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The Search for Predictive Biomarkers in Response to Immune Checkpoint Inhibitors and Associated Adverse Events
Marco Agostini1, Pietro Traldi1, Mahmoud Hamdan1
1Corso Stati Uniti 4, Istituto di Ricerca Pediatrica Città della Speranza, 35100 Padova, Italy.
Journal of Personalized Medicine
|December 24, 2025
Summary
Immune checkpoint inhibitors (ICIs) advance cancer treatment by enhancing T cell responses. Research is focusing on biomarkers to predict patient response and potential adverse events for safer, more effective immunotherapy.
Area of Science:
- Oncology
- Immunology
- Biomarker Discovery
Background:
- Immune checkpoint inhibitors (ICIs) represent a significant advancement in cancer immunotherapy.
- ICIs function by blocking inhibitory immune receptors like PD-1, PD-L1, and CTLA-4 to enhance anti-tumor T cell responses.
- Despite their success, challenges remain in identifying patients who will benefit and predicting immune-related adverse events (irAEs).
Purpose of the Study:
- To review current research on biomarkers for predicting ICI efficacy and irAEs.
- To highlight advancements in immunotherapy and the need for predictive tools.
- To discuss the potential of novel approaches in biomarker development.
Main Methods:
- Review of current research on biomarkers for immunotherapy.
- Discussion of immune checkpoint targets (PD-1, PD-L1, CTLA-4).
- Exploration of liquid biopsy combined with mass spectrometry-based proteomics.
Main Results:
- Biomarker research is crucial for optimizing ICI therapy.
- Liquid biopsy coupled with proteomics shows promise for identifying predictive biomarkers.
- These advancements aim to improve patient selection and safety in immunotherapy.
Conclusions:
- Developing effective biomarkers is essential for advancing immunotherapy.
- Liquid biopsy and proteomics offer a promising avenue for biomarker discovery.
- These efforts will lead to more personalized and safer cancer treatments.

