Evidence map›Paper›PMID 35284940›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Circulating Immune Bioenergetic, Metabolic, and Genetic Signatures Predict Melanoma Patients' Response to Anti-PD-1 Immune Checkpoint Blockade.

Pierre L Triozzi, Elizabeth R Stirling, Qianqian Song, Brian Westwood, Mitra Kooshki, M Elizabeth Forbes, Beth C Holbrook, Katherine L Cook, Martha A Alexander-Miller, Lance D Miller and 2 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Pierre L TriozziDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Elizabeth R StirlingDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Qianqian SongDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Brian WestwoodDepartment of Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Mitra KooshkiDepartment of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina.
M Elizabeth ForbesDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.ORCID 0000-0003-3300-5476
Beth C HolbrookDepartment of Microbiology & Immunology, Wake Forest School of Medicine, Winston-Salem, North Carolina.ORCID 0000-0001-6026-695X
Katherine L CookDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Martha A Alexander-MillerWake Forest Baptist Comprehensive Cancer Center, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Lance D MillerDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.ORCID 0000-0003-3799-2528
Wei ZhangDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
David R Soto-PantojaDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina.ORCID 0000-0003-0107-7678

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
TRAINING PROGRAM IN IMMUNOLOGY AND PATHOGENESIST32AI007401 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Martha Ann Alexander-Miller · 1991 to 2026
$4.4M
Redox Biology and Medicine Training ProgramT32GM127261 · NIGMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI FURDUI, CRISTINA MARIA, POOLE, LESLIE B · 2018 to 2022
$975k
Combinatorial Strategies for the Treatment of Brain MetastasesR21CA249349 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SOTO PANTOJA, DAVID R. · 2020 to 2021
$362k
American Cancer Society Research Scholar Grant 133727-RSG-19-150-01-LIBNCI NIH HHS P30 CA012197NCI NIH HHS R21 CA249349NIAID NIH HHS T32 AI007401NIGMS NIH HHS T32 GM127261V Foundation V Scholar in Cancer Research Award V2019-018
6 · The paper itself

Abstract

purposeImmunotherapy with checkpoint inhibitors is improving the outcomes of several cancers. However, only a subset of patients respond. Therefore, predictive biomarkers are critically needed to guide treatment decisions and develop approaches to the treatment of therapeutic resistance. EXPERIMENTAL

designWe compared bioenergetics of circulating immune cells and metabolomic profiles of plasma obtained at baseline from patients with melanoma treated with anti-PD-1 therapy. We also performed single-cell RNA sequencing (scRNAseq) to correlate transcriptional changes associated with metabolic changes observed in peripheral blood mononuclear cells (PBMC) and patient plasma.

resultsPretreatment PBMC from responders had a higher reserve respiratory capacity and higher basal glycolytic activity compared with nonresponders. Metabolomic analysis revealed that responder and nonresponder patient samples cluster differently, suggesting differences in metabolic signatures at baseline. Differential levels of specific lipid, amino acid, and glycolytic pathway metabolites were observed by response. Further, scRNAseq analysis revealed upregulation of T-cell genes regulating glycolysis. Our analysis showed that SLC2A14 (Glut-14; a glucose transporter) was the most significant gene upregulated in responder patients' T-cell population. Flow cytometry analysis confirmed significantly elevated cell surface expression of the Glut-14 in CD3+, CD8+, and CD4+ circulating populations in responder patients. Moreover, LDHC was also upregulated in the responder population.

conclusionsOur results suggest a glycolytic signature characterizes checkpoint inhibitor responders; consistently, both ECAR and lactate-to-pyruvate ratio were significantly associated with overall survival. Together, these findings support the use of blood bioenergetics and metabolomics as predictive biomarkers of patient response to immune checkpoint inhibitor therapy.

Indexed as

Immune Checkpoint InhibitorsMelanomaEnergy MetabolismHumansLeukocytes, MononuclearProgrammed Cell Death 1 ReceptorImmune Checkpoint InhibitorsProgrammed Cell Death 1 Receptor

Identifiers

PMID35284940
PMCPMC9179080

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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.