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Blood-based T cell receptor anti-viral CDR3s are associated with worse overall survival for neuroblastoma

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Abstract

With the advent of large collections of adaptive immune receptor recombination reads representing cancer, there is the opportunity to further investigate the adaptive immune response to viruses in the cancer setting. This is a particularly important goal due to longstanding but still not well-resolved questions about viral etiologies in cancer and viral infections as comorbidities. In this report, we assessed the T cell receptor complementarity determining region-3 (CDR3) amino acid (AA) sequences, for blood-sourced TCRs from neuroblastoma (NBL) cases, for exact AA sequence matches to previously identified anti-viral TCR CDR3 AA sequences. Results indicated the presence of anti-viral TCR CDR3 AA sequences in the NBL blood samples highly significantly correlated with worse overall survival. Furthermore, the TCR CDR3 AA sequences demonstrating chemical complementarity to many cytomegalovirus antigens represented cases with a worse outcome, including cases where such CDR3s were obtained from tumor samples. Overall, these results indicate a significant need for, and provide a novel strategy for assessing viral infection complications in NBL patients.

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The data supporting the results in this article are available in the supporting online material.

Abbreviations

AA:

Amino acid

CDR3:

Complementarity determining region-3

CMV:

Cytomegalovirus

CS:

Complementarity score

dbGaP:

Database of genotypes and phenotypes

EBV:

Epstein Barr virus

HCV:

Hepatitis C virus

HIV:

Human immunodeficiency virus

KM:

Kaplan–Meier

NBL:

Neuroblastoma

OS:

Overall survival

TARGET:

Therapeutically applicable research to generate effective treatments

TCR:

T cell receptor

WXS:

Whole exome sequence

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Acknowledgements

The authors thank USF research computing staff; Ms. Corinne Walters for extensive admin support for database access applications; and the taxpayers of the State of Florida.

Funding

No specific funding supported this work.

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Authors and Affiliations

Authors

Contributions

DBK: Conceptualization; Formal analysis; Methodology; Visualization; Writing—review and editing. MJD: Formal analysis; Methodology: Software. ECG: Formal analysis; Methodology; Software. AS: Methodology: Software. JJS: Methodology; Software. MY: Formal analysis; Methodology; Software. AC: Visualization; Methodology; Software. BIC: Visualization; Methodology; Software. GB: Project administration; Conceptualization; Formal analysis; Methodology; Visualization; Writing—review and editing and Resources.

Corresponding author

Correspondence to George Blanck.

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Conflict of interest

The authors have nothing to declare.

Ethical approval

The patient genomics files were accessed according to dbGaP protocol approval number 16405, representing application by George Blanck.

Consent to participate

Administered by the TARGET project, phs000218.

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Administered by the TARGET project, phs000218.

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Kacsoh, D.B., Diaz, M.J., Gozlan, E.C. et al. Blood-based T cell receptor anti-viral CDR3s are associated with worse overall survival for neuroblastoma. J Cancer Res Clin Oncol 149, 12047–12056 (2023). https://doi.org/10.1007/s00432-023-05059-5

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  • DOI: https://doi.org/10.1007/s00432-023-05059-5

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