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Identification of unique neoantigen qualities in long-term survivors of pancreatic cancer.


ABSTRACT: Pancreatic ductal adenocarcinoma is a lethal cancer with fewer than 7% of patients surviving past 5 years. T-cell immunity has been linked to the exceptional outcome of the few long-term survivors, yet the relevant antigens remain unknown. Here we use genetic, immunohistochemical and transcriptional immunoprofiling, computational biophysics, and functional assays to identify T-cell antigens in long-term survivors of pancreatic cancer. Using whole-exome sequencing and in silico neoantigen prediction, we found that tumours with both the highest neoantigen number and the most abundant CD8+ T-cell infiltrates, but neither alone, stratified patients with the longest survival. Investigating the specific neoantigen qualities promoting T-cell activation in long-term survivors, we discovered that these individuals were enriched in neoantigen qualities defined by a fitness model, and neoantigens in the tumour antigen MUC16 (also known as CA125). A neoantigen quality fitness model conferring greater immunogenicity to neoantigens with differential presentation and homology to infectious disease-derived peptides identified long-term survivors in two independent datasets, whereas a neoantigen quantity model ascribing greater immunogenicity to increasing neoantigen number alone did not. We detected intratumoural and lasting circulating T-cell reactivity to both high-quality and MUC16 neoantigens in long-term survivors of pancreatic cancer, including clones with specificity to both high-quality neoantigens and predicted cross-reactive microbial epitopes, consistent with neoantigen molecular mimicry. Notably, we observed selective loss of high-quality and MUC16 neoantigenic clones on metastatic progression, suggesting neoantigen immunoediting. Our results identify neoantigens with unique qualities as T-cell targets in pancreatic ductal adenocarcinoma. More broadly, we identify neoantigen quality as a biomarker for immunogenic tumours that may guide the application of immunotherapies.

SUBMITTER: Balachandran VP 

PROVIDER: S-EPMC6145146 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature

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Identification of unique neoantigen qualities in long-term survivors of pancreatic cancer.

Balachandran Vinod P VP   Łuksza Marta M   Zhao Julia N JN   Makarov Vladimir V   Moral John Alec JA   Remark Romain R   Herbst Brian B   Askan Gokce G   Bhanot Umesh U   Senbabaoglu Yasin Y   Wells Daniel K DK   Cary Charles Ian Ormsby CIO   Grbovic-Huezo Olivera O   Attiyeh Marc M   Medina Benjamin B   Zhang Jennifer J   Loo Jennifer J   Saglimbeni Joseph J   Abu-Akeel Mohsen M   Zappasodi Roberta R   Riaz Nadeem N   Smoragiewicz Martin M   Kelley Z Larkin ZL   Basturk Olca O   Gönen Mithat M   Levine Arnold J AJ   Allen Peter J PJ   Fearon Douglas T DT   Merad Miriam M   Gnjatic Sacha S   Iacobuzio-Donahue Christine A CA   Wolchok Jedd D JD   DeMatteo Ronald P RP   Chan Timothy A TA   Greenbaum Benjamin D BD   Merghoub Taha T   Leach Steven D SD  

Nature 20171108 7681


Pancreatic ductal adenocarcinoma is a lethal cancer with fewer than 7% of patients surviving past 5 years. T-cell immunity has been linked to the exceptional outcome of the few long-term survivors, yet the relevant antigens remain unknown. Here we use genetic, immunohistochemical and transcriptional immunoprofiling, computational biophysics, and functional assays to identify T-cell antigens in long-term survivors of pancreatic cancer. Using whole-exome sequencing and in silico neoantigen predict  ...[more]

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