Gene-by-gene sanity review of the candidate sets

Every one of the 902 Target candidates was checked against four sources that the classification does not use in this form: GTEx v11 tissue medians, HPA v23 single-cell clusters, HPA v23 immunohistochemistry and all 1,093,048 Tabula Sapiens UMI cells (23 donors, 30 tissue groups, immune and stromal cells included). Review notes are hand-written, one per protein, in manual-notes.csv. Full table. These are outputs of screening rules, not validated tumor antigens.

Result

  • 660 of 902 candidates show nothing in any of the four sources: under 1 TPM in every non-reproductive GTEx tissue, under 3 nTPM in every non-reproductive HPA cell cluster, no positive normal IHC and no Tabula Sapiens population with 1% of cells carrying two molecules.
  • 108 proteins have a review note; 96 of them are candidates in the current catalog.
  • 116 Cancer Antigens rest on a tumor maximum under 5 TPM or on at most two patients.

Families whose normal tissue no panel samples

Absence from the sampled tissues is not absence from the body. These families pass because their tissue is missing, and most qualify as Cancer Antigens on sparse tumor counts.

Family Candidates CTA Cancer Antigen only Median tumor max (TPM) Median patients above normal Normal tissue
Cornified-envelope proteins 2 0 2 144.1 54.5 Upper epidermis.
Enamel and dentin proteins 3 1 2 1695.6 75.0 Tooth; adult ameloblasts are gone, odontoblasts are not.
Hair keratins and keratin-associated proteins 42 8 33 35.5 9.5 Hair follicle; treated as Disposable, replay still open (#687).
Male reproductive-tract secretions 44 42 1 26.2 16.0 Epididymis, seminal vesicle and prostate.
Olfactory receptors 164 25 137 16.6 5.0 Olfactory epithelium is not sampled.
Taste, vomeronasal and trace-amine receptors 13 1 11 21.0 14.0 Taste buds and nasal epithelium are not sampled.
Unnamed gene records 24 10 8 30.8 0.0 No symbol; several lie inside another gene.

Reviewed proteins

Normal non-reproductive cells express it in an independent atlas

39 reviewed; 32 are candidates in the current catalog.

Protein Current class What I saw
APOL5 Cancer Antigen only Hepatocytes 11% in 2 donors
ARMH2 CTA Lung multiciliated cells 17% in 2 donors; normal reference already 9.1 TPM
C5orf52 Unsafe Colon crypt stem cells 30% in 3 donors; HPA Paneth 7.7 nTPM; GTEx colon 3 TPM
CCDC116 CTA GTEx >= 1 TPM in 14 tissues
CCDC172 Unsafe Tabula Sapiens photoreceptors 57% (32% multi-molecule) in 4 donors; HPA single-cell rods 3.1 nTPM
CCN6 CTA Cartilage gene (loss causes progressive pseudorheumatoid dysplasia); GTEx 3.5 TPM in 4 tissues
CPSF4L CTA Glandular basal cells 31% (13% multi-molecule) in 8 donors
CSTL1 CTA Airway multiciliated cells 10% in 2 donors
DCST1 CTA Photoreceptors 28% in 6 donors; HPA cones 8.5 nTPM; GTEx skin 3.2 TPM
EPPIN-WFDC6 CTA Read-through record; lung multiciliated cells 11% in 2 donors
EVX1 CTA Bladder urothelium 12% in 2 donors; GTEx bladder 2.3 TPM
FKBP6 CTA Airway multiciliated cells 9% in 3 donors
FSCN3 CTA Paneth cells 8% in 3 donors
HOXC12 Cancer Antigen only GTEx skin 5.4 TPM in 4 tissues; posterior HOX gene of adult skin and limb
IL36B Cancer Antigen only Keratinocyte cytokine: GTEx skin 7.2 TPM, tongue squamous cells 5% in 2 donors
IZUMO2 CTA Corneal epithelium 12% in 3 donors
KRTAP5-10 CTA Bladder urothelium 13%; GTEx bladder 1.7 TPM
KRTAP5-9 CTA GTEx >= 1 TPM in 18 tissues; shares sequence with KRTAP5 paralogs
MMP20 Unsafe Paneth cells 13% in 5 donors; enamel protease otherwise
MROH2B CTA Hepatocytes 14% in 5 donors; HPA hepatocytes 2.4 nTPM
NKX2-6 CTA Cardiomyocytes 61% in one Tabula Sapiens donor; GTEx atrial appendage 0.79 TPM
OR8D4 CTA Pancreatic acinar cells 23% in 5 donors
POTEF CTA Ventricular cardiomyocytes 21% in one donor; shares sequence with actin-domain POTE paralogs
RAD21L1 CTA Photoreceptors 14% in 4 donors; exon inside another gene
RIPPLY3 CTA Alveolar type 2 cells 6% in 4 donors
SCGB1D1 Unsafe Ocular keratocytes 67% (43% multi-molecule) in 3 donors; a tear and lacrimal secretoglobin
SMIM9 CTA Cardiac endothelium 13% in 6 donors
SPACA3 Unsafe Pancreatic acinar cells 31% in 5 donors; GTEx pancreas 4.7 TPM
SPINT4 Unsafe Photoreceptors 19% in 2 donors; low IHC in 6 normal tissues
SRMS CTA GTEx >= 1 TPM in 15 tissues (small intestine 4.6); urothelium 10% in 3 donors
STPG3 CTA GTEx >= 1 TPM in 16 tissues (thyroid 5.7)
TBX22 CTA GTEx thyroid 14.5 TPM; cardiac fibroblasts 11% in 2 donors
TDRD15 Unsafe Hepatocytes 32% (13% multi-molecule) in 7 donors
TEX46 CTA Airway multiciliated cells 9% in 2 donors
TMEM270 CTA Bladder urothelium 8% (4% multi-molecule) in 4 donors
TUBB8 CTA Lung multiciliated cells 10% in 4 donors; shares sequence with other tubulins
WFDC8 CTA Glandular basal cells 11% in 2 donors
ZACN CTA GTEx colon 13.2 TPM and >= 1 TPM in 4 tissues
ZC3H11C CTA GTEx >= 1 TPM in 35 tissues; shares sequence with ZC3H11A

