Tumor Mutational Burden as a Biomarker of Immunotherapy Response: An Immunogram Approach in Onco-immunology

Curr Mol Med. 2024;24(12):1461-1469. doi: 10.2174/0115665240266906231024111920.

Abstract

Immune checkpoint inhibitors have revolutionized cancer treatment by allowing T cells to reactivate. Tumor mutational burden (TMB) is a biomarker that has emerged as a viable diagnostic for locating patients who would benefit from immunotherapy in particular cancer types. Greater neo-antigens mean more opportunities for T cell identification, and TMB is clinically linked to better immune checkpoint inhibitors. Tumor foreignness is a cancer immunogram, and TMB can be used as a substitute for foreignness. The role of TMB analysis as an independent predictor of immunotherapy response in the context of immune checkpoint inhibitor medications is the subject of this mini-review.

Keywords: Tumor mutational burden; biomarkers; immune checkpoint inhibitor; immunotherapies.; neo-antigens.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor* / genetics
  • Humans
  • Immune Checkpoint Inhibitors* / therapeutic use
  • Immunotherapy* / methods
  • Mutation*
  • Neoplasms* / genetics
  • Neoplasms* / immunology
  • Neoplasms* / therapy

Substances

  • Biomarkers, Tumor
  • Immune Checkpoint Inhibitors