PMID- 37857526 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231029 IS - 2051-1426 (Electronic) IS - 2051-1426 (Linking) VI - 11 IP - 10 DP - 2023 Oct TI - Vaccination with post-translational modified, homocitrullinated peptides induces CD8 T-cell responses that mediate antitumor immunity. LID - 10.1136/jitc-2023-006966 [doi] LID - e006966 AB - BACKGROUND: Post-translational modification of proteins has the potential to alter the ability of T cells to recognize major histocompatibility complex (MHC) class -I and class-II restricted antigens, thereby resulting in altered immune responses. One such modification is carbamylation (homocitrullination) that results in the formation of homocitrulline (Hcit) residues in a non-enzymatic reaction of cyanate with the lysine residues in the polypeptide chain. Homocitrullination occurs in the tumor microenvironment and CD4-mediated immune responses to Hcit epitopes can target stressed tumor cells and provide a potent antitumor response in mouse models. METHODS: Homocitrullinated peptides were identified and assessed in vitro for HLA-A2 binding and in vivo in human leukocyte antigen (HLA) transgenic mouse models for immunogenicity. CD8 responses were assessed in vitro for cytotoxicity and in vivo tumor therapy. Human tumor samples were analyzed by targeted mass spectrometry for presence of homocitrullinated peptides. RESULTS: Homocitrullinated peptides from aldolase and cytokeratin were identified, that stimulated CD8-mediated responses in vivo. Modified peptides showed enhanced binding to HLA-A2 compared with the native sequences and immunization of HLA-A2 transgenic mice generated high avidity modification specific CD8 responses that killed peptide expressing target cells. Importantly, in vivo the homocitrullinated aldolase specific response was associated with efficient CD8 dependent antitumor therapy of the aggressive murine B16 tumor model indicating that this epitope is naturally presented in the tumor. In addition, the homocitrullinated aldolase epitope was also detected in human tumor samples. CONCLUSION: This is the first evidence that homocitrullinated peptides can be processed and presented via MHC-I and targeted for tumor therapy. Thus, Hcit-specific CD8 T-cell responses have potential in the development of future anticancer therapy. CI - (c) Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Shah, Sabaria AU - Shah S AD - Scancell Ltd, Nottingham, UK. FAU - Cook, Katherine W AU - Cook KW AUID- ORCID: 0000-0002-7277-6700 AD - Scancell Ltd, Nottingham, UK. FAU - Symonds, Peter AU - Symonds P AD - Scancell Ltd, Nottingham, UK. FAU - Weisser, Juliane AU - Weisser J AD - Proteome Science R&D GmbH und Co, Frankfurt am Main, Hessen, Germany. FAU - Skinner, Anne AU - Skinner A AD - Scancell Ltd, Nottingham, UK. FAU - Al Omari, Abdullah AU - Al Omari A AD - Scancell Ltd, Nottingham, UK. FAU - Paston, Samantha J AU - Paston SJ AD - Scancell Ltd, Nottingham, UK. FAU - Pike, Ian AU - Pike I AD - Proteome Science R&D GmbH und Co, Frankfurt am Main, Hessen, Germany. FAU - Durrant, Lindy G AU - Durrant LG AD - Scancell Ltd, Nottingham, UK. AD - University of Nottingham, Nottingham, UK. FAU - Brentville, Victoria A AU - Brentville VA AUID- ORCID: 0000-0003-2000-5629 AD - Scancell Ltd, Nottingham, UK VictoriaBrentville@scancell.co.uk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Immunother Cancer JT - Journal for immunotherapy of cancer JID - 101620585 RN - 0 (HLA-A2 Antigen) RN - 0 (Histocompatibility Antigens Class II) RN - 0 (Peptides) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Epitopes) RN - EC 4.1.2.- (Aldehyde-Lyases) SB - IM MH - Mice MH - Humans MH - Animals MH - *HLA-A2 Antigen MH - *CD8-Positive T-Lymphocytes MH - Histocompatibility Antigens Class II/metabolism MH - Vaccination MH - Mice, Transgenic MH - Peptides MH - Histocompatibility Antigens Class I MH - Epitopes MH - Protein Processing, Post-Translational MH - Aldehyde-Lyases/metabolism PMC - PMC10603355 OTO - NOTNLM OT - CD8-positive T-lymphocytes OT - antigens OT - immunogenicity, vaccine OT - immunotherapy COIS- Competing interests: KWC, VAB and LGD have ownership interests in a patent. LGD is a director and shareholder in Scancell Ltd. SS, KWC, PS, AS, AAO, SJP and VAB are employees of Scancell Ltd. JW and IP are employees of Proteome Sciences. EDAT- 2023/10/20 00:43 MHDA- 2023/10/23 01:18 PMCR- 2023/10/19 CRDT- 2023/10/19 21:53 PHST- 2023/09/13 00:00 [accepted] PHST- 2023/10/23 01:18 [medline] PHST- 2023/10/20 00:43 [pubmed] PHST- 2023/10/19 21:53 [entrez] PHST- 2023/10/19 00:00 [pmc-release] AID - jitc-2023-006966 [pii] AID - 10.1136/jitc-2023-006966 [doi] PST - ppublish SO - J Immunother Cancer. 2023 Oct;11(10):e006966. doi: 10.1136/jitc-2023-006966.