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GENE:

TMB (Tumor Mutational Burden)

i
Other names: TMB | Tumor Mutational Burden
1d
Evaluation of tumor-infiltrating lymphocytes across breast cancer stages at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. (PubMed, BMC Cancer)
A positive correlation was found between TIL score and TNM stage. Intermediate and high TIL scores were common in advanced stages, whereas low TIL scores were prevalent in early stages. The findings suggest that advanced tumors may harbor higher mutation burdens and immunogenicity. Future research should explore the molecular subtypes of immune profiles.
Journal • Tumor mutational burden • Tumor-infiltrating lymphocyte
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TMB (Tumor Mutational Burden)
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TMB-H
1d
Genomic Determinants and an Exploratory Prognostic Model for Immunotherapy Outcomes in Recurrent or Metastatic Cervical Cancer. (PubMed, Oncologist)
Specific genomic alterations may help stratify immunotherapy outcomes in recurrent or metastatic cervical cancer. The proposed genomic risk model remains exploratory and requires validation in larger, independent cervical cancer cohorts.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TP53 (Tumor protein P53) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • TMB (Tumor Mutational Burden) • HRD (Homologous Recombination Deficiency) • KEAP1 (Kelch Like ECH Associated Protein 1) • TERT (Telomerase Reverse Transcriptase) • BAP1 (BRCA1 Associated Protein 1) • FBXW7 (F-Box And WD Repeat Domain Containing 7) • TNFA (Tumor Necrosis Factor-Alpha) • CREBBP (CREB binding protein) • EP300 (E1A binding protein p300)
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TP53 mutation • PIK3CA mutation • KEAP1 mutation
2d
Development and Validation of an m6A-Derived Prognostic Signature in Lung Adenocarcinoma. (PubMed, J Cancer)
The signature independently predicted prognosis (AUC: 0.70-0.84) and treatment response: LR patients favored immunotherapy (lower TIDE, higher IPS), while HR patients were sensitive to chemotherapy (e.g., Bosutinib, Tozasertib). This transcriptome-derived m6A-associated prognostic model can effectively predict clinical survival outcomes and therapeutic response in LUAD patients. Combined with immune landscape, genomic mutation profiles and single-cell transcriptomic evidence, this signature provides a reliable basis for personalized risk stratification and rational treatment choice.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden) • PD-1 (Programmed cell death 1) • LAG3 (Lymphocyte Activating 3) • CSMD3 (CUB And Sushi Multiple Domains 3)
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TMB-H
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bosutinib • tozasertib (MK-0457)
2d
QUILT-3.017: Study of NEO-201 in Solid Tumors Expansion Cohorts (clinicaltrials.gov)
P1/2, N=121, Active, not recruiting, Precision Biologics, Inc | Recruiting --> Active, not recruiting | Trial completion date: Jan 2029 --> Nov 2026 | Trial primary completion date: Jan 2028 --> Jun 2026
Enrollment closed • Trial completion date • Trial primary completion date • First-in-human
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EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • ALK1 (Activin A Receptor Like Type 1)
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PD-L1 expression • BRAF V600E • TMB-H • MSI-H/dMMR • BRAF V600
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Keytruda (pembrolizumab) • NEO-201
2d
Longitudinal Tumor Mutation Burden Dynamics in Advanced Prostate Cancer Using Circulating Tumor DNA Profiling. (PubMed, Clin Genitourin Cancer)
We demonstrate that TMB is dynamic and rises over time and with select treatment exposures. These findings reinforce how TMB should be interpreted within the broader context and not necessarily viewed as a standalone threshold for initiating immunotherapy in advanced prostate cancer.
Journal • Tumor mutational burden • IO biomarker • Circulating tumor DNA
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TMB (Tumor Mutational Burden)
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TMB-H
2d
Mechanisms and Emerging Strategies to Overcome Immunotherapy Resistance in Cold Tumours of Colorectal Cancer. (PubMed, Onco Targets Ther)
We propose that future progress will likely depend on mechanism-based, biomarker-driven approaches that match specific immune evasion patterns with rationally designed interventions, with the goal of extending immunotherapy benefits to broader CRC populations. This narrative review synthesizes peer-reviewed literature from PubMed and clinical trial registries (2015-2025), prioritizing Phase II/III trials and mechanistic studies.
