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Photodynamic therapy improves the outcome of immune checkpoint inhibitors via remodelling anti-tumour immunity in patients with gastric cancer
2023-06-19
Online publication date2023-06
Source PublicationGastric Cancer   Impact Factor & Quartile
ISSN1436-3291
Volume26Issue:5Pages:798-813
page numbers16
AbstractBackgroundPhotodynamic therapy (PDT) plays an immunoregulatory role in tumours. Here, we conducted a retrospective patient analysis to evaluate the effectiveness of PDT plus immune checkpoint inhibitors (ICIs) in gastric cancer. Further, we performed a dynamic analysis of gastric cancer patients receiving PDT to clarify its effects on anti-tumour immunity.MethodsForty ICI-treated patients that received PDT or not were retrospectively analysed. Five patients with gastric adenocarcinoma were enrolled for sample collection before and after PDT. Single-cell RNA/T cell receptor (TCR) sequencing, flow cytometry and histological exanimation were used to analyse the collected specimens.ResultsPatients in PDT group had a significantly better OS after ICI treatment than those in No PDT group. Single-cell analysis identified ten cell types in gastric cancer tissues and four sub-populations of T cells. Immune cell infiltration increased in the tumours after PDT and the circular immune cells showed consistent alterations. TCR analysis revealed a specific clonal expansion after PDT in cytotoxic T lymphocytes (CTL), but a constriction in Tregs. The B2M gene is upregulated in tumour cells after PDT and is associated with immune cell infiltration. Several pathways involving the positive regulation of immunity were enriched in tumour cells in the post-PDT group. The interactions following PDT were increased between tumour cells and effector cells but decreased between Tregs and other immune cells. Some co-stimulatory signaling emerged, whereas co-inhibitory signaling disappeared in intercellular communication after PDT.ConclusionsPDT elicits an anti-tumour response through various mechanisms and is promising as an adjuvant to enhance ICI benefit.
KeywordPhotodynamic therapy Gastric cancer Immune cells Single-cell analysis Anti-tumour
PublisherSPRINGER
DOI10.1007/s10120-023-01409-x
Indexed BySCIE
Language英语
WOS Research AreaOncology ; Gastroenterology & Hepatology
WOS SubjectOncology ; Gastroenterology & Hepatology
WOS IDWOS:001010672000001
Original Document TypeArticle ; Early Access
PMID 37335366
Citation statistics
Document Type期刊论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/530236
Collection兰州大学
Corresponding AuthorChen, Hao
Affiliation
1.Lanzhou Univ, Hosp 2, Dept Tumor Surg, Lanzhou, Peoples R China;
2.Lanzhou Univ, Clin Med Coll 2, Lanzhou, Peoples R China;
3.Lanzhou Univ, Hosp 1, Dept Oncol, Lanzhou, Peoples R China;
4.Lanzhou Univ, Hosp 2, Key Lab Digest Syst Tumors Gansu Prov, Lanzhou, Peoples R China
Recommended Citation
GB/T 7714
Yu, Yang,Xu, Bo,Xiang, Lin,et al. Photodynamic therapy improves the outcome of immune checkpoint inhibitors via remodelling anti-tumour immunity in patients with gastric cancer[J]. Gastric Cancer,2023,26(5):798-813.
APA Yu, Yang.,Xu, Bo.,Xiang, Lin.,Ding, Tianlong.,Wang, Na.,...&Chen, Hao.(2023).Photodynamic therapy improves the outcome of immune checkpoint inhibitors via remodelling anti-tumour immunity in patients with gastric cancer.Gastric Cancer,26(5),798-813.
MLA Yu, Yang,et al."Photodynamic therapy improves the outcome of immune checkpoint inhibitors via remodelling anti-tumour immunity in patients with gastric cancer".Gastric Cancer 26.5(2023):798-813.
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