Chemical Complementarities of Neuroblastoma Tumor-Resident TCR CDR3s and CMV Antigens are Associated with a Better

Kasey L Rigby1, Rahul Jain2, Etienne C Gozlan2

  • 1University of Central Florida College of Medicine, Orlando, FL, 32827, USA.

Biochemical Genetics
|March 25, 2026
PubMed

Insights

High levels of complementarity between tumor-resident T-cell receptor (TCR) CDR3s and cytomegalovirus (CMV) antigens correlate with better outcomes in neuroblastoma (NBL). This contrasts with previous findings suggesting worse outcomes with blood-based anti-CMV TCR CDR3s.

Area of Science:

  • Immunology
  • Oncology
  • Virology

Background:

  • Immune responses to viruses can be identified by T-cell receptor (TCR) CDR3 sequences that either match known viral antigen-binding CDR3s or exhibit chemical complementarity to viral antigens.
  • Previous genomics studies of anti-cytomegalovirus (CMV) TCR CDR3s in blood suggested a link between systemic CMV infection and poorer outcomes in neuroblastoma (NBL) and breast cancer.

Purpose of the Study:

  • To investigate the association between NBL tumor-resident anti-CMV TCR CDR3s and patient outcomes.
  • To explore potential mechanisms underlying the observed associations by identifying gene expression patterns related to tumor-specific anti-CMV TCR CDR3s.

Main Methods:

  • Analysis of TCR CDR3 sequences within NBL tumors.
  • Assessment of chemical complementarity between tumor-resident TCR CDR3s and CMV antigens.
  • Correlation of TCR CDR3 characteristics with patient outcomes.
  • Identification of gene expression values linked to tumor-specific anti-CMV TCR CDR3s.

Main Results:

  • High levels of chemical complementarity between tumor-resident TCR CDR3s and CMV antigens were associated with better patient outcomes.
  • This finding contrasts with previous studies of blood-derived anti-CMV TCR CDR3s, which indicated worse outcomes.
  • Gene expression patterns associated with tumor-specific TCR CDR3s (exact matches) were identified, potentially explaining the improved outcomes.

Conclusions:

  • The presence and characteristics of anti-CMV TCR CDR3s within the tumor microenvironment may play a significant role in NBL prognosis.
  • Tumor-directed or tumor microenvironment-resident anti-CMV immune responses might contribute to reduced tumor progression or enhanced treatment response.
  • Further research is needed to elucidate the precise mechanisms by which anti-CMV immune responses within the tumor influence NBL outcomes.