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Mature tertiary lymphoid structures predict immune checkpoint inhibitor efficacy in solid tumors independently of PD-L1 expression

Open access
Vanhersecke, Lucile, Brunet, Maxime, Guégan, Jean-Philippe, Rey, Christophe, Bougouin, Antoine, Cousin, Sophie, Le Moulec, Sylvestre, Besse, Benjamin, Loriot, Yohann, Larroquette, Mathieu, Soubeyran, Isabelle, Toulmonde, Maud, Roubaud, Guilhem, Pernot, Simon, Cabart, Mathilde, Chomy, François, Lefevre, Corentin, Bourcier, Kevin, Kind, Michèle, Giglioli, Ilenia, Sautès-Fridman, Catherine, Velasco, Valérie, Courgeon, Félicie, Oflazoglu, Ezoglin, Savina, Ariel, Marabelle, Aurélien, Soria, Jean-Charles, Bellera, Carine, Sofeu, Casimir, Bessede, Alban, Fridman, Wolf H., Le Loarer, François, Italiano, Antoine·2021·Nature Cancer

Abstract

Only a minority of patients derive long-term clinical benefit from anti-programmed cell death protein 1 (anti-PD-1) or anti-programmed death-ligand 1 (anti-PD-L1) monoclonal antibodies. The presence of tertiary lymphoid structures (TLSs) has been associated with improved survival in several tumor types. Here, using a large-scale retrospective analysis of three independent cohorts of patients with cancer who were treated with anti-PD-1 or anti-PD-L1 antibodies, we show that the presence of mature TLSs was associated with improved objective response rates, progression-free survival and overall survival, independent of PD-L1 expression status and CD8+ T cell density. These results pave the way for using TLS detection to select patients who are more likely to benefit from immune checkpoint blockade. Italiano and colleagues demonstrate the utility of mature tertiary lymphoid structures to predict response to immunotherapy, with pathologic analysis in three independent patient cohorts spanning multiple tumor types.

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Metadata

Authors
Vanhersecke, L., Brunet, M., Guégan, J.-P., Rey, C., Bougouin, A., Cousin, S., Le Moulec, S., Besse, B., Loriot, Y., Larroquette, M., Soubeyran, I., Toulmonde, M., Roubaud, G., Pernot, S., Cabart, M., Chomy, F., Lefevre, C., Bourcier, K., Kind, M., Giglioli, I., Sautès-Fridman, C., Velasco, V., Courgeon, F., Oflazoglu, E., Savina, A., Marabelle, A., Soria, J.-C., Bellera, C., Sofeu, C., Bessede, A., Fridman, W. H., Le Loarer, F., & Italiano, A.
Venue
Nature Cancer
Published
2021-08-12
Volume
2
Issue
8
Pages
794-802
ISSN
2662-1347 (ISSN-L)
OpenAlex
W3187890850
Cited by
632
References
26
FWCI
26.58
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Mature tertiary lymphoid structures predict immune checkpoint inhibitor efficacy in solid tumors independently of PD-L1 expression. https://app.cochat.ai/papers/10.1038/s43018-021-00232-6
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Vanhersecke, L., Brunet, M., Guégan, J.-P., Rey, C., Bougouin, A., Cousin, S., Le Moulec, S., Besse, B., Loriot, Y., Larroquette, M., Soubeyran, I., Toulmonde, M., Roubaud, G., Pernot, S., Cabart, M., Chomy, F., Lefevre, C., Bourcier, K., Kind, M., . . . Italiano, A. (2021). Mature tertiary lymphoid structures predict immune checkpoint inhibitor efficacy in solid tumors independently of PD-L1 expression. Nature Cancer. https://doi.org/10.1038/s43018-021-00232-6

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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