Neoantigen discovery and therapeutic development in hormone receptor-positive breast cancer
Hormone receptor-positive (HR+) breast cancer has long been considered immune cold, and current immunotherapies have failed to provide substantial benefit. Estrogen receptor (ER) signaling is now thought to suppress the antigen-presenting ability of cancer cells, dampening the immunogenicity of their intrinsic neoantigens. Both neoantigen properties and the antigen-presentation machinery shape this process. We are investigating the role of ESR1 in immune suppression, as well as how to boost immune recognition in HR+ breast cancer. Our ultimate goal is to develop immunotherapy approaches for this traditionally immune-cold cancer, and potentially to extend them to other immunotherapy-resistant cancer types. (See our preliminary publication: Lai et al., Transl Oncol. 2026 Sep;71:102876. doi:10.1016/j.tranon.2026.102876)