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Targeting neoantigens to augment antitumour immunity

Cet article passe en revue les études mettant en évidence l'intérêt des néo-antigènes, exprimés par les cellules cancéreuses, pour accroître l'immunité antitumorale, présente une procédure pour identifier et cibler les néo-antigènes tumoraux, puis analyse les bénéfices et les obstacles associés à ce type d'immunothérapie

The past decade of cancer research has been marked by a growing appreciation of the role of immunity in cancer. Mutations in the tumour genome can cause tumours to express mutant proteins that are tumour specific and not expressed on normal cells (neoantigens). These neoantigens are an attractive immune target because their selective expression on tumours may minimize immune tolerance as well as the risk of autoimmunity. In this Review we discuss the emerging evidence that neoantigens are recognized by the immune system and can be targeted to increase antitumour immunity. We also provide a framework for personalized cancer immunotherapy through the identification and selective targeting of individual tumour neoantigens, and present the potential benefits and obstacles to this approach of targeted immunotherapy.

http://dx.doi.org/10.1038/nrc.2016.154

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