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

Integrative Tumor and Immune Cell Multi-omic Analyses Predict Response to Immune Checkpoint Blockade in Melanoma.
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DOI:
10.1016/j.xcrm.2020.100139
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发表时间:
2020-11-17
期刊:
Cell reports. Medicine
影响因子:
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通讯作者:
Velculescu VE
Velculescu VE
中科院分区:
其他
文献类型:
--
作者:
Anagnostou V;Bruhm DC;Niknafs N;White JR;Shao XM;Sidhom JW;Stein J;Tsai HL;Wang H;Belcaid Z;Murray J;Balan A;Ferreira L;Ross-Macdonald P;Wind-Rotolo M;Baras AS;Taube J;Karchin R;Scharpf RB;Grasso C;Ribas A;Pardoll DM;Topalian SL;Velculescu VE

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In this study, we incorporate analyses of genome-wide sequence and structural alterations with pre- and on-therapy 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. Unmet need for integrated molecular models that interpret immunotherapy response Genomic, transcriptomic, and T and B cell sequence data integration by machine learning T cell dynamism is a hallmark of response to immune checkpoint blockade The combined contributions of B, T, and tumor cell features predict clinical outcome Anagnostou et al. integrate genomic, expression, and immune cell repertoire analyses to gain insights into the crosstalk between cancer and immune cells during immunotherapy for melanoma. These findings suggest that the complex phenotype of tumor immune infiltrates combined with genomic features of tumor cells are relevant for determining clinical outcomes.
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