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TCR Targets Validation Through T Cell Activation

In this webinar sponsored by GenScript, Dr. Anna Pasetto, Assistant Professor, Department of Laboratory Medicine, Karolinska Institutet, discussed current approaches to validating TCR targets for cancer immunotherapy, including limitations and key opportunities for improvement.

In the context of her work, Dr. Pasetto’s talk focused specifically on αβ T cells, including two major subgroups, CD8+ and CD4+ T cells, which interact specifically with peptides presented by the human leukocyte antigen (HLA) class I and class II complexes, respectively. The specificity of the T cell receptor (TCR)-antigen interaction is dependent on the peptide sequence in the context of the HLA complex. CD8+ and CD4+ T cell antigens may be leveraged as targets for cancer immunotherapy. Ideally, peptide targets for T cell-based cancer immunotherapy should be highly immunogenic and uniquely expressed at high levels by all tumor cells.

T cell target identification

T cell-targeted antigens differ in their presentation by HLA class I and class II complexes. HLA class I presented peptides consist of ~8-12 a.a. and originate from intracellular antigens, while HLA class II peptides are longer consisting of ~12-18 a.a. and originate from extracellular antigens. Intracellular proteins provide more opportunities for T cell target identification.

What Are Neoantigens

Mutations giving rise to new protein sequences have the potential to generate new antigens that may serve as targets for cancer immunotherapy. Neoantigens are novel antigens arising through random or hot-spot mutations, which are presented by HLA complexes and recognized by T cells. Neoantigens may be patient-specific or shared among individuals.

The number of neoatigens that may be found in patients varies “on average between 1 and 5, but it can depend on the screening method used”

TCR Target Validation

TCR engagement by HLA-presented peptides leads to T cell activation. The extent of T cell activation may be analyzed through in vitro assays to evaluate T cell expansion, cytokine secretion, and cytotoxicity. These assays help validate the immunogenicity of tumor-derived antigens in support of adoptive T cell transfer therapies. For T cell stimulation, TCR target validation assays may rely on the use of synthetic peptides or the expression of synthetic minigenes derived from tumor-specific sequences.

“Tandem minigenes mimic the presentation from the intracellular pathway and they are suitable for class I presentation. Tandem minigenes also allow to screen several targets in one construct.”

Limitations and Considerations

Several factors may impact the outcome of T cell activation assays, including T cell status (i.e., exhausted), the strength of the stimulus, and the chosen T cell activation read-out analyzed. Based on Dr. Pasetto’s experience, a big challenge with T cell activation assays is the suboptimal stimulation of T cells, which may lead to overlooking potential valuable targets. Additionally, investigators should always rely on more than one type of T cell activation assay to support TCR target validation efforts.

It is possible to measure activation in exhausted T cells “but it is important to use a marker that is not affected by exhaustion, 4-1BB is a good market for this.”

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