Over the past 2 decades, classification of tumors based on genomics has resulted in identifying distinct tumor molecular subtypes for cancer types, thereby providing a framework to study the molecular mechanisms of cancer. Tumor molecular subtypes hold the key to informing clinical outcomes and treatment. It has been well established that each cancer type has several distinct subtypes that are not shared with any other cancer type. Immune checkpoint therapy (ICT) has been able to successfully eliminate tumors in 10% to 40% of patients with many cancer types. However, in most patients, ICT has failed to have its intended effect.
1,2 It has been thought that an understanding of tumor-infiltrating lymphocytes (TILs) and the tumor immune microenvironment (TIME) could provide insights into ICT resistance and might thereby improve existing immunotherapies.
3,4 Therefore, with the advance of cancer immunotherapy, there is a strong interest in stratifying tumors into TIME subtypes. This stratification could provide better insights into the underlying molecular mechanisms for TILs and response to ICT as well as help to improve current immunotherapy. However, so far, there is no consensus about how to study TIMEs, and we lack efficient tools to stratify TIMEs.