Evidence map›Paper›PMID 40530504›Full record

ArticleCancer discovery2025

Cytotoxic NK Cells Impede Response to Checkpoint Immunotherapy in Melanoma with an Immune-Excluded Phenotype.

Joanna Pozniak, Niccolò Roda, Ewout Landeloos, Asier Antoranz, Yannick Van Herck, Amber De Visscher, Philip Georg Demaerel, Lukas Vanwynsberghe, Jeroen Declercq, Christos Gkemisis and 13 more

Abstract read
In one paragraph

Article in Cancer discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

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  4. Unconventional functions of natural killer cells in homeostasis and disease.Journal of immunology (Baltimore, Md. : 1950) · 2026
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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

23 authors.

Joanna Pozniak *Laboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0001-5739-1098
Niccolò Roda *Laboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0003-2798-2035
Ewout Landeloos *Laboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-9128-6432
Asier AntoranzLaboratory of Translational Cell and Tissue Research, Department of Pathology, KU Leuven, Leuven, Belgium.ORCID 0000-0001-7284-610X
Yannick Van HerckDepartment of General Medical Oncology, UZ Leuven, Leuven, Belgium.ORCID 0000-0003-4604-8010
Amber De VisscherLaboratory of Immunobiology, Department of Microbiology, Immunology and Transplantation, Rega Institute, KU Leuven, Leuven, Belgium.ORCID 0000-0002-9577-2390
Philip Georg DemaerelLaboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-0187-272X
Lukas VanwynsbergheLaboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-3565-9900
Jeroen DeclercqLaboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-1244-7729
Christos GkemisisLaboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-9889-8036
Greet BervoetsLaboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0003-2416-7246
No-Joon SongPelotonia Institute for Immuno-Oncology, The Ohio State University Comprehensive Cancer Center- James Cancer Center and Solove Research Institute, Columbus, Ohio.ORCID 0009-0002-0947-0597
Ayse BassezLaboratory of Translational Genetics, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-0432-1536
Robin BrowaeysData Mining and Modelling for Biomedicine, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0003-2934-5195
Lotte PollarisData Mining and Modelling for Biomedicine, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0002-9509-9386
Francesca M BosisioDepartment of Pathology, UZLeuven, Leuven, Belgium.ORCID 0000-0002-8874-2003
Veerle BoecxstaensDepartment of Surgical Oncology, UZLeuven, Leuven, Belgium.ORCID 0000-0001-5238-2619
Yvan SaeysData Mining and Modelling for Biomedicine, VIB Center for Inflammation Research, Ghent, Belgium.ORCID 0000-0002-0415-1506
Diether LambrechtsLaboratory of Translational Genetics, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0002-3429-302X
Zihai LiPelotonia Institute for Immuno-Oncology, The Ohio State University Comprehensive Cancer Center- James Cancer Center and Solove Research Institute, Columbus, Ohio.ORCID 0000-0003-4603-927X
Patrick MatthysLaboratory of Immunobiology, Department of Microbiology, Immunology and Transplantation, Rega Institute, KU Leuven, Leuven, Belgium.ORCID 0000-0002-9685-6836
Oliver BechterDepartment of General Medical Oncology, UZ Leuven, Leuven, Belgium.ORCID 0000-0003-0667-3284
Jean-Christophe MarineLaboratory for Molecular Cancer Biology, Center for Cancer Biology, VIB, Leuven, Belgium.ORCID 0000-0003-2433-9837

Funding

Fonds Wetenschappelijk Onderzoek (FWO) 11K0722NFonds Wetenschappelijk Onderzoek (FWO) 1253225N-7028Fonds Wetenschappelijk Onderzoek (FWO) 12ATN24NFonds Wetenschappelijk Onderzoek (FWO) EMH-D8972-FKM/20FWO/FRS-FNRS # 40007513FWO/FRS-FNRS EOSFWO/KOTK G045824NFWO/KOTK G070622NFWO/KOTK G0B1622NFWO-SBO S006825NHORIZON EUROPE Marie Sklodowska-Curie Actions (MSCA) #896897iBOF #23/005KU Leuven (Katholieke Universiteit Leuven) EMH-D8191-AKUL/19/30 I005920NStichting Tegen Kanker (Fondation Contre le Cancer) 2022-037Stichting Tegen Kanker (Fondation Contre le Cancer) 2022-178Stichting Tegen Kanker (Fondation Contre le Cancer) 2023/2310Stichting Tegen Kanker (Fondation Contre le Cancer) 2024-198The Research Foundation Flanders 11J7324N
6 · The paper itself

Abstract

Immune checkpoint blockade (ICB) has revolutionized cancer treatment. Unfortunately, the inability of lymphocytes to infiltrate the tumor nest, a phenomenon known as immune exclusion, drastically limits ICB responsiveness. Analyzing the immune landscape of matched pre- and early on-treatment biopsies of patients with melanoma undergoing ICB therapy, we observed a significant increase in cytotoxic NK cells in early on-treatment biopsies from nonresponders. Spatial multiomic analyses revealed that, although NK cells colocalized with CD8+ T cells within the tumor bed in responding lesions, they were excluded from the tumor parenchyma in nonresponding lesions. Strikingly, pharmacologic depletion of NK cells in a unique melanoma mouse model exhibiting an immune-excluded phenotype unleashed immune infiltration of the tumor core and tumor clearance upon ICB exposure. Mechanistically, we show that NK cells are actively recruited to immune-excluded areas upon ICB exposure via the chemokine receptor CX3CR1 to suppress tumor infiltration and antitumor function of CD8+ T cells. SIGNIFICANCE: Immune exclusion is responsible for intrinsic resistance to ICB in about half of nonresponder patients. Our unexpected observation that targeting NK cell biology unleashes the recruitment and antitumor activity of CD8+ T cells in tumors with an immune-excluded phenotype offers a potential therapeutic avenue for this large patient population. See related commentary by Galvez-Cancino et al., p. 1777 See related article by Song et al., p. 1835.

Indexed as

Immune Checkpoint InhibitorsKiller Cells, NaturalMelanomaAnimalsCD8-Positive T-LymphocytesFemaleHumansImmunotherapyMicePhenotypeImmune Checkpoint Inhibitors

Identifiers

PMID40530504
PMCPMC12409281

What OpenQuestion holds

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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.