{"id":543,"date":"2025-01-14T13:00:07","date_gmt":"2025-01-14T13:00:07","guid":{"rendered":"https:\/\/www.nordicbioscience.com\/?post_type=biomarker-solutions&#038;p=543"},"modified":"2025-06-01T11:52:22","modified_gmt":"2025-06-01T11:52:22","slug":"immuno-oncology","status":"publish","type":"biomarker-solution","link":"https:\/\/www.nordicbioscience.com\/biomarker-solution\/cancer\/immuno-oncology\/","title":{"rendered":"Immuno-Oncology"},"content":{"rendered":"<section class=\"two-column group white bg-white\">\n        <!-- \n        initialize dynamic classes\n        bg-grey\n        bg-dark\n        lg:flex-row-reverse\n        lg:flex-row\n        -->\n   <div class=\"inner items-center lg:p-8 xl:p-10 p-5 max-w-[1440px] mx-auto flex gap-4 lg:gap-8 xl:gap-10 flex-col lg:flex-row\">\n        <article class=\"flex flex-col justify-between flex-1 text-column lg:py-8 xl:py-10\">\n            <div class=\"\">\n                <div>\n                                    <h2 class=\"mb-4 font-bold xl:mb-8 title text-m-title-lg xl:text-d-title-md group-[.white]:text-navy group-[.grey]:text-navy group-[.dark]:text-fontlight\">Biomarkers for immuno-oncology <\/h2>\n                 \n\n                <\/div>\n                <div class=\"wysiwyg mb-8 xl:mb-0 body-text group-[.white]:text-blue group-[.grey]:text-blue group-[.dark]:text-fontlightbody\">\n                    <p>The field of\u00a0immuno-oncology\u00a0is based on decades of research into how tumors have acquired mechanisms to circumvent and evade elimination by the immune system. By intervening with the ability of tumors to escape the immune system and by re-activating and re-directing immune cells in the tumor microenvironment, immuno-oncology therapies enable the body\u2019s own defense system to recognize and eliminate the tumor.<\/p>\n<p>One essential characteristic of patients benefitting from\u00a0immuno-oncology therapies such as checkpoint inhibitors\u00a0is that their T-cells are present and\/or recruited to the tumor. That is, if T-cells are not homing to the tumor, treatment will have a poor effect. Therefore, it is important to identify patients with a T-cell permissive tumor microenvironment.<\/p>\n<p>Analysis of the tumor microenvironment in patients with a variety of solid tumors has revealed that patients can be divided into phenotypes based on T-cell infiltration: tumors with T-cell infiltration (\u201chot tumors\u201d\/\u201dinflamed tumors\u201d) and tumors without T-cell infiltration (\u201ccold tumors\u201d\/\u201dexcluded tumors\u201d).<\/p>\n<p>Interestingly, it has been shown that T-cells are actively degrading the basement membrane extracellular matrix when transmigrating from the blood and into the tumor, and the architecture of the extracellular matrix defines the localization and migration of T-cells within the tumor with T-cells being entrapped in the dense interstitial extracellular matrix and therefore cannot reach and kill the tumor cells.<\/p>\n                <\/div>\n                                    <div class=\"mt-8 mb-4 xl:mb-8 links\">\n                        <h3 class=\"mb-2 text-blue group-[.dark]:text-fontlight text-body-sm\">Publications<\/h3>\n                        <ul class=\"flex flex-wrap gap-2\">\n                                                                                                 <li>\n                                        <a class=\"inline-block transition ease-out duration-100 px-[6px] py-1 group-[.dark]:bg-[#434343] group-[.dark]:text-fontlight text-body-sm bg-border rounded-sm text-blue xl:hover:bg-petroleum xl:hover:text-fontlight group-[.dark]:xl:hover:bg-petroleum group-[.dark]:xl:hover:text-fontlight\" href=\"https:\/\/www.nordicbioscience.com\/publication\/?search=%22immuno-oncology%22\" target=\"_blank\">Immuno-oncology<\/a>\n                                    <\/li>\n                                                                                    <\/ul>\n                    <\/div>\n                                <\/div>\n                                    <div class=\"flex flex-wrap gap-6 xl:mt-8 group dark-button\">\n                                                                                            <a href=\"https:\/\/www.nordicbioscience.com\/biomarker-portfolio\/therapeutic-area\/cancer\/\" class=\"group button fill flex items-center font-poppins px-6 py-4 gap-2 transition ease-out duration-200 \n            bg-buttonfill \n            xl:hover:bg-petroleum \n            xl:hover:border-petroleum \n            group-[.dark-button]:text-fontdark \n            group-[.light-button]:text-fontlight\n            xl:group-[.dark-button]:hover:text-fontlight\n            border-2 border-turquoise border-solid rounded-full\n            xl:hover:[&#038;_svg_path]:fill-fontlight\n            group\/button\n            \" target=\"_blank\">\n            Visit our cancer biomarker portfolio            <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                <path class=\"group-[.dark-button]:fill-fontdark group-[.light-button]:fill-fontlight xl:group-hover\/button:!fill-fontlight xl:group-hover\/subtlebutton:!fill-turquoise transition ease-out duration-200\" d=\"M8.0026 2.66699L7.0626 3.60699L10.7826 7.33366L2.66927 7.33366L2.66927 8.66699L10.7826 8.66699L7.05594 12.387L8.0026 13.3337L13.3359 8.00033L8.0026 2.66699Z\" fill=\"#F8F8F8\"\/>\n            <\/svg>\n            <!--group\/button-->\n        <\/a>\n                                                                            <\/div>\n                        <\/article>\n        <figure class=\"flex-1 rounded-md -order-1 xl:order-none  xl:rounded-xl overflow-clip media-column shadow-main\">\n            <img decoding=\"async\" class=\"object-cover min-h-full aspect-square\" src=\"https:\/\/www.nordicbioscience.com\/wp-content\/uploads\/2025\/01\/immuno-hero.webp\" alt=\"\">\n        <\/figure>   \n    <\/div>\n<\/section>\n\n\n<section class=\"one-column-block bg-grey py-10\">\n<div class=\"inner xl:p-10 xl:pt-20 xl:pb-20 lg:p-8 p-5 max-w-[1440px] mx-auto\">\n\n        <div class=\"max-w-[900px] mx-auto wysiwyg\">\n            <h2 class=\"mb-4 font-bold xl:mb-8 title text-m-title-lg xl:text-d-title-md group-[.white]:text-navy group-[.grey]:text-navy group-[.dark]:text-fontlight\">Predicting response to checkpoint inhibitors<\/h2>\n            <p>By combining the\u00a0serological assessment of a biomarker\u00a0related to tumor fibrosis\u00a0<a href=\"https:\/\/www.nordicbioscience.com\/biomarker\/pro-c3\/\" data-type=\"biomarker\" data-id=\"1083\">PRO-C3 (nordicPRO-C3\u2122)<\/a>) with the serological assessment of a biomarker related to active T-cell infiltration in the tumor microenvironment (<a href=\"https:\/\/www.nordicbioscience.com\/biomarker\/c4g\/\" data-type=\"biomarker\" data-id=\"953\">C4G)<\/a>, it is possible to identify in our\u00a0<a href=\"https:\/\/www.nordicbioscience.com\/laboratory-services\/\" data-type=\"page\" data-id=\"1976\">CAP-accredited lab<\/a>\u00a0the fraction of patients with benefit from checkpoint inhibitor therapy from the periphery.<\/p>\n<p><a href=\"https:\/\/www.nordicbioscience.com\/biomarker\/c4g\/\" data-type=\"biomarker\" data-id=\"953\">C4G<\/a> is granzyme B degraded type IV collagen, measuring T-cell infiltration. Activated T-cells release the protease granzyme B (GzB), which can cleave type IV collagen during tumor infiltration. In other words, GzB promotes T-cell transmigration via basement membrane remodeling. Nordic Bioscience has identified GzB-specific cleavage sites on type IV collagen by mass spectrometry and developed an assay (<a href=\"https:\/\/www.nordicbioscience.com\/biomarker\/c4g\/\" data-type=\"biomarker\" data-id=\"953\">C4G<\/a>) with the ability to predict response and outcome in cancer patients treated with checkpoint inhibitors.\u00a0<a href=\"https:\/\/www.nordicbioscience.com\/biomarker\/c4g\/\" data-type=\"biomarker\" data-id=\"953\">C4G<\/a>\u00a0has been validated in several indications, with other immuno-oncology modalities and in other disease areas.