Current Immune Checkpoint Inhibitor Genetic Biomarker Exploration in Gastrointestinal Tumors

Immune checkpoint inhibitors have revolutionized cancer management. Some patients with gastrointestinal (GI) tract malignancy have experienced remarkable results. Here, in our review, we discuss predictive/prognostic GI tumor biomarkers that appear to correlate with benefits with this strategy. Rema...

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Main Authors: Jane E. Rogers, Kohei Yamashita, Matheus Sewastjanow Silva, Jaffer A. Ajani
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/19/4804
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author Jane E. Rogers
Kohei Yamashita
Matheus Sewastjanow Silva
Jaffer A. Ajani
author_facet Jane E. Rogers
Kohei Yamashita
Matheus Sewastjanow Silva
Jaffer A. Ajani
author_sort Jane E. Rogers
collection DOAJ
description Immune checkpoint inhibitors have revolutionized cancer management. Some patients with gastrointestinal (GI) tract malignancy have experienced remarkable results. Here, in our review, we discuss predictive/prognostic GI tumor biomarkers that appear to correlate with benefits with this strategy. Remarkable progress has been made in certain subsets of patients including the potential for solid tumor patients to avoid local therapies such as radiation and/or surgery (organ preservation), which come with acute and chronic risks that have historically been the only curable strategies for these GI tumors. These results provide new and exciting strategies for solid tumor management. Unfortunately, immune checkpoint inhibitors can correlate with biomarkers, but benefits occur in a small subset of patients with GI malignancies. Most frequently, immune checkpoint inhibitors fail to induce response in GI malignancies due to the “cold” tumor microenvironment that protects cancer. Translational strategies are needed to develop effective combination strategies and novel biomarkers to overcome the intrinsic resistance.
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spelling doaj.art-63155c9f00324eccb4fcaed90657a9062023-11-23T19:56:51ZengMDPI AGCancers2072-66942022-09-011419480410.3390/cancers14194804Current Immune Checkpoint Inhibitor Genetic Biomarker Exploration in Gastrointestinal TumorsJane E. Rogers0Kohei Yamashita1Matheus Sewastjanow Silva2Jaffer A. Ajani3U.T. M.D. Anderson Cancer Center Pharmacy Clinical Programs, Houston, TX 77030, USAU.T. M.D. Anderson Cancer Center Department of Gastrointestinal Medical Oncology, Houston, TX 77030, USAU.T. M.D. Anderson Cancer Center Department of Gastrointestinal Medical Oncology, Houston, TX 77030, USAU.T. M.D. Anderson Cancer Center Department of Gastrointestinal Medical Oncology, Houston, TX 77030, USAImmune checkpoint inhibitors have revolutionized cancer management. Some patients with gastrointestinal (GI) tract malignancy have experienced remarkable results. Here, in our review, we discuss predictive/prognostic GI tumor biomarkers that appear to correlate with benefits with this strategy. Remarkable progress has been made in certain subsets of patients including the potential for solid tumor patients to avoid local therapies such as radiation and/or surgery (organ preservation), which come with acute and chronic risks that have historically been the only curable strategies for these GI tumors. These results provide new and exciting strategies for solid tumor management. Unfortunately, immune checkpoint inhibitors can correlate with biomarkers, but benefits occur in a small subset of patients with GI malignancies. Most frequently, immune checkpoint inhibitors fail to induce response in GI malignancies due to the “cold” tumor microenvironment that protects cancer. Translational strategies are needed to develop effective combination strategies and novel biomarkers to overcome the intrinsic resistance.https://www.mdpi.com/2072-6694/14/19/4804gastrointestinal neoplasmsimmune checkpoint inhibitormicrosatellite-instability-high/deficient mismatch repairprogrammed-death-1programmed death-ligand-1
spellingShingle Jane E. Rogers
Kohei Yamashita
Matheus Sewastjanow Silva
Jaffer A. Ajani
Current Immune Checkpoint Inhibitor Genetic Biomarker Exploration in Gastrointestinal Tumors
Cancers
gastrointestinal neoplasms
immune checkpoint inhibitor
microsatellite-instability-high/deficient mismatch repair
programmed-death-1
programmed death-ligand-1
title Current Immune Checkpoint Inhibitor Genetic Biomarker Exploration in Gastrointestinal Tumors
title_full Current Immune Checkpoint Inhibitor Genetic Biomarker Exploration in Gastrointestinal Tumors
title_fullStr Current Immune Checkpoint Inhibitor Genetic Biomarker Exploration in Gastrointestinal Tumors
title_full_unstemmed Current Immune Checkpoint Inhibitor Genetic Biomarker Exploration in Gastrointestinal Tumors
title_short Current Immune Checkpoint Inhibitor Genetic Biomarker Exploration in Gastrointestinal Tumors
title_sort current immune checkpoint inhibitor genetic biomarker exploration in gastrointestinal tumors
topic gastrointestinal neoplasms
immune checkpoint inhibitor
microsatellite-instability-high/deficient mismatch repair
programmed-death-1
programmed death-ligand-1
url https://www.mdpi.com/2072-6694/14/19/4804
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AT matheussewastjanowsilva currentimmunecheckpointinhibitorgeneticbiomarkerexplorationingastrointestinaltumors
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