Harnessing Tumor-Specific Transcript Diversity Uncovers a Shared Neoantigen Reservoir for Pancreatic Ductal Adenocarcinoma.
Researchers developed NeoAPP, a computational tool identifying neoantigens from tumor-specific transcripts (TSTs) rather than just DNA mutations. Applied to 413 PDAC samples, it found a median of 351 neoantigens per sample, significantly exceeding mutation-derived counts. Preclinical data shows these neoTSTs induce CD8+ T cell responses and suppress tumor growth in mouse models, with some detectable in plasma as potential biomarkers.