Human preprocalcitonin self-antigen generates TAP-dependent and -independent epitopes triggering optimised T-cell

Aurélie Durgeau1,2, Yasemin Virk1, Gwendoline Gros1

  • 1INSERM UMR 1186, Integrative Tumour Immunology and Genetic Oncology, Gustave Roussy, EPHE, PSL, Fac. de Médecine, Univ. Paris-Sud, Université Paris-Saclay, 94805, Villejuif, France.

Nature Communications
|December 4, 2018
PubMed

Insights

Tumours evade immune responses by downregulating TAP, leading to neoantigens like preprocalcitonin (ppCT). Immunotherapy targeting ppCT effectively combats these immune-evading tumours, offering a new treatment strategy.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • Tumours frequently evade CD8 T-cell immunity by downregulating the transporter associated with antigen processing (TAP).
  • This evasion mechanism leads to the emergence of immunogenic non-mutated neoantigens arising from impaired peptide processing.
  • The preprocalcitonin (ppCT)16-25 neoepitope exemplifies this class of antigens.

Purpose of the Study:

  • To investigate the expression of TAP and ppCT in human lung tumours.
  • To elucidate the processing pathways of ppCT-derived epitopes.
  • To evaluate the therapeutic potential of ppCT peptide-based immunotherapy against tumours with impaired antigen processing.

Main Methods:

  • Analysis of TAP expression in human lung tumours.
  • Identification and characterization of HLA-A2-restricted ppCT epitopes.
  • Investigation of TAP-dependent and -independent processing pathways involving endoplasmic reticulum and cytosolic mechanisms.
  • Assessment of ppCT peptide-based immunotherapy in mouse models (HLA-A*0201-transgenic and NOD-scid-Il2rγnull mice with human PBMC transfer).

Main Results:

  • Most human lung tumours exhibit altered TAP expression and frequently express the ppCT self-antigen.
  • ppCT contains HLA-A2-restricted epitopes processed through both TAP-dependent and -independent pathways.
  • These pathways involve signal peptidases in the endoplasmic reticulum or cytosolic degradation/retrotranslocation mechanisms.
  • ppCT peptide-based immunotherapy successfully induced T-cell responses against tumours with impaired antigen processing machinery in preclinical models.

Conclusions:

  • ppCT is a relevant neoantigen in tumours with immune evasion mechanisms.
  • ppCT epitopes can be processed independently of TAP, offering therapeutic opportunities.
  • ppCT-specific T lymphocytes represent a promising therapeutic strategy for treating tumours that have escaped immune surveillance.

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