Conserved interferon-g signaling drives clinical response to immune checkpoint blockade therapy in melanoma
Keywords: 
RNA-seq
Anti-CTLA-4
Anti-PD-1
Biopsies
Clinical trial
Immune checkpoint blockade
Immune exclusion
Interferon-γ
Resistance
Response
Transcriptomics
Issue Date: 
2020
Publisher: 
Elsevier
ISSN: 
1878-3686
Note: 
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Citation: 
Grasso, C.S. (Catherine S.); Tsoi, J. (Jennifer); Onyshchenko, M. (Mykola); et al. "Conserved interferon-g signaling drives clinical response to immune checkpoint blockade therapy in melanoma". Cell press. 38 (4), 2020, 500 - 515.e3.
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.

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