Stroma remodeling and reduced cell division define durable response to PD-1 blockade in melanoma

Elena Galvani1, Piyushkumar A Mundra1, Sara Valpione1,2

  • 1Molecular Oncology Group, Cancer Research UK Manchester Institute, The University of Manchester, Alderley Park, Manchester, UK.

Nature Communications
|February 14, 2020
PubMed

Insights

Immune checkpoint inhibitors (ICIs) show promise in melanoma treatment. This study identifies early biological markers of durable response to PD-1 blockade, aiding patient stratification for better outcomes.

Area of Science:

  • Oncology
  • Immunotherapy
  • Melanoma Research

Background:

  • Immune checkpoint inhibitors (ICIs) have revolutionized melanoma treatment.
  • However, the biological characteristics of durable responses to ICIs remain poorly understood.

Purpose of the Study:

  • To investigate the genetic and phenotypic changes associated with durable responses to programmed cell death-1 (PD-1) blockade in melanoma.
  • To identify early indicators of treatment response for improved patient stratification.

Main Methods:

  • Utilized a genetically engineered mouse model of oncogenic BRAF-driven melanoma.
  • Analyzed tumor samples from a mouse model and two independent early on-treatment anti-PD-1 melanoma patient cohorts.

Main Results:

  • Anti-PD-1 treatment resulted in responses in ~35% of tumors and prolonged survival in ~27% of animals in the mouse model.
  • Key features associated with prolonged response included increased stroma remodeling and reduced expression of proliferation markers.
  • These findings were validated in human patient cohorts.

Conclusions:

  • Identified specific biological features (stroma remodeling, reduced proliferation) linked to durable responses to PD-1 blockade in melanoma.
  • These insights offer a strategy for early identification of durable responders and improved patient stratification for ICI therapy.

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