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CNNeoPP: A Deep Learning Pipeline for Personalized Neoantigen Prediction and Liquid Biopsy Applications

Cai, Y.; Chen, R.; Song, M.; Wang, L.; Huo, Z.; Yang, D.; Zhang, S.; Gao, S.; Hwang, S.; Bai, L.; Lv, Y.; Cui, Y.; Zhang, X.

2025-03-23 allergy and immunology
10.1101/2025.03.22.25324446
Show abstract

Neoantigens have emerged as promising targets for personalized cancer immunotherapy. However, accurate identification of immunogenic neoantigens remains a challenge due to limitations in existing predictive models. Here, we present CNNeo, a novel deep learning-based neoantigen prediction model, and CNNeoPP, an integrated computational pipeline for neoantigen discovery. CNNeo employs natural language processing-based sequence encoding and multi-modal feature integration, demonstrating superior predictive performance compared to existing tools. CNNeoPP was rigorously validated using independent datasets, including the TESLA dataset, and experimental validation via ELISpot T-cell assays. Additionally, we conducted a proof-of-concept study utilizing plasma cell-free DNA to explore the feasibility of non-invasive neoantigen prediction. We found that increased sequencing depth enhances neoantigen detectability, further amplified by the prioritization strategy of CNNeoPP. CNNeoDB, a publicly accessible database was developed compiling neoantigen data from multiple sources. This study establishes robust tools for neoantigen prediction, with implications for optimizing cancer immunotherapy and liquid biopsy-based tumor monitoring.

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