Distribution of mutated genes among Group III patients differed according to the existence of EZH2 mutation, with high frequency of mutated USH2A (p=0.019) and MGAM (p=0.019) genes in those with EZH2 mutation, whereas mutations in TP53 were observed only in those without (p=0.072).[Conclusion] Methylation-score could be helpful in distinguishing patients with and without EZH2 mutations and enables clinicians to identify candidates for EZH2 inhibition medications. Combination of EZH2- and Methylation-scores predicts clinical outcomes after the 1st immunochemotherapy, which also could potentially identify genetically distinct population in the heterogeneous FL cohort.
Our findings indicated that, USH2A missense mutations and the KRASmutation combined with TP53 mutation were associated with better efficacy and survival outcomes, but EGFR classical mutations irrespective of combination with EGFR showed the opposite role in the ICI therapy among lung cancer patients. Our findings might guide the selection of precise targets for effective immunotherapy in the clinic.
In conclusion, mutation of USH2A is frequent in COAD and is related to an increase in TMB and the antitumor immunity. The differential genes screened by USH2A mutation allowed the construction of a risk model for predicting the survival and prognosis of cancer patients, in addition to providing new ideas for COAD immunotherapy.
rMB is defined by the emergence of novel events and pathways, in concert with selective maintenance of established genetic drivers. Together, these define the actionable genetic landscape of rMB and provide a basis for improved clinical management and development of stratified therapeutics, across disease-course.