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Loss of IFN-γ Pathway Genes in Tumor Cells as a Mechanism of Resistance to Anti-CTLA-4 Therapy
Open accessAbstract
Antibody blockade of the inhibitory CTLA-4 pathway has led to clinical benefit in a subset of patients with metastatic melanoma. Anti-CTLA-4 enhances T cell responses, including production of IFN-γ, which is a critical cytokine for host immune responses. However, the role of IFN-γ signaling in tumor cells in the setting of anti-CTLA-4 therapy remains unknown. Here, we demonstrate that patients identified as non-responders to anti-CTLA-4 (ipilimumab) have tumors with genomic defects in IFN-γ pathway genes. Furthermore, mice bearing melanoma tumors with knockdown of IFN-γ receptor 1 (IFNGR1) have impaired tumor rejection upon anti-CTLA-4 therapy. These data highlight that loss of the IFN-γ signaling pathway is associated with primary resistance to anti-CTLA-4 therapy. Our findings demonstrate the importance of tumor genomic data, especially IFN-γ related genes, as prognostic information for patients selected to receive treatment with immune checkpoint therapy.
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“Mutations in IFNGR1 and JAK, a component of the IFNγ signaling pathway, have been found in patients presenting resistance to checkpoint inhibitors (Gao et al., 2016; Zaretsky et al., 2016).”
From Protein Barcodes Enable High-Dimensional Single-Cell CRISPR Screens (2018) · cites this paper as Gao et al., 2016
In the citing paper
“These findings are consistent with emerging clinical data correlating resistance to checkpoint inhibitors with mutations in the B2m and IFNγ pathways (Gao et al., 2016; Zaretsky et al., 2016), and with recent genome-wide CRISPR screening data (Patel et al., 2017).”
From Protein Barcodes Enable High-Dimensional Single-Cell CRISPR Screens (2018) · cites this paper as Gao et al., 2016
In the citing paper
“P. distasonis has been shown to enhance immune checkpoint inhibitor-mediated anticancer immunity by inducing the production of IFNγ+CD8+ T cells.53 54”
In the citing paper
“In addition, knockdown of IFNγ-receptor 1 led to impaired antitumor responses with anti-CTLA4 in a murine model of melanoma (159).”
From The Next Decade of Immune Checkpoint Therapy (2021) · cites this paper as [159]
In the citing paper
“Interferon (IFN) signaling through the Janus kinase (JAK)/signal transducer and activator of transcription (STAT) pathway plays a prominent role in tumor immunity.”
From Hallmarks of response, resistance, and toxicity to immune checkpoint blockade (2021) · cites this paper as Gao et al., 2016
In the citing paper
“Defects associated with this pathway and its downstream effectors have shown both negative and positive correlations with response to ICB, suggesting a dual role for this pathway in tumor immunity (Ayers et al., 2017; Gao et al., 2016).”
From Hallmarks of response, resistance, and toxicity to immune checkpoint blockade (2021) · cites this paper as Gao et al., 2016
In the citing paper
“Loss of IFN-ɤ signaling could induce resistance to anti-CTLA-4 treatment (95).”
From Gut Microbiome as a Potential Factor for Modulating Resistance to Cancer Immunotherapy (2020) · cites this paper as [95]
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“93 This was recently argued by Song and Chow, who showed that tumor intrinsic mutations in IFN-γ signaling genes when present prior to treatment do sensitize a tumor to ICI treat-ment.”
MYC at the tumor–immune interface: mechanisms of immune escape and immunotherapy resistance
González-Larreategui, Í., Martin, M. C., Casacuberta‐Serra, S., & Soucek, L. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1738440 · Cited by 10
A comprehensive review of mechanisms underlying resistance to immune checkpoint inhibitors
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Striking the right balance with type I interferon signalling in cancer
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“Aside from the intertumor heterogeneity in NK ligand expression that may determine whether IFN-g pathway mutant tumors are able to recruit and activate NK cells,(3,68-71) mutational analyses of patient tumors show a diverse range of mutations in downstream components of the IFN-g pathway that may (subtly) affect signa…”
BackgroundCediranib enhances the transcription of MHC-I by upregulating IRF-1
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“Similarly, genetic alterations down-regulating the interferon signaling such as IFNGR1, IFNGR2, and IRF1, and amplification of genes that inhibit interferon-gamma such as SOCS1 and PIAS4 can weaken the efficacy of ICIs (33).”
