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Molecular Oncology, Markers, Clinical Correlates |
Departments of Surgery [T. T., L. S. K., E. R., Y. L. K., W. J. S.], Medicine [J. M. K.], and Immunology [W. J. S.], University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213; Department of Emergency and Organ Transplantation, Section of Nephrology, University of Bari, Bari, Italy [E. R., L. G., F. P. S.]; Cleveland Clinic Foundation, Cleveland, Ohio 44195 [J. H. F., R. M. B.]; Kent Ridge Digital Laboratory, Singapore, [V. B.]; Epimmune Corporation, San Diego, California 92121 [J. S., A. S.]; Department of Medicine, Indiana University, Indianapolis, Indiana 46202 [T. F. L.]; Department of Surgery, University of Virginia, Charlottesville, Virginia 22908 [C. L. S.]; and University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania 15261 [J. M. K., W. J. S.]
CD4+ T cells modulate the magnitude and durability of CTL responses in vivo and may serve as potent effector cells within the tumor microenvironment. The current study was undertaken to define novel epitopes from the broadly expressed tumor antigen MAGE-6 that are recognized by CD4+ T cells. We have combined the use of a HLA-DR4/peptide binding algorithm with the IFN-
enzyme-linked immunospot assay to identify four nonoverlapping sequences derived from the MAGE-6 protein that served as CD4+ T-cell epitopes in HLA-DR4+ donors. Strikingly, patients with active melanoma or renal cell carcinoma failed to secrete IFN-
in response to MAGE-6-derived epitopes, whereas both normal donors and cancer patients with no current evidence of disease were responsive, particularly after short-term in vitro stimulations with peptide-pulsed dendritic cells. Importantly, peptide-specific CD4+ T cells also recognized HLA-DRß1*0401+ tumor cells that constitutively expressed the MAGE-6 protein and autologous HLA-DRß1*0401+ dendritic cells transfected with MAGE-6 cDNA-elicited CD4+ T cells that reacted against individual peptide epitopes in vitro. These data suggest that MAGE-6-derived epitopes could serve as useful vaccine candidate components and may provide an immune-monitoring index of clinically important Th1-type immunity in patients with renal cell carcinoma or melanoma.
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