Review Article

Recent Development and Clinical Application of Cancer Vaccine: Targeting Neoantigens

Table 1

Categories of tumor antigens.

Different antigen types, descriptions, and examples
Tumor-associated antigens (TAAs)
 Low levels of expression on normal host cells
 Disproportionately expressed on tumor cells
 Often result from genetic amplification or posttranslational modifications
 Example: CD19 on B cell malignancies
Cancer germline antigens (CGAs)/cancer testis antigens (CTA)
 Absent on the normal adult cells, except in reproductive tissues such as testes, fetal ovaries, and trophoblast
 Selectively expressed by various tumor types by epigenetic dysregulation
 Example: NY-ESO-1 in various tumors
Virus-associated antigens
 Arise in cancer cells from oncogenic viral proteins
 Viral oncoproteins integrate into host cell genome, causing cell transformation and tumorigenesis
 Carried by virally associated malignancies
 Example: HPV E6/E7 oncoproteins
Tumor-specific antigens (TSAs)/neoantigens
 Arise in cancer cells from nonsynonymous somatic mutations that result in the formation of new peptide sequences during tumorigenesis
 Completely absent from normal host cells
 Example: individual KRAS G12D somatic mutation