Lymphodepleting chemotherapy potentiates neoantigen-directed T-cell therapy by enhancing antigen presentation
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ABSTRACT: Adoptive cell therapy (ACT) targeting tumor-specific antigens holds promise for solid-tumors, but limited neoantigen presentation remains a key barrier to efficacy. Here, we identify and characterize a T-cell receptor (TCR), T104, for the KRAS.G12V mutation, a prevalent neoantigen in colorectal, lung, and pancreatic cancers. TCR-T104 selectively recognize and kill KRAS.G12V expressing tumor cells. Combining T-cell therapy with lymphodepleting chemotherapy significantly enhance tumor-cell killing, particularly by TCR-T-cells, tumor-infiltrating lymphocytes (TILs) and T-cell engager antibodies across multiple cancer types and target antigens. Mechanistically, chemotherapy upregulates immunoproteasome activity and HLA-I surface expression. HLA-Immunopeptidome analyses reveal that chemotherapy remodels the antigenic landscape across tumor cell-lines and In vivo models, increasing peptide abundance and hydrophobicity, while altering proteasomal cleavage preferences. These findings establish a synergistic role for chemotherapy in enhancing neoantigen presentation and T-cell-mediated tumor recognition and suggest that fine-tuning these regimens could improve ACT efficacy, particularly in tumors with low-abundance neoantigens. **Proteomics data have been deposited to the PRIDE (ProteomeXchange) repository under accession number PXD061178. This dataset expands on data previously deposited under accession PXD061178.Contains proteomic data of SW620 A03 as well HLA-1 Immunopeptidomic MIapaca2 cell line treated with Chemo and SW620 A03 tumors harvested from NSG mice treat with chemothetapy.**
INSTRUMENT(S):
ORGANISM(S): Homo Sapiens (human)
TISSUE(S): Pancreatic Cancer Cell Line, Colorectal Adenocarcinoma Cell Line, Miapaca-2 Cell, Sw-620 Cell, Permanent Cell Line Cell, Epithelial Cell
DISEASE(S): Colon Cancer,Pancreatic Cancer
SUBMITTER:
Shira Sagie
LAB HEAD: Yardena Samuels
PROVIDER: PXD070607 | Pride | 2026-01-12
REPOSITORIES: Pride
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