Plasma S100A8/A9 level predicts response to immune checkpoint inhibitors in patients with advanced non-small cell lung cancer

Abstract Blood-based predictive markers for the efficacy of immune checkpoint inhibitors (ICIs) have not yet been established. We investigated the association of the plasma level of S100A8/A9 with the efficacy of immunotherapy. We evaluated patients with unresectable stage III/IV or recurrent non-sm...

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Main Authors: Tadahiro Kuribayashi, Rie Kinoshita, Kiichiro Ninomiya, Go Makimoto, Toshio Kubo, Kammei Rai, Eiki Ichihara, Katsuyuki Hotta, Masahiro Tabata, Yoshinobu Maeda, Katsuyuki Kiura, Shinichi Toyooka, Masakiyo Sakaguchi, Kadoaki Ohashi
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-87232-z
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author Tadahiro Kuribayashi
Rie Kinoshita
Kiichiro Ninomiya
Go Makimoto
Toshio Kubo
Kammei Rai
Eiki Ichihara
Katsuyuki Hotta
Masahiro Tabata
Yoshinobu Maeda
Katsuyuki Kiura
Shinichi Toyooka
Masakiyo Sakaguchi
Kadoaki Ohashi
author_facet Tadahiro Kuribayashi
Rie Kinoshita
Kiichiro Ninomiya
Go Makimoto
Toshio Kubo
Kammei Rai
Eiki Ichihara
Katsuyuki Hotta
Masahiro Tabata
Yoshinobu Maeda
Katsuyuki Kiura
Shinichi Toyooka
Masakiyo Sakaguchi
Kadoaki Ohashi
author_sort Tadahiro Kuribayashi
collection DOAJ
description Abstract Blood-based predictive markers for the efficacy of immune checkpoint inhibitors (ICIs) have not yet been established. We investigated the association of the plasma level of S100A8/A9 with the efficacy of immunotherapy. We evaluated patients with unresectable stage III/IV or recurrent non-small cell lung cancer (NSCLC) who were treated with ICIs at Okayama University Hospital. The pre-treatment plasma levels of S100A8/A9 were analyzed. Eighty-one eligible patients were included (median age, 69 years). Sixty-two patients were men, 54 had adenocarcinoma, 74 had performance status (PS) 0–1, and 47 received ICIs as first-line treatment. The median time to treatment failure (TTF) for ICIs was 5.7 months, and the median overall survival (OS) was 19.6 months. The TTF and OS were worse in patients with high plasma S100A8/A9 levels (≥ 2.475 µg/mL) (median TTF: 4.3 vs. 8.5 months, p = 0.009; median OS: 15.4 vs. 38.0 months, p = 0.001). Multivariate analysis revealed that PS ≥ 2, liver metastasis, and high plasma S100A8/A9 levels were significantly associated with short TTF and OS. In conclusion, plasma S100A8/A9 level may have a limited effect on ICI therapy for NSCLC.
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spelling doaj-art-e286d9e866174463a5f6704e4929857e2025-01-26T12:30:51ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-87232-zPlasma S100A8/A9 level predicts response to immune checkpoint inhibitors in patients with advanced non-small cell lung cancerTadahiro Kuribayashi0Rie Kinoshita1Kiichiro Ninomiya2Go Makimoto3Toshio Kubo4Kammei Rai5Eiki Ichihara6Katsuyuki Hotta7Masahiro Tabata8Yoshinobu Maeda9Katsuyuki Kiura10Shinichi Toyooka11Masakiyo Sakaguchi12Kadoaki Ohashi13Department of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesDepartment of Cell Biology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesDepartment of Allergy and Respiratory Medicine, Okayama University HospitalDepartment of Allergy and Respiratory Medicine, Okayama University HospitalDepartment of Allergy and Respiratory Medicine, Okayama University HospitalDepartment of Allergy and Respiratory Medicine, Okayama University HospitalCenter for Clinical Oncology, Okayama University HospitalDepartment of Allergy and Respiratory Medicine, Okayama University HospitalDepartment of Allergy and Respiratory Medicine, Okayama University HospitalDepartment of Hematology, Oncology and Respiratory Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesDepartment of Allergy and Respiratory Medicine, Okayama University HospitalDepartment of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesDepartment of Cell Biology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesDepartment of Allergy and Respiratory Medicine, Okayama University HospitalAbstract Blood-based predictive markers for the efficacy of immune checkpoint inhibitors (ICIs) have not yet been established. We investigated the association of the plasma level of S100A8/A9 with the efficacy of immunotherapy. We evaluated patients with unresectable stage III/IV or recurrent non-small cell lung cancer (NSCLC) who were treated with ICIs at Okayama University Hospital. The pre-treatment plasma levels of S100A8/A9 were analyzed. Eighty-one eligible patients were included (median age, 69 years). Sixty-two patients were men, 54 had adenocarcinoma, 74 had performance status (PS) 0–1, and 47 received ICIs as first-line treatment. The median time to treatment failure (TTF) for ICIs was 5.7 months, and the median overall survival (OS) was 19.6 months. The TTF and OS were worse in patients with high plasma S100A8/A9 levels (≥ 2.475 µg/mL) (median TTF: 4.3 vs. 8.5 months, p = 0.009; median OS: 15.4 vs. 38.0 months, p = 0.001). Multivariate analysis revealed that PS ≥ 2, liver metastasis, and high plasma S100A8/A9 levels were significantly associated with short TTF and OS. In conclusion, plasma S100A8/A9 level may have a limited effect on ICI therapy for NSCLC.https://doi.org/10.1038/s41598-025-87232-zS100A8/A9Lung cancerImmune checkpoint inhibitors
spellingShingle Tadahiro Kuribayashi
Rie Kinoshita
Kiichiro Ninomiya
Go Makimoto
Toshio Kubo
Kammei Rai
Eiki Ichihara
Katsuyuki Hotta
Masahiro Tabata
Yoshinobu Maeda
Katsuyuki Kiura
Shinichi Toyooka
Masakiyo Sakaguchi
Kadoaki Ohashi
Plasma S100A8/A9 level predicts response to immune checkpoint inhibitors in patients with advanced non-small cell lung cancer
Scientific Reports
S100A8/A9
Lung cancer
Immune checkpoint inhibitors
title Plasma S100A8/A9 level predicts response to immune checkpoint inhibitors in patients with advanced non-small cell lung cancer
title_full Plasma S100A8/A9 level predicts response to immune checkpoint inhibitors in patients with advanced non-small cell lung cancer
title_fullStr Plasma S100A8/A9 level predicts response to immune checkpoint inhibitors in patients with advanced non-small cell lung cancer
title_full_unstemmed Plasma S100A8/A9 level predicts response to immune checkpoint inhibitors in patients with advanced non-small cell lung cancer
title_short Plasma S100A8/A9 level predicts response to immune checkpoint inhibitors in patients with advanced non-small cell lung cancer
title_sort plasma s100a8 a9 level predicts response to immune checkpoint inhibitors in patients with advanced non small cell lung cancer
topic S100A8/A9
Lung cancer
Immune checkpoint inhibitors
url https://doi.org/10.1038/s41598-025-87232-z
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