The shared frameshift mutation landscape of microsatellite-unstable cancers suggests immunoediting during tumor evolution

  • Alexej Ballhausen
  • , Moritz Jakob Przybilla
  • , Michael Jendrusch
  • , Saskia Haupt
  • , Elisabeth Pfaffendorf
  • , Florian Seidler
  • , Johannes Witt
  • , Alejandro Hernandez Sanchez
  • , Katharina Urban
  • , Markus Draxlbauer
  • , Sonja Krausert
  • , Aysel Ahadova
  • , Martin Simon Kalteis
  • , Pauline L. Pfuderer
  • , Daniel Heid
  • , Damian Stichel
  • , Johannes Gebert
  • , Maria Bonsack
  • , Sarah Schott
  • , Hendrik Bläker
  • Toni Seppälä, Jukka Pekka Mecklin, Sanne Ten Broeke, Maartje Nielsen, Vincent Heuveline, Julia Krzykalla, Axel Benner, Angelika Beate Riemer, Magnus von Knebel Doeberitz, Matthias Kloor*
*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

106 Citations (Scopus)

Abstract

The immune system can recognize and attack cancer cells, especially those with a high load of mutation-induced neoantigens. Such neoantigens are abundant in DNA mismatch repair (MMR)-deficient, microsatellite-unstable (MSI) cancers. MMR deficiency leads to insertion/deletion (indel) mutations at coding microsatellites (cMS) and to neoantigen-inducing translational frameshifts. Here, we develop a tool to quantify frameshift mutations in MSI colorectal and endometrial cancer. Our results show that frameshift mutation frequency is negatively correlated to the predicted immunogenicity of the resulting peptides, suggesting counterselection of cell clones with highly immunogenic frameshift peptides. This correlation is absent in tumors with Beta-2-microglobulin mutations, and HLA-A*02:01 status is related to cMS mutation patterns. Importantly, certain outlier mutations are common in MSI cancers despite being related to frameshift peptides with functionally confirmed immunogenicity, suggesting a possible driver role during MSI tumor evolution. Neoantigens resulting from shared mutations represent promising vaccine candidates for prevention of MSI cancers.

Original languageEnglish
Article number4740
JournalNature Communications
Volume11
Issue number1
DOIs
Publication statusPublished - 1 Dec 2020
Externally publishedYes
Publication typeA1 Journal article-refereed

ASJC Scopus subject areas

  • General Chemistry
  • General Biochemistry,Genetics and Molecular Biology
  • General Physics and Astronomy

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