Evidence map›Paper›PMID 31888734›Full record

ArticleGenome medicine2019

Neoantigen-specific immunity in low mutation burden colorectal cancers of the consensus molecular subtype 4.

Jitske van den Bulk, Els M E Verdegaal, Dina Ruano, Marieke E Ijsselsteijn, Marten Visser, Ruud van der Breggen, Thomas Duhen, Manon van der Ploeg, Natasja L de Vries, Jan Oosting and 5 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.0field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 63 citations in OpenAlex.

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  17. CD39American journal of cancer research · 2024
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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

15 authors at 4 institutions in 2 countries.

Jitske van den BulkPathology, LUMC, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Els M E VerdegaalMedical Oncology, Oncode Institute, LUMC, Leiden, The Netherlands.
Dina RuanoPathology, LUMC, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Marieke E IjsselsteijnPathology, LUMC, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Marten VisserMedical Oncology, Oncode Institute, LUMC, Leiden, The Netherlands.
Ruud van der BreggenPathology, LUMC, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Thomas DuhenEarle A. Chiles Institute, Portland, USA.
Manon van der PloegPathology, LUMC, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Natasja L de VriesImmunohematology and Blood Transfusion, LUMC, Leiden, The Netherlands.
Jan OostingPathology, LUMC, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Koen C M J PeetersSurgery, LUMC, Leiden, The Netherlands.
Andrew D WeinbergEarle A. Chiles Institute, Portland, USA.
Arantza Farina-SarasquetaPathology, LUMC, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Sjoerd H van der BurgMedical Oncology, Oncode Institute, LUMC, Leiden, The Netherlands.
Noel F C C de MirandaPathology, LUMC, Postbus 9600, 2300 RC, Leiden, The Netherlands. N.F.de_Miranda@lumc.nl.ORCID 0000-0001-6122-1024
Oncode Institute · NLProvidence Portland Medical Center · USLeiden University Medical Center · NLLoyola University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of checkpoint blockade immunotherapies in colorectal cancer is currently restricted to a minority of patients diagnosed with mismatch repair-deficient tumors having high mutation burden. However, this observation does not exclude the existence of neoantigen-specific T cells in colorectal cancers with low mutation burden and the exploitation of their anti-cancer potential for immunotherapy. Therefore, we investigated whether autologous neoantigen-specific T cell responses could also be observed in patients diagnosed with mismatch repair-proficient colorectal cancers.

methodsWhole-exome and transcriptome sequencing were performed on cancer and normal tissues from seven colorectal cancer patients diagnosed with mismatch repair-proficient tumors to detect putative neoantigens. Corresponding neo-epitopes were synthesized and tested for recognition by in vitro expanded T cells that were isolated from tumor tissues (tumor-infiltrating lymphocytes) and from peripheral mononuclear blood cells stimulated with tumor material.

resultsNeoantigen-specific T cell reactivity was detected to several neo-epitopes in the tumor-infiltrating lymphocytes of three patients while their respective cancers expressed 15, 21, and 30 non-synonymous variants. Cell sorting of tumor-infiltrating lymphocytes based on the co-expression of CD39 and CD103 pinpointed the presence of neoantigen-specific T cells in the CD39

conclusionsWe have detected neoantigen-targeted reactivity by autologous T cells in mismatch repair-proficient colorectal cancers of the CMS4 subtype. These findings warrant the development of specific immunotherapeutic strategies that selectively boost the activity of neoantigen-specific T cells and target the TGF-β pathway to reinforce T cell reactivity in this patient group.

Indexed as

Antigens, NeoplasmCalponinsCD8-Positive T-LymphocytesColorectal NeoplasmsDNA-Binding ProteinsDNA Mismatch RepairEpitopesHumansImmunotherapyInterferon-gammaLymphocytes, Tumor-InfiltratingMicrofilament ProteinsMutationPeptidesT-Lymphocyte SubsetsTranscription FactorsAntigens, NeoplasmCalponinsDNA-Binding ProteinsEpitopesInterferon-gammaMicrofilament ProteinsPARVA protein, humanPeptidesQRICH1 protein, humanTranscription FactorsTransforming Growth Factor betaAdoptive T cell transfer (ACT)Cancer immunotherapyCMSLow mutation burdenMismatch repair-proficient (MMR-p)NeoantigenTransforming growth factor-betaTumor-infiltrating lymphocytes

Identifiers

PMID31888734
PMCPMC6938004
OpenAlexW2997386439

What OpenQuestion holds

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Registered trials

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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.