Evidence map›Paper›PMID 39468696›Full record

ArticleExperimental hematology & oncology2024

Spatial immunogenomic patterns associated with lymph node metastasis in lung adenocarcinoma.

Fanjie Meng, Hao Li, Ruoyi Jin, Airong Yang, Hao Luo, Xiao Li, Peiyu Wang, Yaxing Zhao, Olga Chervova, Kaicheng Tang and 8 more

Abstract read
In one paragraph

Article in Experimental hematology & oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

18 authors.

Fanjie Meng *Department of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao Yang Hospital, Capital Medical University, Beijing, China.
Hao Li *Department of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China.
Ruoyi Jin *Department of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China.
Airong Yang *Kanghui Biotechnology Co., Ltd, Shenyang, China.
Hao Luo *Cancer Center, Daping Hospital Army Medical University, Chongqing, China.
Xiao LiDepartment of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China.
Peiyu WangDepartment of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China.
Yaxing ZhaoInfinity Scope Biotechnology Co., Ltd., Hangzhou, China.
Olga ChervovaUniversity College London Cancer Institute, University College London, London, UK.
Kaicheng TangInfinity Scope Biotechnology Co., Ltd., Hangzhou, China.
Sida ChengDepartment of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China.
Bin HuDepartment of Thoracic Surgery, Beijing Institute of Respiratory Medicine and Beijing Chao Yang Hospital, Capital Medical University, Beijing, China.
Yun LiDepartment of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China.
Jianpeng ShengCollege of Artificial Intelligence, Nanjing University of Aeronautics and Astronautics, Nanjing, China.
Fan YangDepartment of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China.
David CarboneJames Thoracic Oncology Center, Ohio State University, Columbus, USA.
Kezhong Chen *Department of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China. mdkzchen@163.com.
Jun WangDepartment of Thoracic Surgery, Institution of Thoracic Oncology, Peking University People's Hospital, No.11 Xizhimen South Street, Beijing, 100044, Xicheng District, China. wangjun@pkuph.edu.cn.

Funding

Beijing Postdoctoral Science Foundation 2023-ZZ-042CAMS Innovation Fund for Medical Sciences 2022-I2M-C&T-B-120Clinical Research Incubation Project, Beijing Chao Yang Hospital, Capital Medical University CYFH202324National Natural Science Foundation of China 81601411National Natural Science Foundation of China 82002410National Natural Science Foundation of China 82072566National Natural Science Foundation of China 92059203Peking University Clinical Medicine Plus X - Young Scholars Project PKU2023LCXQ008Peking University Clinical Scientist Training Program BMU2023PYJH011Peking University People's Hospital Scientific Research Development Funds RS2022-05Peking University People's Hospital Scientific Research Development Funds RZ2022-03Reform and Development Program of Beijing Institute of Respiratory Medicine Ggyfz202325Research Unit of Intelligence Diagnosis and Treatment in Early Non-small Cell Lung Cancer, Chinese Academy of Medical Sciences 2021RU002the Fundamental Research Funds for the Central Universities, Young Elite Scientists Sponsorship Program by CAST 2022QNRC001
6 · The paper itself

Abstract

backgroundLung adenocarcinoma (LUAD) with lymph node (LN) metastasis is linked to poor prognosis, yet the underlying mechanisms remain largely undefined. This study aimed to elucidate the immunogenomic landscape associated with LN metastasis in LUAD.

methodsWe employed broad-panel next-generation sequencing (NGS) on a cohort of 257 surgically treated LUAD patients to delineate the molecular landscape of primary tumors and identify actionable driver-gene alterations. Additionally, we used multiplex immunohistochemistry (mIHC) on a propensity score-matched cohort, which enabled us to profile the immune microenvironment of primary tumors in detail while preserving cellular metaclusters, interactions, and neighborhood functional units. By integrating data from NGS and mIHC, we successfully identified spatial immunogenomic patterns and developed a predictive model for LN metastasis, which was subsequently validated independently.

resultsOur analysis revealed distinct immunogenomic alteration patterns associated with LN metastasis stages. Specifically, we observed increased mutation frequencies in genes such as PIK3CG and ATM in LN metastatic primary tumors. Moreover, LN positive primary tumors exhibited a higher presence of macrophage and regulatory T cell metaclusters, along with their enriched neighborhood units (p < 0.05), compared to LN negative tumors. Furthermore, we developed a novel predictive model for LN metastasis likelihood, designed to inform non-surgical treatment strategies, optimize personalized therapy plans, and potentially improve outcomes for patients who are ineligible for surgery.

conclusionsThis study offers a comprehensive analysis of the genetic and immune profiles in LUAD primary tumors with LN metastasis, identifying key immunogenomic patterns linked to metastatic progression. The predictive model derived from these insights marks a substantial advancement in personalized treatment, underscoring its potential to improve patient management.

Indexed as

Genomic signaturesLung adenocarcinoma lymph node metastasisSpatial immunogenomic patternsTumor immune microenvironment

Identifiers

PMID39468696
PMCPMC11514955

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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.