Identification of HLA class II-restricted T cell receptors against shared PIK3CA mutations in patients with

S M Rafiqul Islam1, Samantha Seitter1, Maria Parkhurst1

  • 1National Cancer Institute, Surgery Branch, National Institutes of Health, Bethesda, MD, USA.

Insights

Researchers identified three T cell receptors (TCRs) targeting common PIK3CA mutations in epithelial cancers. This discovery advances potential off-the-shelf T cell immunotherapies for PIK3CA-driven cancers.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • PIK3CA mutations are frequent in epithelial cancers, but their immunogenicity is poorly understood.
  • Previous studies identified limited T cell receptor (TCR) responses to specific PIK3CA mutations (E545K, H1047L).

Purpose of the Study:

  • To investigate the immunogenicity of hotspot PIK3CA mutations in patients with epithelial cancers.
  • To identify and characterize T cell responses against PIK3CA neoantigens.

Main Methods:

  • Tumor-infiltrating lymphocytes (TIL) and peripheral blood lymphocytes (PBL) from cancer patients were tested against autologous PIK3CA mutations.
  • In vitro sensitization (IVS) was used to identify antigen-experienced T cells.
  • Gene engineering was employed to express identified TCRs in patient PBL for functional assays.

Main Results:

  • Three PIK3CA-specific TCRs were identified: two targeting PIK3CAN345K (restricted by HLA-DPB1*04:01/DPA1*01:03) and one targeting PIK3CAE545K (restricted by HLA-DRB1*04:01).
  • Engineered T cells expressing these TCRs suppressed the in vitro growth of cancer cell lines harboring the respective PIK3CA mutations.
  • Responses were observed using both TIL and memory CD4+ T cells from patients with colon and rectal cancers.

Conclusions:

  • This study demonstrates the immunogenicity of PIK3CA mutations in epithelial cancers.
  • Identified PIK3CA-specific TCRs restricted by common HLA-class II molecules offer potential for developing targeted immunotherapies.
  • These findings support the development of off-the-shelf T cell therapies for PIK3CA-mutated cancers.