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Emergence of High-Avidity Melan-A-Specific Clonotypes as a Reflection of Anti-PD-1 Clinical Efficacy.

Abstract
Therapeutic strategies using anti-PD-1-blocking antibodies reported unparalleled effectiveness for melanoma immunotherapy, but deciphering immune responses modulated by anti-PD-1 treatment remains a crucial issue. Here, we analyzed the composition and functions of the large Melan-A-specific T-cell repertoire in the peripheral blood of 9 melanoma patients before and after 2 months of treatment with anti-PD-1. We observed amplification of Melan-A-specific Vß subfamilies undetectable before therapy (thereafter called emerging Vß subfamilies) in responding patients, with a predominant expansion in patients with a complete response. These emerging Vß subfamilies displayed a higher functional avidity for their cognate antigen than Vß subfamilies not amplified upon anti-PD-1 therapy and could be identified by a sustained coexpression of PD-1 and TIGIT receptors. Thus, in addition to the emergence of neoantigen-specific T cells previously documented upon anti-PD-1 therapy, our work describes the emergence of high-avidity Melan-A-specific clonotypes as a surrogate marker of treatment efficacy. Cancer Res; 77(24); 7083-93. ©2017 AACR.
AuthorsSylvain Simon, Virginie Vignard, Emilie Varey, Tiphaine Parrot, Anne-Chantal Knol, Amir Khammari, Nadine Gervois, Francois Lang, Brigitte Dreno, Nathalie Labarriere
JournalCancer research (Cancer Res) Vol. 77 Issue 24 Pg. 7083-7093 (12 15 2017) ISSN: 1538-7445 [Electronic] United States
PMID29212853 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright©2017 American Association for Cancer Research.
Chemical References
  • Antibodies, Monoclonal
  • Antigens, Neoplasm
  • MART-1 Antigen
  • PDCD1 protein, human
  • Programmed Cell Death 1 Receptor
Topics
  • Antibodies, Monoclonal (therapeutic use)
  • Antibody Affinity
  • Antibody Formation
  • Antigens, Neoplasm (immunology)
  • Cells, Cultured
  • Clone Cells
  • Humans
  • Immunotherapy (methods)
  • MART-1 Antigen (immunology, metabolism)
  • Melanoma (immunology, pathology, therapy)
  • Programmed Cell Death 1 Receptor (immunology)
  • Substrate Specificity
  • Treatment Outcome

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