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Tumor cells recognized by autologous tumor-infiltrating lymphocytes

Molecular classification
Cellular target, Tumor-associated antigen, Neoantigen, MHC-peptide complex
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Overview

Tumor cells recognized by autologous tumor-infiltrating lymphocytes (TILs) represent a complex cellular target rather than a single molecular entity. These cells are characterized by the expression of unique neoantigens and tumor-associated antigens (TAAs) presented on their surface via Major Histocompatibility Complex (MHC) molecules (Rosenberg & Restifo, Science, 2015). In the context of adoptive cell therapy, such as the FDA-approved Lifileucel, TILs are extracted from a patient's tumor, expanded ex vivo, and re-infused to specifically identify and destroy these malignant cells (FDA, 2024). The therapeutic efficacy relies on the diversity of the T-cell receptor (TCR) repertoire within the TIL population, allowing for a polyclonal attack against multiple tumor antigens simultaneously. This targeting strategy is primarily utilized in solid tumors with high mutational burdens, such as metastatic melanoma and non-small cell lung cancer (NCI, 2023). Because the target is defined by the patient's own immune recognition, it is highly personalized and bypasses the need for a single, universally expressed biomarker.

Other names
Autologous tumor cellsTIL-reactive tumor cellsNeoantigen-presenting tumor cellsPatient-specific tumor cells
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Mechanism of action

Adoptive cell transfer of autologous tumor-infiltrating lymphocytes (TILs) which recognize and bind to various tumor-specific antigens or neoantigens presented on the surface of tumor cells via MHC, leading to cytotoxic T-cell mediated lysis (Rosenberg & Restifo, Science, 2015).

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Biological functions

Immune responseAntigen presentationCell deathApoptosis
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Disease associations

CancerMelanomaNon-small cell lung cancerCervical cancerHead and neck squamous cell carcinoma
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Safety considerations

Capillary leak syndromeCytokine release syndromeSevere neutropeniaThrombocytopeniaInfection risk due to lymphodepletion
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Interacting drugs

Lifileucel (Amtagvi)

3 more in the full profile.

07

Biomarkers

Tumor mutational burden (TMB)Tumor-infiltrating lymphocyte (TIL) densityHLA-A*02 expressionPD-L1 expressionInterferon-gamma levels

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