<\/p>\n<p><a href=\"https:\/\/www.nordicbioscience.com\/biomarker-portfolio\/pro-c3\/\" data-type=\"biomarker\" data-id=\"1083\">NordicPRO-C3\u2122 <\/a>is the pro-peptide of type III collagen <a href=\"https:\/\/www.nordicbioscience.com\/nordicpro-c3-in-tumor-fibrosis\/\">quantifying tumor fibrosis (desmoplasia)<\/a>. While chemo- and targeted therapies have prevailed in the treatment of solid tumors, immuno-oncology therapies such as checkpoint inhibitors have revolutionized the field by inducing durable long-term responses in cancer patients. However, despite the substantially extended clinical benefit experienced by some patients, a large percentage of patients included in these clinical trials do not respond to treatment and are left with few, if any, other treatment options.<\/p>\n<p><a href=\"https:\/\/www.nordicbioscience.com\/biomarker-solutions\/cafs-cancer-associated-fibroblasts\/\" data-type=\"biomarker-solutions\" data-id=\"563\">Cancer-associated fibroblasts (CAFs)<\/a> are the main drivers of the increased extracellular matrix and collagen deposition leading to tumor fibrosis (desmoplasia). Consequent to the impact of desmoplasia on efficient infiltration and activity of T-cells in the tumor, tools to measure and quantify the desmoplastic reaction have great applicability in the immuno-oncology setting. NordicPRO-C3\u2122 an assay developed by Nordic Bioscience for measuring true formation of fibroblast-derived collagen has shown to predict response and outcome in cancer patients treated with checkpoint inhibitors. NordicPRO-C3\u2122 is also validated in several indications, with other modalities and in other disease areas.<\/p>\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n\n<section class=\"call-to-action\">\n        <!-- \n        initialize dynamic classes\n        bg-greybg\n        bg-dark\n        xl:flex-row-reverse\n        xl:flex-row\n        -->\n   <div class=\"inner xl:p-10 lg:p-8 p-5 max-w-[1440px] mx-auto flex gap-4 xl:gap-10 flex-col\">\n        <article style=\"background-image: url(https:\/\/www.nordicbioscience.com\/wp-content\/uploads\/2025\/04\/lila-2-webp-1024x682.webp)\" class=\"bg-cover shadow-main flex overflow-clip flex-col justify-between px-5 py-10 rounded-md bg-gray-600 xl:p-40 text-column xl:rounded-xl after:content-[''] after:block after:inset-0 relative after:absolute after:bg-gradient-to-b from-black\/0 to-black\">\n            <div class=\"max-w-[900px] mx-auto relative z-10\">\n                <div class=\"text-center text-balance\">\n                     \n                    <\/div>\n                    <div class=\"mb-8 text-center !text-fontlight\/90 body-text text-balance\">\n                                            <\/div>\n                    \n                    \n                    <div class=\"flex flex-col items-center w-full gap-4 md:gap-6 xl:mt-8 xl:flex-row xl:justify-center group light-button\">\n                                                                                    <div class=\"w-full text-center md:w-auto\">\n\n                                            <a href=\"mailto:bd@nordicbioscience.com?subject=General%20Inquiry\" class=\"group button fill flex items-center font-poppins px-6 py-4 gap-2 transition ease-out duration-200 \n            bg-buttonfill \n            xl:hover:bg-petroleum \n            xl:hover:border-petroleum \n            group-[.dark-button]:text-fontdark \n            group-[.light-button]:text-fontlight\n            xl:group-[.dark-button]:hover:text-fontlight\n            border-2 border-turquoise border-solid rounded-full\n            xl:hover:[&#038;_svg_path]:fill-fontlight\n            group\/button\n            \" target=\"\">\n            Interested to learn more? Reach out!            <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                <path class=\"group-[.dark-button]:fill-fontdark group-[.light-button]:fill-fontlight xl:group-hover\/button:!fill-fontlight xl:group-hover\/subtlebutton:!fill-turquoise transition ease-out duration-200\" d=\"M8.0026 2.66699L7.0626 3.60699L10.7826 7.33366L2.66927 7.33366L2.66927 8.66699L10.7826 8.66699L7.05594 12.387L8.0026 13.3337L13.3359 8.00033L8.0026 2.66699Z\" fill=\"#F8F8F8\"\/>\n            <\/svg>\n            <!