한빛사논문
Abstract
Daniel Sanghoon Shin1, Jesse M. Zaretsky1, Helena Escuin-Ordinas1, Angel Garcia-Diaz1, Siwen Hu-Lieskovan1, Anusha Kalbasi1, Catherine S. Grasso1, Willy Hugo1, Salemiz Sandoval1, Davis Y. Torrejon1, Nicolaos Palaskas1, Gabriel Abril Rodriguez1, Giulia Parisi1, Ariel Azhdam1, Bartosz Chmielowski1,2, Grace Cherry1, Elizabeth Seja1, Beata Berent-Maoz1, I. Peter Shintaku1, Dung Thi Le3, Drew M. Pardoll3, Luis A. Diaz, Jr3, Paul C. Tumeh1, Thomas G. Graeber1,2, Roger S. Lo1,2, Begona Comin-Anduix1,2, Antoni Ribas1,2 ,*
1 University of California Los Angeles (UCLA), Los Angeles, CA, USA.
2 Jonsson Comprehensive Cancer Center, Los Angeles, CA.
3 Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD.
*Correspondence to: Antoni Ribas, MD, PhD, Department of Medic ine, Division of Hematology-Oncology, UCLA, 11-934 Factor Building, 10833 Le Conte Avenue, Los Angeles, CA 90095-1782.
Abstract
Loss of function mutations in JAK½ can lead to acquired resistance to anti-programmed death protein 1 (PD-1) therapy. We reasoned they may also be involved in primary resistance to anti-PD-1 therapy. JAK½ inactivating mutations were noted in tumor biopsies of 1 of 23 patients with melanoma and in 1 of 16 patients with mismatch repair deficient colon cancer treated with PD-1 blockade. Both cases had a high mutational load but did not respond to anti-PD-1 therapy. Two out of 48 human melanoma cell lines had JAK½ mutations, which led to lack of PD-L1 expression upon interferon gamma exposure mediated by inability to signal through the interferon gamma receptor pathway. JAK½ loss-of-function alterations in TCGA confer adverse outcomes in patients. We propose that JAK½ loss-of-function mutations are a genetic mechanism of lack of reactive PD-L1 expression and response to interferon gamma, leading to primary resistance to PD-1 blockade therapy.
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