{Reference Type}: Journal Article {Title}: SERPINB9 is commonly amplified and high expression in cancer cells correlates with poor immune checkpoint blockade response. {Author}: Ibáñez-Molero S;van Vliet A;Pozniak J;Hummelink K;Terry AM;Monkhorst K;Sanders J;Hofland I;Landeloos E;Van Herck Y;Bechter O;Kuilman T;Zhong W;Marine JC;Wessels L;Peeper DS; {Journal}: Oncoimmunology {Volume}: 11 {Issue}: 1 {Year}: 2022 暂无{DOI}: 10.1080/2162402X.2022.2139074 {Abstract}: Immunotherapies, in particular immune checkpoint blockade (ICB), have improved the clinical outcome of cancer patients, although many fail to mount a durable response. Several resistance mechanisms have been identified, but our understanding of the requirements for a robust ICB response is incomplete. We have engineered an MHC I/antigen: TCR-matched panel of human NSCLC cancer and T cells to identify tumor cell-intrinsic T cell resistance mechanisms. The top differentially expressed gene in resistant tumor cells was SERPINB9. This serine protease inhibitor of the effector T cell-derived molecule granzyme B prevents caspase-mediated tumor apoptosis. Concordantly, we show that genetic ablation of SERPINB9 reverts T cell resistance of NSCLC cell lines, whereas its overexpression reduces T cell sensitivity. SERPINB9 expression in NSCLC strongly correlates with a mesenchymal phenotype. We also find that SERPINB9 is commonly amplified in cancer, particularly melanoma in which it is indicative of poor prognosis. Single-cell RNA sequencing of ICB-treated melanomas revealed that SERPINB9 expression is elevated not only in cells from post- versus pre-treatment cancers, but also in ICB-refractory cancers. In NSCLC we commonly observed rare SERPINB9-positive cancer cells, possibly accounting for reservoirs of ICB-resistant cells. While underscoring SERPINB9 as a potential target to combat immunotherapy resistance, these results suggest its potential to serve as a prognostic and predictive biomarker.