Chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancer

Abstract Background Patients with highly mutated tumors, such as melanoma or smoking-related lung cancer, have higher rates of response to immune checkpoint blockade therapy, perhaps due to increased neoantigen expression. Many chemotherapies including platinum compounds are known to be mutagenic, b...

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Main Authors: Timothy O’Donnell, Elizabeth L. Christie, Arun Ahuja, Jacqueline Buros, B. Arman Aksoy, David D. L. Bowtell, Alexandra Snyder, Jeff Hammerbacher
Format: Article
Language:English
Published: BMC 2018-01-01
Series:BMC Cancer
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12885-017-3825-0
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author Timothy O’Donnell
Elizabeth L. Christie
Arun Ahuja
Jacqueline Buros
B. Arman Aksoy
David D. L. Bowtell
Alexandra Snyder
Jeff Hammerbacher
author_facet Timothy O’Donnell
Elizabeth L. Christie
Arun Ahuja
Jacqueline Buros
B. Arman Aksoy
David D. L. Bowtell
Alexandra Snyder
Jeff Hammerbacher
author_sort Timothy O’Donnell
collection DOAJ
description Abstract Background Patients with highly mutated tumors, such as melanoma or smoking-related lung cancer, have higher rates of response to immune checkpoint blockade therapy, perhaps due to increased neoantigen expression. Many chemotherapies including platinum compounds are known to be mutagenic, but the impact of standard treatment protocols on mutational burden and resulting neoantigen expression in most human cancers is unknown. Methods We sought to quantify the effect of chemotherapy treatment on computationally predicted neoantigen expression for high grade serous ovarian carcinoma patients enrolled in the Australian Ovarian Cancer Study. In this series, 35 of 114 samples were collected after exposure to chemotherapy; 14 are matched with an untreated sample from the same patient. Our approach integrates whole genome and RNA sequencing of bulk tumor samples with class I MHC binding prediction and mutational signatures extracted from studies of chemotherapy-exposed Caenorhabditis elegans and Gallus gallus cells. We additionally investigated the relationship between neoantigens, tumor infiltrating immune cells estimated from RNA-seq with CIBERSORT, and patient survival. Results Greater neoantigen burden and CD8+ T cell infiltration in primary, pre-treatment samples were independently associated with improved survival. Relapse samples collected after chemotherapy harbored a median of 78% more expressed neoantigens than untreated primary samples, a figure that combines the effects of chemotherapy and other processes operative during relapse. The contribution from chemotherapy-associated signatures was small, accounting for a mean of 5% (range 0–16) of the expressed neoantigen burden in relapse samples. In both treated and untreated samples, most neoantigens were attributed to COSMIC Signature (3), associated with BRCA disruption, Signature (1), associated with a slow mutagenic process active in healthy tissue, and Signature (8), of unknown etiology. Conclusion Relapsed ovarian cancers harbor more predicted neoantigens than primary tumors, but the increase is due to pre-existing mutational processes, not mutagenesis from chemotherapy.
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spelling doaj.art-b4240ed0d9144fbb998383ffee8930e92022-12-22T00:03:02ZengBMCBMC Cancer1471-24072018-01-0118111110.1186/s12885-017-3825-0Chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancerTimothy O’Donnell0Elizabeth L. Christie1Arun Ahuja2Jacqueline Buros3B. Arman Aksoy4David D. L. Bowtell5Alexandra Snyder6Jeff Hammerbacher7Icahn School of Medicine at Mount SinaiPeter MacCallum Cancer CentreIcahn School of Medicine at Mount SinaiIcahn School of Medicine at Mount SinaiIcahn School of Medicine at Mount SinaiPeter MacCallum Cancer CentreDepartment of Medicine, Memorial Sloan-Kettering Cancer CenterIcahn School of Medicine at Mount SinaiAbstract Background Patients with highly mutated tumors, such as melanoma or smoking-related lung cancer, have higher rates of response to immune checkpoint blockade therapy, perhaps due to increased neoantigen expression. Many chemotherapies including platinum compounds are known to be mutagenic, but the impact of standard treatment protocols on mutational burden and resulting neoantigen expression in most human cancers is unknown. Methods We sought to quantify the effect of chemotherapy treatment on computationally predicted neoantigen expression for high grade serous ovarian carcinoma patients enrolled in the Australian Ovarian Cancer Study. In this series, 35 of 114 samples were collected after exposure to chemotherapy; 14 are matched with an untreated sample from the same patient. Our approach integrates whole genome and RNA sequencing of bulk tumor samples with class I MHC binding prediction and mutational signatures extracted from studies of chemotherapy-exposed Caenorhabditis elegans and Gallus gallus cells. We additionally investigated the relationship between neoantigens, tumor infiltrating immune cells estimated from RNA-seq with CIBERSORT, and patient survival. Results Greater neoantigen burden and CD8+ T cell infiltration in primary, pre-treatment samples were independently associated with improved survival. Relapse samples collected after chemotherapy harbored a median of 78% more expressed neoantigens than untreated primary samples, a figure that combines the effects of chemotherapy and other processes operative during relapse. The contribution from chemotherapy-associated signatures was small, accounting for a mean of 5% (range 0–16) of the expressed neoantigen burden in relapse samples. In both treated and untreated samples, most neoantigens were attributed to COSMIC Signature (3), associated with BRCA disruption, Signature (1), associated with a slow mutagenic process active in healthy tissue, and Signature (8), of unknown etiology. Conclusion Relapsed ovarian cancers harbor more predicted neoantigens than primary tumors, but the increase is due to pre-existing mutational processes, not mutagenesis from chemotherapy.http://link.springer.com/article/10.1186/s12885-017-3825-0NeoantigenMutational signatureChemotherapy
spellingShingle Timothy O’Donnell
Elizabeth L. Christie
Arun Ahuja
Jacqueline Buros
B. Arman Aksoy
David D. L. Bowtell
Alexandra Snyder
Jeff Hammerbacher
Chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancer
BMC Cancer
Neoantigen
Mutational signature
Chemotherapy
title Chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancer
title_full Chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancer
title_fullStr Chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancer
title_full_unstemmed Chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancer
title_short Chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancer
title_sort chemotherapy weakly contributes to predicted neoantigen expression in ovarian cancer
topic Neoantigen
Mutational signature
Chemotherapy
url http://link.springer.com/article/10.1186/s12885-017-3825-0
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