The Impact of SF3B1 Mutations on the Tumor Microenvironment and Response to Immunotherapy.

Cancer genomes shape the immune landscape within the tumor microenvironment (TME), thereby influencing host antitumor immunity. Identifying somatic mutations that modulate the TME is critical for selecting patients most likely to benefit from immunotherapy. Here, by integrating a transcriptome-based predictive model with comprehensive genomic analyses, we identified SF3B1 splicing factor mutations associated with the response to immune checkpoint inhibitors (ICIs). We systematically evaluated the effects of SF3B1 mutations on the TME and ICI response through in silico, in vitro, and in vivo approaches. Comparative analyses of patient genotypes, together with loss- and gain-of-function studies, revealed that SF3B1 mutations drive transcriptional reprogramming that enhances ICI responsiveness. To validate these findings in vivo, we established a syngeneic mouse model using immune-resistant B16F10 melanoma cells. SF3B1-mutant tumors, compared with wild-type counterparts, exhibited TME features and immune profiles indicative of an enhanced antitumor immune response, including increased proportions of CD4