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DNAJB1-PRKACA fusion neoantigens elicit rare endogenous T cell responses that potentiate cell therapy for fibrolamellar carcinoma.


ABSTRACT: Fibrolamellar carcinoma (FLC) is a liver tumor with a high mortality burden and few treatment options. A promising therapeutic vulnerability in FLC is its driver mutation, a conserved DNAJB1-PRKACA gene fusion that could be an ideal target neoantigen for immunotherapy. In this study, we aim to define endogenous CD8 T cell responses to this fusion in FLC patients and evaluate fusion-specific T cell receptors (TCRs) for use in cellular immunotherapies. We observe that fusion-specific CD8 T cells are rare and that FLC patient TCR repertoires lack large clusters of related TCR sequences characteristic of potent antigen-specific responses, potentially explaining why endogenous immune responses are insufficient to clear FLC tumors. Nevertheless, we define two functional fusion-specific TCRs, one of which has strong anti-tumor activity in vivo. Together, our results provide insights into the fragmented nature of neoantigen-specific repertoires in humans and indicate routes for clinical development of successful immunotherapies for FLC.

SUBMITTER: Kirk AM 

PROVIDER: S-EPMC10983114 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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DNAJB1-PRKACA fusion neoantigens elicit rare endogenous T cell responses that potentiate cell therapy for fibrolamellar carcinoma.

Kirk Allison M AM   Crawford Jeremy Chase JC   Chou Ching-Heng CH   Guy Cliff C   Pandey Kirti K   Kozlik Tanya T   Shah Ravi K RK   Chung Shanzou S   Nguyen Phuong P   Zhang Xiaoyu X   Wang Jin J   Bell Matthew M   Mettelman Robert C RC   Allen E Kaitlynn EK   Pogorelyy Mikhail V MV   Kim Hyunjin H   Minervina Anastasia A AA   Awad Walid W   Bajracharya Resha R   White Toni T   Long Donald D   Gordon Brittney B   Morrison Michelle M   Glazer Evan S ES   Murphy Andrew J AJ   Jiang Yixing Y   Fitzpatrick Elizabeth A EA   Yarchoan Mark M   Sethupathy Praveen P   Croft Nathan P NP   Purcell Anthony W AW   Federico Sara M SM   Stewart Elizabeth E   Gottschalk Stephen S   Zamora Anthony E AE   DeRenzo Christopher C   Strome Scott E SE   Thomas Paul G PG  

Cell reports. Medicine 20240301 3


Fibrolamellar carcinoma (FLC) is a liver tumor with a high mortality burden and few treatment options. A promising therapeutic vulnerability in FLC is its driver mutation, a conserved DNAJB1-PRKACA gene fusion that could be an ideal target neoantigen for immunotherapy. In this study, we aim to define endogenous CD8 T cell responses to this fusion in FLC patients and evaluate fusion-specific T cell receptors (TCRs) for use in cellular immunotherapies. We observe that fusion-specific CD8 T cells a  ...[more]

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