The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mateo, L.
Right arrow Articles by Suhrbier, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mateo, L.
Right arrow Articles by Suhrbier, A.
The Journal of Immunology, 1999, 163: 4058-4063.
Copyright © 1999 by The American Association of Immunologists

An HLA-A2 Polyepitope Vaccine for Melanoma Immunotherapy1

Luis Mateo*, Joy Gardner*, Qiyuan Chen{dagger}, Christopher Schmidt*, Michelle Down*, Suzanne L. Elliott*, Stephanie J. Pye*, Hüseyin Firat{ddagger}, Francois A. Lemonnier{ddagger}, Jonathon Cebon{dagger} and Andreas Suhrbier2,*

* Australian Centre for International and Tropical Health and Nutrition, Co-operative Research Centre for Vaccine Technology, Queensland Institute of Medical Research and University of Queensland, Queensland, Australia; {dagger} Ludwig Institute Oncology Unit, Austin and Repatriation Medical Centre, Heidelburg, Victoria, Australia; and {ddagger} Institut Pasteur, Département SIDA-Rétrovirus, Unité d’Immunite Cellulaire Antivirale, Paris, France


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Epitope-based vaccination strategies designed to induce tumor-specific CD8 CTL are being widely considered for cancer immunotherapy. Here we describe a recombinant poxvirus vaccine that codes for ten HLA-A2-restricted epitopes derived from five melanoma Ags conjoined in an artificial polyepitope or polytope construct. Target cells infected with the melanoma polytope vaccinia were recognized by three different epitope-specific CTL lines derived from HLA-A2 melanoma patients, and CTL responses to seven of the epitopes were generated in at least one of six HLA-A2-transgenic mice immunized with the construct. CTL lines derived from vaccinated transgenic mice were also able to kill melanoma cells in vitro. Multiple epitopes within the polytope construct were therefore shown to be individually immunogenic, illustrating the feasibility of the polytope approach for melanoma immunotherapy. Tumor escape from CTL surveillance, through down regulation of individual tumor Ags and MHC alleles, might be overcome by polytope vaccines, which simultaneously target multiple cancer Ags.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Acommon feature of malignant melanoma is the expression of multiple Ags, which are recognized by {alpha}ß CD8+ CTL. Recent human therapeutic vaccine trials, which utilize the epitopes recognized by such CTL, have illustrated the potential for CTL epitope-based immunotherapeutic vaccine strategies (1, 2). Such strategies do not require surgical removal and culture of autologous tumor cells from the patient, and the use of autologous dendritic cells might also be avoided if effective, safe vaccine vectors can be developed (3). CTL epitope-based approaches offer a number of potential advantages over whole Ag-based cancer vaccines: 1) they can focus immunity toward optimal (4) and/or cryptic protective epitopes (5); 2) sequences that have oncogenic activity (6) or contain targets for autoimmune CD4 cells (7) are omitted; and 3) sequences that are the target of preexisting CD4 T cells or B cell responses are avoided. Such preexisting responses have the potential to deviate (8, 9) or inhibit (10, 11) effective CTL induction by a therapeutic vaccine.

Single epitope-based approaches have the disadvantage that an HLA-restricted CTL response can be raised to only one Ag. CTL responses specific for multiple Ags and restricted by multiple HLA alleles would clearly be desirable for cancer immunotherapy, given the variable expression of tumor Ags (12, 13) and MHC alleles (14) by melanomas and their metastases. Targeting multiple Ags and MHC alleles might be achieved by using multiple recombinant Ags or mixtures of synthetic peptide epitopes. The former loses the advantages of epitope-based approaches and would require complex recombinant vaccine Ag mixtures or constructs. The latter is complicated by adjuvant considerations and by problems associated with peptide solubility, chemical modifications of certain amino acids, and interpeptide interactions (15). Here we describe the construction and testing of a melanoma polyepitope or polytope poxvirus vaccine that contains ten conjoined minimal HLA-A2-restricted CTL epitopes, derived from five melanoma Ags, in a single recombinant construct. Despite the large number of epitopes restricted by the same allele, multiple epitopes within the vaccine construct were either recognized by epitope-specific CTL from melanoma patients and/or generated epitope-specific CTL in HLA-A2-transgenic mice. The polytope approach thus allows multiple Ags to be simultaneously targeted and should increase a patient’s spectrum of antitumor CTL responses.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Construction of the melanoma polytope recombinant vaccinia

A synthetic oligonucleotide fragment (see Fig. 1Go) was constructed from two 70-mer and four 67-mer synthetic oligonucleotides using Splicing by Overlap Extension and PCR (16). The nucleic acid sequence of the fragment coded for (from the 5' end) a cap, a BamHI restriction site, a Kozac sequence, a methionine start codon, 10 contiguous minimal melanoma CTL epitopes (see Table IGo), a stop codon, and a SalI site and a cap at the 3' end. The amino acid sequences of the CTL epitopes were converted to DNA sequence using universal codon usage but were designed to avoid inclusion of unwanted restriction sites. Dimers were made of synthetic oligonucleotides 1 and 2 (reaction A), 3 and 4 (reaction B), and 5 and 6 (reaction C) (0.4 µg of each) in 40-µl reactions containing standard 1x Pfu PCR buffer, 0.5 mM dNTPs, and 1 U of cloned Pfu DNA polymerase (hot start at 94°C), using the thermal program 94°C for 10 s, 52°C for 20 s, and 72°C for 20 s for five cycles. At the end of 5 cycles, the PCR program was paused at 72°C, and 20-µl aliquots of the dimer reactions A and B were mixed (reaction C was left in the PCR machine) and subjected to a further 5 cycles (94°C for 10 s, 58°C for 20 s, and 72°C for 20 s). At cycle 10, the program was paused again; 20 µl of reaction C was added to 20 µl from the A + B mix; and a further 5 cycles was completed (94°C for 10 s, 52°C for 20 s, and 72°C for 20 s). Two 20-mer oligonucleotides (matching the first and last 20 bp of the sequence shown in Fig. 1Go) were used to PCR amplify the gel purified full-length product using the reaction mixed above at an annealing temperature of 52°C for 25 cycles. The full-length gel-purified PCR fragment was cloned into the EcoRV site of pBluescript II KS-. A correct DNA insert was cloned behind the vaccinia P7.5 promoter in the plasmid shuttle vector pBCBO6 using BamHI/SalI restriction enzymes. Construction of a TK- recombinant virus was then conducted using marker rescue recombination as described previously (16, 17), generating the recombinant melanoma polytope (rVV.mel.pt)3 coding for 10 HLA-A2 melanoma epitopes (see Table IGo).



