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Updated: Sep 6, 2025

Predictive Immune Modeling of Solid Tumors
Published on: February 25, 2020
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.
Abstract:
Metastatic Merkel cell carcinoma (MCC) and cutaneous squamous cell carcinoma (cSCC) are rare and both show impressive responses to immune checkpoint inhibitor treatment. However, at least 40% of patients do not respond to these expensive and potentially toxic drugs. Development of predictive biomarkers of response and rational, effective combination treatment strategies in these rare, often frail patient populations is challenging. This review discusses the pathophysiology and treatment of MCC and cSCC, with a particular focus on potential biomarkers of response to immunotherapy, and discusses how transfer learning using big data collected from patients with common tumours can be used in combination with deep phenotyping of rare tumours to develop predictive biomarkers and elucidate novel treatment targets.
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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