Marker combination for predicting curative effect of gastrointestinal tumor immune checkpoint inhibitor and application thereof
A technology of immune checkpoints and inhibitors, applied in the detection/testing of microorganisms, genomics, proteomics, etc.
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Embodiment 1
[0115] Example 1 Effect of HLA-B62 supertype on the efficacy of immune checkpoint inhibitor therapy in patients with gastric gland tumors
[0116] This example is based on 36 patients with advanced gastric cancer who were treated with immune checkpoint inhibitors (PD-1 / PD-L1 inhibitors alone or in combination with CTLA-4 inhibitors), by evaluating that the patients carry germline HLA - Whether or not the supertype allele of B62 can predict the curative effect of its immunotherapy, the operation procedure of this experiment is as follows Figure 4 shown. The specific experiment content is as follows:
[0117] 1.1 Experimental operation
[0118] 1) Collect tumor tissue samples and peripheral blood samples from 36 patients with advanced gastric cancer before immunotherapy. The peripheral blood samples were separated by two-step centrifugation to obtain blood cell samples. Embedded (FFPE) tissue samples were drawn into the lysate with a disposable scalpel.
[0119] 2) Extracti...
Embodiment 2
[0127] Example 2 Effect of HLA-B62 supertype and TP53 gene mutation on the curative effect of immune checkpoint inhibitor therapy in patients with gastrointestinal tumors
[0128] Based on comparison of 91 patients with advanced gastrointestinal cancers treated with immune checkpoint inhibitors (PD-1 / PD-L1 inhibitors alone or in combination with CTLA-4 inhibitors) with or without germline HLA-B62 Effect of overtype allele combined with presence or absence of somatic mutation of TP53 gene in tumor tissue on treatment outcome. The specific experiment content is as follows:
[0129] 2.1 Experimental steps
[0130] 1) Collect tumor tissue samples and peripheral blood samples from 91 patients with advanced gastrointestinal cancer before immunotherapy. The peripheral blood samples are separated by two-step centrifugation to obtain blood cell samples. The fresh tumor tissue samples are crushed and processed into a cell suspension. Paraffin-embedded (FFPE) tissue samples were drawn ...
Embodiment 3
[0139] Example 3 Effect of HLA-B62 supertype and tumor mutation burden on the therapeutic effect of immune checkpoint inhibitors in patients with gastric adenocarcinoma
[0140] Based on the comparison of 91 patients with advanced gastrointestinal cancers treated with immune checkpoint inhibitors (PD-1 / PD-L1 inhibitors alone or in combination with CTLA-4 inhibitors) carrying germline HLA-B62 supertype, etc. Whether or not alleles are combined with the influence of tumor mutation burden on treatment outcome.
[0141] The specific experiment content is as follows:
[0142] 3.1 Experimental steps
[0143] 1) Collect tumor tissue samples and peripheral blood samples from 91 patients with advanced gastrointestinal cancer before immunotherapy. The peripheral blood samples are separated by two-step centrifugation to obtain blood cell samples. The fresh tumor tissue samples are crushed and processed into a cell suspension. Paraffin-embedded (FFPE) tissue samples were drawn into the ...
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