--group\/button-->\n        <\/a>\n                                    <\/div>\n                                                                                            <\/div>\n                                                    <\/div>\n                    <\/article>\n                <\/div>\n            <\/section>\n\n\n<section class=\"two-column group white bg-white\">\n        <!-- \n        initialize dynamic classes\n        bg-grey\n        bg-dark\n        lg:flex-row-reverse\n        lg:flex-row\n        -->\n   <div class=\"inner items-center lg:p-8 xl:p-10 p-5 max-w-[1440px] mx-auto flex gap-4 lg:gap-8 xl:gap-10 flex-col lg:flex-row\">\n        <article class=\"flex flex-col justify-between flex-1 text-column lg:py-8 xl:py-10\">\n            <div class=\"\">\n                <div>\n                                    <h2 class=\"mb-4 font-bold xl:mb-8 title text-m-title-lg xl:text-d-title-md group-[.white]:text-navy group-[.grey]:text-navy group-[.dark]:text-fontlight\">Pharmacodynamic modulation and mode-of-action<\/h2>\n                 \n\n                <\/div>\n                <div class=\"wysiwyg mb-8 xl:mb-0 body-text group-[.white]:text-blue group-[.grey]:text-blue group-[.dark]:text-fontlightbody\">\n                    <p>It is well established that immuno-oncology therapies can have a great impact on the composition and quality of the cells of the tumor microenvironment and therefore also on the composition and quality of the extracellular matrix and the\u00a0<a href=\"https:\/\/www.nordicbioscience.com\/technology\/nordic-proteinfingerprint-technology\/\" data-type=\"page\" data-id=\"2167\">Nordic ProteinFingerPrint Technology\u2122<\/a>\u00a0biomarkers. This potentially allow pharmacodynamic profiling of novel treatments by measuring these biomarkers directly in serum\/plasma samples over the course of an immuno-oncology clinical trial. Likewise, these biomarkers may enlighten on the mode-of-action of a given immuno-oncology compound alone or in combinations.<\/p>\n<p><a href=\"https:\/\/www.nordicbioscience.com\/biomarker\/vicm\/\" data-type=\"biomarker\" data-id=\"1172\">VICM<\/a> is matrix metalloprotease degraded, citrullinated vimentin (Macrophage activity). Tumor-associated macrophages (TAMs) are the dominant leukocyte population found in the tumor microenvironment where they are key mediators in maintaining the inflammatory processes in the tumor. Monitoring how macrophage activity is affected by a given immuno-oncology treatment may shed light on the MoA. The protein fragment<a href=\"https:\/\/www.nordicbioscience.com\/biomarker-portfolio\/vicm\/\" data-type=\"biomarker\" data-id=\"1172\">\u00a0VICM<\/a>\u00a0(matrix metalloprotease degraded and citrullinated vimentin) has been shown to be released from activated macrophages and dose-dependently decreased by anti-GM-CSFR\u03b1 therapy. Moreover, changes in the\u00a0<a href=\"https:\/\/www.nordicbioscience.com\/biomarker\/vicm\/\" data-type=\"biomarker\" data-id=\"1172\">VICM biomarker<\/a>\u00a0are linked to response to checkpoint blockade supporting a link between immuno-oncology therapy and TAM activity.<\/p>\n                <\/div>\n                                <\/div>\n                                    <div class=\"flex flex-wrap gap-6 xl:mt-8 group dark-button\">\n                                                                                            <a href=\"https:\/\/www.nordicbioscience.com\/biomarker-portfolio\/therapeutic-area\/cancer\/biomarker-panel\/immune-cell-activity\/\" class=\"group button fill flex items-center font-poppins px-6 py-4 gap-2 transition ease-out duration-200 \n            bg-buttonfill \n            xl:hover:bg-petroleum \n            xl:hover:border-petroleum \n            group-[.dark-button]:text-fontdark \n            group-[.light-button]:text-fontlight\n            xl:group-[.dark-button]:hover:text-fontlight\n            border-2 border-turquoise border-solid rounded-full\n            xl:hover:[&#038;_svg_path]:fill-fontlight\n            group\/button\n            \" target=\"_blank\">\n            Immune cell activity biomarkers in cancer            <svg width=\"16\" height=\"16\" viewBox=\"0 0 16 16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                <path class=\"group-[.dark-button]:fill-fontdark group-[.light-button]:fill-fontlight xl:group-hover\/button:!fill-fontlight xl:group-hover\/subtlebutton:!fill-turquoise transition ease-out duration-200\" d=\"M8.0026 2.66699L7.0626 3.60699L10.7826 7.33366L2.66927 7.33366L2.66927 8.66699L10.7826 8.66699L7.05594 12.387L8.0026 13.3337L13.3359 8.00033L8.0026 2.66699Z\" fill=\"#F8F8F8\"\/>\n            <\/svg>\n            <!