Genomic aberration of chromatin regulatory BAF complex as predictive biomarker for immunotherapy in gastrointestinal adenocarcinoma.

Authors

null

Changsong QI

Department of Gastrointestinal Oncology, Beijing Cancer Hospital, Beijing, China

Changsong QI , Sai Ge , Zhi Peng , Xiaotian Zhang , Yu Xu , Guoqiang Wang , Yuezong Bai , Lin Shen

Organizations

Department of Gastrointestinal Oncology, Beijing Cancer Hospital, Beijing, China, GI Oncology Department, Beijing Cancer Hospital, Beijing, China, Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing, China, The Medical Department, 3D Medicines Inc., Shanghai, China, Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing, China

Research Funding

Other Foundation
Beijing Cancer Hospital

Background: SNF/SWI, a large ATP-dependent chromatin remodeling complex, is required for transcriptional activation of genes normally repressed by chromatin, and critical to tumor initiation and progression. Here, we analyzed the predictive utility of the mutations of the SNF/SWI members involved in BAF and PBAF complexes, and sought to explore the potential mechanisms. Methods: Clinical, genomic, transcriptional, and immunohistochemical data from immunotherapeutic cohort (MSKCC, n=185), Cancer Cell Line Encyclopedia (CCLE, n=92), The Cancer Genome Atlas (TCGA, n=925), and 3D Medicines database (3DMed, n=1812) were analyzed to explore the predictive effect of genomic aberration of BAF complex on the benefit from immunotherapy in patients with gastrointestinal adenocarcinoma. Results: In the MSKCC cohort involving 185 patients with gastrointestinal adenocarcinoma, the mutation of any member involved in BAF complex (ARID1A, ARID1B, SMARCA4, SMARCB1, and SMARCD1) was significantly associated with prolonged OS of ICI treatment (HR 0.53, 95%CI 0.31-0.90, P=0.019), instead of the mutations of PBAF members including PBRM1 and ARID2. In addition, BAF mutation was not linked with better prognosis in TCGA database, indicating its predictive, not prognostic efficacy of immunotherapy. BAF-mutated samples exhibited higher tumour mutational burden (TMB, P<0.05, Table), and increased mRNA expression of immune-related genes including chemokines and granzyme A. In the 3DMed cohort where tumour samples received both genomic sequencing and PD-L1 immunohistochemical staining, BAF mutation was associated with higher PD-L1 positive rate in tumour cells (P<0.05, Table). Conclusions: Genomic aberration of members in chromatin regulatory BAF complex may serve as a predictive, not prognostic biomarker of ICI benefit in patients with gastrointestinal adenocarcinoma, partially underlying the mechanisms including higher mutational burden, transcription of immune-related genes, and protein-level PD-L1 expression.

DatabaseMutational count
Tumour sitenBAF-mutant (median)BAF-wildtype (median)P value
CCLEGC36680324<0.001
CRC56584117<0.001
TCGAGC532247.591<0.001
CRC393469.598<0.001
Mutational burden
3DMedGC6798.075.65<0.001
CRC113311.127.26<0.001
MSKCCGC757.025.270.026
CRC1106.1459.79<0.001
PD-L1 expression
DatabaseTumour sitenBAF-mutantBAF-wildtypeP value
TPS≥10TPS≥1TPS<1TPS≥10TPS≥1TPS<1
3DMedGC679233713730833690.040
CRC1133244215737119754<0.001

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2020 ASCO Virtual Scientific Program

Session Type

Poster Session

Session Title

Gastrointestinal Cancer—Colorectal and Anal

Track

Gastrointestinal Cancer—Colorectal and Anal

Sub Track

Colorectal Cancer–Advanced Disease

Citation

J Clin Oncol 38: 2020 (suppl; abstr 4035)

DOI

10.1200/JCO.2020.38.15_suppl.4035

Abstract #

4035

Poster Bd #

27

Abstract Disclosures

Similar Abstracts

Abstract

2024 ASCO Gastrointestinal Cancers Symposium

Genomic and immune landscape of biliary tract cancers with ARID1A, PBRM1, and BAP1 alterations.

First Author: Gentry Teng King

First Author: Yongning Jia

Abstract

2024 ASCO Gastrointestinal Cancers Symposium

Genomic predictors of sensitivity to chemotherapy and immunotherapy in cholangiocarcinoma.

First Author: Riya Jayesh Patel