Cited by 12Cancer Immunotherapy and BiomarkersBioinformatics and Genomic NetworksComputational Drug Discovery Methods

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IRnet: Immunotherapy response prediction using pathway knowledge-informed graph neural network

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Jiang, Yuexu, Immadi, Manish Sridhar, Wang, Duolin, Zeng, Shuai, On Chan, Yen, Zhou, Jing, Xu, Dong, Joshi, Trupti·2025·Journal of Advanced Research

Abstract

INTRODUCTION: Immune checkpoint inhibitors (ICIs) are potent and precise therapies for various cancer types, significantly improving survival rates in patients who respond positively to them. However, only a minority of patients benefit from ICI treatments. OBJECTIVES: Identifying ICI responders before treatment could greatly conserve medical resources, minimize potential drug side effects, and expedite the search for alternative therapies. Our goal is to introduce a novel deep-learning method to predict ICI treatment responses in cancer patients. METHODS: The proposed deep-learning framework leverages graph neural network and biological pathway knowledge. We trained and tested our method using ICI-treated patients' data from several clinical trials covering melanoma, gastric cancer, and bladder cancer. RESULTS: Our results demonstrate that this predictive model outperforms current state-of-the-art methods and tumor microenvironment-based predictors. Additionally, the model quantifies the importance of pathways, pathway interactions, and genes in its predictions. A web server for IRnet has been developed and deployed, providing broad accessibility to users at https://irnet.missouri.edu. CONCLUSION: IRnet is a competitive tool for predicting patient responses to immunotherapy, specifically ICIs. Its interpretability also offers valuable insights into the mechanisms underlying ICI treatments.

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Research works printed but not linked: 74