--group\/button-->\n        <\/a>\n                                                                            <\/div>\n                        <\/article>\n        <figure class=\"flex-1 rounded-md -order-1 xl:order-none  xl:rounded-xl overflow-clip media-column shadow-main\">\n            <img decoding=\"async\" class=\"object-cover min-h-full aspect-square\" src=\"https:\/\/www.nordicbioscience.com\/wp-content\/uploads\/2025\/01\/cancer-tumor-fibrosis-e1747128468212.webp\" alt=\"\">\n        <\/figure>   \n    <\/div>\n<\/section>\n\n\n<section class=\"one-column-block bg-grey py-10\">\n<div class=\"inner xl:p-10 xl:pt-20 xl:pb-20 lg:p-8 p-5 max-w-[1440px] mx-auto\">\n\n        <div class=\"max-w-[900px] mx-auto wysiwyg\">\n            <h2 class=\"mb-4 font-bold xl:mb-8 title text-m-title-lg xl:text-d-title-md group-[.white]:text-navy group-[.grey]:text-navy group-[.dark]:text-fontlight\">The clinical need for non-invasive biomarkers and why neo-epitopes matter in immuno-oncology<\/h2>\n            <p>Immuno-oncology treatment response relies on complex interactions between tumor cells, the stromal cells (immune cells, fibroblasts etc.), soluble factors (TGF-beta) and the extracellular matrix. This entails a need for biomarkers reflecting such\u00a0tumor microenvironment\u00a0alterations. Many immuno-oncology-related biomarkers currently being evaluated for predicting and monitoring response are based on fresh tissue biopsies which, for one, are often not obtainable, but also suffer from heterogeneity due to \u201csampling error\u201d and lack of reflection on the dynamic component of such tumor microenvironment alterations. Therefore, peripheral biomarkers (liquid biopsies) in the setting of IO therapies are urgently needed.<\/p>\n<p>Proteins are constantly being produced, degraded and modified as part of maintaining healthy tissue. However, these processes become uncontrolled in the tumor microenvironment. Ultimately, all these activity changes in the tumor microenvironment manifest in alterations in the quality and composition of the\u00a0extracellular matrix. Compared to genomics and IHC, looking at specific neo-epitopes on extracellular matrix proteins associated with given pathophysiological processes will provide a higher correlation with actual disease activity and immuno-oncological processes.<\/p>\n<p>At Nordic Bioscience we focus our biomarker efforts on targeting and quantifying post-translational modifications, cleavage sites, and neo-epitopes on proteins or peptide fragments in circulation. We call these protein fingerprints. This approach is in fundamental contrast to most precision medicine approaches in the immuno-oncology space where the primary focus is on genomics and staining of total protein content by immunohistochemistry.\u00a0Quantifying unique neo-epitopes\u00a0on circulating peptides originating from the same protein may provide the complete opposite prognostic value.<\/p>\n        <\/div>\n    <\/div>\n<\/section>\n\n\n\n\n<section class=\"accordion-block\">\n    <div class=\"inner xl:p-10 lg:p-8 lg:pb-0 xl:pb-0 p-5 pb-0 max-w-[1440px] mx-auto\">\n        <div>\n                    <h2 class=\"mb-4 font-bold xl:mb-8 title text-m-title-lg xl:text-d-title-lg text-navy\">About immuno-oncology (IO)<\/h2>\n         \n        <\/div>\n            <ul class=\"accordion\">\n                            <!-- Accordion Item -->\n                <li>\n                    <button data-index=\"1\" \n                            class=\"flex items-center justify-between w-full py-5 font-bold text-m-title-sm xl:text-d-title-sm accordion-button text-navy\">\n                        <span class=\"text-start\">What are biomarkers in immuno-oncology and why are they important?