2019
DOI: 10.1146/annurev-immunol-042617-053402
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Cancer Neoantigens

Abstract: Malignant transformation of cells depends on accumulation of DNA damage. Over the past years we have learned that the T cell–based immune system frequently responds to the neoantigens that arise as a consequence of this DNA damage. Furthermore, recognition of neoantigens appears an important driver of the clinical activity of both T cell checkpoint blockade and adoptive T cell therapy as cancer immunotherapies. Here we review the evidence for the relevance of cancer neoantigens in tumor control and the biologi… Show more

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Cited by 398 publications
(334 citation statements)
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“…3b). Interestingly, the post treatment repertoire signature was the least predictive in the cohorts of mice that received checkpoint block inhibition (α-CTLA4), compatible with the notion that α -CTLA4 was acting by shaping the structural diversity of the repertoire towards immune recognition of personalized neoantigens, as has been suggested in prior work as a possible mechanism of action 44,45 . Finally, not only are supervised approaches valuable for their predictive utility but they can also provide a different and more informative featurization and description of the TCR repertoire guided by ground truth labels ( Fig.…”
supporting
confidence: 75%
“…3b). Interestingly, the post treatment repertoire signature was the least predictive in the cohorts of mice that received checkpoint block inhibition (α-CTLA4), compatible with the notion that α -CTLA4 was acting by shaping the structural diversity of the repertoire towards immune recognition of personalized neoantigens, as has been suggested in prior work as a possible mechanism of action 44,45 . Finally, not only are supervised approaches valuable for their predictive utility but they can also provide a different and more informative featurization and description of the TCR repertoire guided by ground truth labels ( Fig.…”
supporting
confidence: 75%
“…C ancer is a genetic disease, with the growth of tumor cells initiated by mutations that activate oncogenic drivers and disable tumor suppressors. Recent studies have demonstrated that tumor neoantigens can be derived de novo from the expression of genetic mutations and presented in major histocompatibility complexes (MHC) on tumor cells, and endogenous T cell responses against neoantigens can be naturally activated in cancer patients [1][2][3][4] . However, only a small number of nonsynonymous mutations expressed in tumors can be adequately presented as neoantigens for which the T cell response can be mounted 5,6 .…”
mentioning
confidence: 99%
“…Screening of immunogenic peptides which are presented by specific MHC I molecules is crucial for the development of vaccines for infection diseases or cancer immunotherapy and for T-cell immune response evaluation (45)(46)(47)(48)(49)(50)(51). Recently, several pre-clinical and clinical studies have shown that vaccines targeting predicted personal tumor neoantigens are feasibility, safety, and immunogenicity (45,50,(52)(53)(54)(55). Adoptive T cell therapy that specifically recognize neoantigens has mediated substantial objective clinical regressions in patients with melanoma and metastatic breast cancer (56)(57)(58).…”
Section: Discussionmentioning
confidence: 99%