Emerging Tissue and Blood-Based Biomarkers that may Predict Response to Immune Checkpoint Inhibition

Curr Oncol Rep. 2016 Apr;18(4):21. doi: 10.1007/s11912-016-0509-x.

Abstract

The immune system plays an essential role in the surveillance and eradication of neoplastic cells. This interaction is modulated via immunologic regulators (checkpoints). Antibodies that block the checkpoints cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), and the programmed cell death protein 1 pathway (PD1/PD-L1) have demonstrated efficacy in a number of malignancies. However, response rates are variable, and administration of these antibodies can be associated with immune-related adverse events. Therefore, researchers are engaged in an effort to discover biomarkers that may predict response to these agents. This review focuses on potential blood and tumor-based biomarkers that have been assessed in patients treated with these checkpoint-blocking antibodies.

Keywords: Biomarkers; CTLA-4; Checkpoint blockade; Immunotherapy; Ipilimumab; Melanoma; Neoantigens; Nivolumab; PD-1; PD-L1; Pembrolizumab.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antibodies / immunology
  • Antibodies / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • B7-H1 Antigen / blood*
  • B7-H1 Antigen / immunology
  • Biomarkers, Tumor / blood*
  • Biomarkers, Tumor / immunology
  • CTLA-4 Antigen / blood*
  • CTLA-4 Antigen / immunology
  • Humans
  • Immunotherapy
  • Ipilimumab
  • Melanoma / blood
  • Melanoma / immunology
  • Melanoma / pathology
  • Melanoma / therapy*
  • Nivolumab
  • Programmed Cell Death 1 Receptor / blood*
  • Programmed Cell Death 1 Receptor / immunology
  • Tumor Microenvironment / immunology

Substances

  • Antibodies
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • B7-H1 Antigen
  • Biomarkers, Tumor
  • CD274 protein, human
  • CTLA-4 Antigen
  • Ipilimumab
  • PDCD1 protein, human
  • Programmed Cell Death 1 Receptor
  • Nivolumab
  • pembrolizumab