RT Journal Article SR Electronic T1 Accurate neoantigen prediction depends on mutation position relative to patient allele-specific MHC anchor location JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.12.08.416271 DO 10.1101/2020.12.08.416271 A1 Huiming Xia A1 Joshua F. McMichael A1 Suangson Supabphol A1 Megan M. Richters A1 Anamika Basu A1 Cody A. Ramirez A1 Cristina Puig-Saus A1 Kelsy C. Cotto A1 Jasreet Hundal A1 Susanna Kiwala A1 S. Peter Goedegebuure A1 Tanner M. Johanns A1 Gavin P. Dunn A1 Todd A. Fehniger A1 Antoni Ribas A1 Christopher A. Miller A1 William E. Gillanders A1 Obi L. Griffith A1 Malachi Griffith YR 2020 UL http://biorxiv.org/content/early/2020/12/08/2020.12.08.416271.abstract AB Neoantigens are novel peptide sequences resulting from somatic mutations in tumors that upon loading onto major histocompatibility complex (MHC) molecules allow recognition by T cells. Accurate neoantigen identification is thus critical for designing cancer vaccines and predicting response to immunotherapies. Neoantigen identification and prioritization relies on correctly predicting whether the presenting peptide sequence can successfully induce an immune response. As the majority of somatic mutations are SNVs, changes between wildtype and mutant peptide are subtle and require cautious interpretation. An important yet potentially underappreciated variable in neoantigen-prediction pipelines is the mutation position within the peptide relative to its anchor positions for the patient’s specific HLA alleles. While a subset of peptide positions is presented to the T-cell receptor for recognition, others are responsible for anchoring to the MHC, making these positional considerations critical for predicting T-cell responses. We computationally predicted high probability anchor positions for different peptide lengths for over 300 common HLA alleles and identified unique anchoring patterns among them. Analysis of 923 tumor samples shows that 7-41% of neoantigen candidates are potentially misclassified and can be rescued using allele-specific knowledge of anchor positions.Competing Interest StatementThe authors have declared no competing interest.