Publications
Cancer cellJan 2025 DOI:
10.1016/j.ccell.2024.12.008

A constitutive interferon-high immunophenotype defines response to immunotherapy in colorectal cancer

Acha-Sagredo, Amelia; Andrei, Pietro; Clayton, Kalum; Taggart, Emma; Antoniotti, Carlotta; Woodman, Chloé A; Afrache, Hassnae; Fourny, Constance; Armero, Maria; Moinudeen, Hafsa Kaja; Green, Mary; Bhardwaj, Nisha; Mikolajczak, Anna; Rodriguez-Lopez, Maria; Crawford, Marg; Connick, Emma; Lim, Steven; Hobson, Philip; Linares, Josep; Ignatova, Ekaterina; Pelka, Diana; Smyth, Elizabeth C; Diamantis, Nikolaos; Sosnowska, Dominika; Carullo, Martina; Ciraci, Paolo; Bergamo, Francesca; Intini, Rossana; Nye, Emma; Barral, Patricia; Mishto, Michele; Arnold, James N; Lonardi, Sara; Cremolini, Chiara; Fontana, Elisa; Rodriguez-Justo, Manuel; Ciccarelli, Francesca D
Product Used
Variant Libraries
Abstract
Fewer than 50% of metastatic deficient mismatch repair (dMMR) colorectal cancer (CRC) patients respond to immune checkpoint inhibition (ICI). Identifying and expanding this patient population remains a pressing clinical need. Here, we report that an interferon-high immunophenotype locally enriched in cytotoxic lymphocytes and antigen-presenting macrophages is required for response. This immunophenotype is not exclusive to dMMR CRCs but comprises a subset of MMR proficient (pMMR) CRCs. Single-cell spatial analysis and in vitro cell co-cultures indicate that interferon-producing cytotoxic T cells induce overexpression of antigen presentation in adjacent macrophages and tumor cells, including MHC class II invariant chain CD74. dMMR CRCs expressing high levels of CD74 respond to ICI and a subset of CD74 high pMMR CRC patients show better progression free survival when treated with ICI. Therefore, CD74 abundance can identify the constitutive interferon-high immunophenotype determining clinical benefit in CRC, independently of tumor mutational burden or MMR status.
Product Used
Variant Libraries

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