TMB: a promising immune-response biomarker, and potential spearhead in advancing targeted therapy trials.

Abstract:

:Immune checkpoint inhibition (ICI) has revolutionized cancer treatment, and produced durable responses in many cancer types. However, there remains a subset of patients that do not respond despite their tumors exhibiting PD-L1 expression, which highlights the need for additional biomarkers relevant to response. Here, we review checkpoint inhibitor signal pathways, resistance and sensitivity mechanisms, as well as response rates. We also investigate the correlation and response to ICI with BRCA1/2 mutation status and homologous recombination deficient tumors. Collectively we show that the use of tumor mutational burden may be effective as an emerging biomarker.

journal_name

Cancer Gene Ther

journal_title

Cancer gene therapy

authors

Choucair K,Morand S,Stanbery L,Edelman G,Dworkin L,Nemunaitis J

doi

10.1038/s41417-020-0174-y

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

841-853

issue

12

eissn

0929-1903

issn

1476-5500

pii

10.1038/s41417-020-0174-y

journal_volume

27

pub_type

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