Blood or immune cells express it in Tabula Sapiens (outside the donor panel by design)

14 reviewed; 12 are candidates in the current catalog.

Protein Current class What I saw
C18orf63 Unsafe Neutrophils 15% in 5 donors
CAGE1 CTA Plasma cells 20% in 7 donors; exon inside another gene
CBY2 CTA Plasma cells 17% in 7 donors
CHCT1 CTA Monocytes 21% in 6 donor populations
CXorf58 CTA Monocytes 15% in 10 donor populations
NUTM1 CTA Bone-marrow neutrophils 40% (17% multi-molecule) in 4 donors; immune cells are outside the donor panel
PRR5-ARHGAP8 CTA Read-through record; plasma cells 31% in 10 donors
PSG8 CTA Neutrophils 29% in 7 donors; shares sequence with other PSG genes
PSMA8 CTA Plasma cells 14% in 9 donors; HPA plasma cells 2.8 nTPM
SLCO6A1 Unsafe Monocytes 17% in 8 donor populations
TXNDC8 CTA Monocytes 15% in 6 donor populations
XKR3 CTA Macrophages 5% in 4 donors
ZAR1L CTA Plasma cells 8% in 4 donors
ZNF492 CTA Erythroid progenitors 40% (23% multi-molecule) in 3 donors; HPA erythroid 7.2 nTPM

Counts are likely those of a parent or host gene, in tumors as much as in normal tissue

20 reviewed; 20 are candidates in the current catalog.

Protein Current class What I saw
AK4P3 CTA Processed copy of AK4; fibroblasts 23% in 12 donors
ATF7-NPFF CTA Read-through record; absent from GTEx
ENSG00000248235 Cancer Antigen only Unnamed record inside another gene; absent from GTEx; no resolved patient
ENSG00000249773 Reproductive Antigen only Unnamed record inside another gene; fibroblasts in 3 donors
ENSG00000255432 CTA Unnamed record inside another gene; macrophages in 3 donors
ENSG00000255835 CTA Unnamed record inside another gene; fibroblasts in 6 donors; no resolved patient
ENSG00000256349 Cancer Antigen only Unnamed record inside another gene; absent from GTEx; no resolved patient
ENSG00000256825 Cancer Antigen only Unnamed record inside another gene; myofibroblasts in 8 donors; no resolved patient
ENSG00000258691 CTA Unnamed record inside another gene; myofibroblasts 24% in 9 donors; no resolved patient
ENSG00000266202 Cancer Antigen only Unnamed record inside another gene; monocytes in 8 donor populations; no resolved patient
ENSG00000267140 CTA Unnamed record inside another gene; absent from GTEx; no resolved patient
ENSG00000267618 CTA Unnamed record inside another gene; absent from GTEx; no resolved patient
ENSG00000270299 Cancer Antigen only Unnamed record inside another gene; absent from GTEx; no resolved patient
ENSG00000279983 CTA Unnamed record inside another gene; fibroblasts in 6 donors
ENSG00000284934 CTA Unnamed record inside another gene; no resolved patient
HMGB1P1 CTA Processed copy of HMGB1; cardiomyocytes 16% in 5 donors and 1,797 tumor patients are what HMGB1 reads would produce
PABPC3 CTA Retrocopy of PABPC1: low IHC in 22 normal tissues and macrophages in 3 donors fit cross-reaction and shared reads
RPS4Y2 CTA Y-linked ribosomal paralog; normal reference 14.3 TPM, B cells 7% in 3 donors
URGCP-MRPS24 CTA Read-through record; absent from GTEx; tumor counts match host genes
ZNF816-ZNF321P CTA Read-through record; 7,261 tumor patients and urothelium in 5 donors match host-gene expression

