Patterns of antibody responses to non-viral cancer antigens in head and neck squamous cell carcinoma patients differ by human papillomavirus status.
By: Dominik S Gangkofner, Dana Holzinger, Lea Schroeder, Stefan B Eichmüller, Inka Zörnig, Dirk Jäger, Gunnar Wichmann, Andreas Dietz, Martina A Broglie, Christel Herold-Mende, Gerhard Dyckhoff, Paolo Boscolo-Rizzo, Jasmin Ezic, Ralf B Marienfeld, Peter Möller, Gunnar Völkel, Johann M Kraus, Hans A Kestler, Cornelia Brunner, Patrick J Schuler, Marlene Wigand, Marie N Theodoraki, Johannes Doescher, Thomas K Hoffmann, Michael Pawlita, Julia Butt, Tim Waterboer, Simon Laban

Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Ulm, Head & Neck Cancer Center of the Comprehensive Cancer Center Ulm, Ulm, Germany.
2019-05-29; doi: 10.1002/ijc.32623
Abstract

There have been hints that non-viral cancer antigens are differentially expressed in Human Papillomavirus (HPV) positive and HPV-negative head and neck squamous cell carcinoma (HNSCC). Antibody responses (AR) to cancer antigens may be used to indirectly determine cancer antigen expression in the tumor using a non-invasive and tissue-saving liquid biopsy. Here, we set out to characterize AR to a panel of non-viral cancer antigens in HPV-positive and HPV-negative HNSCC patients. A fluorescent microbead multiplex serology to 29 cancer antigens (16 cancer-testis antigens, 5 cancer-retina antigens, 8 oncogenes) and 29 HPV-antigens was performed in 382 HNSCC patients from five independent cohorts (153 HPV-positive, 209 HPV-negative). AR to any of the cancer antigens were found in 272/382 patients (72%). The ten most frequent AR were CT47, cTAGE5a, c-myc, LAGE-1, MAGE-A1, -A3, -A4, NY-ESO-1, SpanX-a1 and p53. AR to MAGE-A3, MAGE-A9 and p53 were found at significantly different prevalences by HPV-status. An analysis of AR mean fluorescent intensity values uncovered remarkably different AR clusters by HPV-status. To identify optimal antigen selections covering a maximum of patients with ≤10 AR, multiobjective optimization revealed distinct antigen selections by HPV-status. We identified that AR to non-viral antigens differ by HPV-status indicating differential antigen expression. Multiplex serology may be used to characterize antigen expression using serum or plasma as a tissue-sparing liquid biopsy. Cancer antigen panels should address the distinct antigen repertoire of HPV-positive and -negative HNSCC. This article is protected by copyright. All rights reserved.



This article is protected by copyright. All rights reserved.

PMID:31407331






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