2023
DOI: 10.1002/cam4.6721
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The loss of neoantigens is an important reason for immune escape in multiple myeloma patients with high intratumor heterogeneity

Yue Wang,
Jiadai Xu,
Tianwei Lan
et al.

Abstract: ObjectivesIntratumor heterogeneity (ITH) is an important factor for clinical outcomes in patients with multiple myeloma (MM). High ITH has been proven to be a key reason for tumor immune escape and treatment resistance. Neoantigens are thought to be associated with ITH, but the specific correlation and functional basis for this remains unclear.MethodsWe study this question through the whole‐exome sequencing (WES) data from 43 high ITH newly diagnosed MM patients in our center. Mutant allele tumor heterogeneity… Show more

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“…High ITH is associated with tumor immune escape and resistance to treatment. While the connection between neoantigens and ITH is recognized, the specific details and functional implications of this relationship require further elucidation [ 110 ].…”
Section: Challenges Of Car T-cell Therapy For MMmentioning
confidence: 99%
“…High ITH is associated with tumor immune escape and resistance to treatment. While the connection between neoantigens and ITH is recognized, the specific details and functional implications of this relationship require further elucidation [ 110 ].…”
Section: Challenges Of Car T-cell Therapy For MMmentioning
confidence: 99%
“…The number of SNV-predicted neoantigens has been shown to have low (around 3%) immunogenicity [ 60 ]. In the tumors with high intratumor heterogeneity, the immune escape may be due to the loss of strong-binding neoantigens produced by SNVs [ 61 ]. Insertion/deletions (INDELS) can also create neopeptides, but are more frequently responsible for shifts in the reading frame and are self-selected.…”
Section: Neoantigensmentioning
confidence: 99%