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* Avidex, Ltd., Abingdon, United Kingdom;
II. Medizinische Klinik, Hämatologie-Onkologie, Krankenhaus Nordwest, Frankfurt, Germany;
and
Medical Research Council Molecular Haematology Unit and
¶ Tumor Immunology Unit, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom
| Abstract |
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| Introduction |
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A great unknown in the study of Ag presentation is the precise amount of any particular Ag displayed on the surface of an APC. Because the majority of HLAs are complexed to peptides derived from the most abundant cellular proteins, such as ribosomal or heat shock proteins (9), it is likely that less abundant cellular proteins, such as NY-ESO-1 or LAGE-1, are presented only at low levels. Certain TAAs may thus not be efficiently Ag presented, suggesting that there is a need to quantify the abundance of particular peptide-HLA Ags to assess the validity of specific TAAs as targets for anticancer immunotherapy. To date, the number of specific peptide-HLA complexes has been estimated mainly by mass spectroscopy of Ags eluted from cell surface HLA (10, 11, 12, 13, 14). HLA class I-associated Ags have also been detected on cells using Abs (15, 16, 17) or Fab monomers/tetramers (18, 19, 20) specific for given peptide-HLA complexes, allowing semiquantitative determination of surface Ag levels by FACS. A similar approach has used soluble monomers (21, 22), dimers (23), or tetramers (24, 25) of soluble TCRs to detect class I-restricted Ags, although given the naturally low affinity of TCR for Ag, it remains uncertain how quantitative and Ag sensitive such measurements are.
We have recently described the phage display-based affinity maturation of two HLA-A2-restricted soluble TCRs (26), the first specific for the Tax1119 epitope of HTLV-1 (isolated from CTL clone A6; Ref. 27) and the second (isolated from CTL clone 1G4; Ref. 28) specific for the NY-ESO-1157165 epitope. Affinity maturation of the Tax1119-specific TCR resulted in a 720-fold increase in affinity of TCR for Ag (from 1.8 µM to 2.5 nM), whereas a 224,000-fold increase in affinity (from 11 µM to 49 pM; Table I) was achieved for the NY-ESO-1157165-specific TCR, without apparent loss of Ag specificity. High affinity soluble TCRs have obvious uses in the treatment of disease, such as drug targeting or blocking of Ag-specific immune responses, which would not be possible using wild-type TCRs due to their low Ag affinities. Given their high specificity and stable interaction with Ag, such high affinity TCRs may also be useful tools in diagnostic or research contexts. Here we investigate the ability of our high affinity TCR to stain cell surface Ag, and, by single-molecule microscopy, directly determine the number of specific NY-ESO-1157165 Ags presented on the surface of peptide-pulsed cells, tumor cell lines, and freshly isolated tumor samples.
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| Materials and Methods |
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Protein production.
Soluble high affinity TCRs were produced as disulfide-linked 
heterodimers, as previously described (26, 29). In the TCR-bio constructs, the TCR
-chain was C-terminally extended to encode the optimized biotinylation sequence GSGGGLNDIFEAQKIEWH. Tagged TCR was biotinylated with BirA biotin ligase (Avidity) according to the manufacturers instruction. In the TCR-IL2 fusion constructs, the mature human IL-2 protein was fused to the C terminus of the TCR
-chain via a linker of amino acid sequence PG.
Surface plasmon resonance (SPR).
We conducted Biacore SPR analysis of TCR binding to biotin-tagged HLA-A2/SLLMWITQ(C/V), immobilized to a streptavidin-coated flow cell. Equilibrium binding constants for TCRs exhibiting slow off-rates were calculated from kinetic data (KD = koff/kon). Kinetic binding constants were calculated via Biacore BIAevaluation software, using all available data except for points up to
25 s after the injection starts and points within
10 s of injection stops. Dissociate phase data were collected for at least 45 min to allow accurate determination of the extremely slow koff values.
Cells and transfections
Cells.
HCT116, Colo205 ScaBER, PP, J82, TCCSUP, and T2 cell lines were from the American Type Culture Collection. Mel-526 and Mel-624 melanoma cells were from Thymed. SK-Mel-37 melanoma cells were from the Ludwig Institute of Cancer Research. Cells were maintained in R-10 medium (RPMI 1640 with 10% FCS, 2 mM L-glutamine, and penicillin plus streptomycin). Where indicated, cells were treated with 1000 U/ml human IFN-
(Preprotech) for 72 h. Cancer cells were screened for NY-ESO-1 and LAGE-1 expression by RT-PCR as previously described (30). CTL were cultured in Iscoves medium (Life Technologies) supplemented with 5% human serum (TCS Biologicals), 2 mM L-glutamine, and penicillin plus streptomycin. CTL (105) were restimulated every 2 wk using a mixture of peptide-pulsed, irradiated (3000 rad) HLA-A2-positive PBMC (5 x 106) and peptide-pulsed cells (5 x 105). 1 µg/ml PHA (Sigma-Aldrich) and 200 U/ml Proleukin (Chiron) were added during restimulation. Proleukin was replenished every 34 days. Cells were used in experiments 10 days after restimulation.
