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Locus-specific human endogenous retrovirus ERVK18 expression indicates an inflamed microenvironment and favorable immunotherapy outcome in small cell lung cancer - PubMed

4 hours ago
  • #Biomarker
  • #Immunotherapy
  • #SCLC
  • Locus-specific HERV-K transcript ERVK18 expression is linked to an inflamed microenvironment and better immunotherapy outcomes in small cell lung cancer (SCLC).
  • ERVK18 shows the strongest positive correlation with immune-related signatures, immune-activated pathways, and increased immune cell infiltration.
  • Single-cell and spatial analysis reveal high ERVK18 expression is associated with elevated T cell cytotoxicity and closer spatial proximity between tumor and T cells.
  • In the IMpower133 cohort, high ERVK18 expression predicts improved overall survival in patients treated with atezolizumab+chemotherapy versus chemotherapy alone.
  • ERVK18 serves as a dual prognostic and predictive biomarker for first-line PD-L1 inhibitor response in SCLC.