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*Skin Cancer
The Journal of Immunology, 2003, 171: 2714-2724.
Copyright © 2003 by The American Association of Immunologists

Definition of TCR Epitopes for CTL-Mediated Attack of Cutaneous T Cell Lymphoma 1

Dorian Winter*,§, Edda Fiebiger§, Paul Meraner*, Herbert Auer||, Christine Brna*, Robert Strohal*, Franz Trautinger{dagger}, Robert Knobler{dagger}, Gottfried F. Fischer{ddagger}, Georg Stingl* and Dieter Maurer2,*,§

Divisions of * Immunology, Allergy, and Infectious Diseases and {dagger} Special and Environmental Dermatology, Department of Dermatology, and {ddagger} Department of Blood Group Serology, University of Vienna Medical School, Vienna, Austria; § CeMM-Center of Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria; Department of Pathology, Harvard Medical School, Boston, MA 02115; and || Research Institute of Molecular Pathology, Vienna, Austria

Therapeutic vaccination against cutaneous T cell lymphoma (CTCL) requires the characterization of cancer cell-specific CTL epitopes. Despite reported evidence for tumor-reactive cytotoxicity in CTCL patients, the nature of the recognized determinants remains elusive. The clonotypic TCR of CTCL cells is a promising candidate tumor-specific Ag. In this study, we report that the clonotypic and framework regions of the TCRs expressed in the malignant T cell clones of six CTCL patients contain multiple peptides with anchor residues fitting the patients’ MHC class I molecules. We demonstrate that TCR peptide-specific T cells from the blood of healthy donors and patients can be induced to become cytotoxic effectors after repeated stimulation with 6 of 11 selected peptides with experimentally proven affinity for HLA-A*0201. Importantly, 4 of these 6 CTL lines reproducibly recognize and lyse autologous primary CTCL cells in MHC class I/CD8-dependent fashion. These tumoricidal CTL lines are directed against epitopes from V, hypervariable, and C regions of TCR{alpha}. We therefore conclude that recombined as well as V framework regions of the tumor cell TCRs contain predictable epitopes for CTL-mediated attack of CTCL cells. Our data further suggest that such peptides represent valuable tools for future anti-CTCL vaccination approaches.




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