Immunotherapies targeting neoantigens are effective in PD-1 blockade-resistant tumors

Changbo Sun1,2,3, Koji Nagaoka1, Yukari Kobayashi1

  • 1Department of Immunotherapeutics, University of Tokyo Hospital, Tokyo, Japan.

Insights

Researchers identified new cancer neoantigens to improve T cell therapies for tumors resistant to PD-1/PD-L1 blockade. This approach enhances the immune system

Area of Science:

  • Oncology
  • Immunology
  • Cancer Research

Background:

  • Limited efficacy of current immunotherapies like PD-1/PD-L1 blockade for certain tumors.
  • Need for strategies to enhance anti-tumor T cell responses in resistant cancers.

Purpose of the Study:

  • To identify novel immunogenic neoantigens for enhancing T cell-mediated cancer immunotherapy.
  • To develop strategies to overcome resistance to PD-1/PD-L1 blockade therapy.

Main Methods:

  • Whole-exome and RNA sequencing to identify mutations in murine lung cancer (ASB-XIV).
  • In silico prediction of MHC-I binding affinity for neoepitope peptides.
  • Screening of neoepitope peptides using ASB-XIV-specific CD8+ T cells.
  • Vaccination with dendritic cells (DCs) pulsed with identified neoepitopes (mPhf3, mCdt1).
  • Combination therapy with anti-PD-1 treatment and adoptive T cell transfer.

Main Results:

  • Identification of mutated Phf3 peptide (mPhf3) as an immunogenic neoepitope.
  • mPhf3-DC vaccination inhibited ASB-XIV tumor growth via CD8+ T cell immunity.
  • Combination of mPhf3-DC vaccine and anti-PD-1 therapy showed robust anti-tumor activity.
  • Adoptive transfer of mPhf3-specific CD8+ T cells eradicated ASB-XIV tumors.
  • Similar positive results observed with mCdt1 in PD-1 blockade-resistant gastric tumors (YTN16).

Conclusions:

  • A novel immunogenic neoepitope (mPhf3) was identified for ASB-XIV tumors, offering a new target for cancer immunotherapy.
  • Identifying immunogenic neoantigens can increase the frequency of neoantigen-specific T cells, improving therapeutic strategies for PD-1/PD-L1 blockade-resistant tumors.
  • This approach holds promise for expanding the effectiveness of cancer immunotherapies.

Related Concept Videos