Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.
The Parker Institute for Cancer Immunotherapy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.
Proc Natl Acad Sci U S A. 2019 Nov 19;116(47):23662-23670. doi: 10.1073/pnas.1906026116. Epub 2019 Nov 4.
The impact of intratumoral heterogeneity (ITH) and the resultant neoantigen landscape on T cell immunity are poorly understood. ITH is a widely recognized feature of solid tumors and poses distinct challenges related to the development of effective therapeutic strategies, including cancer neoantigen vaccines. Here, we performed deep targeted DNA sequencing of multiple metastases from melanoma patients and observed ubiquitous sharing of clonal and subclonal single nucleotide variants (SNVs) encoding putative HLA class I-restricted neoantigen epitopes. However, spontaneous antitumor CD8+ T cell immunity in peripheral blood and tumors was restricted to a few clonal neoantigens featuring an oligo-/monoclonal T cell-receptor (TCR) repertoire. Moreover, in various tumors of the 4 patients examined, no neoantigen-specific TCR clonotypes were identified despite clonal neoantigen expression. Mature dendritic cell (mDC) vaccination with tumor-encoded amino acid-substituted (AAS) peptides revealed diverse neoantigen-specific CD8+ T responses, each composed of multiple TCR clonotypes. Isolation of T cell clones by limiting dilution from tumor-infiltrating lymphocytes (TILs) permitted functional validation regarding neoantigen specificity. Gene transfer of TCRαβ heterodimers specific for clonal neoantigens confirmed correct TCR clonotype assignments based on high-throughput TCRBV CDR3 sequencing. Our findings implicate immunological ignorance of clonal neoantigens as the basis for ineffective T cell immunity to melanoma and support the concept that therapeutic vaccination, as an adjunct to checkpoint inhibitor treatment, is required to increase the breadth and diversity of neoantigen-specific CD8+ T cells.
肿瘤内异质性(ITH)及其导致的新生抗原景观对 T 细胞免疫的影响尚未完全了解。ITH 是实体瘤的一个广泛公认的特征,对有效治疗策略的发展提出了独特的挑战,包括癌症新生抗原疫苗。在这里,我们对黑色素瘤患者的多个转移灶进行了深度靶向 DNA 测序,观察到编码潜在 HLA 类 I 限制新抗原表位的克隆和亚克隆单核苷酸变异(SNV)的普遍共享。然而,外周血和肿瘤中自发的抗肿瘤 CD8+T 细胞免疫仅限于少数具有寡克隆/单克隆 T 细胞受体(TCR)库的克隆新抗原。此外,在 4 名患者的各种肿瘤中,尽管存在克隆新抗原表达,但并未鉴定到新抗原特异性 TCR 克隆型。用肿瘤编码的氨基酸取代(AAS)肽对成熟树突状细胞(mDC)进行疫苗接种,揭示了多样化的新抗原特异性 CD8+T 反应,每个反应都由多个 TCR 克隆型组成。通过从肿瘤浸润淋巴细胞(TIL)中进行有限稀释分离 T 细胞克隆,可以对新抗原特异性进行功能验证。针对克隆新抗原的 TCRαβ 异二聚体的基因转移证实了基于高通量 TCRBV CDR3 测序的正确 TCR 克隆型分配。我们的研究结果表明,克隆新抗原的免疫忽视是黑色素瘤中 T 细胞免疫无效的基础,并支持这样的概念,即作为检查点抑制剂治疗的辅助手段,治疗性疫苗接种是增加新抗原特异性 CD8+T 细胞的广度和多样性所必需的。
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