<\/span>\n                        <span id=\"icon-1\" class=\"transition-transform duration-300 text-turquoise\">\n                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"currentColor\" class=\"w-4 h-4 xl:w-6 xl:h-6\">\n                                <path d=\"M8.75 3.75a.75.75 0 0 0-1.5 0v3.5h-3.5a.75.75 0 0 0 0 1.5h3.5v3.5a.75.75 0 0 0 1.5 0v-3.5h3.5a.75.75 0 0 0 0-1.5h-3.5v-3.5Z\" \/>\n                            <\/svg>\n                        <\/span>\n                    <\/button>\n                    <div id=\"content-1\" class=\"overflow-hidden transition-all duration-300 ease-in-out accordion-content max-h-0\">\n                        <div class=\"pb-5 text-sm max-w-[600px] text-blue\">\n                            <p data-start=\"40\" data-end=\"427\">Biomarkers in immuno-oncology are measurable indicators in blood or tissue that reflect the immune system\u2019s interaction with cancer. They are important for identifying which patients are likely to respond to immunotherapies, such as checkpoint inhibitors, and for monitoring treatment response and disease progression.<\/p>\n                        <\/div>\n                    <\/div>\n                <\/li>\n                            <!-- Accordion Item -->\n                <li>\n                    <button data-index=\"2\" \n                            class=\"flex items-center justify-between w-full py-5 font-bold text-m-title-sm xl:text-d-title-sm accordion-button text-navy\">\n                        <span class=\"text-start\">How can biomarkers help predict response to checkpoint inhibitors?<\/span>\n                        <span id=\"icon-2\" class=\"transition-transform duration-300 text-turquoise\">\n                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"currentColor\" class=\"w-4 h-4 xl:w-6 xl:h-6\">\n                                <path d=\"M8.75 3.75a.75.75 0 0 0-1.5 0v3.5h-3.5a.75.75 0 0 0 0 1.5h3.5v3.5a.75.75 0 0 0 1.5 0v-3.5h3.5a.75.75 0 0 0 0-1.5h-3.5v-3.5Z\" \/>\n                            <\/svg>\n                        <\/span>\n                    <\/button>\n                    <div id=\"content-2\" class=\"overflow-hidden transition-all duration-300 ease-in-out accordion-content max-h-0\">\n                        <div class=\"pb-5 text-sm max-w-[600px] text-blue\">\n                            <p data-start=\"429\" data-end=\"797\">Biomarkers like nordicPRO-C3\u2122 and C4G can identify patients with a T-cell-permissive tumor microenvironment. C4G reflects active T-cell infiltration, while nordicPRO-C3\u2122 measures tumor fibrosis. Together, they help predict which patients are more likely to benefit from checkpoint inhibitor therapy.<\/p>\n                        <\/div>\n                    <\/div>\n                <\/li>\n                            <!-- Accordion Item -->\n                <li>\n                    <button data-index=\"3\" \n                            class=\"flex items-center justify-between w-full py-5 font-bold text-m-title-sm xl:text-d-title-sm accordion-button text-navy\">\n                        <span class=\"text-start\">What role do macrophages and fibroblasts play in the tumor microenvironment?<\/span>\n                        <span id=\"icon-3\" class=\"transition-transform duration-300 text-turquoise\">\n                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"currentColor\" class=\"w-4 h-4 xl:w-6 xl:h-6\">\n                                <path d=\"M8.75 3.75a.75.75 0 0 0-1.5 0v3.5h-3.5a.75.75 0 0 0 0 1.5h3.5v3.5a.75.75 0 0 0 1.5 0v-3.5h3.5a.75.75 0 0 0 0-1.5h-3.5v-3.5Z\" \/>\n                            <\/svg>\n                        <\/span>\n                    <\/button>\n                    <div id=\"content-3\" class=\"overflow-hidden transition-all duration-300 ease-in-out accordion-content max-h-0\">\n                        <div class=\"pb-5 text-sm max-w-[600px] text-blue\">\n                            <p data-start=\"799\" data-end=\"1179\">Macrophages and fibroblasts are key components of the tumor stroma. Biomarkers like VICM track macrophage activity, while nordicPRO-C3\u2122 reflects fibroblast-driven collagen formation. These indicators provide insight into immune activity, fibrosis, and potential resistance mechanisms to immunotherapy.