New cytometry tools for immune monitoring during cancer immunotherapy

Shomyseh Sanjabi1, Sean Lear2

  • 1Department of Oncology Biomarker Development, Genentech Developmental Sciences, South San Francisco, California, USA.

Insights

Cancer immunotherapy shows promise, but resistance limits effectiveness. Advanced flow cytometry can monitor immune cells in blood to predict treatment outcomes and optimize therapies for better patient benefit.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Cancer immunotherapy (CIT) has advanced significantly, necessitating a deeper understanding of immune system function in health and disease.
  • The Human Cell Atlas initiative aims to map all human cells, aiding in the repair of dysfunctional cells.
  • Immune checkpoint blockade (ICB) reinvigorates T cells in some cancer patients, but resistance mechanisms limit its universal efficacy.

Purpose of the Study:

  • To review advances in understanding how ICB antibodies re-invigorate tumor-specific T cells.
  • To highlight recent progress in high-complexity flow cytometry for immune monitoring.
  • To emphasize the need for early biomarkers of response and resistance in ICB therapy.

Main Methods:

  • Longitudinal analysis of peripheral blood immune cells using flow cytometry as a noninvasive approach.
  • Review of high-complexity flow cytometry, including spectral cytometers, for deep immune phenotyping.
  • Examination of T cell responses to immune checkpoint blockade.

Main Results:

  • ICB antibodies can reinvigorate tumor-specific T cells, leading to durable clinical benefit in a subset of patients.
  • Resistance mechanisms to ICB exist, preventing maximal benefit for all treated individuals.
  • Advanced flow cytometry enables longitudinal sampling and deep immune phenotyping in clinical settings.

Conclusions:

  • Early detection of biomarkers for ICB response and resistance is crucial for patient selection.
  • Advanced cytometry platforms and analyses are essential for immune monitoring.
  • Optimizing CIT treatments through advanced immune monitoring can maximize clinical benefit for cancer patients.

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