Patterns of Peripheral Blood B-Cell Subtypes Are Associated With Treatment Response in Patients Treated With Immune Checkpoint Inhibitors: A Prospective Longitudinal Pan-Cancer Study.


Journal

Frontiers in immunology
ISSN: 1664-3224
Titre abrégé: Front Immunol
Pays: Switzerland
ID NLM: 101560960

Informations de publication

Date de publication:
2022
Historique:
received: 20 12 2021
accepted: 10 03 2022
entrez: 18 4 2022
pubmed: 19 4 2022
medline: 20 4 2022
Statut: epublish

Résumé

Immune checkpoint inhibitors (ICIs) have revolutionized systemic anti-tumor treatments across different types of cancer. Nevertheless, predictive biomarkers regarding treatment response are not routinely established yet. Apart from T-lymphocytes, the humoral immunity of B-lymphocytes is studied to a substantially lesser extent in the respective setting. Thus, the aim of this study was to evaluate peripheral blood B-cell subtypes as potential predictors of ICI treatment response. Thirty-nine cancer patients receiving ICI therapy were included into this prospective single-center cohort study. All had a first blood draw at the date before treatment initiation and a second at the time of first response evaluation (after 8-12 weeks). Seven different B-cell subtypes were quantified by fluorescence-activated cell sorting (FACS). Disease control- (DCR) and objective response rate (ORR) were co-primary study endpoints. Overall, DCR was 48.7% and ORR was 25.6%, respectively. At baseline, there was no significant association of any B-cell subtype with neither DCR nor ORR. At the first response evaluation, an increase in the frequency of CD21 In this study, certain B-cell subpopulations were associated with ICI treatment response in various human cancer types.

Sections du résumé

Background
Immune checkpoint inhibitors (ICIs) have revolutionized systemic anti-tumor treatments across different types of cancer. Nevertheless, predictive biomarkers regarding treatment response are not routinely established yet. Apart from T-lymphocytes, the humoral immunity of B-lymphocytes is studied to a substantially lesser extent in the respective setting. Thus, the aim of this study was to evaluate peripheral blood B-cell subtypes as potential predictors of ICI treatment response.
Methods
Thirty-nine cancer patients receiving ICI therapy were included into this prospective single-center cohort study. All had a first blood draw at the date before treatment initiation and a second at the time of first response evaluation (after 8-12 weeks). Seven different B-cell subtypes were quantified by fluorescence-activated cell sorting (FACS). Disease control- (DCR) and objective response rate (ORR) were co-primary study endpoints.
Results
Overall, DCR was 48.7% and ORR was 25.6%, respectively. At baseline, there was no significant association of any B-cell subtype with neither DCR nor ORR. At the first response evaluation, an increase in the frequency of CD21
Conclusion
In this study, certain B-cell subpopulations were associated with ICI treatment response in various human cancer types.

Identifiants

pubmed: 35432362
doi: 10.3389/fimmu.2022.840207
pmc: PMC9010871
doi:

Substances chimiques

Immune Checkpoint Inhibitors 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

840207

Subventions

Organisme : Austrian Science Fund FWF
ID : W 1226
Pays : Austria

Informations de copyright

Copyright © 2022 Barth, Stanzer, Spiegelberg, Bauernhofer, Absenger, Szkandera, Gerger, Smolle, Hutterer, Ahyai, Madl, Posch, Riedl, Klec, Jost, Kargl, Stradner and Pichler.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Dominik A Barth (DA)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Stefanie Stanzer (S)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Jasmin A Spiegelberg (JA)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Thomas Bauernhofer (T)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Gudrun Absenger (G)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Joanna Szkandera (J)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Armin Gerger (A)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Maria A Smolle (MA)

Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.

Georg C Hutterer (GC)

Department of Urology, Medical University of Graz, Graz, Austria.

Sascha A Ahyai (SA)

Department of Urology, Medical University of Graz, Graz, Austria.

Tobias Madl (T)

Gottfried Schatz Research Center, Molecular Biology and Biochemistry, Medical University of Graz, Graz, Austria.
BioTechMed-Graz, Graz, Austria.

Florian Posch (F)

Division of Hematology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Jakob M Riedl (JM)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Christiane Klec (C)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Philipp J Jost (PJ)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Julia Kargl (J)

Division of Hematology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Otto Loewi Research Center, Division of Pharmacology, Medical University of Graz, Graz, Austria.

Martin H Stradner (MH)

Division of Rheumatology and Immunology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.

Martin Pichler (M)

Division of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Department of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.

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