  1. Nowicki, 2018, Mechanisms of Resistance to PD-1 and PD-L1 Blockade, Cancer J, 24, 47, 10.1097/PPO.0000000000000303 · DOI
  2. Pardoll, 2012, The blockade of immune checkpoints in cancer immunotherapy, Nat Rev Cancer, 12, 252, 10.1038/nrc3239 · DOI · Paper page
  3. Ribas, 2018, Cancer immunotherapy using checkpoint blockade, Science, 359, 1350, 10.1126/science.aar4060 · DOI · Paper page
  4. Sharma, 2023, Immune checkpoint therapy—current perspectives and future directions, Cell, 186, 1652, 10.1016/j.cell.2023.03.006 · DOI · Paper page
  5. Guven, 2022, The association between albumin levels and survival in patients treated with immune checkpoint inhibitors: A systematic review and meta-analysis, Front Mol Biosci, 9, 1039121, 10.3389/fmolb.2022.1039121 · DOI
  6. Rizzo, 2023, Hypertransaminasemia in cancer patients receiving immunotherapy and immune-based combinations: the MOUSEION-05 study, Cancer Immunol Immunother, 72, 1381, 10.1007/s00262-023-03366-x · DOI
  7. Dall’Olio, 2021, Immortal Time Bias in the Association Between Toxicity and Response for Immune Checkpoint Inhibitors: A Meta-Analysis, Immunotherapy, 13, 257, 10.2217/imt-2020-0179 · DOI
  8. Belaroussi, 2023, Survival outcomes of patients with metastatic non-small cell lung cancer receiving chemotherapy or immunotherapy as first-line in a real-life setting, Sci Rep, 13, 9584, 10.1038/s41598-023-36623-1 · DOI
  9. Nixon, 2018, Current Landscape of Immunotherapy in the Treatment of Solid Tumours, with Future Opportunities and Challenges, Curr Oncol, 25, 373, 10.3747/co.25.3840 · DOI
  10. Gridelli, 2015, Non-small-cell lung cancer, Nat Rev Dis Primers, 1, 15009, 10.1038/nrdp.2015.9 · DOI
  11. written on behalf of AME Lung Cancer Collaborative Group, Xu Y, Wan B, Chen X, Zhan P, Zhao Y, et al. The association of PD-L1 expression with the efficacy of anti-PD-1/PD-L1 immunotherapy and survival of non-small cell lung cancer patients: a meta-analysis of randomized controlled trials. Transl Lung Cancer Res 2019;8:413–28. doi: 10.21037/tlcr.2019.08.09. · DOI
  12. Strickler, 2021, Tumor Mutational Burden as a Predictor of Immunotherapy Response: Is More Always Better?, Clin Cancer Res, 27, 1236, 10.1158/1078-0432.CCR-20-3054 · DOI
  13. Marabelle, 2020, Association of tumour mutational burden with outcomes in patients with advanced solid tumours treated with pembrolizumab: prospective biomarker analysis of the multicohort, open-label, phase 2 KEYNOTE-158 study, Lancet Oncol, 21, 1353, 10.1016/S1470-2045(20)30445-9 · DOI · Paper page
  14. Auslander, 2018, Robust prediction of response to immune checkpoint blockade therapy in metastatic melanoma, Nat Med, 24, 1545, 10.1038/s41591-018-0157-9 · DOI
  15. Jiang, 2018, Signatures of T cell dysfunction and exclusion predict cancer immunotherapy response, Nat Med, 24, 1550, 10.1038/s41591-018-0136-1 · DOI · Paper page
  16. Kong, 2022, Network-based machine learning approach to predict immunotherapy response in cancer patients, Nat Commun, 13, 3703, 10.1038/s41467-022-31535-6 · DOI · Paper page
  17. Zhao, 2023023, Biological knowledge graph-guided investigation of immune therapy response in cancer with graph neural network, Brief Bioinform
  18. Brahmer, 2015, Nivolumab versus Docetaxel in Advanced Squamous-Cell Non–Small-Cell Lung Cancer, N Engl J Med, 373, 123, 10.1056/NEJMoa1504627 · DOI · Paper page
  19. Carbone, 2017, First-Line Nivolumab in Stage IV or Recurrent Non–Small-Cell Lung Cancer, N Engl J Med, 376, 2415, 10.1056/NEJMoa1613493 · DOI · Paper page
  20. Rizzo, 2021, PD-L1, TMB, MSI, and Other Predictors of Response to Immune Checkpoint Inhibitors in Biliary Tract Cancer, Cancers, 13, 558, 10.3390/cancers13030558 · DOI
  21. Bai, 2020, Predictive biomarkers for cancer immunotherapy with immune checkpoint inhibitors, Biomark Res, 8, 34, 10.1186/s40364-020-00209-0 · DOI
  22. Oh, 2021, PathCNN: interpretable convolutional neural networks for survival prediction and pathway analysis applied to glioblastoma, Bioinformatics, 37, i443, 10.1093/bioinformatics/btab285 · DOI
  23. Gut, 2021, pmVAE: Learning Interpretable Single-Cell Representations with Pathway Modules, Bioinformatics
  24. Kanehisa, 2000, KEGG: Kyoto Encyclopedia of Genes and Genomes, Nucleic Acids Res, 28, 27, 10.1093/nar/28.1.27 · DOI · Paper page
  25. Gide, 2019, Distinct Immune Cell Populations Define Response to Anti-PD-1 Monotherapy and Anti-PD-1/Anti-CTLA-4 Combined Therapy, Cancer Cell, 35, 238, 10.1016/j.ccell.2019.01.003 · DOI · Paper page
