Evidence map›Paper›PMID 41955022›Full record

ArticleJCI insight2026

Loss of tumor-infiltrating lymphocytes and poor response to immunotherapy in IDH GOF mutant melanoma.

Emma Specht, Lakshmi Pakanati, Meng-Ju Wu, Russell W Jenkins, Derek N Effiom, Nabeel Bardeesy, Bradley E Bernstein, Moshe Sade-Feldman, Christine G Lian, Genevieve M Boland and 2 more

Abstract read
In one paragraph

Article in JCI insight, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Emma SpechtDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Lakshmi PakanatiDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Meng-Ju WuKrantz Family Center for Cancer Research, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Russell W JenkinsKrantz Family Center for Cancer Research, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Derek N EffiomDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Nabeel BardeesyKrantz Family Center for Cancer Research, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Bradley E BernsteinDepartment of Cancer Biology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Moshe Sade-FeldmanKrantz Family Center for Cancer Research, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Christine G LianDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Genevieve M BolandDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Elena Torlai TrigliaBroad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Sonia CohenDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

Tissue and Pathology ResourcesP50CA127003 · NCI · DANA-FARBER CANCER INST · PI SHIVDASANI, RAMESH A · 2007 to 2023
$33.2M
Functions of mutant IDH in cholangiocarcinomaR01CA280085 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI NABEEL El-BARDEESY · 2023 to 2026
$2.6M
Harnessing mutant IDH1 as a therapeutic target in liver cancer and other solid malignanciesR01CA292508 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI NABEEL El-BARDEESY, Robert Thomas Manguso · 2025 to 2026
$1.4M
NCI NIH HHS P50 CA127003NCI NIH HHS R01 CA280085NCI NIH HHS R01 CA292508
6 · The paper itself

Abstract

Recent innovations in melanoma treatment with immune checkpoint blockade (ICB) have improved overall outcomes for patients; however, over 50% of patients still develop resistance to treatment. These patients either have intrinsic resistance and never respond to therapy or develop acquired resistance months or years into treatment. The mechanisms underlying ICB resistance remain poorly understood. Our data show that patients with isocitrate dehydrogenase gain-of-function (IDH GOF) mutant melanoma have a worse response to anti-PD1 immunotherapy. IDH mutations have been found to be oncogenic and associated with differential methylation in multiple cancers but are not yet characterized in human melanoma. Here, we investigate the clinical, immune, and transcriptional phenotypes of IDH GOF melanomas through analyses of clinical response, single-cell RNA-seq, bulk RNA-seq, and DNA methylation data. Single-cell data analysis showed decreased immune infiltrate and activity in the IDH GOF tumors. Bulk sequencing data demonstrated the association among IDH mutation, immune exclusion, and disruptions in global DNA methylation. The melanoma-derived genomic data presented support previously described resistance mechanisms of IDH mutation in other cancer types and is the first demonstration to our knowledge of the role of IDH GOF in the human melanoma tumor microenvironment.

Indexed as

Immune Checkpoint InhibitorsImmunotherapyIsocitrate DehydrogenaseLymphocytes, Tumor-InfiltratingMelanomaDNA MethylationDrug Resistance, NeoplasmFemaleHumansMutationTumor MicroenvironmentIDH1 protein, humanImmune Checkpoint InhibitorsIsocitrate DehydrogenaseCancer immunotherapyEpigeneticsGeneticsImmunologyMelanomaOncology

Identifiers

PMID41955022
PMCPMC13313554

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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.