ArticleESMO open2026
Interleukin-2 transcriptomic expression correlates with prolonged survival and with GNAS alterations in patients with advanced cancers.
Article in ESMO open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
backgroundInterleukin-2 (IL-2) is a critical immunoregulatory molecule. IL-2 RNA expression and correlation with immune markers, gene alterations, and outcomes were analyzed in advanced/metastatic cancers. PATIENTS AND
methodsWe investigated IL-2 transcript data through the OmniSeq clinical-grade laboratory [https://www.omniseq.com/; University of California San Diego (UCSD) cohort] and The Cancer Genome Atlas (TCGA, https://www.cancer.gov/tcga) databases. UCSD cohort transcriptomic patterns were relativized against a reference population (n = 735) and expressed as percentiles. IL-2 levels were measured by enzyme-linked immunosorbent assay in CRISPR-Cas9-engineered GNAS-mutant Caco-2 cell lines.
resultsAmong 514 patients, 14.6% had high IL-2 RNA expression (≥75th percentile) and 35% had less than first percentile IL-2 expression. IL-2 expression (greater than or equal to first percentile RNA rank) significantly/independently correlated with high expression of immune checkpoints (TIM-3, BTLA), IL-2Rγ subunits, and ERBB2, GNAS, and NF1 aberrations. Increasing IL-2 RNA expression (multivariable linear regression) correlated with increasing likelihood of GNAS alterations (P = 0.02). GNAS
conclusionsHigh IL-2 tissue transcript levels correlated with better outcome in advanced cancer patients and those with GNAS alterations; the latter finding was confirmed by increased IL-2 production by CRISPR-edited GNAS
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