View larger version (23K):
[in this window]
[in a new window]
 
FIGURE 1. Nucleotide and amino acid sequence of the melanoma polytope construct. The first and then every second CTL epitope are underlined.

 

View this table:
[in this window]
[in a new window]
 
Table I. HLA A2-restricted melanoma epitopes included in the melanoma polytope construct

 
Human CTL lines

HLA-A2-positive patients, P5 and P11, had confirmed cutaneous malignant melanoma and were enrolled in a therapeutic vaccination trial at the Ludwig Institute Oncology Unit (18). CTL lines specific for AAGIGILTV and YLEPGPVTA were established from PBMC by sensitizing half the PBMC with peptide (Chiron Technologies, Clayton, Australia; or made in house at Queensland Institute of Medical Research (QIMR)) (10 µg/ml, 2 h, 37°C followed by two washes) and adding back to the remaining cells in a 24-well plate. The cells were cultured in RPMI 1640 media supplemented with 10% FCS (QIMR), 2 mM glutamine (ICN Biomed. Aust. Pty., Seven Hills, Australia), 100 µg/ml streptomycin, and 100 IU/ml penicillin (CSL, Melbourne, Australia), and 1 ml of medium containing 5 U/ml recombinant human IL-2 (kindly provided by Cetus, Emeryville, California) was added on day 3. On day 7, IL-2 and peptide were added to a final concentration of 25 U/ml and 1 µg/ml, respectively. Partial medium changes with 25 U/ml IL-2, but no peptide, were given as necessary. On day 14, the cultures were used as effectors in standard chromium release assays.

The LLDGTATLRL-specific line was generated by restimulation of PBMC (derived from leukapheresis) from patient A02, with the autologous irradiated (8000 rad) A02-Mb melanoma cells (two times, 7 days apart), followed by two restimulations (7 days apart) with peptide-sensitized (10 µg/ml, 37°C, 1 h), washed, irradiated (8000 rad) HLA-A2 lymphoblastoid cell lines (LCLs) (responder to stimulator ratio throughout, 20:1). IL-2 (25U/ml) was added on day 7, and the effectors were used on day 35.

Human target cells for murine and human CTL

An EBV (B95.8)-transformed LCL from a homozygous HLA-A2 healthy individual (HLA-A2+ LCL) was 1) infected with rVV.mel.pt or a control vaccinia recombinant vaccinia expressing an unrelated polytope construct (rVV.Cont.) (16) (multiplicity of infection 10:1) overnight, before 51Cr labeling, or 2) sensitized with peptide (10 µg/ml) at the same time as 51Cr labeling. The following cell lines were also used in standard 6-h 51Cr release assays: ATCC HTB-73 (HLA-A2-negative melanoma); ATCC HTB-64 (HLA-A2-positive melanoma) and HTB-102, a skin fibroblast line from the same patient; A02-Mb and A09-M, melanoma lines from HLA-A2-positive patients enrolled in a therapeutic clinical trial of GM-CSF-transduced autologous melanoma cells (C. Schmidt, M. O’Rourke, J. Parkes, M. Down, J. Bell, N. Block, R. Thomas, D. Thomas, B. Stafford, V. Nicholson, and K. Ellem, manuscript in preparation); A12-M, an HLA-A2-negative line from a patient in the same trial; and LAR1 (HLA-A2-positive) and ME235 (HLA-A2-negative), Mart-1-expressing melanoma cell lines (18). HLA-A2+ LCLs were used as cold target inhibitors (80:1) for assays using human CTL derived from donors P5 and P11.

Vaccination and CTL assays using HHD transgenic mice.

Transgenic HHD mice have a transgene comprising the {alpha}1 and {alpha}2 domains of HLA-A2 linked to the {alpha}3, transmembrane, and cytoplasmic domains of H-2Db, with the {alpha}1 domain linked to human ß2-microglobulin. This transgene was introduced into murine ß2-microglobulin and H-2Db double knockout mice; thus, the only MHC expressed by the HHD mouse was the modified HLA-A2 molecule (19).

HHD mice were vaccinated i.p. with 1 x 108 PFU recombinant vaccinia virus coding for the melanoma polytope (rVV.mel.pt) or a control polytope vaccinia coding for a series of EBV epitopes (17). Naive control mice animals were not vaccinated. After 3 wk, splenocytes were harvested, and 5 x 106 cells were restimulated in 24-well plates with 1 x 106 LPS blasts (20), which were sensitized with peptide (10 µg/ml for 1 h at 37°C), irradiated (8000 rad), and washed twice. Cells were cultured in RPMI 1640 media supplemented with 10% FCS (QIMR), 2 mM glutamine (ICN), 5 x 10-5 M ß-mercaptoethanol (Sigma, St. Louis, MO), 100 µg/ml streptomycin, and 100 IU/ml penicillin (CSL). On day 4, 1 ml of medium was added containing 5 U/ml recombinant human IL-2 (Cetus) or rat lymphocyte IL-2 (ICN). On day 6, the cultures were used as effectors in standard 6 h 51Cr release assays against 1) human cell lines (see above) and 2) EL4S3-RobHHD cells (19), which were sensitized with the indicated peptide (10 µg/ml) at the same time as radio-labeling and washed twice before use. All CTL assays were performed in duplicate for each E:T ratio. Further weekly restimulations in vitro were performed on some cultures by using peptide-sensitized, gamma-irradiated (8000 rad) EL4S3-RobHHD cells as stimulators (effector:stimulator ratio 20:1).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
A recombinant melanoma polytope vaccinia virus (rVV.mel.pt) was constructed that coded for ten conjoined HLA-A2 melanoma epitopes (Table IGo). The artificial recombinant insert (Fig. 1Go) was generated by using synthetic oligonucleotides and PCR. The DNA and protein sequence of the melanoma polytope construct is shown in Fig. 1Go.

