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Interrogating the immune landscape of microsatellite stable RAS-mutated colon cancer - PubMed

4 hours ago
  • #immunotherapy
  • #RAS mutation
  • #colon cancer
  • Study explores the immune microenvironment of RAS-mutated (RASmt) microsatellite stable (MSS) colon cancer (CC).
  • Retrospective analysis performed on 161 early-stage and 121 metastatic patients using whole exome sequencing, RNA sequencing, and digital pathology.
  • Only a small proportion of cases showed a highly infiltrated immune microenvironment.
  • Strong association found between Immunoscore® (IS)-high (13%) and Tumor Lymphocytes Infiltrating Score (TuLIS)-high (25%).
  • Immunoscore Immune-Checkpoint (ISIC)-high tumors (52%) had higher mutational burdens and similar microenvironment to IS-high and TuLIS-high tumors.
  • Substantial proportion of MSS RASmt CCs exhibit high ISIC scores, suggesting potential for immunotherapy-based trials.