Posttranslational modifications induce autoantibodies with risk prediction capability in patients with small cell lung cancer.

Posttranslational modifications induce autoantibodies with risk prediction capability in patients with small cell lung cancer.
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DOI:
10.1126/scitranslmed.add8469
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发表时间:
2023-01-11
影响因子:
17.1
通讯作者:
Lampe, Paul D.
Lampe, Paul D.
中科院分区:
医学1区
文献类型:
--
作者:
Lastwika, Kristin J.;Kunihiro, Andrew;Solan, Joell L.;Zhang, Yuzheng;Taverne, Lydia R.;Shelley, David;Rho, Jung-Hyun;Randolph, Timothy W.;Li, Christopher I.;Grogan, Eric L.;Massion, Pierre P.;Fitzpatrick, Annette L.;MacPherson, David;Houghton, A. McGarry;Lampe, Paul D.

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Small cell lung cancer (SCLC) elicits the generation of autoantibodies that result in unique paraneoplastic neurological syndromes. The mechanistic basis for the formation of such autoantibodies is largely unknown but is key to understanding their etiology. We developed a high-dimensional technique that enables detection of autoantibodies in complex with native antigens directly from patient plasma. Here we used our platform to screen 1,009 human plasma samples for 3,600 autoantibody-antigen complexes, finding that plasma from patients with SCLC harbors, on average, 4-fold higher disease-specific autoantibody signals compared to plasma from patients with other cancers. Across 3 independent SCLC cohorts, we identified a set of common but previously unknown autoantibodies that are produced in response to both intracellular and extracellular tumor antigens. We further characterized several disease-specific post translational modifications within extracellular proteins targeted by these autoantibodies including citrullination, isoaspartylation and cancer-specific glycosylation. Since most patients with SCLC have metastatic disease at diagnosis, we queried if these autoantibodies could be utilized for SCLC early detection. We created a risk-prediction model using 5 autoantibodies with an average area under the curve of 0.84 for the 3 cohorts that improved to 0.96 by incorporating cigarette smoke consumption in pack years. Taken together, our findings provide an innovative approach to identify circulating autoantibodies in SCLC with mechanistic insight into disease-specific immunogenicity and clinical utility. Small cell lung cancer generates tumor associated antigens targeted by autoantibodies that can be exploited for tumor early detection.
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