PMID- 34858733 OWN - NLM STAT- MEDLINE DCOM- 20220103 LR - 20220103 IS - 2162-402X (Electronic) IS - 2162-4011 (Print) IS - 2162-4011 (Linking) VI - 10 IP - 1 DP - 2021 TI - Keratinocyte differentiation antigen-specific T cells in immune checkpoint inhibitor-treated NSCLC patients are associated with improved survival. PG - 2006893 LID - 10.1080/2162402X.2021.2006893 [doi] LID - 2006893 AB - Immune checkpoint inhibitors (ICIs) have improved the survival of patients with non-small cell lung cancer (NSCLC) by reinvigorating tumor-specific T cell responses. However, the specificity of such T cells and the human leukocyte antigen (HLA)-associated epitopes recognized, remain elusive. In this study, we identified NSCLC T cell epitopes of recently described NSCLC-associated antigens, termed keratinocyte differentiation antigens. Epitopes of these antigens were presented by HLA-A 03:01 and HLA-C 04:01 and were associated with responses to ICI therapy. Patients with CD8(+) T cell responses to these epitopes had improved overall and progression-free survival. T cells specific for such epitopes could eliminate HLA class I-matched NSCLC cells ex vivo and were enriched in patient lung tumors. The identification of novel lung cancer HLA-associated epitopes that correlate with improved ICI-dependent treatment outcomes suggests that keratinocyte-specific proteins are important tumor-associated antigens in NSCLC. These findings improve our understanding of the mechanisms of ICI therapy and may help support the development of vaccination strategies to improve ICI-based treatment of these tumors. CI - (c) 2021 The Author(s). Published with license by Taylor & Francis Group, LLC. FAU - Berner, Fiamma AU - Berner F AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Niederer, Rebekka AU - Niederer R AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Department of Dermatology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Luimstra, Jolien J AU - Luimstra JJ AD - Department of Cell and Chemical Biology, Oncode Institute, Leiden University Medical Center, Leiden, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. FAU - Pop, Oltin Tiberiu AU - Pop OT AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Jochum, Ann-Kristin AU - Jochum AK AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Institute of Pathology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Purde, Mette-Triin AU - Purde MT AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Hasan Ali, Omar AU - Hasan Ali O AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Department of Medical Genetics, Life Sciences Institute, University of British Columbia, Vancouver, Canada. AD - Department of Dermatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland. FAU - Bomze, David AU - Bomze D AD - Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. FAU - Bauer, Jens AU - Bauer J AD - Clinical Collaboration Unit Translational Immunology, German Cancer Consortium (DKTK), Department of Internal Medicine, University Hospital Tubingen, Tubingen, Germany. AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. AD - Cluster of Excellence iFIT (EXC2180) "Image-guided and Functionally Instructed Tumor Therapies", University of Tubingen, Tubingen, Germany. FAU - Freudenmann, Lena Katharina AU - Freudenmann LK AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. AD - German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Partner Site Tubingen, Tubingen, Germany. FAU - Marcu, Ana AU - Marcu A AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. FAU - Wolfschmitt, Eva-Maria AU - Wolfschmitt EM AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. FAU - Haen, Sebastian AU - Haen S AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. FAU - Gross, Thorben AU - Gross T AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. FAU - Dubbelaar, Marissa Lisa AU - Dubbelaar ML AD - Clinical Collaboration Unit Translational Immunology, German Cancer Consortium (DKTK), Department of Internal Medicine, University Hospital Tubingen, Tubingen, Germany. AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. AD - Cluster of Excellence iFIT (EXC2180) "Image-guided and Functionally Instructed Tumor