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GENE:

TMB (Tumor Mutational Burden)

i
Other names: TMB | Tumor Mutational Burden
1d
Neoadjuvant PD-1/PD-L1 inhibitors plus chemotherapy in locally advanced gastric cancer: a systematic review and meta-analysis. (PubMed, Crit Rev Oncol Hematol)
Meta-regression revealed no significant effect modification. Overall, nICT provides pathological and early survival improvement without compromising perioperative safety, supporting its integration into perioperative strategies for LAGC/EGJC.
Retrospective data • Review • Journal • Tumor mutational burden • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability)
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MSI-H/dMMR
3d
A novel signature of palmitoylation for predicting prognosis and therapeutic response of hepatocellular carcinoma. (PubMed, Discov Oncol)
Furthermore, among the three hub PRGs, PTDSS2 was significantly upregulated in HCC cells and its knockdown significantly inhibited the proliferation and metastasis of HCC cells. In conclusion, we established a robust PRGsSig that offers valuable insights for prognostic prediction and informs treatment strategies in HCC.
Journal • Tumor mutational burden • IO biomarker
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TMB (Tumor Mutational Burden) • HSP90AA1 (Heat Shock Protein 90 Alpha Family Class A Member 1Heat Shock Protein 90 Alpha Family Class A Member 1)
3d
A Phase I Clinical Study Evaluating the Safety and Tolerability of CEL001 Injection in the Treatment of Advanced Solid Tumors (ChiCTR2600116105)
P1, N=10, Recruiting, Cancer Hospital Chinese Academy of Medical Sciences; Guangzhou Celling Biological Technology Co., Ltd.
New P1 trial
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EGFR (Epidermal growth factor receptor) • BRAF (B-raf proto-oncogene) • ALK (Anaplastic lymphoma kinase) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • FGFR2 (Fibroblast growth factor receptor 2) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS)
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BRAF V600E • TMB-H • MSI-H/dMMR • BRAF V600
3d
The role of CD26 in breast cancer and its pan-cancer analysis. (PubMed, BMC Cancer)
This study presents an integrative pan-cancer framework linking CD26 expression to immune infiltration, together with in vitro observations in breast cancer cells, offering a comprehensive pan-cancer and experimental characterization of CD26. CD26 might be a novel prognostic biomarker candidate and therapeutic target to counteract tumor development in highly aggressive cancer.
Journal • Tumor mutational burden • IO biomarker • Pan tumor
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • CD8 (cluster of differentiation 8) • CD4 (CD4 Molecule) • MMP9 (Matrix metallopeptidase 9) • DPP4 (Dipeptidyl Peptidase 4)
3d
A real-world evidence of sputum microbiota alterations and their association with oncogenomic changes and response to targeted therapies in patients with lung cancer. (PubMed, BMC Microbiol)
We demonstrated that opportunistic pathogens exhibited higher infection rates in patients with TP53-mutated, TMB-H, and non-EGFR-mutated tumors. Microbial infection in patients with EGFR mutations might be an influencing factor that weakens the therapeutic efficacy.
Journal • HEOR • Real-world evidence • Tumor mutational burden
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EGFR (Epidermal growth factor receptor) • TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden)
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TP53 mutation • EGFR mutation • TMB-H
4d
Effect of Liver Metastases on Survival in Microsatellite-Stable Metastatic Colorectal Cancer Treated with Immune Checkpoint Inhibitors. (PubMed, Cancer Res Commun)
No history of liver metastases was an independent favorable risk factor for PFS and OS in univariable and multivariable analyses. These findings indicate that liver metastases are associated with inferior survival outcomes in MSS mCRC patients treated with ICI-based therapies, supporting the immunosuppressive role of liver metastases and underscoring the importance of stratifying patients by liver metastasis status to guide patient selection and optimize therapeutic strategies.
Journal • Checkpoint inhibition • Tumor mutational burden • IO biomarker
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BRAF (B-raf proto-oncogene) • TMB (Tumor Mutational Burden)
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BRAF mutation • RAS mutation
4d
Refining Tumor Mutational Burden as a Predictive Biomarker for Pembrolizumab: A Real-World Analysis in Japanese Patients. (PubMed, Cancer Sci)
These findings support the clinical utility of TMB as a biomarker for predicting ICI response in routine oncology practice. In particular, excluding hotspot mutations from TMB calculations may improve response prediction in patients whose TMB values are near the threshold.
Journal • Real-world evidence • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden)
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TMB-H • TMB-L
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FoundationOne® CDx • OncoGuide™ NCC Oncopanel System
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Keytruda (pembrolizumab)
4d
Drastic Response to Olaparib in a Patient With Metastatic Castration-Resistant Prostate Cancer Harboring BRCA2 Alterations and Near-Threshold Tumor Mutational Burden. (PubMed, IJU Case Rep)
Over 3 months, MRI showed further regression of the primary lesion and nodal disease, and PSA and SCC decreased. In metastatic CRPC harboring a BRCA2 mutation and near-threshold TMB, olaparib produced clear radiological and serological responses.
Journal • Tumor mutational burden • BRCA Biomarker • PARP Biomarker
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TMB (Tumor Mutational Burden) • BRCA2 (Breast cancer 2, early onset)
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TMB-H
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Lynparza (olaparib)
4d
Development and Assessment of a Novel Palmitoylation-Related lncRNA Signature for Prognosis and Immune Landscape in Hepatocellular Carcinoma. (PubMed, Oncol Res)
The nine-lncRNA signature exhibits robust predictive power for HCC prognosis and provides novel insights into the mechanisms of lncRNA-regulated palmitoylation in HCC development.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden)
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sorafenib
4d
Prognostic value of ctDNA-derived maximum somatic allele frequency in patients with metastatic gastric cancer. (PubMed, Ther Adv Med Oncol)
Baseline MSAF is an independent prognostic biomarker in metastatic GC and may reflect underlying biological aggressiveness. Incorporating MSAF into risk stratification frameworks could enhance prognostic classification and inform personalized treatment strategies.
Journal • Tumor mutational burden • IO biomarker • Circulating tumor DNA
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TMB (Tumor Mutational Burden)
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TMB-H • MSI-H/dMMR
4d
Exceptional response to chemo-immunotherapy in a patient with HER2-negative, TMB-high metastatic gastric mucinous adenocarcinoma: a case report and literature review. (PubMed, Front Immunol)
Postoperatively, the patient received 4 cycles of XELOX chemotherapy plus nivolumab, followed by consolidative radiotherapy synchronized with capecitabine and nivolumab, and subsequent maintenance therapy with capecitabine and nivolumab until sustained no evidence of disease (NED) was confirmed in January 2023. This exceptional and sustained response may be attributed to the synergistic effect of TMB-H and POLD1 mutation, which enhance neoantigen generation and sensitize tumors to immunotherapy. This case highlights the potential of biomarker-driven chemo-immunotherapy combined with MDT-guided multimodal treatment (surgery + adjuvant therapy + consolidative radiotherapy) to achieve curative intent in patients with metastatic GMC, providing valuable insights for personalized treatment strategies in this poor-prognosis population.
Review • Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • TMB (Tumor Mutational Burden) • POLD1 (DNA Polymerase Delta 1)
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TMB-H • HER-2 negative • POLD1 mutation
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Opdivo (nivolumab) • capecitabine • oxaliplatin
4d
Characterization and clinical implications of CpG island methylator phenotypes of resistant tumors. (PubMed, Clin Epigenetics)
This study uncovers DNA methylation subtypes within resistant tumors, enabling more precise stratification to inform prognosis and therapy selection.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden)
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gemcitabine • temozolomide