The researchers say the results warrant further development of
neoantigen vaccines, both alone and in combination with other immunotherapy weapons such as checkpoint inhibitors.
«If successful in subsequent trials, a personal vaccine has the potential to be applied to any cancer that harbors a sufficient numbers of
neoantigens for vaccination.»
The foreignness
of neoantigens means therapies based on them could induce strong, specific antitumor responses.
Another focus in Chan's group is personalized vaccines that are based
on neoantigens identified by sequencing a patient's tumor.
Researchers are studying how to use tumour -
specific neoantigens in vaccines to help the body mount an immune response targeted at the cancer.
The therapeutic cancer vaccine employs nanodiscs loaded with
tumor neoantigens, which are unique mutations found in tumor cells.
Applications in proteogenomics include discovery of novel protein coding regions to improve genome annotation; detection of variant and mutated proteins based on DNA and / or RNA sequence data; discovery of
cancer neoantigens and evaluation of the impact of genomic changes (e.g. copy number alterations, SNPs, mutations, hyper methylation) on the proteome.
The Specific Antigen approach utilizes selected antigens (either whole antigens or specific epitopes of interest,
including neoantigen epitopes) that are also present within a patient's own tumor in order to educate the immune system to recognize and kill tumor cells that express the antigen / epitopes.
Rather than simply identifying a cancer by location or tissue type, researchers now use advanced molecular profiling tests to characterize tumors, the proteins they express and the novel mutations they develop — known
as neoantigens.
«This research represents a big step forward in understanding why some tumors are more aggressive than others and being able to predict rationally
which neoantigens will be the most effective at stimulating an immune response,» said Dr. Balachandran, a member of the David M. Rubenstein Center for Pancreatic Cancer Research at MSK, and corresponding author of the companion study in Nature.
Chan's laboratory uses genomic analyses to
identify neoantigens — novel peptides found only in tumors that arise from mutations accumulated by cancerous cells.
Algorithms, such as NetMHC, have been developed in recent years, making it feasible to select HLA - binding
neoantigen peptides for the vaccine.
The vaccine, because it contains many different
neoantigens from the tumor, targets multiple genetic types of tumor cells.
Association and prognostic significance of BRCA1 / 2 - mutation status with
neoantigen load, number of tumor - infiltrating lymphocytes and expression of PD - 1 / PD - L1 in high grade serous ovarian cancer.
Finally, they use computer models or cellular tests to identify the portions of proteins that could be the most
effective neoantigen.
The study results suggest, that a
personalized neoantigen vaccine can potentially overcome two major hurdles in cancer therapy.
This project will continue the work to understand what makes a high -
quality neoantigen and how the microbiome influences how the immune system recognizes it, with the goal of developing a method for creating vaccines to treat pancreatic cancers.
Showed that the immune system can recognize
trunk neoantigens found in all tumor cells and that this likely influences a patient's ability to respond to immune checkpoint inhibitor antibodies
While talking
about neoantigen vaccines, researchers also refer to checkpoint inhibitors: another emerging form of immunotherapy that positively stimulates the immune system in cancer patients.
The model tracked many properties within the immune response to the drugs,
particularly neoantigens, which are specific to mutating and growing tumors.
Meanwhile, several biotech companies are launching trials
combining neoantigen vaccines and checkpoint inhibitors for various cancers, including Neon Therapeutics in Cambridge, which Wu and Hacohen co-founded.
Thirty companies and academic groups will receive the same set of tumor samples from individual patients and will try to predict the
best neoantigens.
Says Parker Institute Vice President for Research Fred Ramsdell: «At the end, we'll have a good idea of how to correctly
pick neoantigens for a vaccine.»
Pardoll and others caution, however, that it's not possible to know
whether neoantigen vaccines perform better than a PD - 1 inhibitor alone without doing larger studies.
The team injected RNA coding for up to 10 tumor
neoantigens into the lymph nodes of 13 advanced melanoma patients whose tumors had been removed.
His team has recently reported that melanoma and lung cancer patients with
more neoantigen - coding tumor mutations are more likely to respond to immune checkpoint blockers.
Applying this tool to the six patients» tumor samples yielded dozens of
unique neoantigens for each patient's personal vaccine.
Finally, the
selected neoantigen peptides were synthesized and mixed with an adjuvant — a biochemical substance that helps to jump - start the immune response.
Lab experiments to confirm the activity of
multiple neoantigens are time consuming, and current computer models to predict antigenicity can be inaccurate due to low validation.
This last step of predicting neoantigenicity is the most challenging part of developing a
new neoantigen vaccine.
This immuno - oncology technology is further being leveraged to target tumor self - antigens or
shared neoantigens.
This research will have a significant impact on
understanding neoantigen - T cell immunobiology and could improve the treatment prospects of pancreatic cancer patients.
The loss of HLA often occurred relatively late in the tumors» evolution and resulted in an expansion of
neoantigens within the tumors, predicted to bind to the lost HLA allele.
Physicians with the Personalized Medicine Program at The Tisch Cancer Institute have initiated a phase I proof - of - concept study, a fully personalized multipeptide therapeutic vaccine designed to target tumor -
derived neoantigens for individual patients.
In addition, it was increasingly recognized that oncolytic viruses not only were able to directly lyse cancer cells, but they also «freed «tumor
specific neoantigens, indirectly acting as a cancer vaccine.
The Parker Institute helped support Dr. Okada's research to identify a novel brain
cancer neoantigen.
Instead of targeting specific tumor antigens, this approach relies on endogenous antigens (
including neoantigens) released during tumor lysis by treatments such as chemotherapy or local radiation.
Phrases with «neoantigen»