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Cytotoxic T lymphocyte activation via presentation of autologous neoantigen is a central mechanism underlying many modern cancer immunotherapies. It leverages patient-specific mutated peptides presented on MHC molecules to selectively activate potent anti-tumor CD8+ responses while minimizing off-target effects seen with shared self-antigens. This approach underpins both cellular therapies using expanded/engineered autologous TILs as well as next-generation personalized vaccine strategies targeting individual tumors’ mutational landscapes.
T cell receptor (TCR) activation by neoantigen-MHC complex leading to T cell proliferation, differentiation, and cytolytic activity.
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