RT Journal Article SR Electronic T1 The ratio of cytotoxic lymphocytes to M2-like macrophages is prognostic in immunogenic tumors JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.03.24.436814 DO 10.1101/2021.03.24.436814 A1 Artur Mezheyeuski A1 Max Backman A1 Johanna Mattsson A1 Alfonso Martín-Bernabé A1 Chatarina Larsson A1 Ina Hrynchyk A1 Klara Hammarström A1 Simon Ström A1 Joakim Ekström A1 Siarhei Mauchanski A1 Salome Khelashvili A1 Margrét Agnarsdóttir A1 Per-Henrik Edqvist A1 Jutta Huvila A1 Ulrika Segersten A1 Per-Uno Malmström A1 Johan Botling A1 Björn Nodin A1 Charlotta Hedner A1 David Borg A1 Jenny Brändstedt A1 Hanna Sartor A1 Karin Leandersson A1 Bengt Glimelius A1 Anna Portyanko A1 Fredrik Ponten A1 Karin Jirström A1 Patrick Micke A1 Tobias Sjöblom YR 2021 UL http://biorxiv.org/content/early/2021/03/24/2021.03.24.436814.abstract AB Immune cells in the microenvironment shape tumor development and progression. The prognostic value of T-cell-based immune scores exceeds those of clinical parameters in colon cancer, but reflects only a part of the anti-tumor immune response. Here, we assessed 15 distinct immune cell classes and identified a simple prognostic signature based on pro- and anti-tumoral immune cells in the tumor microenvironment. The ratio of cytotoxic lymphocytes to tumor supportive macrophages predicted survival better than the state-of-art immune score in colon cancer and had the highest relative contribution to survival prediction when compared to established clinical parameters. This signature was prognostic also in other cancers with high mutation burden, such as those of the lung, bladder, esophagus, and melanomas, supporting broad clinical applicability.One Sentence Summary The CD8/M2 ratio in tumor tissue defines prognosis in immunogenic cancersCompeting Interest StatementA.M and T.S are co-inventors on a provisional patent application P42105124SE00 Novel biomarker, regarding the novel method for the prognosis of survival time of a subject diagnosed with a cancer described herein. No conflicts of interest were disclosed by the other authors.