Abstract In this study we performed a multi-omics analysis comprising whole-exome sequencing (WES) and RNA sequencing (RNA-Seq) on seven breast cancer patients, consisting of three Estrogen receptor (ER) positive and four Triple negative breast cancer (TNBC) subtypes to understand the neoantigen burden in breast cancer tumor samples. We predicted both class-I and class-II human leukocyte antigen (HLA) bound neoantigens by analyzing matched tumor-normal pair of exomes. Across all the patients, we predicted 434 unique neoantigens (Neo Fil ) in total, affecting 237 different genes and 87% of them (n = 378) are expressed at RNA level (Neo exp ). The missense mutations (87%) are the major contributor in neoantigen (Neo exp ) generation, followed by frameshift (11%) and indels (2%). The neoantigens (Neo Fil ) were found to be positively correlated with the somatic mutations (R 2 = 0.89). We also noted that the vast majority (99.98%) of the predicted neoantigens are patient specific. Overall, the current study offers significant insight into the neoantigen profile in tumor types with intermediate/low mutation burdens like breast cancer.

Exploring the Neoantigen burden in Breast Carcinoma Patients