Accounting for B-cell behavior and sampling bias predicts anti-PD-L1 response in bladder cancer
Cancer immunotherapy is predominantly based on T cell-centric approaches. At the same time, the adaptive immune response in the tumor environment also includes clonally produced immunoglobulins and clonal effector/memory B cells that participate in antigen-specific decisions through their interactions with T cells. Here, we investigated the role of infiltrating B cells in bladder cancer via patient dataset analysis of intratumoral immunoglobulin repertoires. We showed that the IgG1/IgA ratio is a prognostic indicator for several subtypes of bladder cancer, and for the whole IMVigor210 anti-PD-L1 immunotherapy study cohort. A high IgG1/IgA ratio associated with the prominence of a cytotoxic gene signature, T-cell receptor signaling, and IL21-mediated signaling. Immunoglobulin repertoire analysis indicated that effector B-cell function, rather than clonally produced antibodies, were involved in antitumor responses. From the T-cell side, we normalized a cytotoxic signature against the extent of immune cell infiltration in order to neutralize the artificial sampling-based variability in immune gene expression. Resulting metrics reflected proportion of cytotoxic cells among tumor-infiltrating immune cells and improved prediction of anti-PD-L1 responses. At the same time, the IgG1/IgA ratio remained an independent prognostic factor. Integration of the B-cell, NK cell, and T-cell signatures allowed for the most accurate prediction of anti-PD-L1 therapy responses. Based on these findings, we developed a predictor called PRIMUS (PRedIctive MolecUlar Signature), which outperformed PD-L1 expression scores and known gene signatures. Overall, PRIMUS allows for reliable identification of responders among muscle-invasive urothelial carcinoma patients, including the subcohort with the low-infiltrated "desert" tumor phenotype.
: 35013004
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- 075-15-2020-807. . Внебюджетное финансирование.


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