Clinical and molecular features of acquired resistance to immunotherapy in non-small cell lung cancer

Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved..

Although immunotherapy with PD-(L)1 blockade is routine for lung cancer, little is known about acquired resistance. Among 1,201 patients with non-small cell lung cancer (NSCLC) treated with PD-(L)1 blockade, acquired resistance is common, occurring in >60% of initial responders. Acquired resistance shows differential expression of inflammation and interferon (IFN) signaling. Relapsed tumors can be separated by upregulated or stable expression of IFNγ response genes. Upregulation of IFNγ response genes is associated with putative routes of resistance characterized by signatures of persistent IFN signaling, immune dysfunction, and mutations in antigen presentation genes which can be recapitulated in multiple murine models of acquired resistance to PD-(L)1 blockade after in vitro IFNγ treatment. Acquired resistance to PD-(L)1 blockade in NSCLC is associated with an ongoing, but altered IFN response. The persistently inflamed, rather than excluded or deserted, tumor microenvironment of acquired resistance may inform therapeutic strategies to effectively reprogram and reverse acquired resistance.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

Cancer cell - 42(2024), 2 vom: 12. Feb., Seite 209-224.e9

Sprache:

Englisch

Beteiligte Personen:

Memon, Danish [VerfasserIn]
Schoenfeld, Adam J [VerfasserIn]
Ye, Darwin [VerfasserIn]
Fromm, George [VerfasserIn]
Rizvi, Hira [VerfasserIn]
Zhang, Xiang [VerfasserIn]
Keddar, Mohamed Reda [VerfasserIn]
Mathew, Divij [VerfasserIn]
Yoo, Kyung Jin [VerfasserIn]
Qiu, Jingya [VerfasserIn]
Lihm, Jayon [VerfasserIn]
Miriyala, Jayalaksmi [VerfasserIn]
Sauter, Jennifer L [VerfasserIn]
Luo, Jia [VerfasserIn]
Chow, Andrew [VerfasserIn]
Bhanot, Umesh K [VerfasserIn]
McCarthy, Caroline [VerfasserIn]
Vanderbilt, Chad M [VerfasserIn]
Liu, Cailian [VerfasserIn]
Abu-Akeel, Mohsen [VerfasserIn]
Plodkowski, Andrew J [VerfasserIn]
McGranahan, Nicholas [VerfasserIn]
Łuksza, Marta [VerfasserIn]
Greenbaum, Benjamin D [VerfasserIn]
Merghoub, Taha [VerfasserIn]
Achour, Ikbel [VerfasserIn]
Barrett, J Carl [VerfasserIn]
Stewart, Ross [VerfasserIn]
Beltrao, Pedro [VerfasserIn]
Schreiber, Taylor H [VerfasserIn]
Minn, Andy J [VerfasserIn]
Miller, Martin L [VerfasserIn]
Hellmann, Matthew D [VerfasserIn]

Links:

Volltext

Themen:

Anti-PD-1 therapy
B7-H1 Antigen
Clonal selection
Genomics and Transcriptomics
Immune escape
Immune-checkpoint blockade
Interferon alpha/gamma response
Journal Article
Neoantigens
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
T cell exhaustion
Tumor heterogeneity
Type I and Type II Interferons

Anmerkungen:

Date Completed 15.02.2024

Date Revised 13.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ccell.2023.12.013

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367062976