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    • 37. 发明申请
    • NEOANTIGENS AS TARGETS FOR IMMUNOTHERAPY
    • NEOANTIGENS作为免疫治疗的靶点
    • WO2018005276A1
    • 2018-01-04
    • PCT/US2017/038942
    • 2017-06-23
    • THE JOHNS HOPKINS UNIVERSITY
    • VELCULESCU, VictorANAGNOSTOU, Valsamo
    • C12Q1/68G01N33/68C07K16/30
    • A61K35/17A61K39/39A61P35/00C07K14/70539C12Q1/68C12Q1/6869C12Q1/6881C12Q1/6886C12Q2600/106C12Q2600/156G01N33/56977G01N33/57484
    • Immune checkpoint inhibitors have shown significant therapeutic responses against tumors containing increased mutation-associated neoantigen load. We have observed the emergence of acquired resistance in non-small cell lung cancer patients that were initially responsive to immune checkpoint blockade. Resistance occurred 4-11 months after the initiation of immunotherapy and both clinical response and therapeutic resistance were associated with changes in T cell clonality but not with changes in expression of PD-L1. Genomic analyses of responsive and resistant tumors from the same patients identified loss of 7 to 18 mutation-associated putative neoantigens in resistant clones that were predicted to have high MHC binding affinity. Neoantigen loss occurred through elimination of tumor subclones or through deletion of chromosomal regions containing truncal alterations. These analyses provide insights into the mechanisms of evasion to immune checkpoint blockade and immune therapies that target tumor neoantigens.
    • 免疫检查点抑制剂已显示针对含有增加的突变相关新抗原负荷的肿瘤的显着治疗反应。 我们观察到最初对免疫检查点阻断有反应的非小细胞肺癌患者中获得性耐药的出现。 免疫治疗开始后4-11个月发生抗药性,临床反应和治疗抵抗均与T细胞克隆性变化相关,但与PD-L1表达变化无关。 来自相同患者的响应性和抗性肿瘤的基因组分析鉴定出在预测具有高MHC结合亲和力的抗性克隆中缺失7至18个突变相关的推定新抗原。 新抗原丢失通过消除肿瘤亚克隆或通过删除含有躯干改变的染色体区域而发生。 这些分析提供了针对免疫检查点阻断和针对肿瘤新抗原的免疫疗法的逃避机制的见解。
    • 39. 发明授权
    • PERSONALIZED TUMOR BIOMARKERS
    • 个性化肿瘤生物标志物
    • EP2536854B1
    • 2017-07-19
    • EP11745196.3
    • 2011-02-17
    • The Johns Hopkins University
    • VOGELSTEIN, BertKINZLER, Kenneth W.VELCULESCU, VictorDIAZ, LuisLEARY, Rebecca J.
    • C12Q1/68C12N15/11C40B40/06
    • C12Q1/6886C12Q2600/156
    • Clinical management of human cancer is dependent on the accurate monitoring of residual and recurrent tumors. We have developed a method, called personalized analysis of rearranged ends (PARE), which can identify translocations in solid tumors. Analysis of four colorectal and two breast cancers revealed an average of nine rearranged sequences (range 4 to 15) per tumor. Polymerase chain reaction with primers spanning the breakpoints were able to detect mutant DNA molecules present at levels lower than 0.001% and readily identified mutated circulating DNA in patient plasma samples. This approach provides an exquisitely sensitive and broadly applicable approach for the development of personalized biomarkers to enhance the clinical management of cancer patients.
    • 人类癌症的临床管理依赖于准确监测残留和复发性肿瘤。 我们开发了一种称为重排末端的个性化分析(PARE)的方法,可以识别实体瘤中的易位。 对四个结直肠癌和两个乳腺癌的分析显示每个肿瘤平均有9个重排序列(范围4-15)。 使用跨越断点的引物进行的聚合酶链式反应能够检测到存在的水平低于0.001%的突变DNA分子,并且易于鉴定患者血浆样品中的突变循环DNA。 这种方法为开发个性化生物标志物以提高癌症患者的临床管理提供了一种非常灵敏和广泛适用的方法。