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Review

A proteogenomic approach to target neoantigens in solid tumors

, , , &
Pages 797-812 | Received 08 Sep 2020, Accepted 22 Jan 2021, Published online: 22 Feb 2021
 

ABSTRACT

Introduction

Proteogenomic techniques find applications in identifying novel cancer-specific peptides called neoantigens; they are non-self peptides derived from tumor-specific non-synonymous mutations. These peptides with MHCs are recognized by the T cells and induce an antitumor response. Due to their selective expression of tumor cells, neoantigens are considered attractive targets for cancer immunotherapy.

Areas Covered

In this review, we have discussed the proteogenomic strategies to identify neoantigens. We have also provided a neoantigen identification pipeline using data from whole-exome sequencing, RNA sequencing, and MHC peptidomics. Further, we have reviewed recent tools for neoantigen discovery.

Expert commentary

The limitations in instrument sensitivity and availability of bioinformatics tools have restricted the identification of neoantigens from tumor samples. Nonetheless, the recent improvement in genome sequencing, mass spectrometry technologies, and the development of reliable algorithms for epitope prediction provide hope for efficient identification of neoantigens. Translating this workflow on patient samples would represent a massive advancement in neoantigen identification methods, leading to the constitution of novel personalized neoantigen cancer vaccines.

Abbreviations

ALL=

Acute Lymphocytic Leukemia

APCs=

Antigen Presenting Cells

BAM=

Binary Alignment Map

CAR T cell=

Chimeric Antigen Receptor T cell

CID=

Collision Induced Dissociation

CNAs=

Copy Number Alterations

COSMIC=

Catalogue of Somatic Mutations in Cancer

CT=

Cancer/Testis antigen

CTLA=

4 Cytotoxic T Lymphocyte Antigen 4

DDA=

Data-dependent acquisition

DIA=

Data-independent acquisition

EM=

Expectation Maximization

ER=

Endoplasmic Reticulum

ERAP=

ER resident AminoPeptidases

ETD=

Electron Transfer Dissociation

FDA=

Food and Drug Administration

FDR=

False Discovery Rate

HLA=

Human Leukocyte Antigen

HPV=

Human Papilloma Virus

HTS=

High Throughput Sequencing

ICGC=

International Cancer Genome Consortium

ICIs=

Immune Checkpoint Inhibitors

IEDB=

Immune Epitope Data Base

IMAC=

Immobilized Metal Affinity Chromatography

INDEL=

Insertion-Deletion

IP=

ImmunoPrecipitation

LC=

Liquid Chromatography

LOH=

Loss of Heterozygosity

MAE=

Mild Acid Elution

MDSCs=

Myeloid Derived Suppressor Cells

MHC=

Major Histocompatibility Complex

NCBI=

National Centre for Biotechnology Information

NGS=

Next Generation Sequencing

NSCLC=

Non Small Cell Lung Cancer

nsSNVs=

non-synonymous Single-Nucleotide Variants

MAPs=

Mutation Associated Peptides

MCMC=

Markov Chain Monte Carlo

PCPS=

Proteasome Catalyzed Peptide Splicing

PCR=

Polymerase Chain Reaction

PSMs=

Peptide to Spectrum Matches

PTM=

Post Translational Modification

QC=

Quality Check

SAAVs=

Single Amino Acid Variants

SNV=

Single-Nucleotide Variants

SWATH=

MS Sequential Window Acquisition of all Theoretical Spectra

TAAs=

Tumor Associated Antigens

TAP=

Transporter Associated with antigen Processing

TSAs=

Tumor Specific Antigens

TCRs=

T Cell Receptors

TMB=

Tumor Mutation Burden

VCF=

Variant Calling Format

WXS=

Whole-exome sequencing

Supplemental material

Supplemental data for this article can be accessed here.

Declaration of interest

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

Reviewer disclosures

Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

Article highlights

  • Integration of genomics, transcriptomics, and proteomics data has facilitated the researchers to gain clear insights into the underlying mechanism of cancer biology.

  • Advancement in next-generation sequencing, mass spectrometry techniques, and the development of high-throughput bioinformatics tools have led to the identification of single amino acid variants from various sources.

  • The proteogenomic approach has helped to identify variants across the genomes and assess their effects on protein stability and functions.

  • Mutations in tumor cells’ genome give rise to several antigens, but neoantigens are the preferred target for cancer immunotherapy due to their selective expression in tumor cells.

  • Neoantigens are less susceptible to central immune tolerance mechanisms and have minimal chances of inducing autoimmunity, making them ideal targets for cancer immunotherapy.

  • Neoantigens undergo proteasomal degradation and are processed in the endoplasmic reticulum, where they combine with the MHC molecules. The complex is transported to the tumor cell’s plasma membrane, where they are recognized by the cytotoxic T cells to generate the antitumor response.

  • Conventional CAR T cell therapies are not so effective in solid tumors because of their inability to overcome the tumor-suppressive microenvironment.

  • Tumor mutational burden is shown to positively correlate with immune checkpoint inhibition therapy.

  • The multi-omics approach is the most efficient way to predict neoantigens as whole-exome sequencing (WXS) identifies SNVs and indels; transcriptomics sequencing identifies frameshift mutations and intron retentions; and proteomics data help to identify alternative PTM sites.

  • Sensitive and accurate bioinformatics tools shall facilitate the clinical translation of neoantigen-based personalized immunotherapy by identifying true neoantigens.

Additional information

Funding

The study was funded through Ministry of Human Resource Development(MHRD)Government of India, UAY project #34_IITB (2016) to SS, MASSFIIT (Mass Spectrometry Facility, IIT Bombay; BT/PR13114/INF/22/206/2015). Authors would like to extend the gratitude toward the Department of Biotechnology, India and Ministry of Human Resource Development, India for providing financial assistantship to A. Verma and A. Halder, respectively.

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