Immunotherapies aimed at promoting anti-tumor immune responses are being developed for tumors of many different tissue or cell-type origins. Interestingly, some of these approaches, when tested in clinical trials, were found to also cause patients to develop autoimmune symptoms related to their tumor type. For instance, in patients with malignant skin cancer (melanoma) , immunotherapy treatment can develop an autoimmune disorder known as vitiligo, in which T cells attack and destroy melanocytes in the skin, causing depigmentation. These findings indicate that, in some individuals the melanoma-specific anti-tumor T cell responses are directed at:
A) Tumor-specific mutated oncogenes
B) Transcription factors not normally expressed in melanocytes
C) Oncogenic proteins encoded by viruses
D) Proteins normally expressed in melanocytes
E) Neoantigens created from expression of abnormally spliced mRNAs
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