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Molecular Therapy | Promising Research on Cancer Immunotherapy Targets

Molecular Therapy | Promising Research on Cancer Immunotherapy Targets
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This article systematically reviews the latest advances in cancer cell surface protein research and evaluates the potential of various technologies in target discovery, offering novel insights for cancer immunotherapy.

 

Literature Overview
The article 'Mapping the cancer surface proteome in search of target antigens for immunotherapy' published in Molecular Therapy comprehensively reviews recent progress in cancer cell surface protein research and their application as immunotherapeutic targets. Through advanced techniques including mass spectrometry, enrichment strategies, and computational tools, this work provides in-depth analysis of cancer surface proteomics to identify novel antigen targets.

Background Knowledge
While significant progress has been made in cancer immunotherapy, particularly with immune checkpoint inhibitors targeting PD-1/PD-L1/CTLA4 and CAR-T cell therapies against CD19/BCMA in hematologic malignancies, the identification of suitable target antigens remains challenging due to antigen heterogeneity and escape mechanisms. Researchers now employ innovative approaches such as biotin labeling, glycoprotein capture, peroxidase-mediated tagging, metabolic labeling, and enzymatic labeling for comprehensive surface protein analysis. Computational tools like SURFY and Protter enable surfaceome annotation and topological predictions, enhancing target screening efficiency. The study emphasizes that ideal targets should demonstrate high cancer cell expression with minimal presence in normal tissues to reduce off-target toxicity.

 

 

Research Methods and Experiments
This review examines multiple cell surface protein enrichment techniques, including biotin labeling, cell surface capture (CSC), peroxidase-mediated labeling (APEX2/HRP), metabolic labeling, and enzymatic labeling. These approaches overcome limitations of conventional RNA sequencing and flow cytometry through distinct chemical and biological strategies. For example, NHS-ester biotinylation labels solvent-accessible lysine residues or N-termini, while CSC technology enriches cell surface proteins by oxidizing glycans to generate aldehyde groups for hydrazide probe labeling. Peroxidase-mediated methods achieve high-specificity labeling through radical reactions, and metabolic labeling incorporates non-native sugar analogs into cell surface glycoproteins.

Key Conclusions and Perspectives

  • Traditional RNA sequencing and flow cytometry cannot effectively distinguish surface protein density or subcellular localization, whereas mass spectrometry combined with enrichment strategies significantly improves target discovery efficiency.
  • Machine learning tools like SurfY predict approximately 2,886 cell surface proteins with 93.5% accuracy through high-confidence datasets, facilitating the identification of antigens overexpressed in cancer cells versus normal cells.
  • 25 clinical trials currently employ bispecific CAR-T cell therapies targeting combinations such as CD19/CD20, CD19/CD22, and BCMA/CD38 to address antigen escape challenges.
  • The study reaffirms tumor-specific proteins (high expression in cancer cells, minimal/absent in normal tissues) as optimal immunotherapy targets to minimize off-target toxicity.
  • Enrichment strategies (NHS-SS biotin, CSC, APEX2) have successfully identified novel targets (ADGRE2, CD59, CD97, SEMA4A, CCR10, TXNDC11) across cancer types including AML, multiple myeloma, and diffuse large B-cell lymphoma.

Research Significance and Prospects
The work highlights the urgent need for precise surface protein mapping and optimized target screening strategies. While bispecific CAR-T therapies show promise in overcoming antigen escape, further improvements in target combination optimization are required. The authors note persistent technical challenges including low protein labeling efficiency and non-specific enrichment, suggesting future development should focus on enhancing enrichment methods and computational algorithms to improve accuracy and reproducibility of target identification.

 

 

Conclusion
The success of cancer immunotherapy hinges on accurate targeting of cell surface proteins. This systematic review demonstrates that combining enrichment strategies with mass spectrometry and computational tools enables effective identification of highly specific therapeutic targets. Future advancements in technical optimization, clinical sample analysis, and improved target screening accuracy will be critical for expanding immunotherapy applications.

 

Reference:
Francesco Di Meo, Brandon Kale, John M Koomen, and Fabiana Perna. Mapping the cancer surface proteome in search of target antigens for immunotherapy. Molecular Therapy.