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Table 6 Underlying mechanisms of resistance to immunotherapy

From: Intratumor heterogeneity: the hidden barrier to immunotherapy against MSI tumors from the perspective of IFN-γ signaling and tumor-infiltrating lymphocytes

Findings

Tumor type

N

Immunotherapy

Impact

References

LOH in β2M

Metastatic melanoma

160

Ipilimumab, Pembrolizumab

No response

[188]

Deficient IFN-γ pathway genes (IFNGR1, IRF1, JAK2 and IFNGR2)

Melanoma

16

Ipilimumab

No response

[177]

Loss-of-function mutations in JAK1/2, inactivation of β2M

Metastatic melanoma

4

Pembrolizumab

Initial response followed by progression

[176]

Gain-of-function mutations in β-catenin

Metastatic melanoma

266

anti-PD-L1/anti-CTLA-4

Absence of T cell infiltration

[184]

Active β-catenin expression

Melanoma model

ACT

No response, resistant to memory CD8 + T Cells

[186]

Biallelic losses of β2M and HLA genes, upregulated WNT/β-catenin signaling

CRC

179

Absence of T cell infiltration

[7]

Increased Wnt signaling, decreased IFN-γ levels

Melanoma

31

Suppression of induction and effector phases of anti-tumor T cell responses

[185]

Loss-of-function mutations in JAK1/2

Melanoma

169

Anti-PD-L1/anti-CTLA-4

Progressive disease

[9]

Loss-of-function mutations in JAK1/2

Metastatic melanoma, CC

39

Anti-PD-1

No response

[180]

  1. LOH Loss of heterozygosity, IFN-γ Interferon-gamma, IFNGR1/2 Interferon-gamma receptor 1/2, IRF1 Interferon regulatory factor 1, JAK1/2 Janus kinase 1/2, HLA Human leukocyte antigen, CRC Colorectal cancer, CC Colon cancer, ACT Adoptive cell transfer