Case of complete response to immunotherapy in MMR-deficient prostate cancer associated with NK-like and CD4+CD8+ T cells

Alexander K Tsai, John R Lozada, Philippa R Kennedy, David Moline, Rachana Pandey, Riley C Lyons, Christine Luo, Rulin Wang, Ali T Arafa, Elise L Femino, Sarah Zipkowitz, Alexis Figueroa, Patrick J McCann, Matthew C Dallos, Andrew Elliott, Paari Murugan, Martin Felices, Nicholas A Zorko, Badrinath R Konety, Scott M Dehm, Jeffrey S Miller, Steven S Shen, Elizabeth A Thompson, Laura A Sena, Srinivasan Yegnasubramanian, Justin Hwang, Emmanuel S Antonarakis · 2026

Read Case of complete response to immunotherapy in MMR-deficient prostate cancer associated with NK-like and CD4+CD8+ T cells by Alexander K Tsai, John R Lozada, Philippa R Kennedy, David Moline, Rachana Pandey, Riley C Lyons, Christine Luo, Rulin Wang, Ali T Arafa, Elise L Femino, Sarah Zipkowitz, Alexis Figueroa, Patrick J McCann, Matthew C Dallos, Andrew Elliott, Paari Murugan, Martin Felices, Nicholas A Zorko, Badrinath R Konety, Scott M Dehm, Jeffrey S Miller, Steven S Shen, Elizabeth A Thompson, Laura A Sena, Srinivasan Yegnasubramanian, Justin Hwang, Emmanuel S Antonarakis (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13400160.txt.

Description

Alexander K Tsai and colleagues dissect an exceptional case: a man whose aggressive prostate cancer vanished completely on immunotherapy, in a 2026 report. The 67-year-old patient had locally advanced Gleason 5+5=10 cancer invading bladder and rectum. His tumor carried a rare profile, deleted MSH2 and MSH6 mismatch-repair genes and an ultrahigh mutation burden above 250 mutations per megabase. That kind of genomic instability can make checkpoint inhibitors work. Pembrolizumab produced a complete response on imaging, on pathology, and at the molecular level.

These cell groups expanded after checkpoint treatment and matured into killer profiles. The case offers a cell-level hypothesis for why a few such tumors melt away.

Catalog record

CREATORAlexander K Tsai, John R Lozada, Philippa R Kennedy, David Moline, Rachana Pandey, Riley C Lyons, Christine Luo, Rulin Wang, Ali T Arafa, Elise L Femino, Sarah Zipkowitz, Alexis Figueroa, Patrick J McCann, Matthew C Dallos, Andrew Elliott, Paari Murugan, Martin Felices, Nicholas A Zorko, Badrinath R Konety, Scott M Dehm, Jeffrey S Miller, Steven S Shen, Elizabeth A Thompson, Laura A Sena, Srinivasan Yegnasubramanian, Justin Hwang, Emmanuel S Antonarakis
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE64320
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13400160

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