Genomic Landscape of Lynch Syndrome Colorectal Neoplasia Identifies Shared Mutated Neoantigens for Immunoprevention

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved..

BACKGROUND & AIMS: Lynch syndrome (LS) carriers develop mismatch repair-deficient neoplasia with high neoantigen (neoAg) rates. No detailed information on targetable neoAgs from LS precancers exists, which is crucial for vaccine development and immune-interception strategies. We report a focused somatic mutation and frameshift-neoAg landscape of microsatellite loci from colorectal polyps without malignant potential (PWOMP), precancers, and early-stage cancers in LS carriers.

METHODS: We generated paired whole-exome and transcriptomic sequencing data from 8 colorectal PWOMP, 41 precancers, 8 advanced precancers, and 12 early-stage cancers of 43 LS carriers. A computational pipeline was developed to predict, rank, and prioritize the top 100 detected mutated neoAgs that were validated in vitro using ELISpot and tetramer assays.

RESULTS: Mutation calling revealed >10 mut/Mb in 83% of cancers, 63% of advanced precancers, and 20% of precancers. Cancers displayed an average of 616 MHC-I neoAgs/sample, 294 in advanced precancers, and 107 in precancers. No neoAgs were detected in PWOMP. A total of 65% of our top 100 predicted neoAgs were immunogenic in vitro, and were present in 92% of cancers, 50% of advanced precancers, and 29% of precancers. We observed increased levels of naïve CD8+ and memory CD4+ T cells in mismatch repair-deficient cancers and precancers via transcriptomics analysis.

CONCLUSIONS: Shared frameshift-neoAgs are generated within unstable microsatellite loci at initial stages of LS carcinogenesis and can induce T-cell responses, generating opportunities for vaccine development, targeting LS precancers and early-stage cancers.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:166

Enthalten in:

Gastroenterology - 166(2024), 5 vom: 17. Apr., Seite 787-801.e11

Sprache:

Englisch

Beteiligte Personen:

Bolivar, Ana M [VerfasserIn]
Duzagac, Fahriye [VerfasserIn]
Deng, Nan [VerfasserIn]
Reyes-Uribe, Laura [VerfasserIn]
Chang, Kyle [VerfasserIn]
Wu, Wenhui [VerfasserIn]
Bowen, Charles M [VerfasserIn]
Taggart, Melissa W [VerfasserIn]
Thirumurthi, Selvi [VerfasserIn]
Lynch, Patrick M [VerfasserIn]
You, Y Nancy [VerfasserIn]
Rodriguez-Pascual, Jesus [VerfasserIn]
Lipkin, Steven M [VerfasserIn]
Kopetz, Scott [VerfasserIn]
Scheet, Paul [VerfasserIn]
Lizee, Gregory A [VerfasserIn]
Reuben, Alexandre [VerfasserIn]
Sinha, Krishna M [VerfasserIn]
Vilar, Eduardo [VerfasserIn]

Links:

Volltext

Themen:

Antigens, Neoplasm
Cancer Vaccines
Colorectal Cancer
Immunoprevention
Journal Article
Lynch Syndrome
MMR Deficiency
Neoantigen
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Systems Biology

Anmerkungen:

Date Completed 23.04.2024

Date Revised 26.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1053/j.gastro.2024.01.016

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367352168