer, melanoma, RCC, and bladder cancer.
[0523] Materials and methods
[0524] Implementation of the Illumina TruSeq RNAAccess RNA-seq kit to investigate tumors from BC (n=73), lung (n=59), melanoma (n=34), RCC (n=55), and bladder cancer (n=44) The tumor microenvironment (TME) of the patient's tumor tissue before treatment. Illumina TruSeq RNAAccess RNA-seq captures and investigates genes across the entire human genome (>20,000 genes).
[0525] RNA was extracted from formalin-fixed, paraffin-embedd...
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