BackgroundAPLNR Regulates IFN-γ signaling via β-arrestin 1 mediated JAK-STAT1 pathway in melanoma cells
Liu, Y., Ma, X., Yang, H., Li, X., Ma, Y., Ason, B., Liu, S., & Hu, L. A. (2022) · Biochemical Journal · doi:10.1042/bcj20210813 · Cited by 8
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Gfi1 controls the formation of effector-like CD8+ T cells during chronic infection and cancer
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Self-citationPersistent IFN-γ signaling in acquired resistance to PD-(L)1 blockade in NSCLC
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“While disruption of the IFN signaling pathway in melanoma negatively affects tumor response to anti-CTLA-4 therapy [255,256], extensive IFN-γ exposure of melanoma cells increased their resistance to radiotherapy and anti-CTLA-4 treatment [27,257].”
Stochasticity in cancer immunotherapy stems from rare but functionally critical Spark T cells
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“15,16 20 Therefore, identifying alternative mechanisms to enhance tumor antigen presentation could lead to more effective anti-tumor immune responses.”
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“We also found that the results were closer using mutations or CNVs data alone, but the result was poorer without transfer-learning and pre-training, obtaining only AUROC of 0.486 (Supplementary Table S3, Supplemental Digital Content 6, http://links.lww. com/JIT/A753).”
BackgroundInfluentialMafosfamide Boosts GMI-HBVac against HBV via Treg Depletion in HBV-Infected Mice
Lin, Q., Zhong, Y., & Wang, B. (2023) · Vaccines · doi:10.3390/vaccines11061026 · Cited by 6
Unraveling the Complexities of Immune Checkpoint Inhibitors in Hepatocellular Carcinoma
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“The absence of IFN-gamma signaling has been associated with resistance to anti-CTLA-4 therapy [140].”
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“46 Patients with melanoma who do not respond to anti- CTLA-4 (ipilimumab) 46 or those with metastatic melanoma experiencing relapses after anti-programmed cell death 1 (PD-1) therapy (pembrolizumab) 47 have tumors with genomic defects in IFN-γ pathway genes.”
Identification of DDX60 as a Regulator of MHC-I Class Molecules in Colorectal Cancer
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Targeting Features of Curaxin CBL0137 on Hematological Malignancies In Vitro and In Vivo
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“9 * * * IFNG The target gene that positively regulates the immune response [57] −4.”
BackgroundIvanović, T., Božić, D., Benzon, B., Čapkun, V., Vukojević, K., & Durdov, M. G. (2023) · Biomedicines · doi:10.3390/biomedicines11030709 · Cited by 7
“Contradictorily, in clinical practice, patients who do not respond to CTLA-4 immunotherapy are those with genomic defects of IFN-γ pathway genes [35].”
BackgroundA benzoxazole derivative PO‐296 inhibits T lymphocyte proliferation by the JAK3/STAT5 signal pathway
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neoepiscope improves neoepitope prediction with multi-variant phasingPreprint
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“Existing evidence has suggested that tumors with a higher expression of genes associated with IFN-γ signaling have a better response to ICB, such as anti-CTLA4 and anti-PD1/PD-L1 30, 56, 57, 58 .”
BackgroundInhibition of anti-tumor immunity by melanoma cell-derived Activin-A depends on STING
Pinjušić, K., Ambrosini, G., Lourenço, J., Fournier, N., Iseli, C., Guex, N., Egorova, O., Nassiri, S., & Constam, D. B. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1335207 · Cited by 6
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“Another noteworthy fi nding pertains to the certain onco-lytic viruses, particularly the herpes simplex virus (HSV), which has been shown to induce high levels of IFN-c secretion within the TME.”
InfluentialThe MLL3/GRHL2 complex regulates malignant transformation and anti-tumor immunity in squamous cancer
Nam, C., Huang, G., Zheng, Y., Zhao, H., Pan, Y., Hu, B., Wenger, T. A., Van, H. T., Xu, L., Li, E., et al. (2025) · The Journal of Experimental Medicine · doi:10.1084/jem.20240758 · Cited by 7
“Notably, the efficacy of ICB therapy depends crucially on tumor-infiltrating T cells (Litchfield et al., 2021; Gao et al., 2016; Zaretsky et al., 2016; Tumeh et al., 2014; Hellmann et al., 2018).”
