PMID- 32523802 OWN - NLM STAT- MEDLINE DCOM- 20210728 LR - 20220531 IS - 2162-4011 (Print) IS - 2162-402X (Electronic) IS - 2162-4011 (Linking) VI - 9 IP - 1 DP - 2020 TI - HLA class-I and class-II restricted neoantigen loads predict overall survival in breast cancer. PG - 1744947 LID - 10.1080/2162402X.2020.1744947 [doi] LID - 1744947 AB - Tumors acquire numerous mutations during development and progression. When translated into proteins, these mutations give rise to neoantigens that can be recognized by T cells and generate antibodies, representing an exciting direction of cancer immunotherapy. While neoantigens have been reported in many cancer types, the profiling of neoantigens often focused on the class-I subtype that are presented to CD8 + T cells, and the relationship between neoantigen load and clinical outcomes was often inconsistent among cancer types. In this study, we described an informatics workflow, REAL-neo, for identification, quality control (QC), and prioritization of both class-I and class-II human leukocyte antigen (HLA) bound neoantigens that arise from somatic single nucleotide mutations (SNM), small insertions and deletions (INDEL), and gene fusions. We applied REAL-neo to 835 primary breast tumors in the Cancer Genome Atlas (TCGA) and performed comprehensive profiling and characterization of the detected neoantigens. We found recurrent HLA class-I and class-II restricted neoantigens across breast cancer cases, and uncovered associations between neoantigen load and clinical traits. Both class-I and class-II neoantigen loads from SNM and INDEL were found to predict overall survival independent of tumor mutational burden (TMB), breast cancer subtypes, tumor-infiltrating lymphocyte (TIL) levels, tumor stage, and age at diagnosis. Our study highlighted the importance of accurate and comprehensive neoantigen profiling and QC, and is the first to report the predictive value of neoantigen load for overall survival in breast cancer. CI - (c) 2020 The Author(s). Published with license by Taylor & Francis Group, LLC. FAU - Ren, Yingxue AU - Ren Y AD - Department of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA. FAU - Cherukuri, Yesesri AU - Cherukuri Y AD - Department of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA. FAU - Wickland, Daniel P AU - Wickland DP AD - Department of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA. FAU - Sarangi, Vivekananda AU - Sarangi V AD - Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA. FAU - Tian, Shulan AU - Tian S AD - Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA. FAU - Carter, Jodi M AU - Carter JM AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA. FAU - Mansfield, Aaron S AU - Mansfield AS AUID- ORCID: 0000-0002-9483-6903 AD - Division of Medical Oncology, Mayo Clinic, Rochester, MN, USA. FAU - Block, Matthew S AU - Block MS AD - Division of Medical Oncology, Mayo Clinic, Rochester, MN, USA. FAU - Sherman, Mark E AU - Sherman ME AD - Department of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA. FAU - Knutson, Keith L AU - Knutson KL AD - Department of Immunology, Mayo Clinic, Jacksonville, FL, USA. FAU - Lin, Yi AU - Lin Y AD - Division of Hematology, Mayo Clinic, Rochester, MN, USA. FAU - Asmann, Yan W AU - Asmann YW AD - Department of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200401 PL - United States TA - Oncoimmunology JT - Oncoimmunology JID - 101570526 RN - 0 (Antigens, Neoplasm) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Histocompatibility Antigens Class II) MH - *Antigens, Neoplasm/genetics MH - *Breast Neoplasms/diagnosis/genetics MH - Female MH - Histocompatibility Antigens Class I MH - Histocompatibility Antigens Class II MH - Humans MH - Immunotherapy MH - Lymphocytes, Tumor-Infiltrating MH - Survival Rate PMC - PMC7255108 OTO - NOTNLM OT - Breast cancer OT - neoantigen OT - overall survival OT - tumor mutational burden EDAT- 2020/06/12 06:00 MHDA- 2020/06/12 06:01 PMCR- 2020/04/01 CRDT- 2020/06/12 06:00 PHST- 2019/11/06 00:00 [received] PHST- 2020/01/21 00:00 [revised] PHST- 2020/02/17 00:00 [accepted] PHST- 2020/06/12 06:00 [entrez] PHST- 2020/06/12 06:00 [pubmed] PHST- 2020/06/12 06:01 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - 1744947 [pii] AID - 10.1080/2162402X.2020.1744947 [doi] PST - epublish SO - Oncoimmunology. 2020 Apr 1;9(1):1744947. doi: 10.1080/2162402X.2020.1744947. eCollection 2020.