個別化がんワクチンの開発(Making cancer vaccines more personal)

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2025-10-27 アリゾナ大学

アリゾナ大学医学部フェニックス校のKaren Hastings教授らは、皮膚がん(有棘細胞癌)向け個別化がんワクチン開発に向け、腫瘍特異的変異タンパク質(ネオアンチゲン)の構造特性を解析した。研究チームはマウスモデルを用い、変異ペプチドPicalmおよびKarsがT細胞応答を誘導し腫瘍増殖を抑制することを発見。特にPicalm変異体は主要組織適合複合体(MHC)に強く提示され、Kars変異体では3D構造表面の化学的違いがT細胞受容体による認識を促進していた。これにより、T細胞に可視化されやすい構造的特徴こそがワクチン候補選定の鍵であると判明。AIによる3D構造モデリングを導入し、最適なネオアンチゲンを高精度に選抜する新手法を提案した。成果は『Journal for ImmunoTherapy of Cancer』に掲載され、メラノーマなど他がん種への応用も期待されている。

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野生型からの構造変化が腫瘍拒絶性新抗原を定義する Structural changes from wild-type define tumor-rejecting neoantigens

Anngela C Adams ,Anne M Macy ,Elizabeth S Borden ,Lauren M Herrmann
Journal for ImmunoTherapy of Cancer  Published:22 October 2025

個別化がんワクチンの開発(Making cancer vaccines more personal)

Abstract

Background Challenges in predicting which neoantigens mediate tumor rejection limit the efficacy of neoantigen vaccines to treat cancers, especially for cancers with a high mutational burden like cutaneous squamous cell carcinoma (cSCC). Only a small portion of neoantigens prioritized by current methods elicit effective T cell responses, demonstrating the critical need for improved criteria for the prediction of tumor-rejecting neoantigens.

Methods Publicly available human cSCC datasets were used to assess the frequency of shared mutations between patients. A transplantable ultraviolet light-induced mouse model of cSCC was generated. The mutational signature and driver mutations in the mouse model were compared with human tumors. Neoantigens were prioritized in the mouse model, and tumor-rejecting neoantigens were identified through (enzyme-linked immunosorbent spot (ELISpot) and in vivo prophylactic vaccination. Binding of the neoantigens and corresponding wild-type peptides to major histocompatibility complex (MHC) class I was determined. Structural modeling of peptide:MHC complexes was performed to assess for changes in structural characteristics of the neoantigens relative to the wild-type peptides.

Results A minority of human cSCC tumors shared neoantigens. The mouse cSCC model recapitulated the mutational signature and driver mutations found in human disease and was constrained by CD8 T cells. Two MHC class I neoantigens were identified in the mouse model that constrained cSCC growth. One tumor-rejecting neoantigen exhibited improved MHC binding, and the other had increased solvent accessibility of the mutated residue, compared with wild-type. Across known neoantigens that do not impact MHC binding, increased exposure of the mutated residue distinguished tumor-rejecting from non-immunogenic neoantigens.

Conclusions Given the paucity of shared mutations, this work supports the need for personalized neoantigen vaccines in cSCC. To facilitate further discovery, we provide a clinically relevant mouse cSCC model with two defined neoantigens that mediate tumor rejection. Structural changes in the exposure of features that promote T cell receptor recognition defined tumor-rejecting neoantigens. Incorporation of structural modeling to predict changes in T cell receptor accessibility is anticipated to improve the selection of neoantigens for inclusion in personalized cancer vaccines.

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