Cancers (Dec 2021)

Tumor Mutation Burden, Expressed Neoantigens and the Immune Microenvironment in Diffuse Gliomas

  • Guangyang Yu,
  • Ying Pang,
  • Mythili Merchant,
  • Chimene Kesserwan,
  • Vineela Gangalapudi,
  • Abdalla Abdelmaksoud,
  • Alice Ranjan,
  • Olga Kim,
  • Jun S. Wei,
  • Hsien-Chao Chou,
  • Xinyu Wen,
  • Sivasish Sindiri,
  • Young K. Song,
  • Liqiang Xi,
  • Rosandra N. Kaplan,
  • Terri S. Armstrong,
  • Mark R. Gilbert,
  • Kenneth Aldape,
  • Javed Khan,
  • Jing Wu

DOI
https://doi.org/10.3390/cancers13236092
Journal volume & issue
Vol. 13, no. 23
p. 6092

Abstract

Read online

Background: A consistent correlation between tumor mutation burden (TMB) and tumor immune microenvironment has not been observed in gliomas as in other cancers. Methods: Driver germline and somatic mutations, TMB, neoantigen, and immune cell signatures were analyzed using whole exome sequencing (WES) and transcriptome sequencing of tumor and WES of matched germline DNA in a cohort of 66 glioma samples (44 IDH-mutant and 22 IDH-wildtype). Results: Fourteen samples revealed a hypermutator phenotype (HMP). Eight pathogenic (P) or likely pathogenic (LP) germline variants were detected in 9 (19%) patients. Six of these 8 genes were DNA damage repair genes. P/LP germline variants were found in 22% of IDH-mutant gliomas and 12.5% of IDH-wildtype gliomas (p = 0.7). TMB was correlated with expressed neoantigen but showed an inverse correlation with immune score (R = −0.46, p = 0.03) in IDH-wildtype tumors and no correlation in IDH-mutant tumors. The Antigen Processing and Presentation (APP) score correlated with immune score and was surprisingly higher in NHMP versus HMP samples in IDH-wildtype gliomas, but higher in HMP versus NHMP in IDH-mutant gliomas. Conclusion: TMB was inversely correlated with immune score in IDH-wildtype gliomas and showed no correlation in IDH-mutant tumors. APP was correlated with immune score and may be further investigated as a biomarker for response to immunotherapy in gliomas. Studies of germline variants in a larger glioma cohort are warranted.

Keywords