1. Multimodel preclinical platform predicts clinical response of melanoma to immunotherapy
- Author
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Roger S. Lo, Khiem C. Lam, Maxwell P. Lee, Aleksandra M. Michalowski, Eva Pérez-Guijarro, Romina S. Goldszmid, Howard H. Yang, Romina E. Araya, Glenn Merlino, Terry Van Dyke, Rajaa El Meskini, Alan Kulaga, Helen T. Michael, Chi-Ping Day, Nicholas P. Restifo, Willy Hugo, Zoe Weaver Ohler, Shyam K. Sharan, Suman K. Vodnala, Sung Chin, Kerrie L. Marie, Anthony J. Iacovelli, Anyen Fon, Andres Thorkelsson, and Cari Smith
- Subjects
0301 basic medicine ,Oncology ,medicine.medical_specialty ,medicine.medical_treatment ,Programmed Cell Death 1 Receptor ,Cell ,Mice, Transgenic ,General Biochemistry, Genetics and Molecular Biology ,Article ,Transcriptome ,Genetic Heterogeneity ,Mice ,03 medical and health sciences ,Antineoplastic Agents, Immunological ,0302 clinical medicine ,Immune system ,Internal medicine ,medicine ,Animals ,Humans ,CTLA-4 Antigen ,RNA-Seq ,Melanoma ,Cells, Cultured ,Whole Genome Sequencing ,Genetic heterogeneity ,business.industry ,General Medicine ,Immunotherapy ,Prognosis ,medicine.disease ,Ipilimumab ,Phenotype ,Immune checkpoint ,Gene Expression Regulation, Neoplastic ,Mice, Inbred C57BL ,Disease Models, Animal ,Treatment Outcome ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Female ,Drug Screening Assays, Antitumor ,business - Abstract
Although immunotherapy has revolutionized cancer treatment, only a subset of patients demonstrate durable clinical benefit. Definitive predictive biomarkers and targets to overcome resistance remain unidentified, underscoring the urgency to develop reliable immunocompetent models for mechanistic assessment. Here we characterize a panel of syngeneic mouse models, rep-resenting a variety of molecular and phenotypic subtypes of human melanomas and exhibiting their diverse range of responses to immune checkpoint blockade (ICB). Comparative analysis of genomic, transcriptomic and tumor-infiltrating immune cell profiles demonstrated alignment with clinical observations and validated the correlation of T cell dysfunction and exclusion programs with resistance. Notably, genome-wide expression analysis uncovered a melanocytic plasticity signature predictive of patient outcome in response to ICB, suggesting that the multipotency and differentiation status of melanoma can determine ICB benefit. Our comparative preclinical platform recapitulates melanoma clinical behavior and can be employed to identify mechanisms and treatment strategies to improve patient care.
- Published
- 2020