DOI: 10.4103/bbrj.bbrj_65_26 ISSN: 2588-9834

Cytotoxic T-cell Neoepitopes of p53 Public Oncogenic Driver Mutations in Non-Small Cell Lung Cancer: Discovery via Integrative Computational Immunology

Leana Rich De Mesa Herrera-Ong

Abstract

Background:

Lung cancer is the leading cause of cancer-related deaths globally, with non-small cell lung cancer (NSCLC) comprising 80% of cases. Despite advances in treatment, prognosis and 5-year survival rates remain poor. One of the most frequently mutated proteins in NSCLC is encoded by the tumor suppressor p53 (TP53), a neoantigen. The main objective of the study is to develop a workflow using immunoinformatics and databases to identify CD8+ neoepitopes from shared p53 driver mutations: R158L, R175H, Y220C, G245C, R248W, R273H, and R282W.

Methods:

Cytotoxic T-cell epitope mapping was conducted, excluding cross-reactive, allergenic, and toxic sequences. Neoepitopes were assessed for immunogenicity and agretopicity index, with validated epitopes used as references. Population coverage was estimated. Neoepitopes were docked with human leukocyte antigen I (HLA I) allele binders to calculate binding energy and dissociation constants. Immune simulations were also conducted.

Results:

Five neoepitopes – SVVVPCEPPEV, VVPCEPPEV, CACPGRDW, CMGGMNWR, and NWRPILTI – were identified with favorable safety profiles and broad population coverage. Agretopicity and binding strength analyses suggest HLA I can distinguish these from wild-type peptides.

Conclusion:

The candidate p53 neoepitopes are potentially immunogenic and safe with broad population coverage. It can be suitable for inclusion in future cancer vaccine ensembles targeting shared p53 mutations, with further in vitro and in vivo evaluations.