PMID- 32420064 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220414 IS - 2218-6751 (Print) IS - 2226-4477 (Electronic) IS - 2218-6751 (Linking) VI - 9 IP - 2 DP - 2020 Apr TI - Heterogeneity of neoantigen landscape between primary lesions and their matched metastases in lung cancer. PG - 246-256 LID - 10.21037/tlcr.2020.03.03 [doi] AB - BACKGROUND: Personalized cancer vaccines based on tumor-derived neoantigens have shown strong and long-lasting antitumor effect in patients with some solid tumors. However, whether neoantigens identified from primary lesions could represent their metastatic lesions, and consequently the effect of vaccine therapy remained unknown. METHODS: To investigate whether neoantigens identified from primary tumors are similar to their matched metastases in lung cancer, we identified 79 samples from 24 cases. All of samples were collected before any systemic therapy. Major criteria for neoantigen identification included: derived from tumor-specific mutations, fold change >10 comparing to germline expression level, high predicted human leukocyte antigen (HLA) binding affinity and peptide of 9-11 amino acids in length. RESULTS: We found a wide range of tumor neoantigen burden in both primaries and metastases. The counts, overall distribution pattern and predicted HLA binding affinity of neoantigens were similar between primaries and metastases. However, only 20% of shared neoantigens (presented in both primaries and metastases) was observed, which were mainly derived from single nucleotide variants (SNVs) and fusions. A variety of corresponding HLA alleles were observed and 50.0% of cases were HLA-C*06:02. Finally, we observed the neoantigen intrametastases homogeneity in patients with sole brain metastases. CONCLUSIONS: Neoantigen landscape in terms of the number, type and predicted HLA binding affinity was similar between primaries and metastases, but the percentage of shared neoantigens is only modest, suggesting vaccine development based solely on primary tumor neoantigen may not offer optimal therapeutic outcome, and shared neoantigen needs to be seriously considered. CI - 2020 Translational Lung Cancer Research. All rights reserved. FAU - Jiang, Tao AU - Jiang T AD - Department of Medical Oncology, Shanghai Pulmonary Hospital & Thoracic Cancer Institute, Tongji University School of Medicine, Shanghai 200433, China. FAU - Cheng, Ruirui AU - Cheng R AD - Department of Respiratory Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Pan, Yuanwei AU - Pan Y AD - Department of Imaging and Nuclear Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Zhang, Henghui AU - Zhang H AD - Beijing Genecast Biotechnology Co., Beijing 100000, China. FAU - He, Ying AU - He Y AD - Shanghai Hengrui Pharmaceutical Co., LTD, Shanghai 200245, China. FAU - Su, Chunxia AU - Su C AD - Department of Medical Oncology, Shanghai Pulmonary Hospital & Thoracic Cancer Institute, Tongji University School of Medicine, Shanghai 200433, China. FAU - Ren, Shengxiang AU - Ren S AD - Department of Medical Oncology, Shanghai Pulmonary Hospital & Thoracic Cancer Institute, Tongji University School of Medicine, Shanghai 200433, China. FAU - Zhou, Caicun AU - Zhou C AD - Department of Medical Oncology, Shanghai Pulmonary Hospital & Thoracic Cancer Institute, Tongji University School of Medicine, Shanghai 200433, China. LA - eng PT - Journal Article PL - China TA - Transl Lung Cancer Res JT - Translational lung cancer research JID - 101646875 PMC - PMC7225166 OTO - NOTNLM OT - Lung cancer OT - metastasis OT - neoantigen COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/tlcr.2020.03.03). CZ serves as an unpaid Editor-in-Chief of Translational Lung Cancer Research. The other authors have no conflicts of interest to declare. EDAT- 2020/05/19 06:00 MHDA- 2020/05/19 06:01 PMCR- 2020/04/01 CRDT- 2020/05/19 06:00 PHST- 2020/05/19 06:00 [entrez] PHST- 2020/05/19 06:00 [pubmed] PHST- 2020/05/19 06:01 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - tlcr-09-02-246 [pii] AID - 10.21037/tlcr.2020.03.03 [doi] PST - ppublish SO - Transl Lung Cancer Res. 2020 Apr;9(2):246-256. doi: 10.21037/tlcr.2020.03.03.