Developing neoantigen-targeted T cell-based treatments for solid tumors.

Abstract:

:Stimulating an immune response against cancer through adoptive transfer of tumor-targeting lymphocytes has shown great promise in hematological malignancies, but clinical efficacy against many common solid epithelial cancers remains low. Targeting 'neoantigens'-the somatic mutations expressed only by tumor cells-might enable tumor destruction without causing undue damage to vital healthy tissues. Major challenges to targeting neoantigens with T cells include heterogeneity and variability in antigen processing and presentation of targets by tumors, and an incomplete understanding of which T cell qualities are essential for clinically effective therapies. Finally, the prospect of targeting somatic tumor mutations to promote T cell destruction of cancer must contend with the biology that not all tumor-expressed 'neoepitopes' actually generate neoantigens that can be functionally recognized and provoke an effective immune response. In this Review, we discuss the promise, progress and challenges for improving neoantigen-targeted T cell-based immunotherapies for cancer.

journal_name

Nat Med

journal_title

Nature medicine

authors

Yamamoto TN,Kishton RJ,Restifo NP

doi

10.1038/s41591-019-0596-y

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

1488-1499

issue

10

eissn

1078-8956

issn

1546-170X

pii

10.1038/s41591-019-0596-y

journal_volume

25

pub_type

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