Melanoma-specific CTL lines recognized the melanoma polytope construct

Three epitope-specific CTL lines from three melanoma patients (P5, P11, and A02) were generated and were shown to be specific for AAGIGILTV, YLEPGPVTA, and LLDGTATLRL by their ability to lyse HLA-A2+ LCLs sensitized with each peptide, respectively (Fig. 2Go, HLA-A2+ LCL+/- peptide). The melanoma specificity of the CTL lines from donors P5 and P11 was illustrated by their ability to recognize HLA-A2+ melanoma lines (LAR1 and HTB64), but not HLA-A2-negative melanoma lines (ME235 and A12-M) or, in the case of P11, a fibroblast line (HTB-102) derived from the same individual as the HTB-64 melanoma line (Fig. 2Go, melanoma lines). (Although donor A02 had CTL reactivity against LLDGTATLRL, the melanoma line A02-Mb derived from the bowel metastasis of this patient did not appear to present gp100; data not shown).



View larger version (38K):
[in this window]
[in a new window]
 
FIGURE 2. Epitope-specific CTL lines derived from PBMC donated by three melanoma patients were used as effectors against three different target cell types. First column, HLA-A2+ LCLs infected with the rVV.mel.pt ({blacksquare}) or a control rVV ({square}); second column, HLA-A2+ LCLs sensitized with the indicated peptide (i.e., AAGIGILTV for donor P5 and YLEPGPVTA for P11) ({blacksquare}) or the same LCL without peptide ({square}); and third column, melanoma cell lines expressing HLA-A2 (LAR1 and HTB64) ({blacksquare}) and control lines, which are HLA-A2 negative (ME235 and A12-M) ({square}). A fibroblast line HTB-102, derived from the same individual as the melanoma HTB-64, is shown as an extra negative control ({blacktriangleup}).

 
Each of the epitope-specific CTL lines was capable of recognizing LCLs infected with rVV.mel.pt (Fig. 2Go; HLA-A2+ LCL+ rVV.mel.pt), but not a control rVV (Fig. 2Go; rVV.Cont.), illustrating that each of these three epitopes was individually processed from the melanoma polytope construct and presented to melanoma-specific CTL.

Mice vaccinated with the melanoma polytope generated CTL specific for multiple epitopes

To determine whether the polytope construct was capable of raising CTL responses in vivo, HHD-transgenic mice were vaccinated with the rVV.mel.pt. CTL responses were generated to AAGIGILTV, LLDGTATLRL, KTWGQYWQV, YMDGTMSQV, ITDQVPFSV, YLEPGPVTA, and VLPDVFIRCV (Fig. 3Go). Not all the mice tested generated response to all the epitopes; five of the 6 (5/6) mice vaccinated with the rVV.mel.pt generated responses to AAGIGILTV, 2/6 mice tested generated responses specific for LLDGTATLRL, 1/7 for KTWGQYWQV, 3/6 for YMDGTMSQV, 2/6 for ITDQVPFSV, 2/6 for YLEPGPVTA, and 6/7 for VLPDVFIRCV. Fig. 3Go shows the average lysis of CTL effectors generated from responder mice, which were defined as mice with effector populations giving peptide-specific lysis of more than 10%. None of the mice tested generated CTL specific for FLWGPRALV, MLLAVLYCL, and ILTVILGVL following rVV.mel.pt immunization (Fig. 3Go). The total number of mice tested for these epitopes was 13, and Fig. 3Go illustrates the mean lysis values for all these effector populations (n = 13 for each). Immunization of HHD mice with FLWGPRALV, MLLAVLYCL, and ILTVILGVL peptide-based vaccines also failed to induce CTL responses unless large amounts of peptide were used (100 µg per mouse) and the vaccine contained a source of codelivered CD4 T cell help.4



View larger version (38K):
[in this window]
[in a new window]
 
FIGURE 3. HHD mice were immunized with rVV.mel.pt. Splenocytes were separately restimulated in vitro with each of the indicated peptides and used as effectors against target cells sensitized with the same peptide ({blacksquare}) or no peptide ({square}). Mean lysis values (+SE) for responder mice are presented. Nonresponder mice for any given peptide were defined as animals whose three times restimulated effectors gave less than 10% peptide-specific lysis (calculated as the percentage specific lysis of target cells sensitized with peptide, minus the percentage specific lysis of target cells without peptide). For epitopes where no response was detected in any animals, the graphs show mean lysis values (+SE) of all mice tested.

 
Splenocytes from 1) naive HHD mice and 2) HHD mice immunized with an unrelated recombinant vaccinia coding for an EBV CTL polytope (17) were also restimulated in vitro with the melanoma peptides. None of the effector populations generated from these animals (even after five weekly restimulations) were capable of lysing targets sensitized with the melanoma peptide used for restimulation (data not shown).

These data illustrated that the melanoma polytope vaccine was able to induce in vivo CTL responses specific for multiple HLA-A2 melanoma CTL epitopes.

rVV.mel.pt-induced CTL recognize human melanoma cells

The inability of the murine CD8 molecule to bind effectively to the {alpha}3 domain of human MHC means that lysis of human HLA-A2+ target cells by CTL from A2Kb-transgenic mice tends to be poor (21). The same problem would be expected for HHD-derived effectors, which should also lyse HHD-transfected target cells more efficiently than HLA-A2-expressing cells (19). To overcome this problem and determine whether CTL effectors derived from rVV.mel.pt-immunized HHD mice would be capable of lysing HLA-A2+ melanoma cells, AAGIGILTV and VLPDVFIRCV effectors were subjected to three rounds of peptide restimulation in vitro. The resulting bulk effectors had high sp. act. for peptide-sensitized target cells expressing the HHD transgene (Fig. 4Go; EL4S3-RobHHD). Despite the CD8/{alpha}3 mismatch, these effectors were also capable of killing peptide-sensitized HLA-A2+ LCLs, although with the expected reduction in sp. act. (Fig. 4Go; HLA-A2+ LCL). Importantly, these effectors were able to lyse HLA-A2+ melanoma cell lines expressing the relevant tumor Ags (A02-Mb and A09-M), but not HLA-A2- melanoma cell lines (HTB-73 and A12-M) or an HLA-A2+ melanoma cell line, which does not express the target Ag (HTB-64) (Fig. 4Go; melanoma cells). These data illustrated that the melanoma polytope vaccine had induced CTL capable of recognizing melanoma Ags processed and presented by human melanoma cells.



