Evidence map›Paper›PMID 34115389›Full record

ArticleImmunology2021

B2M gene expression shapes the immune landscape of lung adenocarcinoma and determines the response to immunotherapy.

Yu Zhao, Yuejiao Cao, Yiqi Chen, Lei Wu, Hua Hang, Chenxia Jiang, Xiaorong Zhou

Open access · bronzeAbstract read
In one paragraph

Article in Immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 66 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Yu ZhaoDepartment of Immunology, School of Medicine, Nantong University, Nantong, China.
Yuejiao CaoSchool of Medicine, Nantong University, Nantong, China.
Yiqi ChenDepartment of Immunology, School of Medicine, Nantong University, Nantong, China.
Lei WuDepartment of Immunology, School of Medicine, Nantong University, Nantong, China.
Hua HangDepartment of Pathology, The Affiliated Hospital of Nantong University, Nantong, China.
Chenxia JiangDepartment of Pathology, The Affiliated Hospital of Nantong University, Nantong, China.
Xiaorong ZhouDepartment of Immunology, School of Medicine, Nantong University, Nantong, China.ORCID 0000-0002-6120-7318
Nantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Loss of the B2M gene is associated with tumour immune escape and resistance to immunotherapy. However, genetic alterations of the B2M gene are rare. We performed an integrative analysis of the mutational and transcriptional profiles of large cohorts of non-small-cell lung cancer (NSCLC) patients and found that epigenetic downregulation of B2M is common. B2M-low tumours exhibit a suppressive immune microenvironment characterized by reduced infiltration of immune cells of various lineages; in B2M-high tumours, more T and natural killer cells are present, but their activities are constrained by immune checkpoint molecules, indicating the diverse mechanisms of immune evasion. High levels of B2M mRNA, but not PD-L1, are correlated with an enhanced response to PD-1-based immunotherapy, suggesting its value for immunotherapy response prediction in solid tumours. Notably, a high tumour mutation burden (TMB) is associated with low B2M expression, which may explain the poor predictive value of the TMB in some situations. In syngeneic mouse models, genetic ablation of B2M in tumour cells causes resistance to PD-1-based immunotherapy, and B2M knockdown also diminishes the therapeutic efficacy. Moreover, forced expression of B2M in tumour models improves the response to immunotherapy, suggesting that B2M levels have significant impacts on treatment outcomes. Finally, we provide insight into the roles of transcription factors and KRAS mutations in B2M expression and the anticancer immune response. In conclusion, genetic and epigenetic regulation of B2M fundamentally shapes the NSCLC immune microenvironment and may determine the response to checkpoint blockade-based immunotherapy.

Indexed as

AnimalsB7-H1 Antigenbeta 2-MicroglobulinBiomarkers, TumorCarcinoma, Non-Small-Cell LungCell Line, TumorDatasets as TopicDisease Models, AnimalDown-RegulationDrug Resistance, NeoplasmEpigenesis, GeneticGene Expression Regulation, NeoplasticGene Knockdown TechniquesHumansImmune Checkpoint InhibitorsLung NeoplasmsB2M protein, humanB7-H1 Antigenbeta 2-MicroglobulinBiomarkers, TumorCD274 protein, humanImmune Checkpoint InhibitorsKRAS protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorProto-Oncogene Proteins p21(ras)B2Mimmunotherapylung cancertranscriptional regulationtumour microenvironment

Identifiers

PMID34115389
PMCPMC8517590
OpenAlexW3170676376

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.