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Updated: Jan 10, 2026

T and B Cell Receptor Immune Repertoire Analysis using Next-generation Sequencing
Published on: January 12, 2021
Tissue and peripheral T cell receptor repertoire predicts immunotherapy response and progression-free survival in
Manuel Pino-González1, Martín Lázaro-Quintela1,2, Irene Alonso-Álvarez1
1Translational Oncology Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Hospital Álvaro Cunqueiro, Carretera Clara Campoamor, 341, 36213, Vigo, Spain.
Abstract:
Immunotherapy has opened new avenues of treatment for patients with advanced non-small cell lung cancer (NSCLC) without previous hope of survival. Unfortunately, only a small percentage of patients benefit from it and there is not an effective biomarker to predict patients' response. Since T cells are key effectors of antitumor immunity, T cell receptor (TCR) has emerged as a potential predictive biomarker. Here, we evaluated the potential of baseline TCR repertoire, as a predictive biomarker in advanced NSCLC patients treated with pembrolizumab at first-line. After obtaining peripheral blood and tissue samples at baseline, next-generation sequencing targeting TCRβ/γ was performed. We found an uneven tumor-infiltrating TCRβ repertoire, and the use of various tumor-infiltrating and circulating TRBV/J genes were able of predicting the immunotherapy response. Our results support the potential of evaluating tissue and circulating TCRβ repertoire prior to pembrolizumab, revealing it as a promising immunotherapy response biomarker in NSCLC patients.
Insights
T-cell receptor (TCR) repertoire analysis shows promise as a predictive biomarker for immunotherapy response in advanced non-small cell lung cancer (NSCLC) patients treated with pembrolizumab.
Area of Science:
- Oncology
- Immunology
- Genetics
Background:
- Immunotherapy offers new treatment options for advanced non-small cell lung cancer (NSCLC).
- Predicting patient response to immunotherapy remains a challenge due to the lack of effective biomarkers.
- T cells are crucial for anti-tumor immunity, making T cell receptors (TCRs) potential predictive markers.
Purpose of the Study:
- To evaluate the potential of baseline TCR repertoire as a predictive biomarker for immunotherapy response in advanced NSCLC patients.
- To assess if TCR repertoire can predict response to first-line pembrolizumab treatment.
Main Methods:
- Peripheral blood and tissue samples were collected at baseline from advanced NSCLC patients.
- Next-generation sequencing was performed targeting TCRβ/γ genes.
- Analysis of tumor-infiltrating and circulating TCR repertoires was conducted.
Main Results:
- An uneven tumor-infiltrating TCRβ repertoire was observed.
- Specific tumor-infiltrating and circulating TRBV/J gene usage predicted immunotherapy response.
- Baseline TCR repertoire analysis demonstrated potential as a predictive biomarker.
Conclusions:
- Evaluating tissue and circulating TCRβ repertoire before pembrolizumab treatment is supported.
- TCR repertoire emerges as a promising biomarker for predicting immunotherapy response in NSCLC patients.
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