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Table 1 Advantages and disadvantages of different high-throughput strategies used for identification

From: Neoantigens and their clinical applications in human gastrointestinal cancers

Strategy

Advantages

Disadvantages

Whole exome sequencing

Identification of all candidate neoantigens

Fast and high-throughput

Minimal epitope is not defined

Limited feasibility in tumors with high mutation burden

No information on epitope presentation and immunogenicity

Mass spectrometry

Narrows down the number of candidate neoantigens

Allows the identification of post-translational modified peptides and non-canonical neoantigens

Identification of minimal epitopes

Identification of naturally HLA-presented antigens

Require sophisticated equipment

Low sensitivity

Biased toward detecting the more abundant peptides

Depends on HLA expression of tumor cells

Relies on efficient peptide ionization and fragmentation

High amount of tumor tissue needed

In silico predictions

Narrows down the number of candidate neoantigens

Easily accessible

Identification of minimal epitopes

Prediction tools are not always accurate, in particular for HLAs with low frequency

Not optimal for HLA-II-presented peptides

Depends on accuracy of prediction algorithms

T cell assay

High versatility and throughput

Highly dependent on phenotype

False negative

Direct detection of T cell-recognized neoantigens

Engineered APCs

Functional readout

Physiological neoantigen presentation

Dependency on predefined antigen library

Trogocytosis

Simultaneously identification of TCR and neoantigens

Lack of functional readout

Dependency on predefined antigen library

pMHC yeast library

Directly identification of TCR and precisely target of neoantigen

Lacks functional readout and neglects endogenous antigen processing