NLRC5/CITA expression correlates with efficient response to checkpoint blockade immunotherapy

Sayuri Yoshihama1,2, Steven X Cho3, Jason Yeung1

  • 1Department of Microbial Pathogenesis and Immunology, Texas A&M Health Science Center, 415A Reynolds Medical Building, College Station, TX, 77843, USA.

Scientific Reports
|February 6, 2021
PubMed

Insights

NLRC5 expression predicts response to cancer immunotherapy. Higher NLRC5 levels in melanoma tumors correlate with better outcomes from checkpoint blockade therapies like anti-CTLA-4 and anti-PD1.

Area of Science:

  • Immunology
  • Oncology
  • Genetics

Background:

  • Checkpoint blockade immunotherapy shows promise for various cancers.
  • Cancer cells can evade immune detection, limiting immunotherapy effectiveness.
  • Identifying suitable patients is vital due to treatment costs and side effects.

Purpose of the Study:

  • To investigate NLRC5 as a predictive biomarker for checkpoint blockade immunotherapy response.
  • To evaluate NLRC5 expression in relation to anti-CTLA-4 and anti-PD1 therapies in melanoma.

Main Methods:

  • Analysis of NLRC5 and MHC class I gene expression in melanoma tumors from immunotherapy responders and non-responders.
  • Multivariate analysis incorporating tumor mutation number, neo-antigen load, and PD-L2 expression.
  • Correlation of NLRC5 expression/methylation and mutation load with patient survival.

Main Results:

  • Melanoma patients responding to immunotherapy had higher NLRC5 and MHC class I gene expression.
  • Multivariate analysis improved stratification of responders versus non-responders to anti-CTLA-4 therapy.
  • NLRC5 expression and tumor mutation load significantly correlated with increased patient survival.

Conclusions:

  • NLRC5 tumor expression is a potential predictive biomarker for anti-CTLA-4 and anti-PD1 immunotherapy response in melanoma.
  • Combined assessment of NLRC5 and tumor mutation load may offer valuable prognostic insights.
  • These findings could guide patient selection for immunotherapy, optimizing treatment efficacy and resource allocation.

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