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Neoantigen landscape supports feasibility of personalized cancer vaccine for follicular lymphoma.
Cody A Ramirez1,2, Michelle Becker-Hapak1, Kartik Singhal1,2
1Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Blood Advances
|May 7, 2024
View abstract on PubMed
Summary
Personalized cancer vaccines targeting neoantigens show promise for follicular lymphoma (FL). This study demonstrates the feasibility of using combined genomic sequencing to identify neoantigens for personalized vaccine development in FL patients.
Area of Science:
- Oncology
- Immunology
- Genomics
Background:
- Personalized cancer vaccines targeting neoantigens are a novel therapeutic approach.
- Follicular lymphoma (FL) treatment can benefit from innovative strategies.
- Previous vaccine approaches faced challenges that may be overcome by neoantigen-based methods.
Purpose of the Study:
- To engineer polyvalent vaccines for personalized follicular lymphoma (FL) treatment.
- To discover neoantigens using combined whole-exome sequencing (WES) and RNA sequencing (RNA-seq).
- To evaluate the feasibility and safety of personalized neoantigen vaccination in a pilot clinical trial.
Main Methods:
- Whole-exome sequencing (WES) and RNA sequencing (RNA-seq) were performed on 58 FL tumor samples.
Main Results:
- An average of 52 somatic mutations per patient were identified.
- A median of 15 high-quality neoantigens were predicted per FL sample.
- Personalized neoantigen vaccines were successfully synthesized and administered, showing feasibility, safety, and potential responses.
Conclusions:
- Genomics-driven personalized cancer vaccine strategies are feasible for FL.
- This approach may address previous challenges in cancer vaccine development.
- The study suggests potential immunologic and clinical benefits in patients with relapsed or refractory FL.


