2018
DOI: 10.1016/j.isci.2018.10.021
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Immunogenomic Landscape Contributes to Hyperprogressive Disease after Anti-PD-1 Immunotherapy for Cancer

Abstract: SummaryAlthough PD-1-blocking immunotherapies demonstrate significant therapeutic promise, a subset of the patients could develop hyperprogressive disease (HPD) with accelerated tumor growth after anti-PD1 immunotherapy. To elucidate the underlying mechanisms, we compared the mutational and transcriptional landscapes between the pre- and post-therapy tumors of two patients developing HPD after anti-PD-1 immunotherapy. In post-therapy HPD tumors, somatic mutations were found in known cancer genes, including tum… Show more

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Cited by 82 publications
(84 citation statements)
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“…With the development of sequencing technologies, the personalized combination therapy will be feasible in the near future. A study showed that the pre-therapy tumor clone with mutations in CDC27 could not be detected after anti-PD-1 treatment in patients with hyperprogressive disease (42). In addition, CDC27 was also reported to be the most frequently mutated gene of resistant clones in a patient with exceptional response to immune checkpoint inhibitor (43).…”
Section: Discussionmentioning
confidence: 99%
“…With the development of sequencing technologies, the personalized combination therapy will be feasible in the near future. A study showed that the pre-therapy tumor clone with mutations in CDC27 could not be detected after anti-PD-1 treatment in patients with hyperprogressive disease (42). In addition, CDC27 was also reported to be the most frequently mutated gene of resistant clones in a patient with exceptional response to immune checkpoint inhibitor (43).…”
Section: Discussionmentioning
confidence: 99%
“…Since we used an immunocompromised (NSG) mouse model, immunological factors are unlikely to play a role in the absence of in vivo tumor formation through EP300 KD. Nevertheless, Xiong et al showed that EP300 expression might be predictive of hyper progressive disease after PD-L1 blockade [37] and it would be of interest to investigate the role of EP300 in TNBC cells in the context of a functional immune system [38].…”
Section: Discussionmentioning
confidence: 99%
“…Associations were made with increased age [11], higher lactate dehydrogenase (LDH) concentration in the serum [31], female sex [35], previous irradiation of the tumour area [37], pre-existence of liver-located or more than two metastatic sites [46], MDM2/MDM4 and EGFR genetic alterations [32,47] and mutations in a variety of oncogenes [48]. Most results were not replicated by other studies [49].…”
Section: Markers Associated With Hpmentioning
confidence: 98%