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·2025
Differential implications of tumor endothelial cell and lymphocyte densities in advanced hepatocellular carcinoma patients treated with immunotherapy
Gwangil Kim, Beodeul Kang, Jung Yong Hong, Haeyoun Kang, Jung‐Sun Kim, Sohyun Hwang, Sung Hwan Lee, Sang Hoon Jung, Chansik An, Won Suk Lee, Chiyoon Oum, Gahee Park, Min‐Gu Kang, Yoojoo Lim, Jin Woo Oh, Siraj Ali, Chan‐Young Ock, Chan Kim, Ho Yeong Lim, Hong Jae Chon
npj Precision Oncology
초록

We investigated whether artificial intelligence (AI)-based tumor microenvironment profiling correlates with treatment efficacy in unresectable hepatocellular carcinoma (HCC) patients treated with immune checkpoint inhibitor (ICI) therapies. Spatial distribution of immune/non-immune cells from pretreatment H&E images of 163 patients was retrospectively analyzed using an AI/deep-learning model. High tumor endothelial cell (TEC) density was associated with significantly longer progression-free survival (PFS) in the atezolizumab plus bevacizumab (atezo-bev) cohort (HR 0.51 [0.27-0.97]; p = 0.037) but not in the anti-PD-1 monotherapy cohort (HR 1.02 [0.59-1.77]; p = 0.935). Conversely, inflamed immune phenotype, characterized by high intratumoral TIL densities, predicted longer PFS after anti-PD-1 monotherapy (HR 0.50 [0.25-0.99]; p = 0.042) but not after atezo-bev (HR 0.92 [0.50-1.69]; p = 0.762). Our exploratory analysis using AI/deep-learning model demonstrated high TEC density predicted superior outcomes with atezo-bev, while TIL presence correlated with improved anti-PD-1 monotherapy efficacy in HCC patients, suggesting potential clinical applicability in treatment selection.

키워드
AtezolizumabBevacizumabImmunotherapyTumor-infiltrating lymphocytesTumor microenvironmentHepatocellular carcinomaImmune systemCohortMelanomaNivolumab
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article
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게재 연도
2025

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