Evidence map›Paper›PMID 27903500›Full record

ArticleCancer discovery2017

Primary Resistance to PD-1 Blockade Mediated by JAK1/2 Mutations.

Daniel Sanghoon Shin, Jesse M Zaretsky, Helena Escuin-Ordinas, Angel Garcia-Diaz, Siwen Hu-Lieskovan, Anusha Kalbasi, Catherine S Grasso, Willy Hugo, Salemiz Sandoval, Davis Y Torrejon and 17 more

Abstract read
In one paragraph

Article in Cancer discovery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 844 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
844citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

844 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Hyperprogressive disease in carcinoma induced by immune checkpoint inhibitor therapy: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
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  14. Article
  15. Reprogramming resistance in advanced lung cancer: epigenetic modulation to restore therapeutic vulnerability.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  16. Article
  17. Review
  18. Targeting the JAK/STAT signalling axis in cancer: chemopreventive potential of natural compounds with emerging focus on retinoids.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  19. Review
  20. Review

784 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors.

Daniel Sanghoon ShinUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Jesse M ZaretskyUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Helena Escuin-OrdinasUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Angel Garcia-DiazUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Siwen Hu-LieskovanUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Anusha KalbasiUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Catherine S GrassoUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Willy HugoUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Salemiz SandovalUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Davis Y TorrejonUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Nicolaos PalaskasUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Gabriel Abril RodriguezUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Giulia ParisiUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Ariel AzhdamUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Bartosz ChmielowskiUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Grace CherryUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Elizabeth SejaUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Beata Berent-MaozUniversity of California, Los Angeles (UCLA), Los Angeles, California.
I Peter ShintakuUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Dung T LeJohns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Drew M PardollJohns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Luis A DiazJohns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Paul C TumehUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Thomas G GraeberUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Roger S LoUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Begoña Comin-AnduixUniversity of California, Los Angeles (UCLA), Los Angeles, California.
Antoni RibasUniversity of California, Los Angeles (UCLA), Los Angeles, California. aribas@mednet.ucla.edu.

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
UCLA-Caltech Medical Scientist Training ProgramT32GM008042 · NIGMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI AJIJOLA, OLUJIMI A, DAWSON, DAVID WAYNE · 1985 to 2023
$29.9M
Next Generation Cancer Immunotherapies to Defeat MelanomaR35CA197633 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTONI RIBAS · 2015 to 2026
$10.4M
UCLA Tumor Immunology Training ProgramT32CA009120 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Steven M. Dubinett, MICHAEL A TEITELL · 1985 to 2026
$10.3M
TARGETED COMBINATORIAL TREATMENT OF BRAF MELANOMASP01CA168585 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RIBAS, ANTONI · 2013 to 2017
$8.4M
ACADEMIC TRAINING IN MEDICAL ONCOLOGYT32CA009297 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RIBAS, ANTONI · 1985 to 2013
$3.3M
Dermatology Scientist Training ProgramT32AR058921 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MODLIN, ROBERT L · 2010 to 2014
$877k
Response and Acquired Resistance to PD-1 BlockadeR01CA199205 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RIBAS, ANTONI · 2015 to 2015
$551k
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1 TR001881NCI NIH HHS P01 CA168585NCI NIH HHS R01 CA199205NCI NIH HHS R35 CA197633NCI NIH HHS T32 CA009120NCI NIH HHS T32 CA009297NIAMS NIH HHS T32 AR058921NIGMS NIH HHS T32 GM008042
6 · The paper itself

Abstract

Loss-of-function mutations in JAK1/2 can lead to acquired resistance to anti-programmed death protein 1 (PD-1) therapy. We reasoned that they may also be involved in primary resistance to anti-PD-1 therapy. JAK1/2-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 JAK1/2 mutations, which led to a lack of PD-L1 expression upon interferon gamma exposure mediated by an inability to signal through the interferon gamma receptor pathway. JAK1/2 loss-of-function alterations in The Cancer Genome Atlas confer adverse outcomes in patients. We propose that JAK1/2 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. SIGNIFICANCE: A key functional result from somatic JAK1/2 mutations in a cancer cell is the inability to respond to interferon gamma by expressing PD-L1 and many other interferon-stimulated genes. These mutations result in a genetic mechanism for the absence of reactive PD-L1 expression, and patients harboring such tumors would be unlikely to respond to PD-1 blockade therapy. Cancer Discov; 7(2); 188-201. ©2016 AACR.See related commentary by Marabelle et al., p. 128This article is highlighted in the In This Issue feature, p. 115.

Indexed as

Drug Resistance, NeoplasmMutationAntibodies, Monoclonal, HumanizedCell Line, TumorColonic NeoplasmsGene Expression Regulation, NeoplasticHumansInterferon-gammaJanus Kinase 1Janus Kinase 2MelanomaNeoplasmsProgrammed Cell Death 1 ReceptorSignal TransductionAntibodies, Monoclonal, HumanizedInterferon-gammaJAK1 protein, humanJAK2 protein, humanJanus Kinase 1Janus Kinase 2PDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 Receptor

Identifiers

PMID27903500
PMCPMC5296316

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.