Self-citationCytokine-mediated regulation of immune cell metabolic pathways in the tumor microenvironment
Mamalo, A. S., Pashaei, M. R., Valilo, M., & Ojarudi, M. (2025) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/s00210-025-04133-8 · Cited by 6
“Also, mice lacking expression of the IFN-γ receptor gene treated with anti-CTLA-4 had significantly higher tumor growth rates than mice with intact expression of the IFN-γ receptor gene (Gao et al. 2016).”
Clinical Utility of IFIT Proteins in Human Malignancies
Parsyan, A. E., Kochiyanil, A., Bonvissuto, A. C., Bhat, V., & Allan, A. L. (2025) · Biomedicines · doi:10.3390/biomedicines13061435 · Cited by 6
“Genomic defects in IFN pathway genes, including IFIT2, have been commonly observed in patients with poor responses to immunotherapy [22], suggesting that IFIT2 can be used to predict responses to immunotherapy [49] and targeted therapy.”
InfluentialPD-1 regulates tumor-infiltrating CD8+ T cells in both a cell-intrinsic and a cell-extrinsic fashion
Pauken, K. E., Markson, S. C., Conway, T. S., Juneja, V. R., Shahid, O., Burke, K. P., Rowe, J. H., Nguyen, T. H., Collier, J. L., Walsh, J. M. L., et al. (2025) · The Journal of Experimental Medicine · doi:10.1084/jem.20230542 · Cited by 6
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“99 Tumor cells may also secrete exosomal PD-L1 to peripheral blood to inhibit T cell function systemically 100 and exhibit oncogenic mutations (e.g. mitogen-activated protein kinase and epidermal growth factor receptor pathway alterations), 98 which contribute to immunosuppression.”
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ST6GAL1-mediated sialylation inhibits the antitumor immune response in colorectal cancer
Shi, Y., Peng, Z., Pan, Z., Duan, J., Wang, Z., Guan, Q., Fang, Y., & Tang, B. (2025) · Cellular Oncology · doi:10.1007/s13402-025-01118-w · Cited by 6
“IFN signaling is required to trigger antitumorigenic immunity [34].”
Mechanisms of Resistance to Chimeric Antigen Receptor T Cell Therapy
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“Also, several studies reported that the loss of interferon-γ and antigen-presenting pathway genes in cancer cells causes resistance to PD-1 and anti-CTLA-4 therapies (Gao et al. 2016; Zaretsky et al. 2016).”
BackgroundMejía-Hernández, J. O., Keam, S. P., Saleh, R., Muntz, F., Fox, S. B., Byrne, D. J., Kogan, A., Pang, L., Huynh, J., Litchfield, C., et al. (2022) · Cell Death and Disease · doi:10.1038/s41419-022-05211-y · Cited by 7
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Metadata
- Authors
- Gao, J., Shi, L. Z., Zhao, H., Chen, J., Xiong, L., He, Q., Chen, T., Roszik, J., Bernatchez, C., Woodman, S. E., Chen, P.-L., Hwu, P., Allison, J. P., Futreal, A., Wargo, J. A., & Sharma, P.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Sharma, Padmanee
- ORCID
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 167
- Issue
- 2
- Pages
- 397-404.e9
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC5088716
- OpenAlex
- W2522313999
- Cited by
- 1,300
- References
- 41
- Citations by year
- 2026: 83 · 2025: 107 · 2024: 128 · 2023: 158 · 2022: 137 · 2021: 174 · 2020: 162 · 2019: 128 · 2018: 121 · 2017: 89 · 2016: 8
- FWCI
- 62.21
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (L30 CA117817, R01CA163793, K08CA160692, P30CA016672, K12CA088084)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- interferon-gamma signaling, IFNGR1, CTLA-4 blockade, ipilimumab, metastatic melanoma, immune checkpoint therapy, tumor rejection, prognostic factors, T cell response
- MeSH terms
- Ipilimumab, Interferon gamma Receptor, Animals, Antibodies, Monoclonal, Humans, Interferon-gamma, Melanoma, Melanoma, Experimental, Mice, Inbred C57BL, Skin Neoplasms, T-Lymphocytes, Cytokines, Receptors, Interferon, Drug Resistance, Neoplasm, Cell Line, Tumor, Mice, Gene Knockdown Techniques, CTLA-4 Antigen
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