A universal vaccine based on shared tumor neoantigens for prevention and treatment of micro satellite instable (MSI) cancers
A cancer vaccine and microsatellite technology, applied in the direction of tumor-specific antigens, tumor rejection antigen precursors, cancer antigen components, etc., can solve high-risk problems
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[0097] In a first aspect, the present invention relates to a method of selecting a collection of frameshift peptides (CFSP) to generate a general microsatellite instability (MSI) cancer vaccine peptide collection (CVP) for the prevention or treatment of patients with cancer or patients at risk of developing such cancers, including hereditary and sporadic MSI cancers, the method includes the following steps:
[0098] (i) a collection of selected nucleic acids (CFSM), each nucleic acid comprising a frameshift mutation (FSM), each FSM present in one or more than one of at least M cancer samples (CS), each cancer sample all patients are different, wherein the patient's cancer includes cancer cells with an MSI phenotype;
[0099] Where at least 50% of the selected FSMs meet criteria (a), (b), (c) and / or (d):
[0100] (a) FSM is present in a single nucleotide repeat (MNR) of a coding gene equal to or greater than 6 nucleotides in length;
[0101] (b) FSM corresponds to a deletion ...
Embodiment 1
[0319] Example 1: Selection of single nucleotide repeat (MNR) mutations in protein-coding genes from MSI tumor samples
[0320] Mutation Annotation Format (MAF) files are based on complete exome sequence data (published 4.0-October 31, 2016) and are available from the TCGA Data Portal ( https: / / gdc-portal.nci.nih.gov / ) were obtained and analyzed for the presence of frameshift mutations (FSM) in MNRs located within protein-coding segments of the exome of protein-coding genes that were equal to or longer than 6 nucleotides. Only tumors with an MSI phenotype as defined in the TCGA sample annotation data were considered in the analysis. The set included a total of 320 tumor and matched normal control samples, corresponding to 69 MSI-high (MSI-H) colorectal cancer (CRC), 85 MSI gastric cancer, and 166 MSI endometrial cancer (EC), respectively. In the second filtering step, only FSMs derived from 1-nucleotide deletions were accepted, as this type of FSM is most common in CRC and ...
Embodiment 2
[0321] Example 2: Selection of a list of frameshift peptides with acceptable properties
[0322] Then use ANNOVAR to map each FSM of the CFSM selected in Example 1 to the corresponding mRNA sequence (or sequences) from the NCBI REFSEQ database (Wang K, et al. (2010) NAR, 38: e164), and Wild-type (wt) and resulting mutant mRNAs are translated into protein. Comparison of wt and mutated protein sequences allowed determination of the amino acid (aa) sequence of the corresponding frameshift peptide (FSP). When the FSM produced multiple FSPs with different lengths and / or aa sequences due to the presence of multiple mRNA isoforms, all resulting FSPs were retained. The resulting list was filtered to exclude all FSPs shorter than 4 aa, which cannot generate potential CD8T neo-epitopes.
[0323] In addition, the amino acid sequence of the FSP included in the CVP is modified by adding or deleting amino acids if the following conditions are met (or FSPs that do not satisfy certain condi...
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