View larger version (33K):
[in this window]
[in a new window]
 
FIGURE 4. Bulk effectors from rVV.mel.pt-immunized mice were restimulated in vitro and used against (first column) EL4S3-RobHHD cells sensitized with peptide ({blacksquare}) or the same cells without peptide ({square}); (second column) HLA-A2+ LCLs sensitized with the indicated peptide ({blacksquare}) or the same LCL without peptide ({square}); and (third column) melanoma cell lines expressing HLA-A2 (A02-Mb and A09-M; {blacksquare}) and control lines, which are HLA-A2 negative (HTB73 and A12-M; {square}) or are HLA-A2+ but do not present the target Ag (HTB64; {triangleup}).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
This paper illustrates the feasibility of delivering multiple HLA-A2-restricted melanoma CTL epitopes using the polytope vaccination strategy. The melanoma polytope vaccine induced epitope-specific CTL of multiple specificities in HLA-A2-transgenic mice and was recognized by CTL lines from HLA-A2 melanoma patients, arguing that multiple epitopes from the melanoma polytope vaccine can be simultaneously processed and presented. Polytope vaccine-induced CTL were also able specifically to kill human melanoma cells, suggesting that polytope vaccination can induce CTL of sufficient affinity to kill physiologically relevant target cells. This is likely to be a critical feature for cancer vaccines, given the down-regulation of HLA by melanoma cells (14) and the potential for induction of low affinity CTL by peptide vaccination (22, 23).

The HHD mouse system represents a useful model for preclinical and quality control testing of vaccines designed to induce HLA-A2-restricted CTL responses in humans. However, as reported previously, HLA-A2-transgenic mice appear unable to respond to some known HLA-A2-restricted epitopes (24). In this study, HHD mice failed to respond to FLWGPRALV, MLLAVLYCL, and ILTVILGVL following rVV.mel.pt immunization. In addition, variable induction of CTL specific for some epitopes was also observed in individual transgenic mice (Ref. 24; Fig. 3Go legend). These deficiencies may reflect 1) a limited and variable TCR repertoire in HLA-transgenic mice (discussed below) and/or 2) the poor immunogenicity of individual epitopes. MLLAVLYCL and ILTVILGVL bind poorly to HLA-A2.1,4 and polytope vaccination may provide insufficient amounts of these epitopes to promote efficient priming. The HLA-A2.1 binding and immunogenicity of ITDQVPFSV, KTWGQYWQV, and YLEPGPVTA peptides have been improved by changing the anchor residues to IMDQVPFSV, KLWGQYWQV, and YLEPGPVTV (2, 25, 26). A polytope vaccine’s ability to prime responses to poorly immunogenic epitopes might be improved if such epitopes were replaced with anchor-modified epitopes, which have higher HLA-A2-binding affinities.

As noted previously (24), a contributing factor to 1) the inability of HLA-A2-transgenic mice to respond to some HLA-A2 epitopes, and 2) the variable responses seen with other epitopes may be a limited and variable TCR repertoire educated on the HLA-A2 transgene in these animals. Murine TAP proteins appear to be more selective than their human equivalents (27), and other murine proteins involved in processing and presentation may also be inefficient at delivering some peptides for HLA binding (28, 29). Although these factors may result in the inefficient processing and presentation of some vaccine Ags, the inability of all HLA-A2 peptide epitope immunogens to induce efficiently CTL responses in all HLA-A2-transgenic mice4 (24) suggests that the main problem may be a restricted and variable TCR repertoire. A reduced quantity and/or diversity of self epitopes loaded onto the A2/Kb or HHD transgene in the thymus will limit positive selection of HLA-A2-restricted CTL, which is likely to limit the diversity of the HLA-A2-restricted TCR repertoire in the periphery of these animals (30). The intermouse variation in responses to some epitopes may reflect a heterogeneous TCR repertoire, which could arise from minor histocompatibility differences between individual HHD mice (19). Negative selection or deletion of CTL (as opposed to lack of positive selection) by murine equivalents of the melanoma epitopes is unlikely to be responsible for the inability of HHD mice to respond to certain epitopes. The sequence of the murine equivalent of FLWGPRALV is FLWGPRAHA and of MLLAVLYCL is MFLAVLYCL; thus, both murine homologues have changes in the anchor residues (underlined), which should prevent efficient binding to HLA-A2 (24). The ITDQVPFSV epitope, to which a response was generated, is equivalent in the mouse and the human gp100 melanocyte protein. However, autoimmunity against melanocytes could not be readily detected (31, 32) in HHD mice since the HHD transgene was integrated in the vicinity of the SJL-mouse’s mutated tyrosinase gene, so all HHD mice are albinos (19).

A potentially important question for future polytope cancer vaccines is the source of CD4 T cell help. Should the vaccine induce CD4 helper responses specific for tumor Ags (33) or might vaccine induced CD4 help best be obtained from unrelated Ags (1, 34)? CD4 help is often required for optimal CTL induction but is also likely to be required for the maintenance of ongoing antitumor CTL responses (35). A virus-vectored melanoma polytope vaccine (like rVV.mel.pt) would induce CD4 responses specific for viral Ags and would not induce, or rely on, melanoma-specific CD4 responses. This may actually be advantageous in a clinical setting if the patients’ tumor-specific CD4 T cell responses are deleted (36), anergized (37), or Th2 deviated (8, 9) by the tumor. In contrast, vaccine-induced melanoma-specific CD4 responses may synergize with vaccine-induced CTL, resulting in improved antitumor responses (33). Apoptotic tumor cells killed by vaccine-induced CTL are also likely to induce tumor-specific CD4 responses (38), which may also influence vaccine-induced antitumor CTL.

