Hallmarks of Resistance to Immune-Checkpoint Inhibitors.

TitleHallmarks of Resistance to Immune-Checkpoint Inhibitors.
Publication TypeJournal Article
Year of Publication2022
AuthorsKarasarides M, Cogdill AP, Robbins PB, Bowden M, Burton EM, Butterfield LH, Cesano A, Hammer C, Haymaker CL, Horak CE, McGee HM, Monette A, Rudqvist N-P, Spencer CN, Sweis RF, Vincent BG, Wennerberg E, Yuan J, Zappasodi R, Lucey VMHubbard, Wells DK, LaVallee T
JournalCancer Immunol Res
Volume10
Issue4
Pagination372-383
Date Published2022 Apr 01
ISSN2326-6074
KeywordsAntineoplastic Agents, Immunological, Humans, Immune Checkpoint Inhibitors, Neoplasms
Abstract

Immune-checkpoint inhibitors (ICI), although revolutionary in improving long-term survival outcomes, are mostly effective in patients with immune-responsive tumors. Most patients with cancer either do not respond to ICIs at all or experience disease progression after an initial period of response. Treatment resistance to ICIs remains a major challenge and defines the biggest unmet medical need in oncology worldwide. In a collaborative workshop, thought leaders from academic, biopharma, and nonprofit sectors convened to outline a resistance framework to support and guide future immune-resistance research. Here, we explore the initial part of our effort by collating seminal discoveries through the lens of known biological processes. We highlight eight biological processes and refer to them as immune resistance nodes. We examine the seminal discoveries that define each immune resistance node and pose critical questions, which, if answered, would greatly expand our notion of immune resistance. Ultimately, the expansion and application of this work calls for the integration of multiomic high-dimensional analyses from patient-level data to produce a map of resistance phenotypes that can be utilized to guide effective drug development and improved patient outcomes.

DOI10.1158/2326-6066.CIR-20-0586
Alternate JournalCancer Immunol Res
PubMed ID35362046
PubMed Central IDPMC9381103
Grant ListR00 CA256526 / CA / NCI NIH HHS / United States
P50 CA192937 / CA / NCI NIH HHS / United States
U24 CA224285 / CA / NCI NIH HHS / United States
K08 CA234392 / CA / NCI NIH HHS / United States
R01 CA236905 / CA / NCI NIH HHS / United States
P50 CA221703 / CA / NCI NIH HHS / United States