학술논문

Conserved Interferon-γ Signaling Drives Clinical Response to Immune Checkpoint Blockade Therapy in Melanoma
Document Type
article
Source
Cancer Cell. 38(4)
Subject
Biomedical and Clinical Sciences
Oncology and Carcinogenesis
Immunology
Genetics
Vaccine Related
Human Genome
Immunization
Cancer
Aetiology
2.1 Biological and endogenous factors
5.1 Pharmaceuticals
Development of treatments and therapeutic interventions
Adult
Aged
Aged
80 and over
Antineoplastic Combined Chemotherapy Protocols
Cell Line
Cell Line
Tumor
Female
Gene Expression Profiling
Humans
Immune Checkpoint Inhibitors
Interferon-gamma
Ipilimumab
Male
Melanoma
Middle Aged
Nivolumab
T-Lymphocytes
Transcriptome
Young Adult
RNA-seq
anti-CTLA-4
anti-PD-1
biopsies
clinical trial
immune checkpoint blockade
immune exclusion
interferon-γ
resistance
response
transcriptomics
Neurosciences
Oncology & Carcinogenesis
Biochemistry and cell biology
Oncology and carcinogenesis
Language
Abstract
We analyze the transcriptome of baseline and on-therapy tumor biopsies from 101 patients with advanced melanoma treated with nivolumab (anti-PD-1) alone or combined with ipilimumab (anti-CTLA-4). We find that T cell infiltration and interferon-γ (IFN-γ) signaling signatures correspond most highly with clinical response to therapy, with a reciprocal decrease in cell-cycle and WNT signaling pathways in responding biopsies. We model the interaction in 58 human cell lines, where IFN-γ in vitro exposure leads to a conserved transcriptome response unless cells have IFN-γ receptor alterations. This conserved IFN-γ transcriptome response in melanoma cells serves to amplify the antitumor immune response. Therefore, the magnitude of the antitumor T cell response and the corresponding downstream IFN-γ signaling are the main drivers of clinical response or resistance to immune checkpoint blockade therapy.