Integrative Tumor and Immune Cell Multi-omic Analyses Predict Response to Immune Checkpoint Blockade in Melanoma

被引:63
作者
Anagnostou, Valsamo [1 ,2 ]
Bruhm, Daniel C. [1 ]
Niknafs, Noushin [1 ]
White, James R. [1 ]
Shao, Xiaoshan M. [1 ]
Sidhom, John William [1 ,2 ]
Stein, Julie [2 ,3 ]
Tsai, Hua-Ling [1 ]
Wang, Hao [1 ]
Belcaid, Zineb [1 ,2 ]
Murray, Joseph [1 ,2 ]
Balan, Archana [1 ]
Ferreira, Leonardo [1 ]
Ross-Macdonald, Petra [4 ]
Wind-Rotolo, Megan [4 ]
Baras, Alexander S. [2 ,3 ]
Taube, Janis [2 ,3 ]
Karchin, Rachel [1 ]
Scharpf, Robert B. [1 ]
Grasso, Catherine [5 ,6 ]
Ribas, Antoni [5 ,7 ]
Pardoll, Drew M. [1 ,2 ]
Topalian, Suzanne L. [1 ,2 ,8 ]
Velculescu, Victor E. [1 ,2 ,3 ]
机构
[1] Johns Hopkins Univ, Sidney Kimmel Comprehens Canc Ctr, Sch Med, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Bloomberg Kimmel Inst Canc Immunotherapy, Sch Med, Baltimore, MD 21287 USA
[3] Johns Hopkins Univ, Sch Med, Dept Pathol, Baltimore, MD 21287 USA
[4] Bristol Myers Squibb Co, Princeton, NJ 08540 USA
[5] Univ Calif Los Angeles UCLA, Jonsson Comprehens Canc Ctr, Los Angeles, CA USA
[6] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
[7] Parker Inst Canc Immunotherapy, San Francisco, CA USA
[8] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21287 USA
基金
美国国家卫生研究院;
关键词
MHC CLASS-I; B-CELLS; COMBINED NIVOLUMAB; PD-1; BLOCKADE; LUNG-CANCER; IMMUNOTHERAPY; RESISTANCE; SURVIVAL; IPILIMUMAB; EXPRESSION;
D O I
10.1016/j.xcrm.2020.100139
中图分类号
Q2 [细胞生物学];
学科分类号
071013 [干细胞生物学];
摘要
In this study, we incorporate analyses of genome-wide sequence and structural alterations with pre- and ontherapy transcriptomic and T cell repertoire features in immunotherapy-naive melanoma patients treated with immune checkpoint blockade. Although tumor mutation burden is associated with improved treatment response, the mutation frequency in expressed genes is superior in predicting outcome. Increased T cell density in baseline tumors and dynamic changes in regression or expansion of the T cell repertoire during therapy distinguish responders from non-responders. Transcriptome analyses reveal an increased abundance of B cell subsets in tumors from responders and patterns of molecular response related to expressed mutation elimination or retention that reflect clinical outcome. High-dimensional genomic, transcriptomic, and immune repertoire data were integrated into a multi-modal predictor of response. These findings identify genomic and transcriptomic characteristics of tumors and immune cells that predict response to immune checkpoint blockade and highlight the importance of pre-existing T and B cell immunity in therapeutic outcomes.
引用
收藏
页数:19
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