As more melanoma Ags and target epitopes are identified, a panel of polytope vaccines might be envisaged, with each vaccine containing multiple epitopes restricted by one HLA allele. An appropriate HLA-matched mixture might be then delivered to cover all the HLA alleles expressed by any individual patient. Down-regulation of some or all HLA alleles by the melanoma cells should increase their susceptibility to NK/LAK lysis (39). A variety of delivery modalities might be used for human melanoma polytope vaccines; these include attenuated poxvirus vectors (40), adenovirus (41), naked DNA (42), or transfected dendritic cells (43). CTL induction might also be enhanced by codelivery of cytokines (44, 45) and/or prime boost strategies (40).


    Acknowledgments
 
We thank Drs. Thomson (Australian National Univeristy, Canberra) and B. Coupar (CSIRO, AAHL, Geelong, Australia) for their help in the construction of the melanoma polytope vaccinia.


    Footnotes
 
1 This work was supported by grants from the Queensland Cancer Fund, the Australian Centre for International and Tropical Health and Nutrition, the Association pour la Recherche contre le Cancer, and the Ligue contre le Cancer. Back

2 Address correspondence and reprint requests to Dr. Andreas Suhrbier, Queensland Institute of Medical Research, Post Office Royal Brisbane Hospital, Queensland 4029, Australia. E-mail address: Back

3 Abbreviations used in this paper: rVV.mel.pt, recombinant vaccinia virus expressing the melanoma polytope; rVV.Cont., recombinant vaccinia virus expressing a control polytope construct; HHD mice, transgenic mice expressing {alpha}1 and {alpha}2 of HLA-A2 linked to the {alpha}3 and transmembrane and cytoplasmic domains of H-2Db and linked to human ß2-microglobulin carried on a murine ß2-microglobulin and H-2Db double knockout background; LCL, lymphoblastoid cell line; EL4S3-RobHHD, murine ß2-microglobulin-deficient EL4 cells transfected with the HHD transgene. Back

4 H. Firat, F. Garcia-Pons, S. Tourdot, S. Pascolo, A. Scardino, Z. Garcia, M.L. Michel, R.W. Jack, G. Jung, K. Kosmatopoulos, et al. 1999. H-2 class I knockout, HLA A2.1-transgenic mice: a versitile animal model for preclinical evaluation of anti-tumour immunotherapeutic strategies. Eur. J. Immunol. In press. Back

