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Updated: May 3, 2026

Monitoring the Cancer-Immunity Cycle and Exploring Tumor Microenvironment Dynamics
Published on: June 7, 2024
Tumour antigens recognized by T lymphocytes: at the core of cancer immunotherapy
Pierre G Coulie1, Benoît J Van den Eynde2, Pierre van der Bruggen2
11] de Duve Institute and the Université catholique de Louvain, B-1200 Brussels, Belgium. [2] WELBIO (Walloon Excellence in Lifesciences and Biotechnology), B-1200 Brussels, Belgium.
Abstract:
In this Timeline, we describe the characteristics of tumour antigens that are recognized by spontaneous T cell responses in cancer patients and the paths that led to their identification. We explain on what genetic basis most, but not all, of these antigens are tumour specific: that is, present on tumour cells but not on normal cells. We also discuss how strategies that target these tumour-specific antigens can lead either to tumour-specific or to crossreactive T cell responses, which is an issue that has important safety implications in immunotherapy. These safety issues are even more of a concern for strategies targeting antigens that are not known to induce spontaneous T cell responses in patients.
Insights
This study details tumor antigens recognized by T cells in cancer patients, focusing on their tumor-specific nature and implications for immunotherapy safety. Understanding these antigens is crucial for developing effective and safe cancer treatments.
Area of Science:
- Oncology
- Immunology
- Genetics
Background:
- Spontaneous T cell responses in cancer patients recognize specific tumor antigens.
- Most tumor antigens are tumor-specific, arising from genetic mutations.
- Identifying these antigens is key to understanding anti-tumor immunity.
Purpose of the Study:
- To describe the characteristics of tumor antigens recognized by spontaneous T cell responses.
- To explain the genetic basis of tumor antigen specificity.
- To discuss the safety implications of targeting tumor antigens in immunotherapy.
Main Methods:
- Review of existing literature on tumor antigens and T cell responses.
- Analysis of genetic underpinnings of tumor antigen presentation.
- Evaluation of immunotherapy strategies targeting tumor antigens.
Main Results:
- Characterization of tumor antigens eliciting spontaneous T cell responses.
- Explanation of the genetic basis for tumor specificity in most, but not all, antigens.
- Identification of safety concerns related to cross-reactive T cell responses.
Conclusions:
- Targeting tumor-specific antigens can lead to desired anti-tumor immunity or unintended cross-reactivity.
- Safety concerns are heightened when targeting antigens lacking spontaneous T cell recognition.
- Further research is needed to optimize immunotherapy strategies based on antigen characteristics.
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