Melanoma-specific MHC-II expression represents a tumour-autonomous phenotype and predicts response to anti-PD-1/PD-L1 therapy


Journal article


Douglas B. Johnson, M. V. Estrada, R. Salgado, V. Sanchez, Deon B. Doxie, S. Opalenik, A. Vilgelm, Emily Feld, Adam S Johnson, A. Greenplate, M. Sanders, C. Lovly, Dennie T. Frederick, M. Kelley, A. Richmond, J. Irish, Y. Shyr, R. Sullivan, I. Puzanov, J. Sosman, J. Balko
Nature communications, 2016

Semantic Scholar DOI PubMedCentral PubMed
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APA   Click to copy
Johnson, D. B., Estrada, M. V., Salgado, R., Sanchez, V., Doxie, D. B., Opalenik, S., … Balko, J. (2016). Melanoma-specific MHC-II expression represents a tumour-autonomous phenotype and predicts response to anti-PD-1/PD-L1 therapy. Nature Communications.


Chicago/Turabian   Click to copy
Johnson, Douglas B., M. V. Estrada, R. Salgado, V. Sanchez, Deon B. Doxie, S. Opalenik, A. Vilgelm, et al. “Melanoma-Specific MHC-II Expression Represents a Tumour-Autonomous Phenotype and Predicts Response to Anti-PD-1/PD-L1 Therapy.” Nature communications (2016).


MLA   Click to copy
Johnson, Douglas B., et al. “Melanoma-Specific MHC-II Expression Represents a Tumour-Autonomous Phenotype and Predicts Response to Anti-PD-1/PD-L1 Therapy.” Nature Communications, 2016.


BibTeX   Click to copy

@article{douglas2016a,
  title = {Melanoma-specific MHC-II expression represents a tumour-autonomous phenotype and predicts response to anti-PD-1/PD-L1 therapy},
  year = {2016},
  journal = {Nature communications},
  author = {Johnson, Douglas B. and Estrada, M. V. and Salgado, R. and Sanchez, V. and Doxie, Deon B. and Opalenik, S. and Vilgelm, A. and Feld, Emily and Johnson, Adam S and Greenplate, A. and Sanders, M. and Lovly, C. and Frederick, Dennie T. and Kelley, M. and Richmond, A. and Irish, J. and Shyr, Y. and Sullivan, R. and Puzanov, I. and Sosman, J. and Balko, J.}
}

Abstract

Anti-PD-1 therapy yields objective clinical responses in 30–40% of advanced melanoma patients. Since most patients do not respond, predictive biomarkers to guide treatment selection are needed. We hypothesize that MHC-I/II expression is required for tumour antigen presentation and may predict anti-PD-1 therapy response. In this study, across 60 melanoma cell lines, we find bimodal expression patterns of MHC-II, while MHC-I expression was ubiquitous. A unique subset of melanomas are capable of expressing MHC-II under basal or IFNγ-stimulated conditions. Using pathway analysis, we show that MHC-II(+) cell lines demonstrate signatures of ‘PD-1 signalling', ‘allograft rejection' and ‘T-cell receptor signalling', among others. In two independent cohorts of anti-PD-1-treated melanoma patients, MHC-II positivity on tumour cells is associated with therapeutic response, progression-free and overall survival, as well as CD4+ and CD8+ tumour infiltrate. MHC-II+ tumours can be identified by melanoma-specific immunohistochemistry using commercially available antibodies for HLA-DR to improve anti-PD-1 patient selection.


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