RT Journal Article T1 Association of Tumor Budding With Immune Evasion Pathways in Primary Colorectal Cancer and Patient-Derived Xenografts. A1 Guil-Luna, Silvia A1 Mena, Rafael A1 Navarrete-Sirvent, Carmen A1 López-Sánchez, Laura María A1 Khouadri, Karima A1 Toledano-Fonseca, Marta A1 Mantrana, Ana A1 Guler, Ipek A1 Villar, Carlos A1 Díaz, Cesar A1 Medina-Fernández, Francisco Javier A1 De la Haba-Rodríguez, Juan Rafael A1 Aranda, Enrique A1 Rodríguez-Ariza, Antonio K1 chemokines K1 colorectal cancer K1 immune evasion K1 patient-derived xenografts K1 toll-like receptors K1 tumor budding AB Tumor budding has been found to be of prognostic significance for several cancers, including colorectal cancer (CRC). Additionally, the molecular classification of CRC has led to the identification of different immune microenvironments linked to distinct prognosis and therapeutic response. However, the association between tumor budding and the different molecular subtypes of CRC and distinct immune profiles have not been fully elucidated. This study focused, firstly, on the validation of derived xenograft models (PDXs) for the evaluation of tumor budding and their human counterparts and, secondly, on the association between tumor budding and the immune tumor microenvironment by the analysis of gene expression signatures of immune checkpoints, Toll-like receptors (TLRs), and chemokine families. Clinical CRC samples with different grades of tumor budding and their corresponding PDXs were included in this study. Tumor budding grade was reliably reproduced in early passages of PDXs, and high-grade tumor budding was intimately related with a poor-prognosis CMS4 mesenchymal subtype. In addition, an upregulation of negative regulatory immune checkpoints (PDL1, TIM-3, NOX2, and IDO1), TLRs (TLR1, TLR3, TLR4, and TLR6), and chemokine receptors and ligands (CXCR2, CXCR4, CXCL1, CXCL2, CXCL6, and CXCL9) was detected in high-grade tumor budding in both human samples and their corresponding xenografts. Our data support a close link between high-grade tumor budding in CRC and a distinctive immune-suppressive microenvironment promoting tumor invasion, which may have a determinant role in the poor prognosis of the CMS4 mesenchymal subtype. In addition, our study demonstrates that PDX models may constitute a robust preclinical platform for the development of novel therapies directed against tumor budding in CRC. SN 2296-858X YR 2020 FD 2020-07-03 LK https://hdl.handle.net/10668/24486 UL https://hdl.handle.net/10668/24486 LA en DS RISalud RD Apr 7, 2025