Review • Journal • Tumor mutational burden • MSi-H Biomarker • IO biomarker
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability)
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TMB-H • MSI-H/dMMR
2d
A Novel Predictive Model Based on Glutathione Metabolism Genes RRM2 and G6PD in Hepatocellular Carcinoma. (PubMed, J Hepatocell Carcinoma)
Our findings exposit that the higher 2-GMGs expression and the worse progression and prognosis of HCC. The SHAP approach was employed to elucidate the 2-GMGs model, enhancing its utility for clinicians.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden) • RRM2 (Ribonucleotide Reductase Regulatory Subunit M2) • G6PD (Glucose-6-Phosphate Dehydrogenase)
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HER-2 expression
2d
ERO1A as a novel biomarker for risk stratification and immunotherapeutic guidance in early-stage lung adenocarcinoma. (PubMed, PeerJ)
ERO1A expression stratifies lung adenocarcinoma (LUAD) into distinct subsets with divergent therapeutic implications. It represents a promising biomarker for prognostic stratification and immunotherapy selection, supporting its potential clinical utility in guiding peri-operative therapy decisions.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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EGFR (Epidermal growth factor receptor) • PD-L1 (Programmed death ligand 1) • TMB (Tumor Mutational Burden) • CD8 (cluster of differentiation 8) • ERO1A (Endoplasmic Reticulum Oxidoreductase 1 Alpha)
2d
Deciphering the Heterogeneous Microenvironment of Head and Neck Squamous Cell Carcinoma Through an Integrated Immune Inflammation Framework. (PubMed, Int J Genomics)
Notably, CSF2, IL1R2, and IL20RB were identified as pivotal model constituents, displaying cell type-specific and spatially discrete expression trajectories. The proposed IIS constitutes a robust, clinically relevant prognostic biomarker for HNSC, capturing the profound immune and genomic heterogeneity inherent in the disease.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden) • CSF2 (Colony stimulating factor 2) • IL20RB (Interleukin 20 Receptor Subunit Beta)
2d
Integrated pan-cancer profiling highlights OSR2 as a prognostic indicator and immune-associated biomarker. (PubMed, Discov Oncol)
Taken together, these findings suggest that OSR2 is associated with prognosis and immune-related features across multiple cancer types. OSR2 may be linked to features of the tumor immune microenvironment through its relationships with immune cell infiltration, immune checkpoint gene expression, and genomic instability, and thus may serve as a candidate biomarker for further investigation in cancer immunotherapy.
Journal • Tumor mutational burden • IO biomarker • Pan tumor
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • CD8 (cluster of differentiation 8)
3d
Restoring STING expression in soft tissue sarcoma increases activation and function of tumor-infiltrating lymphocytes. (PubMed, Cancer Immunol Immunother)
Together, our results show that controlled epigenetic activation of STING in STS enhances immune infiltration and tumor cell killing. Targeting STING through CRISPR activation may therefore represent a promising therapeutic strategy for STS.
Journal • Tumor mutational burden • Tumor-infiltrating lymphocyte • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden) • STING (stimulator of interferon response cGAMP interactor 1) • CGAS (Cyclic GMP-AMP Synthase)
5d
Precision immuno-oncology in oral cancer: latest trends in biomarkers, novel drug development and nanoparticle-based therapeutic platforms. (PubMed, Front Cell Dev Biol)
Immunotherapy has transformed oral squamous cell carcinoma management, with programmed cell death protein-1 inhibitors like nivolumab and pembrolizumab showing survival benefits in trials, particularly in programmed cell death protein-L1-positive cases. Future priorities include biomarker validation via prospective registries, scalable Good Manufacturing Practice nanoplatforms, AI-driven multi-omic modeling, and federated learning for predictive analytics. By integrating tumour genomics, immune profiling, and advanced delivery, precision immuno-oncology holds promise to improve response rates, durability, and quality of life in oral squamous cell carcinoma.
Review • Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • TMB (Tumor Mutational Burden) • IFNG (Interferon, gamma) • LAG3 (Lymphocyte Activating 3) • TIGIT (T Cell Immunoreceptor With Ig And ITIM Domains 2)
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PD-L1 expression
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Keytruda (pembrolizumab) • Opdivo (nivolumab)