Tumor samples. Myeloma cells were isolated from bone marrow aspirates. Bone marrow (2 ml) was diluted 1/2 with HBSS (Life Technologies) and incubated in 0.0002% DNase (Sigma-Aldrich) for 30 min at 37°C. Cells were loaded onto Histopaque 1077 gradient (Sigma-Aldrich) and spun at 2000 rpm (800 x g) with brake off for 30 min. Cells were washed four times with HBSS, and CD138+ cells were purified by magnetic separation using a CD138+ MACS separation kit (Miltenyi Biotec). Cells were stained by FACS for HLA-A2 and NY-ESO-1 expression. All work on human tumor samples was approved by Oxford Research Ethics Committee B.
SLLMWITQC-minigene transfectants. The SLLMWITQC epitope was expressed as a C-terminal fusion to the third ubiquitin subunit of human polyubiquitin. The ubiquitin subunit was amplified by PCR from cDNA derived from human bladder carcinoma cell line TCCSUP. The SLLMWITQC epitope was fused to ubiquitin by PCR, with the 3' primer used in this amplification lacking the ubiquitin C-terminal Cysteine and stop codons, but encoding the (human-codon optimized) epitope sequence followed by a TAG stop codon. The fusion construct was ligated into the first multiple cloning site of pIRES (Clontech), whereas the Blasticidin resistance gene from vector pEM7/bsd (Invitrogen Life Technologies) was inserted into the second multiple cloning site of pIRES. Transfectants were selected in the presence of 10 µg/ml Blasticidin (Invitrogen Life Technologies).
Cellular assays
Cytokine assays.
For the IFN-
ELISPOT assays (Diaclone), 500 CTL were added to 5 x 104 target cells/well. TCR was added to 5 µg/ml. Assays were left overnight at 37°C and developed according to manufacturers instructions. Plates were evaluated using an automated ELISPOT reader (Autoimmun Diagnostika). For the IFN-
release assays (Diaclone), 1.5 x 104 peptide-pulsed T2 target cells per well were incubated with TCR at 37°C for 1 h before addition of 5 x 103 CTL. Assays were left for 48 h at 37°C. IFN-
concentration in supernatant was determined according to manufacturers instructions. Data were analyzed using Prism 4.0 software (Graphpad Software).
FACS. For staining with high affinity TCR, 106 T2 cells were pulsed with peptide for 90 min at 37°C and washed twice with PBS. Cells were stained with 10 µg/ml monomeric TCR-IL2 or TCR-bio in 1% FCS/PBS for 30 min at room temperature, followed by two washes in 10 ml of PBS. Secondary staining was in 1% FCS-PBS for 30 min at room temperature with PE-linked rat anti-human IL-2 mAb (Serotec) or streptavidin-PE (BD Pharmingen), respectively. Cells were washed twice in PBS and analyzed by FACS. Cell surface HLA-A2 levels were determined by FACS using FITC-linked mouse anti-HLA-A2 mAb (Serotec). For intracellular NY-ESO-1 detection by FACS, cells were permeabilized with 70% ethanol on ice for 30 min and stained with NY-ESO-1-specific mAb E978 (Zymed) followed by PE-linked F(ab')2 rabbit anti-mouse secondary Ab (Serotec).
Immunohistochemistry. Cells (107) were pelleted, resuspended in 100 µl of a 1:1 medium-OCT mixture, and snap frozen. Cryostat sections (58 µm) were cut, placed on Superfrost plus slides, and dried at room temperature. Slides were fixed in acetone for 10 min and air dried. Slides were submerged in water, mounted onto the Sequenza apparatus, and washed in TBS (pH 7.8). Slides were blocked for 30 min in 10% v/v normal rabbit serum (Vector Laboratories), and stained with mTCR-bio followed by streptavidin-biotin-HRP complex (DAKO). Diaminobenzidine (DakoCytomation liquid and substrate chromagen system) was added according to manufacturers instructions and counterstained with hematoxylin. Finally, slides were dehydrated, cleared, and mounted.
