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Cancer Therapy: Preclinical |
-Fetoprotein-Derived Epitope in Hepatocellular Carcinoma Patients
Authors' Affiliations: 1 Institute of Hepatology, University College London; 2 Liver Unit, Cromwell Hospital; 3 Department of Histocompatibility and Immunogenetics, NBS-London and SE Zone, North London Blood Centre; 4 Department of Immunology and Molecular Pathology, Royal Free and University College Medical School, University College London, London, United Kingdom; and 5 Centre for Clinical Vaccinology and Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford, United Kingdom
Requests for reprints: Shahriar Behboudi, Institute of Hepatology, University College London, 69-75 Chenies Mews, London, WC1E 6HX, United Kingdom. Phone: 44-20-7679-6517; Fax: 44-20-7380-0405; E-mail: s.behboudi{at}ucl.ac.uk.
Purpose:
-Fetoprotein (AFP) is a tumor-associated antigen in hepatocellular carcinoma and is a target for the development of cancer vaccine. Four immunodominant AFP-derived HLA-A*0201-restricted peptides have been identified and the administration of these peptides with an adjuvant has stimulated AFP-specific CTL responses in hepatocellular carcinoma patients. However, no AFP-derived CD4 T-cell epitope has yet been reported and the status of AFP-specific CD4+ T-cell responses in hepatocellular carcinoma patients is not fully understood. The aim of this study was to analyze naturally occurring CD4+ T-cell responses to AFP.
Experimental Design: We analyzed the ability of CD4+ T cells to recognize an HLA-DR-restricted AFP-derived epitope in 41 hepatocellular carcinoma patients and 24 non-hepatocellular carcinoma control patients using intracellular cytokine assays for IFN-
.
Results: Here, for the first time, we report the identification of an AFP-derived CD4+ T-cell epitope that is recognized by circulating lymphocytes from hepatocellular carcinoma patients in association with HLA-DR. The absence of detectable responses in healthy donors and patients with chronic liver disease suggests that AFP-specific CD4+ T cells in the responder patients had been previously expanded in vivo in response to the tumor. The anti-AFP CD4+ T-cell response was only detected in hepatocellular carcinoma patients with normal or mildly elevated serum AFP levels who were in the early stage of disease.
Conclusion: Our data will be instrumental in the development of cancer vaccine using AFP-derived immunogens.
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