Role of mass spectrometry-based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapy

Immunotherapy has fundamentally changed the landscape of cancer treatment. However, only a subset of patients respond to immunotherapy, and a significant portion experience immune-related adverse events (irAEs). In addition, the predictive ability of current biomarkers such as programmed death-ligan...

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Main Authors: Young Kwang Chae, Emma Yu, Na Hyun Kim, Min Jeong Kim, Leeseul Kim, Hyung-Gyo Cho, Yeonggyeong Park, Yoonhee Choi, Seung Pyo Daniel Hong
Format: Article
Language:English
Published: BMJ Publishing Group 2022-03-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/10/3/e003566.full
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author Young Kwang Chae
Emma Yu
Na Hyun Kim
Min Jeong Kim
Leeseul Kim
Hyung-Gyo Cho
Yeonggyeong Park
Yoonhee Choi
Seung Pyo Daniel Hong
author_facet Young Kwang Chae
Emma Yu
Na Hyun Kim
Min Jeong Kim
Leeseul Kim
Hyung-Gyo Cho
Yeonggyeong Park
Yoonhee Choi
Seung Pyo Daniel Hong
author_sort Young Kwang Chae
collection DOAJ
description Immunotherapy has fundamentally changed the landscape of cancer treatment. However, only a subset of patients respond to immunotherapy, and a significant portion experience immune-related adverse events (irAEs). In addition, the predictive ability of current biomarkers such as programmed death-ligand 1 (PD-L1) remains unreliable and establishing better potential candidate markers is of great importance in selecting patients who would benefit from immunotherapy. Here, we focus on the role of serum-based proteomic tests in predicting the response and toxicity of immunotherapy. Serum proteomic signatures refer to unique patterns of proteins which are associated with immune response in patients with cancer. These protein signatures are derived from patient serum samples based on mass spectrometry and act as biomarkers to predict response to immunotherapy. Using machine learning algorithms, serum proteomic tests were developed through training data sets from advanced non-small cell lung cancer (Host Immune Classifier, Primary Immune Response) and malignant melanoma patients (PerspectIV test). The tests effectively stratified patients into groups with good and poor treatment outcomes independent of PD-L1 expression. Here, we review current evidence in the published literature on three liquid biopsy tests that use biomarkers derived from proteomics and machine learning for use in immuno-oncology. We discuss how these tests may inform patient prognosis as well as guide treatment decisions and predict irAE of immunotherapy. Thus, mass spectrometry-based serum proteomics signatures play an important role in predicting clinical outcomes and toxicity.
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spelling doaj.art-a9af539960c14eebb6591d661e6d999e2023-07-25T12:15:07ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262022-03-0110310.1136/jitc-2021-003566Role of mass spectrometry-based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapyYoung Kwang Chae0Emma Yu1Na Hyun Kim2Min Jeong Kim3Leeseul Kim4Hyung-Gyo Cho5Yeonggyeong Park6Yoonhee Choi7Seung Pyo Daniel Hong8Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA1Northwestern University Feinberg School of Medicine, Chicago, IL, USAAMITA Health Saint Joseph Hospital Chicago, Chicago, Illinois, USA1 Section of Cardiovascular Imaging, Division of Cardiology, Cardiovascular Center, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea1AMITA health Saint Francis Hospital Evanston, Chicago, IL, USA1Northwestern University, Feinberg School of Medicine, Chicago, IL, USA1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA2 Department of Internal Medicine, NewYork-Presbyterian Queens, Flushing, New York, USA1 Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USAImmunotherapy has fundamentally changed the landscape of cancer treatment. However, only a subset of patients respond to immunotherapy, and a significant portion experience immune-related adverse events (irAEs). In addition, the predictive ability of current biomarkers such as programmed death-ligand 1 (PD-L1) remains unreliable and establishing better potential candidate markers is of great importance in selecting patients who would benefit from immunotherapy. Here, we focus on the role of serum-based proteomic tests in predicting the response and toxicity of immunotherapy. Serum proteomic signatures refer to unique patterns of proteins which are associated with immune response in patients with cancer. These protein signatures are derived from patient serum samples based on mass spectrometry and act as biomarkers to predict response to immunotherapy. Using machine learning algorithms, serum proteomic tests were developed through training data sets from advanced non-small cell lung cancer (Host Immune Classifier, Primary Immune Response) and malignant melanoma patients (PerspectIV test). The tests effectively stratified patients into groups with good and poor treatment outcomes independent of PD-L1 expression. Here, we review current evidence in the published literature on three liquid biopsy tests that use biomarkers derived from proteomics and machine learning for use in immuno-oncology. We discuss how these tests may inform patient prognosis as well as guide treatment decisions and predict irAE of immunotherapy. Thus, mass spectrometry-based serum proteomics signatures play an important role in predicting clinical outcomes and toxicity.https://jitc.bmj.com/content/10/3/e003566.full
spellingShingle Young Kwang Chae
Emma Yu
Na Hyun Kim
Min Jeong Kim
Leeseul Kim
Hyung-Gyo Cho
Yeonggyeong Park
Yoonhee Choi
Seung Pyo Daniel Hong
Role of mass spectrometry-based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapy
Journal for ImmunoTherapy of Cancer
title Role of mass spectrometry-based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapy
title_full Role of mass spectrometry-based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapy
title_fullStr Role of mass spectrometry-based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapy
title_full_unstemmed Role of mass spectrometry-based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapy
title_short Role of mass spectrometry-based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapy
title_sort role of mass spectrometry based serum proteomics signatures in predicting clinical outcomes and toxicity in patients with cancer treated with immunotherapy
url https://jitc.bmj.com/content/10/3/e003566.full
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