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Frameshift peptide neoantigens are tumor-specific antigens generated by frameshift mutations (insertions or deletions) in coding microsatellites within cancer cells. These mutations disrupt the normal reading frame, producing unique peptide sequences not found in healthy tissues. Due to their foreign nature, they are highly immunogenic and can serve as targets for cancer immunotherapy, particularly in MSI-high tumors.
Vaccines stimulate T cells to recognize and kill tumor cells expressing the frameshift peptide neoantigen. Immune checkpoint inhibitors can enhance the T cell response.
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