PD-1+ IFN-γ+ subset of CD8+ T cell in circulation predicts response to anti-PD-1 therapy in NSCLC

Wenxiu Chen; Yiting Hua; Conghui Shan; Jia Wei; Yutong Zhou; Shiyang Pan

doi:10.3389/fonc.2023.1182301

PD-1⁺ IFN-γ⁺ subset of CD8⁺ T cell in circulation predicts response to anti-PD-1 therapy in NSCLC

Front Oncol. 2023 Jun 13:13:1182301. doi: 10.3389/fonc.2023.1182301. eCollection 2023.

Authors

Wenxiu Chen^{1

2}, Yiting Hua^{1

2}, Conghui Shan^{1

2}, Jia Wei^{1

2}, Yutong Zhou^{1

2}, Shiyang Pan^{1

2}

Affiliations

¹ Department of Laboratory Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
² Branch of National Clinical Research Center for Laboratory Medicine, Nanjing, China.

Abstract

Background: Treatment with programmed cell death protein-1 (PD-1) antibodies has minimal response rates in patients with non-small cell lung cancer (NSCLC), and, actually, they are treated with chemotherapy combined with anti-PD-1 therapy clinically. Reliable markers based on circulating immune cell subsets to predict curative effect are still scarce.

Methods: We included 30 patients with NSCLC treated with nivolumab or atezolizumab plus platinum drugs between 2021 and 2022. Whole blood was collected at baseline (before treatment with nivolumab or atezolizumab). The percentage of circulating PD-1⁺ Interferon-γ (IFN-γ⁺) subset of CD8⁺ T cell was determined by flow cytometry. The proportion of PD-1⁺ IFN-γ⁺ was calculated after gating on CD8⁺ T cells. Neutrophil/lymphocyte ratio (NLR), relative eosinophil count (%), and Lactate dehydrogenase (LDH) concentration at baseline of included patients were extracted from electronic medical records.

Results: The percentage of circulating PD-1⁺ IFN-γ⁺ subset of CD8⁺ T cell at baseline in responders was significantly higher than those in non-responders (P < 0.05). Relative eosinophil count (%) and LDH concentration in responders showed no significance between non-responders and responders. NLR in responders was significantly lower than those in non-responders (P < 0.05). Receiver operation characteristic (ROC) analysis found that the areas under the ROC curve for PD-1⁺ IFN-γ⁺ subset of CD8⁺ T cell and NLR were 0.7781 (95% CI, 0.5937-0.9526) and 0.7315 (95% CI, 0.5169-0.9461). Moreover, high percentage of PD-1⁺ IFN-γ⁺ subset in CD8⁺ T cells was relevant to long progression-free survival in patients with NSCLC treated with chemotherapy combined with anti-PD-1 therapy.

Conclusion: The percentage of circulating PD-1⁺ IFN-γ⁺ subset of CD8⁺ T cell could be a potential marker at baseline to predict early response or progression in patients with NSCLC receiving chemotherapy combined with anti-PD-1 therapy.

Keywords: IFN-γ; NSCLC; PD-1; chemotherapy; circulation.

Grants and funding

The This work was supported by National Natural Science Foundation of China (82202610, 82272401), Key Laboratory for Laboratory Medicine of Jiangsu Province of China (ZDXK202239).