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Analysis of T-cell receptor repertoire in peripheral blood of patients with pancreatic cancer and other pancreatic diseases
Authors:Hui Wang  Yue Yuan  Chenglin Lu  Siqi Zhou  Yixuan Zhang  Jing Zhao  Chenghu Xu  Jie Yang  Haochen Su  Borui Li  Xihan Li  Pin Wang  Guifang Xu  Lei Wang  Xiaoping Zou  Shanhua Bao  Shu Zhang  Ying Lv
Institution:1. Department of Gastroenterology, Nanjing University Medical School Affiliated Drum Tower Hospital, Nanjing, China;2. Department of Gastroenterology, Nanjing Medical University Affiliated Drum Tower Clinical Medical College, Nanjing, China

Contribution: Data curation (equal);3. Department of General Surgery, The Afflicted Drum Tower Hospital, Nanjing University Medical School, Nanjing, China

Contribution: Data curation (equal);4. Department of Gastroenterology, Jiangsu University Affiliated Drum Tower Hospital, Nanjing, China

Contribution: Writing - original draft (supporting);5. Department of Gastroenterology, Nanjing University Medical School Affiliated Drum Tower Hospital, Nanjing, China

Contribution: Methodology (supporting);6. Department of Gastroenterology, Nanjing University Medical School Affiliated Drum Tower Hospital, Nanjing, China

Contribution: Software (supporting);7. Department of Gastroenterology, Nanjing University Medical School Affiliated Drum Tower Hospital, Nanjing, China

Contribution: Data curation (supporting);8. Department of Gastroenterology, Nanjing Medical University Affiliated Drum Tower Clinical Medical College, Nanjing, China

Contribution: Data curation (supporting);9. Department of Gastroenterology, Nanjing Medical University Affiliated Drum Tower Clinical Medical College, Nanjing, China

Contribution: Writing - review & editing (supporting);10. Department of Gastroenterology, Nanjing University Medical School Affiliated Drum Tower Hospital, Nanjing, China

Contribution: Writing - review & editing (supporting);11. Department of General Surgery, The Afflicted Drum Tower Hospital, Nanjing University Medical School, Nanjing, China

Abstract:Pancreatic cancer (PC) has been the fourth cancer-related death worldwide, diagnosed at an unresectable stage due to its rapid progression and few symptoms of this disease at early stages. The aim of this study was to determine the association between the diversity of T-cell receptor (TCR) repertoire and clinicopathological characteristics of patients with PC and other benign pancreatic diseases. In order to make a comprehensive analysis the TCR repertoire, high-throughput sequencing was used to differentiate complementarity determining region 3 (CDR3) of the TCR β chain in peripheral blood samples from 3 PC, 3 chronic pancreatitis, 3 pancreatic cystic lesions and 3 pancreatic neuroendocrine tumour patients. We found that there were significant differences related to TCR repertoire between PC and other pancreatic diseases, and PC is a relatively immunosuppressive tumour. Changes of peripheral TCR repertoire may be used to predict the progression of PC and the response to immunotherapy. And there may exist novel-specific antigens in PC patients which could be used to design targeting immunotherapy in the nearly future.
Keywords:high-throughput sequencing  immunotherapy  pancreatic cancer  pancreatic disease  T-cell receptor repertoire
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