Circulating immune cells and association with outcomes to immunotherapy in RCC

Candidate biomarkerReferencesYearCountryNTumorType of systemic therapyParameter level/trend indicatorDetection techniqueTimepointFindings
Unswitched memory B cellsCarril-Ajuria et al. [28]2022France44ccRCCNivolumabHighFlow cytometryPretreatmentImproved ORR, PFS and OS
B cellsYuan et al. [31]2020China78, 12 RCCPan-tumor
Renal carcinoma (n = 12, 15.19%)
ICIHighFlow cytometryPretreatmentDecreased OPR
Increased PD
Naive B cellsBarth et al. [32]2022Austria45, 7 RCCPan-tumorICIIncreaseFlow cytometryPretreatmentNo significant association, neither with DCR or ORR
Switched memory B cellsIncreaseOn-treatment changesImproved DCR
Reduced DCR
CD8, CD4+PD-L1+ T cellsSaliby et al. [33]2023US60Variant RCCAtezolizumab plus bevacizumabLarge decreaseFlow cytometryOn-treatment changesWorse PFS and OS

ccRCC: clear cell renal cell carcinoma; DCR: disease control rate; ICI: immune checkpoint inhibitors; ORR: objective response rate; OS: overall survival; PD: progressive disease; PFS: progression-free survival; RCC: renal cell carcinoma; SD: stable disease; US: United States