Scientists are beginning to unravel one of the biggest challenges with immunotherapy: why some people with cancer respond to the treatment, while others may not respond at all.
In a new study, researchers at the UCLA Jonsson Comprehensive Cancer Center found patients with a particular type of human leukocyte antigen (HLA), a protein scaffold involved in presenting pieces of proteins described as peptides to the immune system, were particularly likely to benefit from immunotherapy. This research explained a surprising finding seen among patients in the clinic.
The data, published in Nature Cancer, focused on a type of HLA called B44, which is present in approximately half of people. In melanoma, patients with HLA-B44 tend to do well with immunotherapy, but in non-small cell lung cancer, the most common type of lung cancer, most people with HLA-B44 did not do as well as people without HLA-B44. In the study, authors figured out that the different responses were driven by the different types of mutations that are common in each of the cancer subtypes.