PMID- 38416845 OWN - NLM STAT- MEDLINE DCOM- 20240301 LR - 20240508 IS - 1946-6242 (Electronic) IS - 1946-6234 (Linking) VI - 16 IP - 736 DP - 2024 Feb 28 TI - A functional identification platform reveals frequent, spontaneous neoantigen-specific T cell responses in patients with cancer. PG - eabj9905 LID - 10.1126/scitranslmed.abj9905 [doi] AB - The clinical impact of tumor-specific neoantigens as both immunotherapeutic targets and biomarkers has been impeded by the lack of efficient methods for their identification and validation from routine samples. We have developed a platform that combines bioinformatic analysis of tumor exomes and transcriptional data with functional testing of autologous peripheral blood mononuclear cells (PBMCs) to simultaneously identify and validate neoantigens recognized by naturally primed CD4(+) and CD8(+) T cell responses across a range of tumor types and mutational burdens. The method features a human leukocyte antigen (HLA)-agnostic bioinformatic algorithm that prioritizes mutations recognized by patient PBMCs at a greater than 40% positive predictive value followed by a short-term in vitro functional assay, which allows interrogation of 50 to 75 expressed mutations from a single 50-ml blood sample. Neoantigens validated by this method include both driver and passenger mutations, and this method identified neoantigens that would not have been otherwise detected using an in silico prediction approach. These findings reveal an efficient approach to systematically validate clinically actionable neoantigens and the T cell receptors that recognize them and demonstrate that patients across a variety of human cancers have a diverse repertoire of neoantigen-specific T cells. FAU - Miller, Aaron M AU - Miller AM AUID- ORCID: 0000-0001-9834-428X AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. AD - Division of Hematology and Oncology, UCSD Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA 92093, USA. FAU - Kosaloglu-Yalcin, Zeynep AU - Kosaloglu-Yalcin Z AUID- ORCID: 0000-0003-0961-5055 AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Westernberg, Luise AU - Westernberg L AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Montero, Leslie AU - Montero L AUID- ORCID: 0009-0001-6101-3337 AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Bahmanof, Milad AU - Bahmanof M AUID- ORCID: 0000-0001-9264-1996 AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Frentzen, Angela AU - Frentzen A AUID- ORCID: 0000-0002-1193-6715 AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Lanka, Manasa AU - Lanka M AUID- ORCID: 0000-0003-3301-7768 AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Logandha Ramamoorthy Premlal, Ashmitaa AU - Logandha Ramamoorthy Premlal A AUID- ORCID: 0000-0001-7110-4235 AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Seumois, Gregory AU - Seumois G AUID- ORCID: 0000-0002-8164-6852 AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Greenbaum, Jason AU - Greenbaum J AUID- ORCID: 0000-0002-1381-0390 AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Brightman, Spencer E AU - Brightman SE AUID- ORCID: 0000-0002-9930-7218 AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Soria Zavala, Karla AU - Soria Zavala K AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Thota, Rukman R AU - Thota RR AUID- ORCID: 0000-0002-9225-9516 AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Naradikian, Martin S AU - Naradikian MS AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Makani, Samir S AU - Makani SS AD - Division of Hematology and Oncology, UCSD Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA 92093, USA. FAU - Lippman, Scott M AU - Lippman SM AUID- ORCID: 0000-0002-1643-4124 AD - Division of Hematology and Oncology, UCSD Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA 92093, USA. FAU - Sette, Alessandro AU - Sette A AUID- ORCID: 0000-0001-7013-2250 AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. FAU - Cohen, Ezra E W AU - Cohen EEW AD - Division of Hematology and Oncology, UCSD Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA 92093, USA. FAU - Peters, Bjoern AU - Peters B AUID- ORCID: 0000-0002-8457-6693 AD - Center for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. AD - Department of Medicine, University of California, San Diego (UCSD), La Jolla, CA 92037, USA. FAU - Schoenberger, Stephen P AU - Schoenberger SP AUID- ORCID: 0000-0002-9870-7340 AD - Center for Cancer Immunotherapy, La Jolla Institute for Immunology, 9420 Athena Circle, La Jolla, CA 92037, USA. AD - Division of Hematology and Oncology, UCSD Moores Cancer Center, 3855 Health Sciences Drive, La Jolla, CA 92093, USA. LA - eng PT - Journal Article DEP - 20240228 PL - United States TA - Sci Transl Med JT - Science translational medicine JID - 101505086 RN - 0 (Antigens, Neoplasm) RN - 0 (Receptors, Antigen, T-Cell) SB - IM EIN - Sci Transl Med. 2024 May 8;16(746):eadp8153. PMID: 38718137 MH - Humans MH - *Antigens, Neoplasm/metabolism MH - *Neoplasms/genetics/metabolism MH - CD8-Positive T-Lymphocytes MH - Receptors, Antigen, T-Cell/metabolism MH - Lymphocytes, Tumor-Infiltrating EDAT- 2024/02/28 18:42 MHDA- 2024/03/01 06:44 CRDT- 2024/02/28 14:04 PHST- 2024/03/01 06:44 [medline] PHST- 2024/02/28 18:42 [pubmed] PHST- 2024/02/28 14:04 [entrez] AID - 10.1126/scitranslmed.abj9905 [doi] PST - ppublish SO - Sci Transl Med. 2024 Feb 28;16(736):eabj9905. doi: 10.1126/scitranslmed.abj9905. Epub 2024 Feb 28.