Metabolic predictors of response to immune checkpoint blockade therapy

Ofir Shorer1, Keren Yizhak1,2

  • 1Department of Cell Biology and Cancer Science, The Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa 3525422, Israel.

Iscience
|November 15, 2023
PubMed

Insights

Immune cell metabolism in the tumor microenvironment (TME) impacts cancer patient response to immune checkpoint inhibitors (ICI). This study reveals distinct metabolic states associated with ICI treatment response, enabling a predictor for patient outcomes.

Area of Science:

  • Immunology
  • Metabolomics
  • Cancer Research

Background:

  • Immune cell metabolism within the tumor microenvironment (TME) is crucial for predicting patient responses to immune checkpoint inhibitors (ICI).
  • A detailed metabolic characterization of immune cells in the TME of patients undergoing ICI therapy is currently lacking.
  • Understanding these metabolic profiles is essential for improving cancer treatment strategies.

Purpose of the Study:

  • To characterize the metabolism of immune cells in the TME of cancer patients treated with ICI.
  • To identify metabolic states associated with patient response to ICI therapy.
  • To develop a predictive model for ICI treatment outcomes based on immune cell metabolism.

Main Methods:

  • Semi-supervised analysis of approximately 1700 metabolic genes.
  • Utilized single-cell RNA sequencing data from over 1 million immune cells across approximately 230 cancer patient samples.
  • Clustering of immune cells based on metabolic gene expression profiles.

Main Results:

  • Identified distinct metabolic states within immune cells, independent of their immunological states.
  • Discovered specific metabolic states significantly correlated with patient response to ICI.
  • Developed a predictive model using a 12-gene signature that accurately differentiates responders from non-responders (AUC = 0.8-0.92) across various cancer types.

Conclusions:

  • Immune cell metabolism within the TME is a powerful indicator of patient response to ICI.
  • Metabolic profiling offers a promising avenue for predicting ICI treatment efficacy.
  • This research provides a foundation for developing novel biomarkers and therapeutic strategies targeting cancer metabolism.

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