Molecular patterns of resistance to immune checkpoint blockade in melanoma.


Journal

Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555

Informations de publication

Date de publication:
09 Apr 2024
Historique:
received: 27 07 2023
accepted: 02 04 2024
medline: 10 4 2024
pubmed: 10 4 2024
entrez: 9 4 2024
Statut: epublish

Résumé

Immune checkpoint blockade (ICB) has improved outcome for patients with metastatic melanoma but not all benefit from treatment. Several immune- and tumor intrinsic features are associated with clinical response at baseline. However, we need to further understand the molecular changes occurring during development of ICB resistance. Here, we collect biopsies from a cohort of 44 patients with melanoma after progression on anti-CTLA4 or anti-PD1 monotherapy. Genetic alterations of antigen presentation and interferon gamma signaling pathways are observed in approximately 25% of ICB resistant cases. Anti-CTLA4 resistant lesions have a sustained immune response, including immune-regulatory features, as suggested by multiplex spatial and T cell receptor (TCR) clonality analyses. One anti-PD1 resistant lesion harbors a distinct immune cell niche, however, anti-PD1 resistant tumors are generally immune poor with non-expanded TCR clones. Such immune poor microenvironments are associated with melanoma cells having a de-differentiated phenotype lacking expression of MHC-I molecules. In addition, anti-PD1 resistant tumors have reduced fractions of PD1

Identifiants

pubmed: 38594286
doi: 10.1038/s41467-024-47425-y
pii: 10.1038/s41467-024-47425-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3075

Informations de copyright

© 2024. The Author(s).

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Auteurs

Martin Lauss (M)

Division of Oncology, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.
Lund University Cancer Center, LUCC, Lund, Sweden.

Bengt Phung (B)

Division of Oncology, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.
Lund University Cancer Center, LUCC, Lund, Sweden.

Troels Holz Borch (TH)

National Center for Cancer Immune Therapy, Department of Oncology, Copenhagen University Hospital, Herlev, Denmark.

Katja Harbst (K)

Division of Oncology, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.
Lund University Cancer Center, LUCC, Lund, Sweden.

Kamila Kaminska (K)

Division of Oncology, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.
Lund University Cancer Center, LUCC, Lund, Sweden.

Anna Ebbesson (A)

Division of Oncology, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.
Lund University Cancer Center, LUCC, Lund, Sweden.

Ingrid Hedenfalk (I)

Division of Oncology, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.
Lund University Cancer Center, LUCC, Lund, Sweden.

Joan Yuan (J)

Division of Molecular Hematology, Department of Laboratory Medicine, Faculty of Medicine, Lund University, 22185, Lund, Sweden.

Kari Nielsen (K)

Lund University Cancer Center, LUCC, Lund, Sweden.
Division of Dermatology, Skåne University Hospital and Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.

Christian Ingvar (C)

Division of Surgery, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.

Ana Carneiro (A)

Division of Oncology, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.
Department of Hematology, Oncology and Radiation Physics, Skåne University Hospital Comprehensive Cancer Center, 22185, Lund, Sweden.

Karolin Isaksson (K)

Lund University Cancer Center, LUCC, Lund, Sweden.
Division of Surgery, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden.
Department of Surgery, Kristianstad Hospital, 29133, Kristianstad, Sweden.

Kristian Pietras (K)

Lund University Cancer Center, LUCC, Lund, Sweden.
Division of Translational Cancer Research, Department of Laboratory Medicine, Faculty of Medicine, Lund University, 22185, Lund, Sweden.

Inge Marie Svane (IM)

National Center for Cancer Immune Therapy, Department of Oncology, Copenhagen University Hospital, Herlev, Denmark.

Marco Donia (M)

National Center for Cancer Immune Therapy, Department of Oncology, Copenhagen University Hospital, Herlev, Denmark.

Göran Jönsson (G)

Division of Oncology, Department of Clinical Sciences, Faculty of Medicine, Lund University, 22185, Lund, Sweden. goran_b.jonsson@med.lu.se.
Lund University Cancer Center, LUCC, Lund, Sweden. goran_b.jonsson@med.lu.se.

Classifications MeSH