  26. Kim, 2018, Comprehensive molecular characterization of clinical responses to PD-1 inhibition in metastatic gastric cancer, Nat Med, 24, 1449, 10.1038/s41591-018-0101-z · DOI
  27. Mariathasan, 2018, TGFβ attenuates tumour response to PD-L1 blockade by contributing to exclusion of T cells, Nature, 554, 544, 10.1038/nature25501 · DOI · Paper page
  28. Lapuente-Santana, 2021, Interpretable systems biomarkers predict response to immune-checkpoint inhibitors, Patterns, 2, 10.1016/j.patter.2021.100293 · DOI
  29. Riaz, 2017, Tumor and Microenvironment Evolution during Immunotherapy with Nivolumab, Cell, 171, 934, 10.1016/j.cell.2017.09.028 · DOI · Paper page
  30. Edgar, 2002, Gene Expression Omnibus: NCBI gene expression and hybridization array data repository, Nucleic Acids Res, 30, 207, 10.1093/nar/30.1.207 · DOI · Paper page
  31. Liu, 2023, IMPACT: A web server for exploring immunotherapeutic predictive and cancer prognostic biomarkers, Clinical & Translational Med, 13, e1354, 10.1002/ctm2.1354 · DOI
  32. Chen, 2023, TIGER: A Web Portal of Tumor Immunotherapy Gene Expression Resource, Genomics Proteomics Bioinformatics, 21, 337, 10.1016/j.gpb.2022.08.004 · DOI
  33. Colaprico, 2016, TCGAbiolinks: an R/Bioconductor package for integrative analysis of TCGA data, Nucleic Acids Res, 44, e71, 10.1093/nar/gkv1507 · DOI
  34. Sakellaropoulos, 2019, A Deep Learning Framework for Predicting Response to Therapy in Cancer, Cell Rep, 29, 3367, 10.1016/j.celrep.2019.11.017 · DOI
  35. Majumder, 2015, Predicting clinical response to anticancer drugs using an ex vivo platform that captures tumour heterogeneity, Nat Commun, 6, 6169, 10.1038/ncomms7169 · DOI
  36. Ding, 2016, Evaluating the molecule-based prediction of clinical drug responses in cancer, Bioinformatics, 32, 2891, 10.1093/bioinformatics/btw344 · DOI
  37. Wingett SW, Andrews S. FastQ Screen: A tool for multi-genome mapping and quality control. F1000Res 2018;7:1338. doi: 10.12688/f1000research.15931.2. · DOI
  38. Ewels, 2016, MultiQC: summarize analysis results for multiple tools and samples in a single report, Bioinformatics, 32, 3047, 10.1093/bioinformatics/btw354 · DOI · Paper page
  39. Dobin, 2013, STAR: ultrafast universal RNA-seq aligner, Bioinformatics, 29, 15, 10.1093/bioinformatics/bts635 · DOI · Paper page
  40. Liao, 2014, featureCounts: an efficient general purpose program for assigning sequence reads to genomic features, Bioinformatics, 30, 923, 10.1093/bioinformatics/btt656 · DOI · Paper page
  41. Ankan A, Panda A. pgmpy: Probabilistic Graphical Models using Python, Austin, Texas: 2015, p. 6–11. doi: 10.25080/Majora-7b98e3ed-001. · DOI
  42. Pedregosa, 2012, Machine Learning in Python
  43. Lin, 2017, Focal Loss for Dense Object Detection
  44. Kishore, 2010, Understanding survival analysis: Kaplan-Meier estimate, Int J Ayurveda Res, 1, 274, 10.4103/0974-7788.76794 · DOI
  45. Harrell, 1982, Evaluating the Yield of Medical Tests, JAMA, 247, 2543, 10.1001/jama.1982.03320430047030 · DOI · Paper page
  46. Veličković P, Cucurull G, Casanova A, Romero A, Liò P, Bengio Y. Graph Attention Networks. arXiv:171010903 [Cs, Stat] 2018.
  47. Li Y, Tarlow D, Brockschmidt M, Zemel R. Gated Graph Sequence Neural Networks. arXiv:151105493 [Cs, Stat] 2017.
  48. Luby, 2021, Targeting Metabolism to Control Immune Responses in Cancer and Improve Checkpoint Blockade Immunotherapy, Cancers, 13, 5912, 10.3390/cancers13235912 · DOI
  49. Wang, 2020, Inosine is an alternative carbon source for CD8+-T-cell function under glucose restriction, Nat Metab, 2, 635, 10.1038/s42255-020-0219-4 · DOI
  50. Geiger, 2016, L-Arginine Modulates T Cell Metabolism and Enhances Survival and Anti-tumor Activity, Cell, 167, 829, 10.1016/j.cell.2016.09.031 · DOI · Paper page
  51. Zhao, 20209562, Carbohydrate and Amino Acid Metabolism as Hallmarks for Innate Immune Cell Activation and Function, Cells
  52. Pustylnikov, 2018, Targeting mitochondria in cancer: current concepts and immunotherapy approaches, Transl Res, 202, 35, 10.1016/j.trsl.2018.07.013 · DOI
  53. Huang, 2018, TLR-mediated metabolic reprogramming in the tumor microenvironment: potential novel strategies for cancer immunotherapy, CellMol Immunol, 15, 428
  54. Aranow, 2011, Vitamin D and the Immune System, J Invest Med, 59, 881, 10.2310/JIM.0b013e31821b8755 · DOI · Paper page
