Driving innovation for rare skin cancers: utilizing common tumours and machine learning to predict immune checkpoint

J S Hooiveld-Noeken1, R S N Fehrmann1, E G E de Vries1

  • 1Department of Medical Oncology, University Medical Centre Groningen, the Netherlands.

Insights

Predicting immune checkpoint inhibitor response in rare cancers like Merkel cell carcinoma (MCC) and cutaneous squamous cell carcinoma (cSCC) is crucial. Transfer learning and deep phenotyping may help identify biomarkers for better treatment strategies.

Area of Science:

  • Oncology
  • Immunotherapy
  • Biomarker Discovery

Background:

  • Metastatic Merkel cell carcinoma (MCC) and cutaneous squamous cell carcinoma (cSCC) respond well to immune checkpoint inhibitors (ICIs).
  • However, 40% of patients do not respond to ICI therapy, necessitating predictive biomarkers.
  • Developing biomarkers and combination treatments for these rare cancers is challenging.

Purpose of the Study:

  • To review the pathophysiology and treatment of MCC and cSCC.
  • To focus on potential biomarkers for immunotherapy response.
  • To explore the use of transfer learning and deep phenotyping for biomarker development and novel treatment targets.

Main Methods:

  • Literature review of MCC and cSCC pathophysiology and treatment.
  • Discussion of potential predictive biomarkers for immunotherapy response.
  • Exploration of transfer learning with big data from common tumors and deep phenotyping of rare tumors.

Main Results:

  • Identified challenges in predicting ICI response in rare cancers.
  • Highlighted the need for novel biomarkers and combination therapies.
  • Proposed transfer learning and deep phenotyping as methods for biomarker discovery.

Conclusions:

  • Effective prediction of ICI response in MCC and cSCC requires advanced strategies.
  • Transfer learning and deep phenotyping offer promising avenues for developing predictive biomarkers.
  • These approaches can elucidate novel therapeutic targets for rare cancers.

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