The current landscape of predictive and prognostic biomarkers for immune checkpoint blockade in ovarian cancer

Front Immunol. 2022 Oct 27:13:1045957. doi: 10.3389/fimmu.2022.1045957. eCollection 2022.

Abstract

Immune checkpoint blockade (ICB) therapy has evoked a prominent shift in anticancer therapy. Durable clinical antitumor activity to ICB has been observed in patients with ovarian cancer (OC). However, only a subset of patients derive clinical benefit, and immune-related adverse events (irAEs) caused by ICB therapy can lead to permanent tissue damage and even fatal consequences. It is thus urgent to develop predictive biomarkers to optimize patient outcomes and minimize toxicity risk. Herein, we review current predictive and prognostic biomarkers for checkpoint immunotherapy in OC and highlight emerging biomarkers to guide treatment with ICB. The prevalent biomarkers, such as PD-L1 expression status, tumor-infiltrating lymphocytes, mutational burden, and immune gene signatures, are further discussed. We provide a state-of-the-art survey on prognostic and predictive biomarkers for checkpoint immunotherapy and offer valuable information for guiding precision immunotherapy.

Keywords: biomarker; immune checkpoint blockade; immunotherapy response; ovarian cancer; prognosis.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomarkers, Tumor / genetics
  • Carcinoma, Ovarian Epithelial
  • Female
  • Humans
  • Immune Checkpoint Inhibitors* / adverse effects
  • Immunologic Factors
  • Ovarian Neoplasms* / drug therapy
  • Prognosis

Substances

  • Immune Checkpoint Inhibitors
  • Biomarkers, Tumor
  • Immunologic Factors