  55. Gong, 2022, Role of ferroptosis on tumor progression and immunotherapy, Cell Death Discov, 8, 427, 10.1038/s41420-022-01218-8 · DOI
  56. Sprooten, 2020, Necroptosis in Immuno-Oncology and Cancer Immunotherapy, Cells, 9, 1823, 10.3390/cells9081823 · DOI
  57. Griffin, 2022, Microbial mechanisms to improve immune checkpoint blockade responsiveness, Neoplasia, 31, 10.1016/j.neo.2022.100818 · DOI
  58. Wang, 2023, Diet-gut microbial interactions influence cancer immunotherapy, Front Oncol, 13, 1138362, 10.3389/fonc.2023.1138362 · DOI
  59. Melero, 2021, Intratumoural administration and tumour tissue targeting of cancer immunotherapies, Nat Rev Clin Oncol, 18, 558, 10.1038/s41571-021-00507-y · DOI
  60. Ostrand-Rosenberg, 2014, The Programmed Death-1 Immune-Suppressive Pathway: Barrier to Antitumor Immunity, J Immunol, 193, 3835, 10.4049/jimmunol.1401572 · DOI
  61. Lemma, 2023, Regulation of PD-L1 Trafficking from Synthesis to Degradation, Cancer Immunol Res, 11, 866, 10.1158/2326-6066.CIR-22-0953 · DOI
  62. Soltani, 2023, PD-L1 stimulation can promote proliferation and survival of leukemic cells by influencing glucose and fatty acid metabolism in acute myeloid leukemia, BMC Cancer, 23, 447, 10.1186/s12885-023-10947-7 · DOI
  63. Walker, 2015, Confusing signals: Recent progress in CTLA-4 biology, Trends Immunol, 36, 63, 10.1016/j.it.2014.12.001 · DOI
  64. Qureshi, 2012, Constitutive Clathrin-mediated Endocytosis of CTLA-4 Persists during T Cell Activation, J Biol Chem, 287, 9429, 10.1074/jbc.M111.304329 · DOI
  65. Curran, 2019, PD-1 immunobiology in systemic lupus erythematosus, J Autoimmun, 97, 1, 10.1016/j.jaut.2018.10.025 · DOI
  66. Cassady, 2018, Regulation of GVHD and GVL Activity via PD-L1 Interaction With PD-1 and CD80, Front Immunol, 9, 3061, 10.3389/fimmu.2018.03061 · DOI
  67. Mpakali, 2021, The Role of Antigen Processing and Presentation in Cancer and the Efficacy of Immune Checkpoint Inhibitor Immunotherapy, Cancers, 13, 134, 10.3390/cancers13010134 · DOI
  68. Lee, 2021, The Multifaceted Role of Th1, Th9, and Th17 Cells in Immune Checkpoint Inhibition Therapy, Front Immunol, 12
  69. Yang, 2021, CTLA-4 expression by B-1a B cells is essential for immune tolerance, Nat Commun, 12, 525, 10.1038/s41467-020-20874-x · DOI
  70. Durgeau, 2018, Recent Advances in Targeting CD8 T-Cell Immunity for More Effective Cancer Immunotherapy, Front Immunol, 9, 14, 10.3389/fimmu.2018.00014 · DOI
  71. Hanley, 2020, T-cell tumour exclusion and immunotherapy resistance: a role for CAF targeting, Br J Cancer, 123, 1353, 10.1038/s41416-020-1020-6 · DOI
  72. Binnewies, 2018, Understanding the tumor immune microenvironment (TIME) for effective therapy, Nat Med, 24, 541, 10.1038/s41591-018-0014-x · DOI · Paper page
  73. Martins, 2019, Adverse effects of immune-checkpoint inhibitors: epidemiology, management and surveillance, Nat Rev Clin Oncol, 16, 563, 10.1038/s41571-019-0218-0 · DOI · Paper page
  74. Dhasmana, 2023, Next-generation immune checkpoint inhibitors as promising functional molecules in cancer therapeutics, Cancer Metastasis Rev, 42, 597, 10.1007/s10555-023-10139-6 · DOI

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Metadata

Authors
Jiang, Y., Immadi, M. S., Wang, D., Zeng, S., On Chan, Y., Zhou, J., Xu, D., & Joshi, T.
Affiliations
University of Missouri (US)
Corresponding author
Joshi, Trupti
Venue
Journal of Advanced Research
Publisher
Elsevier BV
Published
2025-06
Volume
72
Pages
319-331
ISSN
  • 2090-1224 (ISSN-L)
  • 2090-1232
OpenAlex
W4401317914
Cited by
12
References
7
Citations by year
2026: 6 · 2025: 6
FWCI
2.05
Type
journal article
Language
en
Open access
Locations
  • Journal of Advanced Research (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Institutes of Health
  • Missouri Department of Health and Senior Services
  • National Science Foundation
Topics
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Drug Discovery › Computational Drug Discovery Methods
Keywords
immune checkpoint inhibitors, immunotherapy response prediction, graph neural networks, melanoma, gastric cancer, bladder cancer, tumor microenvironment, interpretability, web server
MeSH terms
Deep Learning, Immune Checkpoint Inhibitors, Graph Neural Networks, Humans, Immunotherapy, Neoplasms, Neural Networks, Computer, Treatment Outcome, Tumor Microenvironment

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