[HTML][HTML] B cells in patients with melanoma: implications for treatment with checkpoint inhibitor antibodies

ZN Willsmore, RJ Harris, S Crescioli… - Frontiers in …, 2021 - frontiersin.org
ZN Willsmore, RJ Harris, S Crescioli, K Hussein, H Kakkassery, D Thapa, A Cheung
Frontiers in Immunology, 2021frontiersin.org
The contributions of the humoral immune response to melanoma are now widely
recognized, with reports of positive prognostic value ascribed to tumor-infiltrating B cells (TIL-
B) and increasing evidence of B cells as key predictors of patient response to treatment.
There are disparate views as to the pro-and anti-tumor roles of B cells. B cells appear to play
an integral role in forming tumor-associated tertiary lymphoid structures (TLSs) which can
further modulate T cell activation. Expressed antibodies may distinctly influence tumor …
The contributions of the humoral immune response to melanoma are now widely recognized, with reports of positive prognostic value ascribed to tumor-infiltrating B cells (TIL-B) and increasing evidence of B cells as key predictors of patient response to treatment. There are disparate views as to the pro- and anti-tumor roles of B cells. B cells appear to play an integral role in forming tumor-associated tertiary lymphoid structures (TLSs) which can further modulate T cell activation. Expressed antibodies may distinctly influence tumor regulation in the tumor microenvironment, with some isotypes associated with strong anti-tumor immune response and others with progressive disease. Recently, B cells have been evaluated in the context of cancer immunotherapy. Checkpoint inhibitors (CPIs), targeting T cell effector functions, have revolutionized the management of melanoma for many patients; however, there remains a need to accurately predict treatment responders. Increasing evidence suggests that B cells may not be simple bystanders to CPI immunotherapy. Mature and differentiated B cell phenotypes are key positive correlates of CPI response. Recent evidence also points to an enrichment in activatory B cell phenotypes, and the contribution of B cells to TLS formation may facilitate induction of T cell phenotypes required for response to CPI. Contrastingly, specific B cell subsets often correlate with immune-related adverse events (irAEs) in CPI. With increased appreciation of the multifaceted role of B cell immunity, novel therapeutic strategies and biomarkers can be explored and translated into the clinic to optimize CPI immunotherapy in melanoma.
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