针对新抗原的免疫疗法在 PD-1 阻断耐药肿瘤中有效。

Immunotherapies targeting neoantigens are effective in PD-1 blockade-resistant tumors.

机构信息

Department of Immunotherapeutics, University of Tokyo Hospital, Tokyo, Japan.

Department of Thoracic Surgery, University of Tokyo Hospital, Tokyo, Japan.

出版信息

Int J Cancer. 2023 Apr 1;152(7):1463-1475. doi: 10.1002/ijc.34382. Epub 2022 Dec 13.

Abstract

Only a small fraction of tumor-infiltrating lymphocytes can specifically recognize and attack cancer cells in PD-1/PD-L1 blockade therapy. Here, we investigate approaches to expand the neoantigen-specific CD8 T cells to overcome the difficulties in treating PD-1/PD-L1 blockade-resistant tumors. Mutation-associated neoepitopes of murine nonsmall cell lung cancer ASB-XIV were estimated by whole-exome and RNA sequencing and predicted by MHC-I binding affinity (FPKM >1) in silico. Using ASB-XIV-specific CD8 T cells, we screened a panel of 257 neoepitope peptides derived from ASB-XIV missense and indel mutations. Mutated Phf3 peptide (mPhf3) was successfully identified as an immunogenic neoepitope. Prophylactic mPhf3-DC vaccination inhibited ASB-XIV tumor growth through CD8 T cell-mediated antitumor immunity. Combining the mPhf3-DC vaccine and anti-PD-1 treatment elicited robust antitumor activity through the induction of mPhf3-specific CD8 T cells in the tumor microenvironment. Furthermore, the adoptive transfer of mPhf3-specific CD8 T cells eradicated ASB-XIV tumors. Likewise, the combination of mutated Cdt1 peptide (mCdt1)-DC vaccine and anti-PD-1 treatment or adoptive transfer of mCdt1-specific CD8 T cells also led to significant regression of PD-1 blockade-resistant murine gastric YTN16 tumors. In conclusion, a novel immunogenic neoepitope of ASB-XIV was identified for immunotherapy targeting neoantigens. Identification of immunogenic neoantigens can extend the therapeutic strategies by increasing the frequency of neoantigen-specific T cells, even for PD-1/PD-L1 blockade-resistant tumors.

摘要

仅有一小部分肿瘤浸润淋巴细胞能够特异性识别并攻击 PD-1/PD-L1 阻断治疗中的癌细胞。在这里,我们研究了扩大新抗原特异性 CD8 T 细胞的方法,以克服治疗 PD-1/PD-L1 阻断耐药肿瘤的困难。通过全外显子组和 RNA 测序估计了小鼠非小细胞肺癌 ASB-XIV 的突变相关新抗原,并用 MHC-I 结合亲和力(FPKM>1)进行了计算机预测。使用 ASB-XIV 特异性 CD8 T 细胞,我们筛选了一组源自 ASB-XIV 错义和插入缺失突变的 257 个新表位肽。突变的 Phf3 肽(mPhf3)被成功鉴定为一种免疫原性新抗原。预防性 mPhf3-DC 疫苗通过 CD8 T 细胞介导的抗肿瘤免疫抑制了 ASB-XIV 肿瘤的生长。结合 mPhf3-DC 疫苗和抗 PD-1 治疗通过在肿瘤微环境中诱导 mPhf3 特异性 CD8 T 细胞,引发了强大的抗肿瘤活性。此外,mPhf3 特异性 CD8 T 细胞的过继转移根除了 ASB-XIV 肿瘤。同样,突变的 Cdt1 肽(mCdt1)-DC 疫苗与抗 PD-1 治疗的联合或 mCdt1 特异性 CD8 T 细胞的过继转移也导致了 PD-1 阻断耐药的小鼠胃 YTN16 肿瘤的显著消退。总之,鉴定了 ASB-XIV 的一种新的免疫原性新抗原,用于针对新抗原的免疫治疗。鉴定免疫原性新抗原可以通过增加新抗原特异性 T 细胞的频率来扩展治疗策略,即使是针对 PD-1/PD-L1 阻断耐药的肿瘤。

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