<\/p>\n                        <\/div>\n                    <\/div>\n                <\/li>\n                            <!-- Accordion Item -->\n                <li>\n                    <button data-index=\"4\" \n                            class=\"flex items-center justify-between w-full py-5 font-bold text-m-title-sm xl:text-d-title-sm accordion-button text-navy\">\n                        <span class=\"text-start\">Why are non-invasive biomarkers important in immuno-oncology?<\/span>\n                        <span id=\"icon-4\" class=\"transition-transform duration-300 text-turquoise\">\n                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"currentColor\" class=\"w-4 h-4 xl:w-6 xl:h-6\">\n                                <path d=\"M8.75 3.75a.75.75 0 0 0-1.5 0v3.5h-3.5a.75.75 0 0 0 0 1.5h3.5v3.5a.75.75 0 0 0 1.5 0v-3.5h3.5a.75.75 0 0 0 0-1.5h-3.5v-3.5Z\" \/>\n                            <\/svg>\n                        <\/span>\n                    <\/button>\n                    <div id=\"content-4\" class=\"overflow-hidden transition-all duration-300 ease-in-out accordion-content max-h-0\">\n                        <div class=\"pb-5 text-sm max-w-[600px] text-blue\">\n                            <p data-start=\"1181\" data-end=\"1512\">Non-invasive, blood-based biomarkers overcome the limitations of tumor biopsies, which may be unavailable or unrepresentative. Liquid biopsies allow for real-time monitoring of treatment effects and tumor microenvironment changes without repeated invasive procedures.<\/p>\n                        <\/div>\n                    <\/div>\n                <\/li>\n                            <!-- Accordion Item -->\n                <li>\n                    <button data-index=\"5\" \n                            class=\"flex items-center justify-between w-full py-5 font-bold text-m-title-sm xl:text-d-title-sm accordion-button text-navy\">\n                        <span class=\"text-start\">How does Nordic ProteinFingerPrint Technology\u2122 improve biomarker specificity?<\/span>\n                        <span id=\"icon-5\" class=\"transition-transform duration-300 text-turquoise\">\n                            <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 16\" fill=\"currentColor\" class=\"w-4 h-4 xl:w-6 xl:h-6\">\n                                <path d=\"M8.75 3.75a.75.75 0 0 0-1.5 0v3.5h-3.5a.75.75 0 0 0 0 1.5h3.5v3.5a.75.75 0 0 0 1.5 0v-3.5h3.5a.75.75 0 0 0 0-1.5h-3.5v-3.5Z\" \/>\n                            <\/svg>\n                        <\/span>\n                    <\/button>\n                    <div id=\"content-5\" class=\"overflow-hidden transition-all duration-300 ease-in-out accordion-content max-h-0\">\n                        <div class=\"pb-5 text-sm max-w-[600px] text-blue\">\n                            <article class=\"text-token-text-primary w-full\" dir=\"auto\" data-testid=\"conversation-turn-96\" data-scroll-anchor=\"true\">\n<div class=\"text-base my-auto mx-auto py-5 [--thread-content-margin:--spacing(4)] @[37rem]:[--thread-content-margin:--spacing(6)] @[72rem]:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:32rem] @[34rem]:[--thread-content-max-width:40rem] @[64rem]:[--thread-content-max-width:48rem] mx-auto flex max-w-(--thread-content-max-width) flex-1 text-base gap-4 md:gap-5 lg:gap-6 group\/turn-messages focus-visible:outline-hidden\" tabindex=\"-1\">\n<div class=\"group\/conversation-turn relative flex w-full min-w-0 flex-col agent-turn\">\n<div class=\"relative flex-col gap-1 md:gap-3\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"4d3e2182-4464-44cb-919e-736a27f3dc84\" data-message-model-slug=\"gpt-4o\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[3px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words dark\">\n<p data-start=\"1514\" data-end=\"1924\" data-is-last-node=\"\" data-is-only-node=\"\">Nordic ProteinFingerPrint Technology\u2122 targets specific protein fragments, known as neo-epitopes, that result from active disease processes like ECM remodeling. 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