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Prof. Sangho Lee's Cancer Immune Evasion, First Steps

It can be recognised.
So why does it survive?

More mutations means more for the immune system to see. That is why TMB became a biomarker for immunotherapy.
Yet the tumours in this paper have plenty of mutations, intact antigen presentation โ€” and no T cells. They can be recognised, and nobody comes.
These twenty lessons are the catalogue of how: not being seen, not being caught, not letting anyone in. And not just the catalogue โ€” you score each one across 407 TCGA lung adenocarcinomas, check which of the paper's five claims survive in three cohorts, and watch the 'recognition circuit is low' conclusion collapse completely when you account for infiltration.

๐Ÿงน immunoediting๐Ÿ›‘ CD47 ยท PD-L1๐Ÿงฌ Wnt ยท Myc ยท EMT ๐Ÿ“Š three cohorts๐Ÿ Python๐Ÿ”ฌ TCGA ยท MSigDB๐Ÿ‡ฌ๐Ÿ‡ง English
Start lesson 1 โ†’

How you'll learn

๐Ÿ“‹Learn it as a catalogue

There are dozens of evasion mechanisms. We group them by what they cut: not being seen, not being caught, not letting anyone in. Those three are the syllabus for lessons 4 to 15.

โš–๏ธScore the paper's claims

The paper links immune-desert tumours to WNT, MYC, EMT, stemness and NF-ฮบB. Score them one by one and only MYC survives โ€” while EMT comes out in the opposite direction.

๐Ÿ”Watch a conclusion collapse

'The recognition circuit is low in immune-desert tumours' โ€” a clean result (โˆ’0.61 vs +0.57). Regress out infiltration and p = 0.94. The difference vanishes entirely. Bulk cannot unmix what is mixed.

๐ŸŒAsk again in another cohort

A result from one cohort may be a property of that cohort. Ask again in GSE81089 (197) and GSE171415 (35): only MYC and proliferation reproduce, and EMT disappears.

