Study on pathological indicator to predict response of cancer immune therapy
Project/Area Number |
18K07036
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 49020:Human pathology-related
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Research Institution | Research Institute for Clinical Oncology Saitama Cancer Center (2021) National Cancer Center Japan (2018-2020) |
Principal Investigator |
Motoi Noriko 地方独立行政法人埼玉県立病院機構埼玉県立がんセンター(臨床腫瘍研究所), 病院 病理診断科, 医長 (70292878)
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Project Period (FY) |
2018-04-01 – 2022-03-31
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Project Status |
Completed (Fiscal Year 2021)
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Budget Amount *help |
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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Keywords | 形態学的バイオマーカー / デジタル病理学 / 免疫療法 / バイオマーカー / 治療効果予測 / 予後予測 / 病理形態学 / 予後予測指標 / がん免疫環境 / デジタル画像解析 / 予後予測因子 / 肺癌 / がん免疫療法 / 病理形態学的指標 |
Outline of Final Research Achievements |
The purpose of this study is to establish the pathological indicators necessary for optimal medical care of cancer. We investigated for pathological predictive indicators for ICI using lung cancer pathological specimens and examined their significance. (1) In lung cancer, we found that the pathomorphological index (MBM) is an index for predicting the effect of ICI. Deep learning of digital images (DNN-MBM) showed better therapeutic effect prediction performance than conventional PD-L1. (2) MBM was an index with higher predictability, independent of gene mutation, TMB, and PD-L1. (3) In NSCLC and SCLC, it was shown that the state of immune cells in the cancer microenvironment is related to the prognosis and the therapeutic effect of ICI. MBM for lung cancer has been shown to be a promising new biomarker for ICI.
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Academic Significance and Societal Importance of the Research Achievements |
肺癌は、個別化医療が進み分子標的治療や免疫チェックポイント阻害剤(ICI)などの薬剤が開発され、患者に大きな恩恵をもたらしているものの、治療方針の最適化のためには、がんの個性を読み解き、適した治療を選択する指標(バイオマーカー)を確立する必要がある。ICIのバイオマーカー としてはPD-L1が普及しているが、その性能は不十分で、より精度の高いバイオマーカーの探索と確立は喫緊の課題である。本研究では、従来のPD-L1よりも優れた予測性能があるバイオマーカーとして形態学的バイオマーカー(MBM)が提案できた。今後、がん医療への貢献が期待される成果である。
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Report
(5 results)
Research Products
(53 results)
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[Journal Article] Vaginal Transmission of Cancer from Mothers with Cervical Cancer to Infants2021
Author(s)
Arakawa A, Ichikawa H, Kubo T, Motoi N, Kumamoto T, Nakajima M, Yonemori K, Noguchi E, Sunami K, Shiraishi K, Kakishima H, Yoshida H, Hishiki T, Kawakubo N, Kuroda T, Kiyokawa T, Yamada K, Yanaihara N, et al, and Kohno T, Ogawa C.
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Journal Title
New England Journal of Medicine
Volume: 384
Issue: 1
Pages: 42-50
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Feasibility of next-generation sequencing (Oncomine邃「 DX Target Test) for the screening of oncogenic mutations in advanced non-small-cell lung cancer patients2021
Author(s)
Takeyasu Y, Yoshida T, Motoi N, Teishikata T, Tanaka M, Matsumoto Y, Shinno Y, Okuma Y, Goto Y, Horinouchi H, Kakishima H, Tsuchida T, Yamamoto N, Ohe Y, Yatabe Y.
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Journal Title
Jpn J Clin Oncol
Volume: 繝シ
Issue: 7
Pages: 1114-1122
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Impact of chemoradiotherapy (CRT) on immune-related tumor microenvironment and efficacy of anti-PD-1 therapy for recurrences after CRT in patients with unresectable locally advanced NSCLC2020
Author(s)
Shirasawa M, Yoshida T, Matsumoto Y, Shinno Y, Okuma Y, Goto Y, Horinouchi H, Yamamoto N, Watanabe S-i, Ohe Y, Motoi N.
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Journal Title
European Journal of Cancer
Volume: 140
Pages: 28-36
Related Report
Peer Reviewed
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[Journal Article] Prognostic impact of peripheral blood neutrophil to lymphocyte ratio in advanced-stage pulmonary large cell neuroendocrine carcinoma and its association with the immune-related tumour microenvironment2020
Author(s)
Shirasawa M, Yoshida T, Horinouchi H, Kitano S, Arakawa S, Matsumoto Y, Shinno Y, Okuma Y, Goto Y, Kanda S, Watanabe R, Yamamoto N, Watanabe S-i, Ohe Y, Motoi N.
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Journal Title
British Journal of Cancer
Volume: -
Issue: 5
Pages: 925-932
DOI
Related Report
Peer Reviewed
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[Journal Article] Long-read sequencing for non-small-cell lung cancer genomes2020
Author(s)
Sakamoto Y, Xu L, Seki M, Yokoyama TT, Kasahara M, Kashima Y, Ohashi A, Shimada Y, Motoi N, Tsuchihara K, Kobayashi SS, Kohno T, Shiraishi Y, Suzuki A, Suzuki Y.
