RT Journal Article SR Electronic T1 Exploring markers of immunoresponsiveness in papillary thyroid carcinoma and future treatment strategies JF Journal for ImmunoTherapy of Cancer JO J Immunother Cancer FD BMJ Publishing Group Ltd SP e008505 DO 10.1136/jitc-2023-008505 VO 12 IS 7 A1 Mohanty, Atish A1 Afkhami, Michelle A1 Reyes, Amanda A1 Pharaon, Rebecca A1 Yin, Holly A1 Li, Haiqing A1 Do, Dana A1 Bell, Diana A1 Nam, Arin A1 Chang, Sue A1 Gernon, Thomas A1 Kang, Robert A1 Amini, Arya A1 Sampath, Sagus A1 Kulkarni, Prakash A1 Pillai, Raju A1 Villaflor, Vicky A1 Salgia, Ravi A1 Maghami, Ellie A1 Massarelli, Erminia YR 2024 UL http://jitc.bmj.com/content/12/7/e008505.abstract AB Background The study summarizes the potential use of immunotherapy for BRAF-mutated papillary thyroid cancer (PTC) by analyzing the immune profile of City of Hope PTC patient samples and comparing them to the thyroid dataset available in the TCGA database.Materials and methods PTC cases with available formalin-fixed paraffin-embedded archived tumor tissue were identified. RNA was extracted from the tumor tissue and analyzed by NanoString to evaluate their immune gene expression profile. Immunohistochemistry was used to determine the expression of immune suppressive genes and lymphocytic infiltration into the tumor tissue. Thyroid cancer cell lines (MDA-T32, MDA-T68, MDA-T85, and MDA-T120) were used to determine the correlation between the BRAF inhibition and CD274 expression.Results The study found that PTC cases with BRAF mutations had higher expression of immune checkpoint markers CD274 and CTLA4, as well as higher tumor-infiltrating lymphocytes, particularly CD4+T cells. Additionally, the study identified immunosuppressive markers expressed by tumor cells like CD73, CD276, and CD200 that could be targeted for immunotherapy. Further experiments using PTC cell lines lead to the conclusion that CD274 expression correlates with BRAF activity and that inhibitors of BRAF could potentially be used in combination with immunotherapy to treat PTC.Conclusions These findings suggest that PTC cases with BRAF mutations or high expression may be correlated with an immune hot signature and could benefit from immunotherapeutic strategies.All data relevant to the study are included in the article or uploaded as online supplemental information. Not Aapplicable.