Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

Signatures of T cell dysfunction and exclusion predict cancer immunotherapy response

Peng Jiang, Shengqing Gu, Deng Pan, Jingxin Fu, Avinash Sahu, Xihao Hu, Ziyi Li, Nicole Traugh, Xia Bu, Bo Li, Jun Liu, Gordon J. Freeman, Myles Brown, Kai W. Wucherpfennig, X. Shirley Liu

Nature Medicine · 2018

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Summary

This 2018 Nature Medicine study presents computational and molecular evidence that specific signatures of T cell dysfunction and immune cell exclusion from the tumour microenvironment can predict individual patient responses to cancer immunotherapy. The work suggests that combined assessment of T cell exhaustion markers and immune infiltration patterns may help stratify patients likely to benefit from immunotherapy. The findings support a mechanistic understanding of immunotherapy resistance rooted in T cell state and tumour immune composition.

UK applicability

The predictive biomarker signatures described may have relevance to UK cancer treatment centres and NHS immunotherapy decision-making, potentially informing patient selection and therapy sequencing. Application would require validation in UK clinical cohorts and integration into established diagnostic pathways.

Key measures

T cell exhaustion markers, immune checkpoint expression, tumour-infiltrating lymphocyte profiles, immunotherapy response outcomes

Outcomes reported

The study identified molecular signatures of T cell dysfunction and immune exclusion that predict response and resistance to cancer immunotherapy. The analysis examined tumour microenvironment characteristics associated with immunotherapy efficacy.

Theme
Nutrition & health
Subject
Other / interdisciplinary
Study type
Research
Study design
Observational cohort
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1038/s41591-018-0136-1
Catalogue ID
SNmoh0dvhr-3xr1na

Topic tags

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