“…The biological mechanisms driving the antitumor activity of ICIs in SMARCA4-UT are not yet understood; abnormalities in the SWI/SNF complex correlate with enhanced interferon-gamma-induced T-cell cytotoxicity and better outcomes concerning ICIs in other malignancies [ 77 , 78 ] An enriched Th1 and cytotoxic T-cell microenvironment was recently reported in four cases of SMARCA4-deficient SCCOHT with prolonged responses to ICIs [ 77 ]. To the best of our knowledge, only one study has reported a low response rate to ICIs in SMARCA4-UT, which was associated with an absence of tumor-infiltrating lymphocytes in the TME [ 79 ] Conversely, Hozumi et al [ 80 ] showed that low SMARCA4 expression correlates with the upregulation of the T cell effector; the mature B cell marker; and central memory marker genes, such as CD8B, CD40LG, CD20, CD38, CD79, interferon Regulatory Factor 4, CD27, and -C motif chemokine receptor 7. At the same time, chemokines that attract functional T and B cells inside tumors (namely, chemokine (C-C motif) ligand (CCL)19 and CCL21) are upregulated, while chemokines that induce an immunosuppressive TME (namely, Interleukin 20 receptor, alpha subunit, CD200, and CXCL8) are downregulated in patients with cancer harboring low SMARCA4 expression.…”