Immune mechanisms and predictive biomarkers related to neoadjuvant immunotherapy response in stage III melanoma

Autor: Amanda Braga Figueiredo, Milton José Barros e Silva, Guilherme Ferreira de Britto Evangelista, Nayane Alves de Lima Galdino, Larissa de Melo Kuil, Iasmim Polido Santos, Kátia Luciano Pereira Morais, Clara Maciel Cavalcanti, Luciana Facure Moredo, João Pedreira Duprat-Neto, Kenneth J Gollob
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Heliyon, Vol 10, Iss 12, Pp e32624- (2024)
Druh dokumentu: article
ISSN: 2405-8440
DOI: 10.1016/j.heliyon.2024.e32624
Popis: The treatment for stage III melanoma has advanced significantly, nevertheless, a substantial proportion of patients experience relapse. Neoadjuvant immune checkpoint blockade has emerged as a promising approach, allowing early micrometastatic disease treatment, reduction of tumor burden before surgery, and enhanced tumor-specific T-cell responses. However, not all patients respond to treatment, highlighting the need for understanding immune mechanisms behind failure and identification of predictive markers. Here we performed a robust evaluation of systemic and tumoral immune profiles in a well-defined cohort of advanced melanoma patients treated with immune checkpoint inhibitors. Elevated CTACK and CXCL9 chemokines pre-treatment suggested their potential as predictive tools for treatment response. Furthermore, CD95 expression in CD8+ T lymphocytes surfaced as a favorable prognostic indicator, while PD-1, CD161, and PD-L2 exhibited correlations with worst outcomes. These findings shed light on the intricate interplay between immune markers and melanoma response to neoadjuvant immune checkpoint therapy, offering insights into personalized treatment strategies.
Databáze: Directory of Open Access Journals