We aim to better understand the mutual interaction between the immune system and cancer, and how therapeutic interventions change these interactions. This knowledge will contribute to development of novel therapies for cancer that optimally engage the body's own defense system.
KEYWORDS
human cohorts, immunotherapy, mouse models, skin cancer, tertiary lymphoid structures
The tumor microenvironment (TME) has a substantial influence on disease progression and response to therapy. Recently, tertiary lymphoid structures (TLS) were recognized as a relevant immune component of the TME. In cancer patients, TLS correlate with improved survival in a growing list of tumor types, suggesting that TLS contribute to anti-tumor immunity. Along the same lines, TLS density may have predictive potential for the clinical response to immunotherapy.
Immune checkpoint inhibition results in significant and durable clinical responses in a proportion of cancer patients but is ineffective in others. Predicting which patients will benefit from this treatment and/or develop severe toxicity is still a challenge, and data regarding predictive biomarkers are conflicting.
We propose here that the immune composition of the TME including the presence of TLS influences the efficacy of immune checkpoint inhibition.
To test this hypothesis, we will use samples from cohorts of patients with skin cancer as well as preclinical models for cancer and TLS-induction. Specifically, we will use state-of-the-art technologies such as multispectral immunofluorescence imaging allowing high-dimensional analysis of the TME while maintaining the spatial context.
SKINTEGRITY.CH Principal Investigators are in bold: