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Oncotarget

Trending With Impact: Analysis of Mutational Burden in NSCLC

Apr 26, 2022
Discover the significance of tumor mutational burden (TMB) in non-small cell lung cancer (NSCLC) and its association with neoantigens and immune response. Learn about the shift to measuring TMB in mutations per megabase (>10 mut/Mb) and how high TMB levels can predict a positive response to immunotherapy in NSCLC patients. Explore the results of a cohort study on Stage 4 NSCLC patients, highlighting the impact of TMB on survival benefits and its correlation with smoking history and genetic alterations.
08:20

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Quick takeaways

  • Higher TMB in NSCLC correlates with more neoantigens, potentially boosting immune response.
  • Consensus now uses mutations per megabase as TMB unit, with >10 mut/Mb indicating high TMB in NSCLC.

Deep dives

Tumor Mutational Burden as a Biomarker for Immunotherapy in NSCLC

A higher tumor mutational burden (TMB) in non-small cell lung cancer (NSCLC) has been linked to an increased number of neoantigens, potentially triggering a stronger immune response. The latest consensus unit for TMB measurement is mutations per megabase (mute per MB), with a common cutoff of over 10 mute per MB indicating high TMB in NSCLC. Studies have consistently shown that high TMB is associated with better clinical outcomes in NSCLC patients receiving immunotherapy. Researchers from various institutions conducted a multi-center study using the new TMB parameters to evaluate its impact on treatment response and survival outcomes.

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