RT Journal Article T1 High IGKC-Expressing Intratumoral Plasma Cells Predict Response to Immune Checkpoint Blockade. A1 Onieva Zafra, Juan Luis A1 Xiao, Qingyang A1 Berciano-Guerrero, Miguel Ángel A1 Laborda-Illanes, Aurora A1 de Andrea, Carlos A1 Chaves, Patricia A1 Piñeiro Pereda, María del Pilar A1 Garrido-Aranda, Alicia A1 Gallego-Domínguez, Elena María A1 Sojo, Belén A1 Gálvez Carvajal, Laura A1 Chica Parrado, María del Rosario A1 Prieto Cuadra, Juan Daniel A1 Pérez-Ruiz, Elisabeth A1 Farngren, Angela A1 Lozano, María José A1 Álvarez-Pérez, Martína A1 Jiménez, Pedro A1 Sánchez-Muñoz, Alfonso A1 Oliver, Javier A1 Cobo Dols, Manuel Ángel A1 Alba-Conejo, Emilio A1 Barragán, Isabel K1 Piel - Cáncer K1 Cáncer - Aspectos genéticos K1 Cáncer - Inmunoterapia AB Resistance to Immune Checkpoint Blockade (ICB) constitutes the current limiting factor for the optimal implementation of this novel therapy, which otherwise demonstrates durable responses with acceptable toxicity scores. This limitation is exacerbated by a lack of robust biomarkers. In this study, we have dissected the basal TME composition at the gene expression and cellular levels that predict response to Nivolumab and prognosis. BCR, TCR and HLA profiling were employed for further characterization of the molecular variables associated with response. The findings were validated using a single-cell RNA-seq data of metastatic melanoma patients treated with ICB, and by multispectral immunofluorescence. Finally, machine learning was employed to construct a prediction algorithm that was validated across eight metastatic melanoma cohorts treated with ICB. Using this strategy, we have unmasked a major role played by basal intratumoral Plasma cells expressing high levels of IGKC in efficacy. IGKC, differentially expressed in good responders, was also identified within the Top response-related BCR clonotypes, together with IGK variants. These results were validated at gene, cellular and protein levels; CD138+ Plasma-like and Plasma cells were more abundant in good responders and correlated with the same RNA-seq-defined fraction. Finally, we generated a 15-gene prediction model that outperformed the current reference score in eight ICB-treated metastatic melanoma cohorts. The evidenced major contribution of basal intratumoral IGKC and Plasma cells in good response and outcome in ICB in metastatic melanoma is a groundbreaking finding in the field beyond the role of T lymphocytes. PB MDPI YR 2022 FD 2022 LK https://hdl.handle.net/10630/31243 UL https://hdl.handle.net/10630/31243 LA eng NO Onieva JL, Xiao Q, Berciano-Guerrero MÁ, Laborda-Illanes A, de Andrea C, Chaves P, Piñeiro P, Garrido-Aranda A, Gallego E, Sojo B, Gálvez L, Chica-Parrado R, Prieto D, Pérez-Ruiz E, Farngren A, Lozano MJ, Álvarez M, Jiménez P, Sánchez-Muñoz A, Oliver J, Cobo M, Alba E, Barragán I. High IGKC-Expressing Intratumoral Plasma Cells Predict Response to Immune Checkpoint Blockade. Int J Mol Sci. 2022 Aug 15;23(16):9124. doi: 10.3390/ijms23169124. PMID: 36012390; PMCID: PMC9408876. NO Este artículo ha sido publicado en la revista International Journal of Molecular Sciences.Esta versión tiene Licencia Creative Commons CC-BY DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 26 ene 2026