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Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression
Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression
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Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression
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Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression
Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression

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Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression
Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression
Journal Article

Discovery of immunotherapy targets for pediatric solid and brain tumors by exon-level expression

2024
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Overview
Immunotherapy with chimeric antigen receptor T cells for pediatric solid and brain tumors is constrained by available targetable antigens. Cancer-specific exons present a promising reservoir of targets; however, these have not been explored and validated systematically in a pan-cancer fashion. To identify cancer specific exon targets, here we analyze 1532 RNA-seq datasets from 16 types of pediatric solid and brain tumors for comparison with normal tissues using a newly developed workflow. We find 2933 exons in 157 genes encoding proteins of the surfaceome or matrisome with high cancer specificity either at the gene ( n  = 148) or the alternatively spliced isoform ( n  = 9) level. Expression of selected alternatively spliced targets, including the EDB domain of fibronectin 1, and gene targets, such as COL11A1, are validated in pediatric patient derived xenograft tumors. We generate T cells expressing chimeric antigen receptors specific for the EDB domain or COL11A1 and demonstrate that these have antitumor activity. The full target list, explorable via an interactive web portal ( https://cseminer.stjude.org/ ), provides a rich resource for developing immunotherapy of pediatric solid and brain tumors using gene or AS targets with high expression specificity in cancer. CAR T cell immunotherapy for paediatric solid and brain tumours is constrained by the availability of targetable antigens. Here, the authors investigate the landscape of cancer-specific exons as potential targets by analysing 1,532 RNAseq datasets from 16 types of paediatric solid and brain tumours.