Known normal tissue is absent or diluted in every panel

20 reviewed; 17 are candidates in the current catalog.

Protein Current class What I saw
AWAT1 Unsafe Sebaceous-gland wax synthase; low IHC in skin
BPIFB3 Cancer Antigen only Nasal BPI-fold protein; GTEx pituitary 1.3 TPM
BPIFB6 Cancer Antigen only Nasal and salivary BPI-fold protein; GTEx minor salivary gland 1.6 TPM
C7orf33 Unsafe HPA cone photoreceptors 10.2 nTPM
DSPP Cancer Antigen only Dentin and inner ear; mutations cause dentinogenesis imperfecta with hearing loss
GALP CTA Neuropeptide of a small hypothalamic arcuate population
GFRA4 Cancer Antigen only Thyroid C cells, a population too rare for bulk thyroid
GRXCR1 Unsafe Inner-ear hair-cell gene; loss causes human deafness DFNB25, the same pattern that made OTOG Unsafe
OBP2A CTA Nasal and lacrimal odorant-binding protein; HPA secretory cells 44 nTPM
OCM2 CTA Oncomodulin of cochlear outer hair cells
OCSTAMP Cancer Antigen only Osteoclast fusion protein; bone is not sampled
OTOP1 Cancer Antigen only Inner-ear and taste-cell proton channel
PANX3 Cancer Antigen only Cartilage and bone channel; neither tissue is sampled
SCGB1C1 Cancer Antigen only Nasal mucosa secretoglobin
SCGB1D4 CTA HPA ciliated cells 1,029 nTPM (fallopian tube); airway ciliated cells not excluded
SP7 CTA Osterix, required in adult osteoblasts; bone is not in any normal panel
SPATA31F3 CTA HPA cone photoreceptors 8.5 nTPM
TBXT CTA Notochord remnants of the adult intervertebral disc; GTEx pituitary 1.7 TPM
TMEM95 CTA HPA Schwann cells 12.2 nTPM
TSGA10IP CTA HPA melanocytes 24 nTPM

Normal IHC without any RNA; probably antibody cross-reaction

7 reviewed; 7 are candidates in the current catalog.

Protein Current class What I saw
ACTRT2 CTA Low IHC in small intestine and stomach with no RNA; actin-related
CT45A2/8/9 CTA Low IHC in heart muscle with no RNA; CT45 paralogs share epitopes
DCAF8L1 CTA Low IHC in bronchus and nasopharynx with no RNA
MAGEB4 CTA Low IHC in 13 normal tissues with no RNA anywhere: antibody cross-reaction is the likelier reading
OOSP2 CTA Low IHC in 8 normal tissues with no RNA
TOMM20L CTA Low IHC in duodenum and small intestine; TOMM20 cross-reaction likely
TSPY9 CTA Low IHC in adrenal and stomach with no RNA

Explained by a permitted tissue or a known technical effect

8 reviewed; 8 are candidates in the current catalog.

Protein Current class What I saw
BTN1A1 CTA Milk-fat globule protein; plasma cells 10% in 3 donors is unexplained
LALBA CTA Milk protein of lactating breast; breast tumors reach 79,700 TPM
PRAME CTA Known low adrenal and endometrial expression (GTEx adrenal 2.5 TPM); clinically targeted
PRM1 CTA Protamine; GTEx >= 1 TPM in 10 tissues is spill-over from very high testis signal in sequencing batches
PRM2 CTA Protamine; as PRM1
RLN1 CTA Prostate relaxin
SEMG2 CTA Seminal-vesicle protein
TGM4 CTA Prostate transglutaminase; prostate is treated as a permitted tissue

Limits

  • Tabula Sapiens is one study; its donors share libraries and a reference, so a signal there is replicated across donors but not across studies.
  • A monocyte population of one donor (TSP21 lymph node, 237 cells) shows low counts for many testis genes; single-population signals there were not treated as findings.
  • The notes use general knowledge of each gene. They are a reviewer's reading, not a literature search, and they change no category.