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The Role of Neoantigens in Cancer Immunotherapy
Yueting Zhu1, Jiyan Liu1,2
1Department of Biotherapy, Cancer Center, and National Clinical Research Center for Geriatrics, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
Abstract:
Somatic mutation-derived neoantigens, expressed only on tumor cells, may elicit antitumor T-cell responses in cancer immunotherapies with minimal immune tolerance. Neoantigens can be identified by multiple bioinformatics technologies, mainly based on whole-exome sequencing. Personalized cancer vaccines and adoptive T cell therapies are two primary treatment modalities targeting neoantigens, and both of them have shown promising therapeutic effects. This review, summarizes the history of neoantigen-related tumor control, introduces recent neoantigen screening and identification methods, and discusses the role of neoantigen in cancer immunotherapies. Moreover, we propose the challenges of targeting neoantigens for cancer treatment.
Insights
Neoantigens, unique tumor targets, drive antitumor T-cell responses in cancer immunotherapy. This review covers neoantigen identification, personalized vaccines, T-cell therapies, and future challenges.
Area of Science:
- Oncology
- Immunology
- Bioinformatics
Background:
- Somatic mutation-derived neoantigens are tumor-specific, potentially eliciting potent antitumor T-cell responses.
- Minimal immune tolerance associated with neoantigens enhances their therapeutic potential in cancer immunotherapy.
- Neoantigens are primarily identified using bioinformatics approaches, notably whole-exome sequencing.
Purpose of the Study:
- To review the historical context of neoantigen-driven tumor control.
- To introduce contemporary methods for neoantigen screening and identification.
- To discuss the pivotal role of neoantigens in advancing cancer immunotherapies.
Main Methods:
- Literature review of neoantigen research.
- Analysis of bioinformatics technologies for neoantigen identification (e.g., whole-exome sequencing).
- Examination of clinical data from personalized cancer vaccines and adoptive T-cell therapies.
Main Results:
- Neoantigen-targeted therapies, including personalized vaccines and T-cell therapies, demonstrate promising clinical outcomes.
- Advancements in bioinformatics have significantly improved the accuracy and efficiency of neoantigen discovery.
- Neoantigens represent a key frontier in developing effective cancer immunotherapies.
Conclusions:
- Targeting neoantigens offers a promising strategy for cancer treatment due to their tumor-specific nature and immunogenicity.
- Personalized neoantigen-based therapies are advancing rapidly, showing significant therapeutic potential.
- Overcoming challenges in neoantigen identification and targeting is crucial for realizing their full clinical impact.
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