Microscopy
A Zeiss 200M/Universal Imaging system with a x63 objective was used for single-molecule wide field fluorescence microscopy and data analysis as described (31, 32). Eight-well chambered coverslips (Nunc) with minimal imaging medium (R-10 lacking phenol red) were used for imaging.
For Ag staining with high affinity TCR, 5 x 104 cancer cells were allowed to adhere to chambered coverslips overnight. Cells were washed twice with PBS supplemented with 400 nM MgCl2 and 400 nM CaCl2 (PBSMg/Ca), and incubated for 30 min at room temperature with 5 µg/ml TCR-bio in 0.5% BSA/PBSMg/Ca. Cells were washed three times with PBSMg/Ca and incubated for 20 min at room temperature with 5 µg/ml streptavidin-PE in 0.5% BSA/PBSMg/Ca. Cells were washed five times, and chamber wells were filled with 400 µl of imaging medium. For washed, peptide-pulsed T2 cells, staining with TCR-bio and streptavidin PE was essentially as for adherent cells above, except that cells were washed once with 10 ml of PBS between the primary and secondary stains and twice with 10 ml of PBS after the secondary stain.
PE fluorescence was detected using a 535/50 excitation, 610/75 emission, and 565LP dichroic filter set (Chroma). Given that staining of cell surface-bound biotinylated complexes with an excess of streptavidin-PE has been shown to result in monomeric association of streptavidin-PE with target protein (31, 32), a single detected PE signal corresponds to a single TCR-peptide-HLA complex. To cover the entire three-dimensional surface of the cell, z-stack fluorescent images were taken (21 individual planes, 1 µm apart). Data were evaluated for at least 20 cells in each experimental condition.
| Results |
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We have previously shown by SPR that the interaction between our high affinity NYE(113) TCR and its Ag is extraordinarily stable, with the half-life of the interaction estimated at 19 h (26). To determine the ability of the NYE(113) TCR to detect cell surface Ag, we investigated the stability and Ag sensitivity of TCR binding to Ag-pulsed T2 cells. We generated TCR constructs in which the TCR
-chain was C-terminally tagged with either IL-2 (TCR-IL-2) or biotinylated via a biotinylation sequence (TCR-bio). These constructs could be easily detected using a PE-linked anti-IL-2 mAb or streptavidin-PE, respectively. T2 cells were pulsed with a variant of the NY-ESO-1157165 peptide reported to enhance peptide association with HLA-A2 in which the C-terminal cysteine at position 9 (9C) has been replaced with a more standard valine anchor residue (9V) (28, 33, 34). Recognition of HLA-A2-complexed peptide by high affinity NYE(113) TCR was virtually unaffected by this 9V substitution (Table I).
We observed exceptionally stable binding of NYE(113) TCR-IL-2 to Ag-pulsed T2 cells at 37°C over 6 h (Fig. 1A), in accordance with the long half-life of this TCR-Ag interaction as determined by SPR. In contrast, the TAX(134) TCR-IL-2 rapidly dissociated from T2 cells pulsed with cognate Ag, consistent with the significantly shorter half-life (50 min) of the TAX(134) TCR interaction with Ag (26). Both high affinity TCRs dissociated from Ag-pulsed targets
2.5-fold more rapidly than expected from their half-lives as determined by SPR, most likely reflecting increased dissociation kinetics at 37°C (cellular staining assay) compared with 25°C (SPR). FACS analysis of T2 cells pulsed with a titration of Ag showed that staining with monomeric NYE(113) TCR-bio/streptavidin-PE was sensitive enough to detect Ag on cells pulsed with as low as 108 M peptide (Fig. 1B). Because the maximal sensitivity of FACS for PE is generally believed to be
200500 PE molecules/cell (BD Biosciences technical support), we investigated whether we could detect even lower Ag levels by single-molecule fluorescence microscopy. In this system, the entire three-dimensional cell surface is imaged to detect individual PE molecules (31, 32). Because TCR-bio/peptide/HLA complexes are labeled with streptavidin-PE in a 1:1 ratio, the number of PE molecules determined is directly representative of the number of Ags present on the cell surface. Using this highly sensitive approach, we could detect Ags at the single-digit level, even on cells pulsed with as little as 1010 M peptide (Fig. 1C).