Full curriculum

01
๋ฉด์—ญ๊ฐ์‹œ โ€” ์•”์€ ๋Š˜ ์ง€์›Œ์ง€๊ณ  ์žˆ๋‹ค
๋…ผ๋ฌธ ์ดˆ๋ก ใ€Œimmune cells can sufficiently recognize cancer cells as nonselfใ€
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02
์„ธ ๊ฐœ์˜ E โ€” ์ œ๊ฑฐ ยท ํ‰ํ˜• ยท ํƒˆ์ถœ
๋ฉด์—ญํŽธ์ง‘(immunoediting) ยท DunnยทSchreiber 2002
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03
ใ€์‹ค์Šตใ€‘ ํƒˆ์ถœ์˜ ๋ชฉ๋ก์„ ์—ฐ๋‹ค โ€” ์ด ๊ฐ•์˜์˜ ๋ผˆ๋Œ€
TCGA-LUAD 407 ํ‘œ๋ณธ ยท ์œ ์ „์ž 51๊ฐœ
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04
MHC-I ์„ ๋‚ด๋ฆฐ๋‹ค โ€” B2M ๊ณผ HLA LOH
์ธ์‹์˜ ์ฒซ ๋‹จ๊ณ„๋ฅผ ๋Š๋Š” ๊ฐ€์žฅ ์ง์ ‘์ ์ธ ๋ฐฉ๋ฒ•
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05
IFN-ฮณ ํšŒ๋กœ๋ฅผ ๋Š๋Š”๋‹ค โ€” JAK1/2 ์™€ STAT1
๋ฉด์—ญ์น˜๋ฃŒ ํš๋“์ €ํ•ญ์˜ ๊ฐ€์žฅ ์œ ๋ช…ํ•œ ๊ธฐ์ „
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06
ใ€์‹ค์Šตใ€‘ ์ธ์‹ ํšŒ๋กœ๊ฐ€ ๋‚ด๋ ค๊ฐ„ ํ‘œ๋ณธ์„ ์„ผ๋‹ค โ€” ๊ทธ๋ฆฌ๊ณ  ํ•จ์ • ํ•˜๋‚˜
TCGA-LUAD ์‚ฌ๋ง‰ 42 ยท ์—ผ์ฆ 42 โ€” ๊ทธ๋Ÿฐ๋ฐ ๋ฌด์—‡์„ ์žฌ๊ณ  ์žˆ๋‚˜
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07
์‹ ์ƒํ•ญ์›์„ ์ง€์šด๋‹ค โ€” ๋ฉด์—ญํŽธ์ง‘์ด ๋‚จ๊ธด ์ž๊ตญ
๋…ผ๋ฌธ ใ€ŒTMB-Hใ€ ์˜ ๋’ท๋ฉด ยท ๋ฉด์—ญํŽธ์ง‘์˜ ์œ ์ „์ฒด ํ”์ 
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08
ํ‘œ๋ฉด์˜ ๋ฐฉํŒจ๋“ค โ€” PD-L1 ยท CD47 ยท CD24 ยท CD38
๋…ผ๋ฌธ Fig. 6 ใ€ŒDdx54 induces Cd38 and Cd47 expressionใ€
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09
ใ€์‹ค์Šตใ€‘ ๋ฐฉํŒจ๊ฐ€ ํ•จ๊ป˜ ์ผœ์ง€๋‚˜ โ€” ์ƒ์‹œํ˜•๊ณผ ์œ ๋„ํ˜•์„ ๊ฐ€๋ฅธ๋‹ค
TCGA-LUAD 407 ํ‘œ๋ณธ ยท IFN-ฮณ ์™€์˜ ์ƒ๊ด€์œผ๋กœ ๊ฐ€๋ฅด๊ธฐ
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10
ใ€์‹ค์Šตใ€‘ ๋…ผ๋ฌธ Fig. 6 ์„ ๋งˆ์šฐ์Šค ์ž๋ฃŒ๋กœ โ€” ๊ทธ๋ฆฌ๊ณ  ์™œ ๋ฐ˜์ชฝ๋งŒ ๋˜๋‚˜
GSE268555 ์„ธํฌ 37,585๊ฐœ ยท Cd45โบ ๋ฉด์—ญ์„ธํฌ
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11
Wnt / ฮฒ-catenin โ€” T์„ธํฌ ๋ฐฐ์ œ์˜ ๊ต๊ณผ์„œ ๊ฒฝ๋กœ
๋…ผ๋ฌธ Fig. 2F ใ€ŒWNT pathwayใ€ ยท Spranger 2015
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12
Myc โ€” ์ฆ์‹ ์œ ์ „์ž๊ฐ€ ์–ด๋–ป๊ฒŒ ๋ฉด์—ญ์„ ๋„๋‚˜
๋…ผ๋ฌธ Fig. 2F ยท Fig. 6BยทC ใ€ŒMyc pathwayใ€
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13
EMT ์™€ ์ค„๊ธฐ์„ฑ โ€” ์ƒํƒœ๊ฐ€ ๋ฐ”๋€Œ๋ฉด ๋ฉด์—ญ๋„ ๋ฐ”๋€๋‹ค
๋…ผ๋ฌธ Fig. 2F ยท Fig. 6B ใ€ŒEMTใ€ ใ€Œcancer stemnessใ€
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14
ใ€์‹ค์Šตใ€‘ ์‚ฌ๋ง‰๊ณผ ์—ผ์ฆ์„ ๊ฐˆ๋ผ ๊ฒฝ๋กœ๋ฅผ ์ฑ„์ ํ•œ๋‹ค โ€” ๋…ผ๋ฌธ๊ณผ ์–ด๊ธ‹๋‚˜๋Š” ์ž๋ฆฌ
MSigDB Hallmark ยท ์‚ฌ๋ง‰ 42 ๋Œ€ ์—ผ์ฆ 42
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15
ํƒœ์•„ ์œ„์žฅ์ˆ  โ€” ์•”์ด ํ›”์ณ ์“ฐ๋Š” ๋ฉด์—ญ๊ด€์šฉ
๋…ผ๋ฌธ SI Fig. S5 ใ€Œgestational and trophoblast signaturesใ€
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16
์ƒ์œ„์กฐ์ ˆ์ž๋ผ๋Š” ๋ฐœ์ƒ โ€” ํ•˜๋‚˜๋ฅผ ๋ˆŒ๋Ÿฌ ์—ฌ๋Ÿฟ์„ ๋˜๋Œ๋ฆฐ๋‹ค
๋…ผ๋ฌธ Fig. 2 ใ€Œblocking all these pathways individually is infeasibleใ€
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17
ใ€์‹ค์Šตใ€‘ DDX54 ์ƒยทํ•˜์œ„๊ตฐ์—์„œ ํšŒํ”ผ ๊ฒฝ๋กœ๋ฅผ ๊ฒฌ์ค€๋‹ค
TCGA-LUAD 407 ํ‘œ๋ณธ ยท ์ƒ์œ„ 3๋ถ„์˜ 1 ๋Œ€ ํ•˜์œ„ 3๋ถ„์˜ 1
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18
ใ€์‹ค์Šตใ€‘ ๋‹ค๋ฅธ ์ฝ”ํ˜ธํŠธ์—์„œ๋„ ๊ทธ๋Ÿฐ๊ฐ€ โ€” ์‚ด์•„๋‚จ๋Š” ์ฃผ์žฅ์€ ๋ช‡ ๊ฐœ์ธ๊ฐ€
๋…ผ๋ฌธ SI Fig. S4 ยท GSE81089 (197) ยท GSE171415 (35)
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19
ํšŒํ”ผ๋Š” ๋Œ์•„์˜จ๋‹ค โ€” 1์ฐจ ยท ์ ์‘ ยท ํš๋“์ €ํ•ญ
๋ฉด์—ญ์น˜๋ฃŒ ์ €ํ•ญ์˜ ์„ธ ์–ผ๊ตด
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20
์ •๋ฆฌ โ€” ๋ฌด์—‡์ด ์›์ธ์ด๊ณ  ๋ฌด์—‡์ด ๊ฒฐ๊ณผ์ธ๊ฐ€
20๊ฐ• ยท ์ด ๊ฐ•์˜๊ฐ€ ๋‚จ๊ธฐ๋Š” ๋ชฉ๋ก
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