Therapies", University of Tubingen, Tubingen, Germany. AD - German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Quantitative Biology Center (QBiC), University of Tubingen, Tubingen, Germany. FAU - Abdou, Marie-Therese AU - Abdou MT AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Baumgaertner, Petra AU - Baumgaertner P AUID- ORCID: 0000-0002-5979-7654 AD - Department of Oncology, Ludwig Cancer Research, University of Lausanne, Switzerland. FAU - Appenzeller, Christina AU - Appenzeller C AD - Department of Oncology and Hematology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Cicin-Sain, Caroline AU - Cicin-Sain C AD - Department of Oncology and Hematology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Lenz, Tobias AU - Lenz T AD - Research Unit Evolutionary Immunogenomics, Department of Biology, University of Hamburg, Hamburg, Germany. FAU - Speiser, Daniel E AU - Speiser DE AUID- ORCID: 0000-0003-2031-3250 AD - Department of Oncology, Ludwig Cancer Research, University of Lausanne, Switzerland. FAU - Ludewig, Burkhard AU - Ludewig B AUID- ORCID: 0000-0002-7685-573X AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Driessen, Christoph AU - Driessen C AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Department of Oncology and Hematology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Jorger, Markus AU - Jorger M AD - Department of Oncology and Hematology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Fruh, Martin AU - Fruh M AD - Department of Oncology and Hematology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Department of Oncology, University of Bern, Bern, Switzerland. FAU - Jochum, Wolfram AU - Jochum W AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Institute of Pathology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Cozzio, Antonio AU - Cozzio A AD - Department of Dermatology, Kantonsspital St. Gallen, St. Gallen, Switzerland. FAU - Rammensee, Hans-Georg AU - Rammensee HG AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. AD - German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Partner Site Tubingen, Tubingen, Germany. FAU - Walz, Juliane AU - Walz J AD - Interfaculty Institute for Cell Biology, Department of Immunology, University of Tubingen, Tubingen, Germany. AD - German Cancer Consortium (DKTK) and German Cancer Research Center (DKFZ), Partner Site Tubingen, Tubingen, Germany. AD - Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology and Robert Bosch Center for Tumor Diseases (RBCT), Stuttgart, Germany. FAU - Neefjes, Jacques AU - Neefjes J AD - Department of Cell and Chemical Biology, Oncode Institute, Leiden University Medical Center, Leiden, The Netherlands. AD - Oncode Institute, Utrecht, The Netherlands. FAU - Flatz, Lukas AU - Flatz L AUID- ORCID: 0000-0001-9683-8390 AD - Institute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Department of Dermatology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Department of Dermatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland. AD - Department of Oncology and Hematology, Kantonsspital St. Gallen, St. Gallen, Switzerland. AD - Department of Dermatology, University Hospital Tubingen, Tubingen, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211127 PL - United States TA - Oncoimmunology JT - Oncoimmunology JID - 101570526 RN - 0 (Antigens, Differentiation) RN - 0 (Immune Checkpoint Inhibitors) SB - IM MH - Antigens, Differentiation/therapeutic use MH - *Carcinoma, Non-Small-Cell Lung/drug therapy MH - Humans MH - Immune Checkpoint Inhibitors MH - Keratinocytes MH - *Lung Neoplasms/drug therapy PMC - PMC8632109 OTO - NOTNLM OT - Immune checkpoint inhibitor therapy OT - NSCLC OT - autoimmune toxicity OT - tumor-associated antigen COIS- No potential conflict of interest was reported by the author(s). EDAT- 2021/12/04 06:00 MHDA- 2022/01/04 06:00 PMCR- 2021/11/27 CRDT- 2021/12/03 07:06 PHST- 2021/12/03 07:06 [entrez] PHST- 2021/12/04 06:00 [pubmed] PHST- 2022/01/04 06:00 [medline] PHST- 2021/11/27 00:00 [pmc-release] AID - 2006893 [pii] AID - 10.1080/2162402X.2021.2006893 [doi] PST - epublish SO - Oncoimmunology. 2021 Nov 27;10(1):2006893. doi: 10.1080/2162402X.2021.2006893. eCollection 2021.