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Journal Title
Genome Res
Volume: 30
Issue: 9
Pages: 1243-57
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] A Grading System for Invasive Pulmonary Adenocarcinoma: A Proposal From the International Association for the Study of Lung Cancer Pathology Committee2020
Author(s)
Moreira AL, Ocampo PSS, Xia Y, Zhong H, Russell PA, Minami Y, Cooper WA, Yoshida A, Bubendorf L, Papotti M, Pelosi G, Lopez-Rios F, Kunitoki K, Ferrari-Light D, Sholl LM, et al., Motoi N, Noguchi M, et al., and Nicholson AG, Mino-Kenudson M.
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Journal Title
J Thorac Oncol
Volume: 15
Issue: 10
Pages: 1599-610
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] PD-L1 Testing for Lung Cancer in 2019: Perspective From the IASLC Pathology Committee2020
Author(s)
Lantuejoul S, Sound-Tsao M, Cooper WA, Girard N, Hirsch FR, Roden AC, Lopez-Rios F, Jain D, Chou TY, Motoi N, et al. and Wistuba, II, Mino-Kenudson M.
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Journal Title
J Thorac Oncol
Volume: 15
Issue: 4
Pages: 499-519
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Chaperone-mediated autophagy receptor modulates tumor growth and chemoresistance in non-small cell lung cancer2020
Author(s)
Ichikawa A, Fujita Y, Hosaka Y, Kadota T, Ito A, Yagishita S, Watanabe N, Fujimoto S, Kawamoto H, Saito N, Yoshida M, Hashimoto M, Minagawa S, Hara H, Motoi N, Yamamoto Y, Ochiya T, Araya J, Kuwano K.
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Journal Title
Cancer Sci
Volume: 111
Issue: 11
Pages: 4154-65
DOI
Related Report
Peer Reviewed / Open Access
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[Presentation] 進行/再発肺大細胞神経内分泌癌における,Pd-1阻害剤の効果と腫瘍免疫微小環境との関連についての検討2021
Author(s)
白澤 昌之, 吉田 達哉, 関根 克敏, 神田 慎太郎, 松元 祐司, 増田 健, 新野 祐樹, 大熊 裕介, 後藤 悌, 堀之内 秀仁, 山本 昇, 渡辺 俊一, 元井 紀子, 大江 裕一郎
Organizer
第62回日本肺癌学会学術集会
Related Report
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[Presentation] IV期原発性肺癌に対してPembrolizumab治療後にsalvage手術を施行した1例2021
Author(s)
藤川 遼, 吉田 幸弘, 四倉 正也, 中川 加寿夫, 渡辺 俊一, 加島 淳平, 元井 紀子, 谷田部 恭, 新野 祐樹, 大江 裕一郎, 土田 敬明, 渡辺 裕一, 楠本 昌彦.
Organizer
第62回日本肺癌学会学術集会
Related Report
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[Presentation] 進行期NSCLCにおける悪液質の病態およびPembrolizumab治療効果の関係2021
Author(s)
徐 仁美, 吉田 達哉, 柳下 薫寛, 堀之内 秀仁, 松元 祐司, 新野 祐樹, 大熊 裕介, 後藤 悌, 山本 昇, 元井 紀子, 大江 裕一郎
Organizer
第62回日本肺癌学会学術集会
Related Report
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[Presentation] Impact of SWI/SNF complex mutations in patients with non-small cell lung cancer (NSCLC) treated with immune checkpoint inhibitors: Immuno-oncology biomarker study in LC-SCRUM-Japan (LC-SCRUM-IBIS)2020
Author(s)
Yoh K, Matsumoto S, Furuya N, Nishino K, Miyamoto S, Oizumi S, Okamoto N, Itani H, Kuyama S, Nakamura A, Hayashi Y, Motoi N, Ishii G, Goto K
Organizer
2020 ASCO
Related Report
Int'l Joint Research
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[Presentation] Clinical Genomic Test on Cytology: Current Status and Future Perspective in Japan (JSCC Working Group on Cytological Roles in Genome Medicine Era)2019
Author(s)
Motoi N, Yutaka Hatanaka, Shinji Hamakawa, Akihiko Kawahara, Nagatomo T, Kuwata T, Oda Y, Okamoto A, Maeda I, Sato Y, Morii E
Organizer
20th International Congress of Cytology
Related Report
Int'l Joint Research / Invited
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[Presentation] Digital Image-based Morphological Feature as a Useful Predictive Biomarker for Immune Checkpoint Inhibitor Therapy of Non-Small Cell Lung Cancer2018
Author(s)
Motoi, Noriko Yoshida, Hiroshi Kiyuna, Tomoharu Saiga, Hiroyasu Yamashita, Yoshiko Sekine, Katsutoshi Honda, Takayuki Kanda, Shintaro Horinouchi, Hidehito Kohno, Takashi Ohe, Yuichiro Ochiai, Atsushi
Organizer
The 6th JCA-AACR Special Joint Conference
Related Report
Int'l Joint Research