Received for publication April 12, 1999. Accepted for publication July 8, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Nestle, F. O., S. Alijagic, M. Gilliet, Y. Sun, S. Grabbe, R. Dummer, G. Burg, D. Schadendorf. 1998. Vaccination of melanoma patients with peptide- or tumor lysate-pulsed dendritic cells. Nat. Med. 4:328.[Medline]
  2. Rosenberg, S. A., J. C. Yang, D. J. Schwartzentruber, P. Hwu, F. M. Marincola, S. L. Topalian, N. P. Restifo, M. E. Dudley, S. L. Schwarz, P. J. Spiess, J. R. Wunderlich, M. R. Parkhurst, Y. Kawakami, C. A. Seipp, J. H. Einhorn, D. E. White. 1998. Immunologic and therapeutic evaluation of a synthetic peptide vaccine for the treatment of patients with metastatic melanoma. Nat. Med. 4:321.[Medline]
  3. Pardoll, D. M.. 1998. Cancer vaccines. Nat. Med. 4:525.[Medline]
  4. Kim, C. J., D. R. Parkinson, F. Marincola. 1998. Immunodominance across HLA polymorphism: implications for cancer immunotherapy. J. Immunother. 21:1.
  5. Disis, M. L., J. R. Gralow, H. Bernhard, S. L. Hand, W. D. Rubin, M. A. Cheever. 1996. Peptide-based, but not whole protein, vaccines elicit immunity to HER-2/neu, oncogenic self-protein. J. Immunol. 156:3151.[Abstract]
  6. Moss, D. J., C. Schmidt, S. L. Elliott, A. Suhrbier, S. Burrows, R. Khanna. 1996. Strategies involved in developing an effective vaccine to EBV-associated diseases. Adv. Cancer Res. 69:213.[Medline]
  7. Yoon, J. W., H. S. Jun, P. Santamaria. 1998. Cellular and molecular mechanisms for the initiation and progression of beta cell destruction resulting from the collaboration between macrophages and T cells. Autoimmunity 27:109.[Medline]
  8. Kobayashi, M., H. Kobayashi, R. B. Pollard, F. Suzuki. 1998. A pathogenic role of Th2 cells and their cytokine products on the pulmonary metastasis of murine B16 melanoma. J. Immunol. 160:5869.[Abstract/Free Full Text]
  9. Fernando, G. J., T. J. Stewart, R. W. Tindle, I. H. Frazer. 1998. Vaccine-induced Th1-type responses are dominant over Th2-type responses in the short term whereas pre-existing Th2 responses are dominant in the longer term. Scand. J. Immunol. 47:459.[Medline]
  10. Qin, Z., G. Richter, T. Schuler, S. Ibe, X. Cao, T. Blankenstein. 1998. B cells inhibit induction of T cell-dependent tumor immunity. Nat. Med. 4:627.[Medline]
  11. Apostolopoulos, V., C. Osinski, I. F. McKenzie. 1998. MUC1 cross-reactive Gal {alpha}(1, 3)Gal antibodies in humans switch immune responses from cellular to humoral. Nat. Med. 4:315.[Medline]
  12. Lehmann, F., M. Marchand, P. Hainaut, P. Pouillart, X. Sastre, H. Ikeda, T. Boon, P. G. Coulie. 1995. Differences in the antigens recognized by cytolytic T cells on two successive metastases of a melanoma patient are consistent with immune selection. Eur. J. Immunol. 25:340.[Medline]
  13. Brasseur, F., D. Rimoldi, D. Lienard, B. Lethe, S. Carrel, F. Arienti, L. Suter, R. Vanwijck, A. Bourlond, Y. Humblet, et al 1995. Expression of MAGE genes in primary and metastatic cutaneous melanoma. Int. J. Cancer 63:375.[Medline]
  14. Garrido, F., F. Ruiz-Cabello, T. Cabrera, J. J. Perez-Villar, M. Lopez-Botet, M. Duggan-Keen, P. L. Stern. 1997. Implications for immunosurveillance of altered HLA class I phenotypes in human tumors. Immunol. Today 18:89.[Medline]
  15. Elliott, S. L., S. Pye, T. Le, L. Mateo, J. Cox, L. Macdonald, A. A. Scalzo, C. A. Forbes, A. Suhrbier. 1998. Peptide based cytotoxic T cell vaccines: delivery of multiple epitopes, help, memory and problems. Vaccine 17:2009.
  16. Thomson, S. A., S. L. Elliott, M. A. Sherritt, K. W. Sproat, B. E. Coupar, A. A. Scalzo, C. A. Forbes, A. M. Ladhams, X. Y. Mo, R. A. Tripp, P. C. Doherty, D. J. Moss, A. Suhrbier. 1996. Recombinant polyepitope vaccines for the delivery of multiple CD8 cytotoxic T cell epitopes. J. Immunol. 157:822.[Abstract]
  17. Thomson, S. A., R. Khanna, J. Gardner, S. R. Burrows, B. Coupar, D. J. Moss, A. Suhrbier. 1995. Minimal epitopes expressed in a recombinant polyepitope protein are processed and presented to CD8+ cytotoxic T cells: implications for vaccine design. Proc. Natl. Acad. Sci. USA 92:5845.[Abstract/Free Full Text]
  18. Chen, Q., H. Jackson, P. Gibbs, I. D. Davis, J. Trapani, J. Cebon. 1998. Spontaneous T cell responses to melanoma differentiation antigens from melanoma patients and healthy subjects. Cancer Immunol. Immunother. 47:191.[Medline]
  19. Pascolo, S., N. Bervas, J. M. Ure, A. G. Smith, F. A. Lemonnier, B. Perarnau. 1997. LA-A2.1-restricted education and cytolytic activity of CD8+ T lymphocytes from ß2-microglobulin (ß2m) HLA-A2.1 monochain transgenic H-2Db ß2m double knockout mice. J. Exp. Med. 185:2043.[Abstract/Free Full Text]
  20. Vitiello, A., A. Sette, L. Yuan, P. Farness, S. Southwood, J. Sidney, R. W. Chesnut, H. M. Grey, B. Livingston. 1997. Comparison of cytotoxic T lymphocyte responses induced by peptide or DNA immunization: implications on immunogenicity and immunodominance. Eur. J. Immunol. 27:671.[Medline]
  21. Newberg, M. H., D. H. Smith, S. B. Haertel, D. R. Vining, E. Lacy, V. H. Engelhard. 1996. Importance of MHC class 1 {alpha}2 and {alpha}3 domains in the recognition of self and nonself MHC molecules. J. Immunol. 156:2473.[Abstract]
  22. Hislop, A. D., M. F. Good, L. Mateo, J. Gardner, M. H. Gatei, R. C. W. Daniel, B. V. Meyers, M. F. Lavin, A. Suhrbier. 1998. Vaccine induced cytotoxic T lymphocytes protect against retroviral challenge. Nat. Med. 4:1193.[Medline]
  23. Alexander-Miller, M. A., G. R. Leggatt, J. A. Berzofsky. 1996. Selective expansion of high- or low-avidity cytotoxic T lymphocytes and efficacy for adoptive immunotherapy. Proc. Natl. Acad. Sci. USA 93:4102.[Abstract/Free Full Text]
  24. Wentworth, P. A., A. Vitiello, J. Sidney, E. Keogh, R. W. Chesnut, H. Grey, A. Sette. 1996. Differences and similarities in the A2.1-restricted cytotoxic T cell repertoire in humans and human leukocyte antigen-transgenic mice. Eur. J. Immunol. 26:97.[Medline]
  25. Bakker, A. B., S. H. van der Burg, R. J. Huijbens, J. W. Drijfhout, C. J. Melief, G. J. Adema, C. G. Figdor. 1997. Analogues of CTL epitopes with improved MHC class-I binding capacity elicit anti-melanoma CTL recognizing the wild-type epitope. Int. J. Cancer 170:302.
  26. Parkhurst, M. R., M. L. Salgaller, S. Southwood, P. F. Robbins, A. Sette, S. A. Rosenberg, Y. Kawakami. 1996. Improved induction of melanoma-reactive CTL with peptides from the melanoma antigen gp100 modified at HLA-A*0201-binding residues. J. Immunol. 157:2539.[Abstract]
  27. Momburg, F., J. Roelse, J. C. Howard, G. W. Butcher, G. J. Hammerling, J. J. Neefjes. 1994. Selectivity of MHC-encoded peptide transporters from human, mouse and rat. Nature 367:648.[Medline]
  28. Peh, C. A., S. R. Burrows, M. Barnden, R. Khanna, P. Cresswell, D. J. Moss, J. McCluskey. 1998. HLA-B27-restricted antigen presentation in the absence of tapasin reveals polymorphism in mechanisms of HLA class I peptide loading. Immunity 8:531.[Medline]
  29. Braud, V. M., A. J. McMichael, V. Cerundolo. 1998. Differential processing of influenza nucleoprotein in human and mouse cells. Eur. J. Immunol. 28:625.[Medline]
  30. Fukui, Y., O. Hashimoto, A. Inayoshi, T. Gyotoku, T. Sano, T. Koga, T. Gushima, and T. Sasazuki. Highly restricted T cell repertoire shaped by a single major histocompatibility complex-peptide ligand in the presence of a single rearranged T cell receptor ß chain. J. Exp. Med. 188:897.
  31. Naftzger, C., Y. Takechi, H. Kohda, I. Hara, S. Vijayasaradhi, A. N. Houghton. 1996. Immune response to a differentiation antigen induced by altered antigen: a study of tumor rejection and autoimmunity. Proc. Natl. Acad. Sci. USA 93:14809.[Abstract/Free Full Text]
  32. Overwijkm, W. W., D. S. Lee, D. R. Surman, K. R. Irvine, C. E. Touloukian, C. C. Chan, M. W. Carroll, B. Moss, S. A. Rosenberg, N. P. Restifo. 1999. Vaccination with a recombinant vaccinia virus encoding a "self" antigen induces autoimmune vitiligo and tumor cell destruction in mice: requirement for CD4+ T lymphocytes. Proc. Natl. Acad. Sci. USA 96:2982.[Abstract/Free Full Text]
  33. Ossendorp, F., E. Mengede, M. Camps, R. Filius, C. J. Melief. 1998. Specific T helper cell requirement for optimal induction of cytotoxic T lymphocytes against major histocompatibility complex class II negative tumors. J. Exp. Med. 187:693.[Abstract/Free Full Text]
