Quantitatively defined stromal B cell aggregates are associated with response to checkpoint inhibitors in

James W Smithy1, Xiyu Peng2, Fiona D Ehrich3

  • 1Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Cell Reports
|April 12, 2025
PubMed

Insights

Multiplex immunofluorescence aids immunotherapy biomarker discovery. Higher stromal B cells in melanoma predict better response to immune checkpoint inhibitors, identified using machine learning.

Area of Science:

  • Oncology
  • Immunology
  • Computational Biology

Background:

  • Multiplex immunofluorescence (mIF) offers detailed spatial and phenotypic insights into the tumor microenvironment.
  • Analyzing complex mIF data requires automated pipelines for efficient biomarker discovery.
  • Immune checkpoint inhibitors (ICIs) have revolutionized cancer therapy, necessitating predictive biomarkers.

Purpose of the Study:

  • To investigate the utility of mIF for identifying immunotherapy biomarkers in melanoma.
  • To develop and validate automated analysis methods for mIF data.
  • To explore the relationship between immune cell populations and clinical response to ICIs.

Main Methods:

  • Utilized multiplex immunofluorescence on pre-treatment melanoma samples from 50 patients receiving ICIs.
  • Applied DBSCAN, a machine learning algorithm, for automated detection of B cell aggregates.
  • Analyzed spatial relationships between T cell subpopulations (TCF1+, LAG3-) and stromal B cells.

Main Results:

  • A higher percentage of stromal B cells correlated with improved clinical benefit from ICI therapy.
  • Automated DBSCAN detection of B cell aggregates showed potential for higher accuracy than manual pathologist assessment.
  • TCF1+ and LAG3- T cell subpopulations were found to be enriched near stromal B cells.

Conclusions:

  • Multiplex immunofluorescence is a valuable tool for discovering spatial immunotherapy biomarkers in melanoma.
  • Automated analysis of mIF data, using machine learning, can enhance biomarker discovery accuracy.
  • Stromal B cells and associated T cell subpopulations represent potential predictive biomarkers for ICI therapy response.

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