Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression

Timothy I Shaw1,2, Jessica Wagner3, Liqing Tian1,3

  • 1Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.

PubMed

Insights

Researchers identified novel cancer-specific exon targets for chimeric antigen receptor T cell immunotherapy in pediatric solid and brain tumors. This discovery expands the potential for effective cancer treatments by uncovering new targets with high specificity.

Area of Science:

  • Oncology
  • Immunotherapy
  • Genomics
  • Bioinformatics

Background:

  • Chimeric antigen receptor T cell (CAR-T) immunotherapy for pediatric solid and brain tumors is limited by the scarcity of suitable targetable antigens.
  • Cancer-specific exons represent an underexplored source of highly specific tumor targets.
  • Systematic, pan-cancer validation of these exon targets is lacking.

Purpose of the Study:

  • To systematically identify and validate cancer-specific exon targets for pediatric solid and brain tumors.
  • To develop novel CAR-T cell therapies targeting these identified antigens.

Main Methods:

  • Analysis of 1532 RNA-sequencing datasets from 16 pediatric tumor types compared to normal tissues using a novel bioinformatics workflow.
  • Identification of genes encoding surfaceome or matrisome proteins with cancer-specific exons.
  • Validation of selected targets (e.g., fibronectin 1 EDB domain, COL11A1) in patient-derived xenograft models.
  • Generation and testing of CAR-T cells targeting validated antigens.

Main Results:

  • Discovery of 2933 cancer-specific exons in 157 genes, with high specificity at the gene (148 genes) or alternatively spliced isoform (9 genes) level.
  • Validation of expression for selected alternatively spliced and gene targets in pediatric xenograft tumors.
  • Demonstration of antitumor activity by CAR-T cells engineered to target the fibronectin 1 EDB domain or COL11A1.

Conclusions:

  • A comprehensive list of cancer-specific exon targets has been identified, offering a promising resource for pediatric solid and brain tumor immunotherapy.
  • The developed interactive web portal provides an accessible platform for exploring these novel targets.
  • Targeting cancer-specific exons represents a viable strategy to enhance the efficacy and specificity of CAR-T cell therapies in pediatric cancers.