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Immunogenetics Section, Department of Transfusion Medicine, Clinical Center [E. W., S. M., F. M. M.], Surgery Branch, Division of Clinical Sciences [G. A. O., A. P-D., H. R. A., N. P. R., S. A. R.], Biometric Research Branch, Division of Cancer Treatment and Diagnosis [Y. Z., R. S.], Center for Information Technology, Division of Clinical Science [J. I. P., E. A.], Surgical Pathology [P. H. D.], and Division of Clinical Sciences [E. T. L.], National Cancer Institute, NIH, Bethesda, Maryland 20892; Advanced Technology Center, National Cancer Institute, NIH, Gaithersburg, Maryland 20877 [L. D. M., D. P.]; and Wistar Institute, Philadelphia, Pennsylvania 19104 [M. H.]
We amplified RNAs from 63 fine needle aspiration (FNA) samples from 37 s.c. melanoma metastases from 25 patients undergoing immunotherapy for hybridization to a 6108-gene human cDNA chip. By prospectively following the history of the lesions, we could correlate transcript patterns with clinical outcome. Cluster analysis revealed a tight relationship among autologous synchronously sampled tumors compared with unrelated lesions (average Pearsons r = 0.83 and 0.7, respectively, P < 0.0003). As reported previously, two subgroups of metastatic melanoma lesions were identified that, however, had no predictive correlation with clinical outcome. Ranking of gene expression data from pretreatment samples identified
30 genes predictive of clinical response (P < 0.001). Analysis of their annotations denoted that approximately half of them were related to T-cell regulation, suggesting that immune responsiveness might be predetermined by a tumor microenvironment conducive to immune recognition.
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