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Antigenic Liposomes for Generation of Disease-specific Antibodies
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Alternative tumour-specific antigens.

Christof C Smith1,2, Sara R Selitsky2,3, Shengjie Chai1,2,4

  • 1Department of Microbiology and Immunology, UNC School of Medicine, Marsico Hall, Chapel Hill, NC, USA.

Nature Reviews. Cancer
|July 7, 2019
PubMed
Summary
This summary is machine-generated.

Alternative tumour-specific antigens (TSAs) from non-SNV sources offer new therapeutic targets. These antigens, unlike patient-specific neoantigens, can be shared across tumors, enabling universal cancer therapies.

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Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Tumour-specific antigens (TSAs) are crucial for developing targeted antitumour therapies.
  • Non-synonymous single-nucleotide variant (SNV) neoantigens are the most studied class of TSAs.
  • Expanding the repertoire of therapeutic targets necessitates exploring alternative TSA sources.

Purpose of the Study:

  • To review alternative tumour antigens derived from non-SNV genomic alterations.
  • To discuss the biology, detection tools, and clinical relevance of these alternative TSAs.
  • To highlight challenges and solutions for the clinical translation of alternative TSA-based therapies.

Main Methods:

  • Literature review and synthesis of current research on alternative TSAs.
  • Analysis of biological mechanisms underlying alternative TSA generation.
  • Evaluation of computational tools for identifying alternative TSAs.
  • Review of preclinical and clinical studies involving alternative TSAs.

Main Results:

  • Alternative TSAs arise from various non-SNV sources, including frameshifts, splice variants, and gene fusions.
  • Some alternative TSAs are shared across multiple tumors, offering potential for universal therapies.
  • Computational tools and preclinical/clinical studies are emerging for alternative TSA evaluation.

Conclusions:

  • Alternative TSAs represent a promising avenue for expanding cancer immunotherapy targets.
  • The shared nature of some alternative TSAs could lead to 'off-the-shelf' therapeutic strategies.
  • Overcoming current challenges is key to realizing the clinical potential of alternative TSAs.