Padmanee Sharma
帕德马尼·夏尔马
MD, PhD
Professor, Department of Genitourinary Medical Oncology; Scientific Director, Immunotherapy Platform泌尿肿瘤医学系教授;免疫治疗平台科学主任
👥Biography 个人简介
Padmanee Sharma, MD, PhD is a Professor and Scientific Director of the Immunotherapy Platform at MD Anderson Cancer Center. She is internationally recognized for elucidating the cellular and molecular mechanisms underlying resistance to immune checkpoint blockade, particularly in bladder and prostate cancer. Her laboratory was among the first to demonstrate that compensatory upregulation of co-inhibitory receptors such as TIM-3 and VISTA on tumor-infiltrating T cells constitutes a key adaptive resistance mechanism following PD-1 or CTLA-4 blockade. She conducted landmark serial biopsy studies in bladder cancer patients receiving ipilimumab prior to cystectomy, revealing dynamic intra-tumoral immune reprogramming and identifying immunological signatures predictive of pathological response. Her discovery of ICOS upregulation on CD4+ T cells as a pharmacodynamic biomarker of ipilimumab activity has guided rational combination strategies. Dr. Sharma co-leads the Parker Institute for Cancer Immunotherapy node at MD Anderson and has designed numerous phase I/II trials combining checkpoint inhibitors with targeted agents to overcome resistance. Her translational research has directly informed FDA-approved regimens and is shaping the next generation of combinatorial immunotherapy approaches.
🧪Research Fields 研究领域
🎓Key Contributions 主要贡献
Adaptive Immune Resistance via TIM-3 and VISTA Upregulation
Demonstrated through serial tumor biopsies that TIM-3 and VISTA co-inhibitory receptors are rapidly upregulated on tumor-infiltrating lymphocytes after PD-1 and CTLA-4 blockade, identifying a key adaptive escape mechanism and rationale for triplet checkpoint combinations.
ICOS as Pharmacodynamic Biomarker of CTLA-4 Blockade
Discovered that ipilimumab treatment induces expansion of ICOS+ effector T cells in peripheral blood and tumor tissue, establishing ICOS as a pharmacodynamic biomarker and demonstrating mechanistic evidence of on-target CTLA-4 inhibition in patients.
Serial Biopsy Immunoprofiling in Bladder Cancer
Pioneered neoadjuvant ipilimumab studies in muscle-invasive bladder cancer with mandatory pre- and post-treatment biopsies, revealing the intra-tumoral immune dynamics that correlate with pathological complete response and informing biomarker-driven patient selection.
Rational Combination Strategies to Overcome Checkpoint Resistance
Designed and led clinical trials combining anti-PD-1 with IDO inhibitors, anti-TIGIT, and targeted PI3K pathway inhibitors, generating clinical proof-of-concept data for overcoming primary and acquired checkpoint resistance.
Representative Works 代表性著作
Primary, Adaptive, and Acquired Resistance to Cancer Immunotherapy
Cell (2017)
Comprehensive framework classifying immunotherapy resistance mechanisms as primary (pre-existing), adaptive (treatment-induced), and acquired (post-response), now the canonical reference for the field.
TIM-3 expression on tumor-infiltrating PD-1+ T cells defines resistance to PD-1 blockade
Nature Medicine (2018)
Demonstrated that TIM-3+PD-1+ exhausted T cells in human bladder and prostate tumors predict non-response and identified co-blockade as a therapeutic strategy.
Neoadjuvant ipilimumab in muscle-invasive bladder cancer: immune and pathological responses
Cancer Immunology Research (2016)
Serial biopsy study establishing intra-tumoral ICOS+ T cell expansion as a biomarker of ipilimumab pharmacodynamic activity in bladder cancer.
🏆Awards & Recognition 奖项与荣誉
📄Data Sources 数据来源
Last updated: 2026-01-15 | All information from publicly available academic sources
Related Experts 相关专家
Antoni Ribas
UCLA Jonsson Comprehensive Cancer Center
Drew M. Pardoll
Johns Hopkins University
Padmanee Sharma
MD Anderson Cancer Center
Naiyer A. Rizvi
Columbia University Irving Medical Center
关注 帕德马尼·夏尔马 的研究动态
Follow Padmanee Sharma's research updates
留下邮箱,当我们发布与 Padmanee Sharma(The University of Texas MD Anderson Cancer Center)相关的新研究或访谈时,我们会通知你。
Explore More Experts
Discover the researchers shaping the future of cancer treatment