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Identification and Targeting of Mutant Peptide Neoantigens in Cancer Immunotherapy
Daniel J Verdon1, Misty R Jenkins1,2,3
1Immunology Division, The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC 3052, Australia.
Abstract:
In recent decades, adoptive cell transfer and checkpoint blockade therapies have revolutionized immunotherapeutic approaches to cancer treatment. Advances in whole exome/genome sequencing and bioinformatic detection of tumour-specific genetic variations and the amino acid sequence alterations they induce have revealed that T cell mediated anti-tumour immunity is substantially directed at mutated peptide sequences, and the identification and therapeutic targeting of patient-specific mutated peptide antigens now represents an exciting and rapidly progressing frontier of personalized medicine in the treatment of cancer. This review outlines the historical identification and validation of mutated peptide neoantigens as a target of the immune system, and the technical development of bioinformatic and experimental strategies for detecting, confirming and prioritizing both patient-specific or "private" and frequently occurring, shared "public" neoantigenic targets. Further, we examine the range of therapeutic modalities that have demonstrated preclinical and clinical anti-tumour efficacy through specifically targeting neoantigens, including adoptive T cell transfer, checkpoint blockade and neoantigen vaccination.
Insights
Targeting mutated peptide neoantigens, identified through advanced sequencing and bioinformatics, is revolutionizing cancer treatment. Personalized therapies like T cell transfer and vaccination show promise in harnessing anti-tumour immunity.
Area of Science:
- Oncology
- Immunology
- Genetics
Background:
- Adoptive cell transfer and checkpoint blockade have transformed cancer immunotherapy.
- Tumor-specific genetic variations drive T cell-mediated anti-tumour immunity.
- Mutated peptide neoantigens are key targets in personalized cancer medicine.
Purpose of the Study:
- To review the identification and validation of mutated peptide neoantigens.
- To outline bioinformatic and experimental strategies for neoantigen detection and prioritization.
- To examine therapeutic modalities targeting neoantigens for cancer treatment.
Main Methods:
- Review of historical data and scientific literature.
- Analysis of advances in whole exome/genome sequencing and bioinformatics.
- Examination of preclinical and clinical data for neoantigen-targeting therapies.
Main Results:
- Mutated peptide neoantigens are validated targets of the immune system.
- Bioinformatic and experimental strategies effectively detect and prioritize neoantigens.
- Therapeutic modalities targeting neoantigens demonstrate anti-tumour efficacy.
Conclusions:
- Neoantigen-targeted therapies represent a rapidly progressing frontier in personalized cancer medicine.
- Patient-specific and shared neoantigens can be therapeutically targeted.
- Adoptive T cell transfer, checkpoint blockade, and vaccination are key neoantigen-targeting strategies.
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