Genetic diversity of tumors with mismatch repair deficiency influences anti–PD-1 immunotherapy response

Author:

Mandal Rajarsi123ORCID,Samstein Robert M.34ORCID,Lee Ken-Wing3ORCID,Havel Jonathan J.35ORCID,Wang Hao6,Krishna Chirag7ORCID,Sabio Erich Y.3,Makarov Vladimir35ORCID,Kuo Fengshen5ORCID,Blecua Pedro4,Ramaswamy Apoorva T.8,Durham Jennifer N.269ORCID,Bartlett Bjarne9,Ma Xiaoxiao3ORCID,Srivastava Raghvendra5,Middha Sumit10ORCID,Zehir Ahmet10ORCID,Hechtman Jaclyn F.10,Morris Luc GT3511ORCID,Weinhold Nils4,Riaz Nadeem345,Le Dung T.269,Diaz Luis A.512ORCID,Chan Timothy A.345ORCID

Affiliation:

1. Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University, Baltimore, MD 21287, USA.

2. Bloomberg-Kimmel Institute for Cancer Immunotherapy at Johns Hopkins, Baltimore, MD 21287, USA.

3. Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

4. Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

5. Immunogenomics and Precision Oncology Platform, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

6. Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD 21287, USA.

7. Computational and Systems Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

8. Department of Otolaryngology–Head and Neck Surgery, Weill Cornell New York Presbyterian Hospital, New York, NY 10065, USA.

9. Swim Across America Laboratory at Johns Hopkins, Baltimore, MD 21287, USA.

10. Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

11. Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

12. Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.

Abstract

High mutational load gets a response Cancers harbor many genetic mutations. Defects in DNA mismatch repair prevent tumors from repairing certain types of DNA damage and lead to a hypermutable genomic state known as microsatellite instability (MSI). Some tumors with a high degree of MSI may be treatable with PD-1 (programmed cell death–1) immunotherapy, but patient response is highly variable. Mandal et al. studied drivers of differential response to immunotherapy in these patients and found that MSI intensity and insertion-deletion mutations strongly affected therapeutic outcome. Science , this issue p. 485

Funder

National Institutes of Health

Merck

Stand Up To Cancer

Swim Across America

Starr Foundation

Pershing Square Foundation

Conquer Cancer Foundation

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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