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Translational Medicine / 转化医学immunotherapy resistance

Nir Hacohen

尼尔·哈科亨

PhD

🏢Massachusetts General Hospital and Harvard Medical School; Broad Institute of MIT and Harvard(麻省总医院和哈佛医学院;MIT和哈佛布罗德研究所)🌐USA

Professor of Medicine, Harvard Medical School; Director, Center for Cancer Immunology, MGH哈佛医学院医学系教授;MGH癌症免疫学中心主任

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Nir Hacohen, PhD is a Professor of Medicine at Harvard Medical School, Director of the Center for Cancer Immunology at Massachusetts General Hospital, and a core member of the Broad Institute. He is a leading authority on the genetics of tumor-immune interactions, neoantigen biology, and the dynamic evolution of tumor immunogenicity during immunotherapy. His group made foundational contributions to establishing the concept that clonal neoantigens — those arising from truncal mutations present in all tumor cells — are the primary targets of productive anti-tumor T cell responses and the critical determinants of checkpoint immunotherapy benefit. His work demonstrated that tumors can evolve immune resistance through neoantigen depletion: the selective loss of truncal neoantigen-encoding mutations under immune pressure, which occurs even as total TMB remains high. This clonal neoantigen evolution concept fundamentally challenged TMB as a biomarker by showing that mutation quantity is less important than the clonality and persistence of immunogenic mutations. Dr. Hacohen also co-pioneered personalized mRNA neoantigen cancer vaccines with Moderna and led genomic frameworks for neoantigen prediction, HLA typing, and T cell epitope validation that are now widely adopted in the field.

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🧪Research Fields 研究领域

Neoantigen Evolution新抗原进化
Tumor Mutational Burden肿瘤突变负荷
Clonal Neoantigen Depletion克隆新抗原耗竭
Antigen-Specific T Cell Responses抗原特异性T细胞应答
Personalized Cancer Vaccines个性化癌症疫苗

🎓Key Contributions 主要贡献

Clonal Neoantigen Architecture Determines Immunotherapy Response

Demonstrated that clonal neoantigens (present in all tumor cells) are preferentially recognized by tumor-infiltrating T cells and that high clonal neoantigen load, rather than total TMB, is the critical predictor of durable checkpoint immunotherapy response.

Neoantigen Depletion Under Immune Pressure as Resistance Mechanism

Characterized through longitudinal tumor sequencing that tumors under immune selection pressure lose specific immunogenic clonal mutations through loss of heterozygosity, copy number deletion, or frameshift reversion, depleting the neoantigen repertoire that drives anti-tumor immunity.

Personalized Neoantigen mRNA Cancer Vaccines

Co-pioneered the development of personalized mRNA neoantigen vaccines (with Moderna) that encode tumor-specific mutant peptides, demonstrating clinical proof-of-concept for neoantigen-directed T cell priming and synergy with checkpoint immunotherapy in melanoma.

Computational Frameworks for Neoantigen Prediction and Validation

Developed widely-used computational pipelines for HLA typing (OptiType), neoantigen MHC binding prediction, and T cell epitope validation from tumor whole-exome sequencing, establishing the bioinformatic infrastructure for neoantigen-focused clinical trials.

Representative Works 代表性著作

[1]

Clonal neoantigens elicit T cell immunoreactivity and sensitivity to immune checkpoint blockade

Science (2016)

Established that clonal (truncal) neoantigens are the predominant targets of productive T cell responses and predict durable benefit from anti-CTLA-4 therapy in non-small cell lung cancer.

[2]

Neoantigen depletion predicts treatment-associated immune editing in cancer

Cell (2019)

Longitudinal genomic analysis demonstrating that tumors under immune checkpoint therapy selectively lose immunogenic clonal mutations through immune editing, providing direct evidence of neoantigen depletion as a resistance mechanism.

[3]

An mRNA vaccine against KRAS-driven cancers induces multi-epitope neoantigen-specific T cell responses

Nature Medicine (2023)

Phase I clinical trial data demonstrating safety and immunogenicity of personalized mRNA neoantigen vaccines combined with pembrolizumab in solid tumor patients.

🏆Awards & Recognition 奖项与荣誉

🏆NIH Director's Pioneer Award
🏆Cancer Research Institute William B. Coley Award
🏆Parker Institute for Cancer Immunotherapy Investigator
🏆AACR-Pezcoller Foundation International Award for Extraordinary Achievement in Cancer Research

📄Data Sources 数据来源

Last updated: 2026-01-20 | All information from publicly available academic sources

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