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Immune Microenvironment Dynamics and Therapeutic Targets in GIST Revealed by Multi-Omics and Functional Validation - PubMed

5 hours ago
  • #multi-omics
  • #immune microenvironment
  • #GIST
  • The tumour immune microenvironment (TIME) significantly influences GIST progression and treatment response.
  • Multi-omics analyses, including Mendelian randomization and scRNA-seq, were used to study GIST.
  • 18 immune cell phenotypes were identified with causal relationships to GIST (10 risk factors, 8 protective factors).
  • 4 plasma metabolites were found to mediate immune cell effects on GIST.
  • scRNA-seq revealed dynamic remodelling of the TIME in GIST.
  • Genes progressively changing from peritumoral to metastatic tissues were identified, correlating with PD-1 expression.
  • MYBL1 and AIF1L were validated as key genes influencing CD8+ T cell function and PD-1 response.
  • Knockdown of MYBL1 or overexpression of AIF1L showed synergistic anti-tumour effects with PD-1 blockade.
  • The study provides new strategies for combined immunotherapy in GIST.