  34. Reddish, M., G. D. MacLean, R. R. Koganty, J. Kan-Mitchell, V. Jones, M. S. Mitchell, B. M. Longenecker. 1998. Anti-MUC1 class I restricted CTLs in metastatic breast cancer patients immunized with a synthetic MUC1 peptide. Int. J. Cancer 76:817.[Medline]
  35. Matloubian, M., R. J. Concepcion, R. Ahmed. 1994. CD4+ T cells are required to sustain CD8+ cytotoxic T-cell responses during chronic viral infection. J. Virol. 68:8056.[Abstract/Free Full Text]
  36. Lauritzsen, G. F., P. O. Hofgaard, K. Schenck, B. Bogen. 1998. Clonal deletion of thymocytes as a tumor escape mechanism. Int. J. Cancer 78:216.[Medline]
  37. Staveley-O’Carroll, K., E. Sotomayor, J. Montgomery, I. Borrello, L. Hwang, S. Fein, D. Pardoll, H. Levitsky. 1998. Induction of antigen-specific T cell anergy: an early event in the course of tumor progression. Proc. Natl. Acad. Sci. USA 95:1178.[Abstract/Free Full Text]
  38. Albert, M. L., B. Sauter, N. Bhardwaj. 1998. Dendritic cells acquire antigen from apoptotic cells and induce class I-restricted CTLs. Nature 392:86.[Medline]
  39. Pende, D., L. Accame, L. Pareti, A. Mazzocchi, A. Moretta, G. Parmiani, L. Moretta. 1998. The susceptibility to natural killer cell-mediated lysis of HLA class I-positive melanomas reflects the expression of insufficient amounts of different HLA class I alleles. Eur. J. Immunol. 28:2384.[Medline]
  40. Schneider, J., S. C. Gilbert, T. J. Blanchard, T. Hanke, K. J. Robson, C. M. Hannan, M. Becker, R. Sinden, G. L. Smith, A. V. Hill. 1998. Enhanced immunogenicity for CD8+ T cell induction and complete protective efficacy of malaria DNA vaccination by boosting with modified vaccinia virus Ankara. Nat. Med. 4:397.[Medline]
  41. Toes, R. E., R. C. Hoeben, E. I. van der Voort, M. E. Ressing, A. J. van der Eb, C. J. Melief, R. Offringa. 1997. Protective anti-tumor immunity induced by vaccination with recombinant adenoviruses encoding multiple tumor-associated cytotoxic T lymphocyte epitopes in a string-of-beads fashion. Proc. Natl. Acad. Sci. USA 94:14660.[Abstract/Free Full Text]
  42. Thomson, S. A., M. A. Sherritt, J. Medveczky, S. L. Elliott, D. J. Moss, G. J. Fernando, L. E. Brown, A. Suhrbier. 1998. Delivery of multiple CD8 cytotoxic T cell epitopes by DNA vaccination. J. Immunol. 160:1717.[Abstract/Free Full Text]
  43. Condon, C., S. C. Watkins, C. M. Celluzzi, K. Thompson, Jr L. D. Falo. 1996. DNA-based immunization by in vivo transfection of dendritic cells. Nat. Med. 10:1122.
  44. Fallarino, F., C. Uyttenhove, T. Boon, T. F. Gajewski. 1996. Endogenous IL-12 is necessary for rejection of P815 tumor variants in vivo. J. Immunol. 156:1095.[Abstract]
  45. Tuting, T., C. C. Wilson, D. M. Martin, Y. L. Kasamon, J. Rowles, D. I. Ma, Jr C. L. Slingluff, S. N. Wagner, P. van der Bruggen, J. Baar, M. T. Lotze, W. J. Storkus. 1998. Autologous human monocyte-derived dendritic cells genetically modified to express melanoma antigens elicit primary cytotoxic T cell responses in vitro: enhancement by cotransfection of genes encoding the Th1-biasing cytokines IL-12 and IFN-{alpha}. J. Immunol. 160:1139.[Abstract/Free Full Text]
  46. Kawakami, Y., S. Eliyahu, K. Sakaguchi, P. F. Robbins, L. Rivoltini, J. R. Yannelli, E. Appella, S. A. Rosenberg. 1994. Identification of the immunodominant peptides of the MART-1 human melanoma antigen recognized by the majority of HLA-A2-restricted tumor infiltrating lymphocytes. J. Exp. Med. 180:347.[Abstract/Free Full Text]
  47. van der Bruggen, P., J. Bastin, T. Gajewski, P. G. Coulie, P. Boel, C. De Smet, C. Traversari, A. Townsend, T. Boon. 1994. A peptide encoded by human gene MAGE-3 and presented by HLA-A2 induces cytolytic T lymphocytes that recognize tumor cells expressing MAGE-3. Eur. J. Immunol. 12:3038.
  48. Wolfel, T., A. Van Pel, V. Brichard, J. Schneider, B. Seliger, K. H. Meyer zum Buschenfelde, T. Boon. 1994. Two tyrosinase nonapeptides recognized on HLA-A2 melanomas by autologous cytolytic T lymphocytes. Eur. J. Immunol. 3:759.
  49. Kawakami, Y., S. Eliyahu, C. H. Delgado, P. F. Robbins, K. Sakaguchi, E. Appella, J. R. Yannelli, G. J. Adema, T. Miki, S. A. Rosenberg. 1994. Identification of a human melanoma antigen recognized by tumor-infiltrating lymphocytes associated with in vivo tumor rejection. Proc. Natl. Acad. Sci. USA 91:6458.[Abstract/Free Full Text]
  50. Salgaller, M. L., A. Afshar, F. M. Marincola, L. Rivoltini, Y. Kawakami, S. A. Rosenberg. 1995. Recognition of multiple epitopes in the human melanoma antigen gp100 by peripheral blood lymphocytes stimulated in vitro with synthetic peptides. Cancer Res. 55:4972.[Abstract/Free Full Text]
  51. Coulie, P. G., V. Brichard, A. Van Pel, T. Wolfel, J. Schneider, C. Traversari, S. Mattei, E. De Plaen, C. Lurquin, J. P. Szikora, et al 1994. A new gene coding for a differentiation antigen recognized by autologous cytolytic T lymphocytes on HLA-A2 melanomas. J. Exp. Med. 180:35.[Abstract/Free Full Text]
  52. Guilloux, Y., S. Lucas, V. G. Brichard, A. Van Pel, C. Viret, E. De Plaen, F. Brasseur, B. Lethe, F. Jotereau, T. Boon. 1996. A peptide recognized by human cytolytic T lymphocytes on HLA-A2 melanomas is encoded by an intron sequence of the N-acetylglucosaminyltransferase V gene. J. Exp. Med. 183:1173.[Abstract/Free Full Text]
  53. Mosse, C. A., L. Meadows, C. J. Luckey, D. J. Kittlesen, E. L. Huczko, C. L. Slingluff, J. Shabanowitz, D. F. Hunt, V. H. Engelhard. 1998. The class I antigen-processing pathway for the membrane protein tyrosinase involves translation in the endoplasmic reticulum and processing in the cytosol. J. Exp. Med. 187:37.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
J. Virol.Home page
G. Gasteiger, W. Kastenmuller, R. Ljapoci, G. Sutter, and I. Drexler
Cross-Priming of Cytotoxic T Cells Dictates Antigen Requisites for Modified Vaccinia Virus Ankara Vector Vaccines
J. Virol., November 1, 2007; 81(21): 11925 - 11936.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
A. Scardino, M. Alimandi, P. Correale, S. G. Smith, R. Bei, H. Firat, M. G. Cusi, O. Faure, S. Graf-Dubois, G. Cencioni, et al.
A Polyepitope DNA Vaccine Targeted to Her-2/ErbB-2 Elicits a Broad Range of Human and Murine CTL Effectors to Protect against Tumor Challenge
Cancer Res., July 15, 2007; 67(14): 7028 - 7036.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
C. L. Hutchings, S. C. Gilbert, A. V. S. Hill, and A. C. Moore
Novel Protein and Poxvirus-Based Vaccine Combinations for Simultaneous Induction of Humoral and Cell-Mediated Immunity
J. Immunol., July 1, 2005; 175(1): 599 - 606.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
B. Wang, H. Chen, X. Jiang, M. Zhang, T. Wan, N. Li, X. Zhou, Y. Wu, F. Yang, Y. Yu, et al.
Identification of an HLA-A*0201-restricted CD8+ T-cell epitope SSp-1 of SARS-CoV spike protein
Blood, July 1, 2004; 104(1): 200 - 206.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
E. Maraskovsky, S. Sjolander, D. P. Drane, M. Schnurr, T. T. T. Le, L. Mateo, T. Luft, K.-A. Masterman, T.-Y. Tai, Q. Chen, et al.
NY-ESO-1 Protein Formulated in ISCOMATRIX Adjuvant Is a Potent Anticancer Vaccine Inducing Both Humoral and CD8+ T-Cell-Mediated Immunity and Protection against NY-ESO-1+ Tumors
Clin. Cancer Res., April 15, 2004; 10(8): 2879 - 2890.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
P. Daftarian, S. Ali, R. Sharan, S. F. Lacey, C. La Rosa, J. Longmate, C. Buck, R. F. Siliciano, and D. J. Diamond
Immunization with Th-CTL Fusion Peptide and Cytosine-Phosphate-Guanine DNA in Transgenic HLA-A2 Mice Induces Recognition of HIV-Infected T Cells and Clears Vaccinia Virus Challenge
J. Immunol., October 15, 2003; 171(8): 4028 - 4039.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. Alexander, C. Oseroff, C. Dahlberg, M. Qin, G. Ishioka, M. Beebe, J. Fikes, M. Newman, R. W. Chesnut, P. A. Morton, et al.
A Decaepitope Polypeptide Primes for Multiple CD8+ IFN-{gamma} and Th Lymphocyte Responses: Evaluation of Multiepitope Polypeptides as a Mode for Vaccine Delivery
J. Immunol., June 15, 2002; 168(12): 6189 - 6198.
[Abstract] [Full Text] [PDF]


