Evidence map›Paper›PMID 29361136›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2018

Differential binding affinity of mutated peptides for MHC class I is a predictor of survival in advanced lung cancer and melanoma.

E Ghorani, R Rosenthal, N McGranahan, J L Reading, M Lynch, K S Peggs, C Swanton, S A Quezada

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07686744 (A Phase I Clinical Trial of Personalized Neoantigen Peptide Vaccine in Combination With Pembrolizumab for the Safety and Efficacy in Patients With Advanced, Recurrent or Refractory Renal Cell Carcinoma), which is not on this map. Cited by 91 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07686744 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase I Clinical Trial of Personalized Neoantigen Peptide Vaccine in Combination With Pembrolizumab for the Safety and Efficacy in Patients With Advanced, Recurrent or Refractory Renal Cell Carcinoma

TypeinterventionalSponsorJian LinRan2026 to 2029Enrolled8ConditionsRenal Cell Carcinoma, Advanced, Recurrent, RefractoryArmsPersonalized Neoantigen Polyepitope Peptide Vaccine
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 1 synthesis or guideline pooled it, 143 citations in OpenAlex.

  1. Pooled it
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  7. Adaptive resistance in cancer immunotherapy.Cellular & molecular immunology · 2026
    Review
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31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

E GhoraniCancer Immunology Unit, University College London Cancer Institute, London, UK.
R RosenthalCancer Research UK Lung Cancer Centre of Excellence, University College London, London, UK.
N McGranahanCancer Research UK Lung Cancer Centre of Excellence, University College London, London, UK.
J L ReadingCancer Immunology Unit, University College London Cancer Institute, London, UK.
M LynchDepartment of Biostatistics and Bioinformatics, Roswell Park Cancer Institute, Buffalo, USA.
K S PeggsCancer Immunology Unit, University College London Cancer Institute, London, UK.
C SwantonCancer Research UK Lung Cancer Centre of Excellence, University College London, London, UK.
S A QuezadaCancer Immunology Unit, University College London Cancer Institute, London, UK.
University College London · GBCRUK Lung Cancer Centre of Excellence · GBCancer Research UK · GBLondon Cancer · GBRoswell Park Comprehensive Cancer Center · US

Funding

Cancer Research UK 12100Cancer Research UK 20466Cancer Research UK 22246Wellcome Trust FC001169
6 · The paper itself

Abstract

Background: Cancer mutations generate novel (neo-)peptides recognised by T cells, but the determinants of recognition are not well characterised. The difference in predicted class I major histocompatibility complex (MHC-I) binding affinity between wild-type and corresponding mutant peptides (differential agretopicity index; DAI) may reflect clinically relevant cancer peptide immunogenicity. Our aim was to explore the relationship between DAI, measures of immune infiltration and patient outcomes in advanced cancer. Patients and methods: Cohorts of patients with advanced non-small-cell lung cancer (NSCLC; LUAD, n = 66) and melanoma (SKCM, n = 72) were obtained from The Cancer Genome Atlas. Three additional cohorts of immunotherapy treated patients with advanced melanoma (total n = 131) and NSCLC (n = 31) were analysed. Neopeptides and their clonal status were defined using genomic data. MHC-I binding affinity was predicted for each neopeptide and DAI values summarised as the sample mean DAI. Correlations between mean DAI and markers of immune activity were evaluated using measures of lymphocyte infiltration and immune gene expression. Results: In univariate and multivariate analyses, mean DAI significantly correlated with overall survival in 3/5 cohorts, with evidence of superiority over nonsynonymous mutational and neoantigen burden. In these cohorts, the effect was seen for mean DAI of clonal but not subclonal peptides. In SKCM, the association between mean DAI and survival bordered significance (P = 0.068), reaching significance in an immunotherapy-treated melanoma cohort (P = 0.003). Mean DAI but not mutational nor neoantigen burden was positively correlated with independently derived markers of immune infiltration in both SKCM (P = 0.027) and LUAD (P = 0.024). Conclusions: The association between mean DAI, survival and measures of immune activity support the hypothesis that DAI is a determinant of cancer peptide immunogenicity. Investigation of DAI as a marker of immunologically relevant peptides in further datasets and future clinical studies of neoantigen based immunotherapies is warranted.

Indexed as

Adenocarcinoma of LungCohort StudiesHistocompatibility Antigens Class IHumansImmunotherapyMelanomaNeoplasm ProteinsNeoplasm StagingPeptidesSkin NeoplasmsHistocompatibility Antigens Class INeoplasm ProteinsPeptidesimmunoinformaticsimmunotherapyneoantigen predictionpeptide immunogenicity

Identifiers

PMID29361136
PMCPMC5834109
OpenAlexW2766564423

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.