Genomic correlates of response to immune checkpoint blockade in microsatellite-stable solid tumors.

Nat Genet
Authors
Keywords
Abstract

Tumor mutational burden correlates with response to immune checkpoint blockade in multiple solid tumors, although in microsatellite-stable tumors this association is of uncertain clinical utility. Here we uniformly analyzed whole-exome sequencing (WES) of 249 tumors and matched normal tissue from patients with clinically annotated outcomes to immune checkpoint therapy, including radiographic response, across multiple cancer types to examine additional tumor genomic features that contribute to selective response. Our analyses identified genomic correlates of response beyond mutational burden, including somatic events in individual driver genes, certain global mutational signatures, and specific HLA-restricted neoantigens. However, these features were often interrelated, highlighting the complexity of identifying genetic driver events that generate an immunoresponsive tumor environment. This study lays a path forward in analyzing large clinical cohorts in an integrated and multifaceted manner to enhance the ability to discover clinically meaningful predictive features of response to immune checkpoint blockade.

Year of Publication
2018
Journal
Nat Genet
Volume
50
Issue
9
Pages
1271-1281
Date Published
2018 09
ISSN
1546-1718
DOI
10.1038/s41588-018-0200-2
PubMed ID
30150660
PubMed Central ID
PMC6119118
Links
Grant list
K08 CA188615 / CA / NCI NIH HHS / United States
T32 HG002295 / HG / NHGRI NIH HHS / United States
T32 CA009172 / CA / NCI NIH HHS / United States
R01 CA140594 / CA / NCI NIH HHS / United States
R01 CA166480 / CA / NCI NIH HHS / United States
R01 CA227388 / CA / NCI NIH HHS / United States