Home page
JNCI J Natl Cancer InstHome page
G. Parmiani, C. Castelli, P. Dalerba, R. Mortarini, L. Rivoltini, F. M. Marincola, and A. Anichini
Cancer Immunotherapy With Peptide-Based Vaccines: What Have We Achieved? Where Are We Going?
J Natl Cancer Inst, June 5, 2002; 94(11): 805 - 818.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. J. Palmowski, E. M.-L. Choi, I. F. Hermans, S. C. Gilbert, J.-L. Chen, U. Gileadi, M. Salio, A. Van Pel, S. Man, E. Bonin, et al.
Competition Between CTL Narrows the Immune Response Induced by Prime-Boost Vaccination Protocols
J. Immunol., May 1, 2002; 168(9): 4391 - 4398.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
B. M. Segal, D. D. Glass, and E. M. Shevach
Cutting Edge: IL-10-Producing CD4+ T Cells Mediate Tumor Rejection
J. Immunol., January 1, 2002; 168(1): 1 - 4.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
S. G. Smith, P. M. Patel, J. Porte, P. J. Selby, and A. M. Jackson
Human Dendritic Cells Genetically Engineered to Express a Melanoma Polyepitope DNA Vaccine Induce Multiple Cytotoxic T-Cell Responses
Clin. Cancer Res., December 1, 2001; 7(12): 4253 - 4261.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
R. P. M. Sutmuller, L. R. H. M. Schurmans, L. M. van Duivenvoorde, J. A. Tine, E. I. H. van der Voort, R. E. M. Toes, C. J. M. Melief, M. J. Jager, and R. Offringa
Adoptive T Cell Immunotherapy of Human Uveal Melanoma Targeting gp100
J. Immunol., December 15, 2000; 165(12): 7308 - 7315.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mateo, L.
Right arrow Articles by Suhrbier, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mateo, L.
Right arrow Articles by Suhrbier, A.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS