DNA mismatch repair deficiency (MMRd) is associated with elevated tumor mutational burden (TMB) and exceptional immunotherapy responses, yet some patients experience no clinical benefit. Recent work proposes that high intra-tumoral heterogeneity can offset immunogenicity in sporadic MMRd, suggesting a potential mechanism of immunotherapy failure.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Litchfield, K. et al. Cell 184, 596–614 e514 (2021).
Le, D. T. et al. N. Engl. J. Med. 372, 2509–2520 (2015).
Westcott, P. M. K. et al. Nat. Genet. https://doi.org/10.1038/s41588-023-01499-4 (2023).
Jackson, E. L. et al. Genes Dev. 15, 3243–3248 (2001).
DuPage, M. & Jacks, T. Curr. Opin. Immunol. 25, 192–199 (2013).
McFadden, D. G. et al. Proc. Natl Acad. Sci. USA 113, E6409–E6417 (2016).
Westcott, P. M. et al. Nature 517, 489–492 (2015).
Wolf, Y. et al. Cell 179, 219–235 e221 (2019).
Germano, G. et al. Nature 552, 116–120 (2017).
Gejman, R. S. et al. Elife 7, e41090 (2018).
McGranahan, N. et al. Science 351, 1463–1469 (2016).
Le, D. T. et al. Science 357, 409–413 (2017).
van der Leun, A. M., Thommen, D. S. & Schumacher, T. N. Nat. Rev. Cancer 20, 218–232 (2020).
Cercek, A. et al. N. Engl. J. Med. 386, 2363–2376 (2022).
Chalabi, M. et al. Nat. Med. 26, 566–576 (2020).
Mandal, R. et al. Science 364, 485–491 (2019).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
Please see Supplementary Information for details.
Supplementary information
Rights and permissions
About this article
Cite this article
Reading, J.L., Caswell, D.R. & Swanton, C. Tumor heterogeneity impairs immunogenicity in mismatch repair deficient tumors. Nat Genet 55, 1610–1612 (2023). https://doi.org/10.1038/s41588-023-01492-x
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41588-023-01492-x