Prospects and challenges of neoantigen applications in oncology

Int Immunopharmacol. 2024 Dec 25;143(Pt 1):113329. doi: 10.1016/j.intimp.2024.113329. Epub 2024 Oct 14.

Abstract

Neoantigen, unique peptides resulting from tumor-specific mutations, represent a promising frontier in oncology for personalized cancer immunotherapy. Their unique features allow for the development of highly specific and effective cancer treatments, which can potentially overcome the limitations of conventional therapies. This paper explores the current prospects and challenges associated with the application of neoantigens in oncology. We examine the latest advances in neoantigen identification, vaccine development, and adoptive T cell therapy. Additionally, we discuss the obstacles related to neoantigen heterogeneity, immunogenicity prediction, and the tumor microenvironment. Through a comprehensive analysis of current research and clinical trials, this paper aims to provide a detailed overview of how neoantigens could revolutionize cancer treatment and the hurdles that must be overcome to realize their full potential.

Keywords: Neoantigen; Personalized therapy; Regulatory challenges; Tumor heterogeneity; Tumor immunotherapy.

Publication types

  • Review

MeSH terms

  • Animals
  • Antigens, Neoplasm* / immunology
  • Cancer Vaccines* / immunology
  • Humans
  • Immunotherapy / methods
  • Immunotherapy, Adoptive / methods
  • Neoplasms* / immunology
  • Neoplasms* / therapy
  • Precision Medicine / methods
  • Tumor Microenvironment* / immunology
  • Vaccine Development

Substances

  • Antigens, Neoplasm
  • Cancer Vaccines