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130/cell) determined when cold TCR was used in 100-fold excess, we calculated that minigene-transfected J82 cells express an average steady state level of
13,000 SLLMWITQC/HLA-A2 cell surface Ags. Preincubation of cells with a 2-fold excess of cold NYE(113) TCR inhibited subsequent staining with NYE(113)-bio/streptavidin-PE (data not shown), indicating specificity of TCR binding. Ag could be detected on all five minigene-transfected cell lines by FACS, though levels varied considerably between cell lines (Fig. 2B), reflecting differing HLA-A2 expression levels (Fig. 2C). Cells were stimulated with IFN-
to determine the effect of this cytokine on Ag presentation. NY-ESO-1157165 epitope presentation increased significantly (in most cases severalfold) after cells were treated with IFN-
, in accordance with similar up-regulation of cell surface HLA-A2.
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Inhibition of Ag-specific CTL responses by soluble high affinity TCR
CTL responses are both Ag specific and highly sensitive. To confirm the specificity of the NYE(113) TCR, we examined the ability of this TCR to inhibit IFN-
release by NY-ESO-1157165-specific CTL clone 1G4 (28). CTL clone 1G4 was sensitive to T2 cells pulsed with Ag concentrations as low as 10 10 M (Fig. 3A). Half-maximal activation was observed just below 109 M Ag, corresponding to <50 Ags per APC (as determined from Fig. 1C). Such sensitivity is in agreement with findings that CTL require only a few (
10) Ags at the immunological synapse to become activated (31). Addition of the NYE(113) TCR inhibited 1G4 CTL activation in a dose- and Ag level-dependent manner. CTL activation could be completely inhibited by the NYE(113) TCR, indicating specific blockage of virtually every Ag/HLA complex (Fig. 3B). In contrast, wild-type NYE TCR was unable to inhibit 1G4 CTL responses at any concentration tested (Fig. 3C), indicating that masking of Ags by wild-type affinity TCR is too transient to affect CTL target recognition. Similarly, using two further NY-ESO-1157165-specific CTLs of different origins, inhibition of CTL-mediated target cell lysis was observed in the presence of high affinity NYE(113) TCR, but not with wild-type affinity TCR (Fig. 3D).
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Although NY-ESO-1 and LAGE-1 expression is observed at high frequency in many cancers, it remains unknown at what levels the NY-ESO-1157165 Ag is presented on the cancer cell surface. Therefore, we aimed to detect and quantify NY-ESO-1157165 Ag on the surface of HLA-A2-positive melanoma cancer cell lines SK-Mel-37, Mel-624, and Mel-526 which have previously been reported to be recognized by SLLMWITQC-specific CTL (Refs. 38 and 39 ; Thymed, unpublished observation). We evaluated NY-ESO-1 and LAGE-1 expression in these cells lines by FACS and RT-PCR (Fig. 4A). Endogenous NY-ESO-1 protein was detected by FACS in SK-Mel-37 cells and, at low levels, in Mel-526 cells using the NY-ESO-1-specific mAb E978 (which does not cross-react with LAGE-1; Ref. 40). NY-ESO-1 expression was not detected by FACS in Mel-624 cells. RT-PCR confirmed NY-ESO-1 expression in SK-Mel-37 cells and indicated that these cells also coexpress LAGE-1. Consistent with the Ab staining, Mel-624 cells were negative for NY-ESO-1 by RT-PCR but proved positive for LAGE-1 expression. Mel-526 cells were negative for both NY-ESO-1 and LAGE-1 by RT-PCR. Although this result for Mel-526 cells appears to contrast with the positive NY-ESO-1 detection by FACS, such discrepancy between RT-PCR and staining with E978 mAb has been previously reported for cells that stain weakly with the E978 mAb (40). We next stained SK-Mel-37, Mel-624, and Mel-526 cells with NYE(113) TCR to evaluate surface presentation of the NY-ESO-1157165 Ag on these cell lines. We were unable to detect NY-ESO-1157165 cell surface Ag with NYE(113) TCR by FACS (data not shown), suggesting that Ag levels fell below the detection threshold set by flow cytometric analysis. This assumption was confirmed by single-molecule fluorescence microscopy, with which we could readily image and enumerate the number of specific Ags on individual melanoma cells (Fig. 4, BE). We found that SK-Mel-37 cells presented an average of
25 Ags per cell, whereas levels were somewhat higher for Mel-624 melanoma cells, at
45 Ags per cell (Fig. 4, C and D). Ag counts varied broadly among individual cells, indicating the level of heterogeneity in Ag expression that may be encountered within individual tumors. Ag staining could be inhibited by a 50-fold excess of cold NYE(113) TCR, and the low background staining levels seen with irrelevant TAX(134) TCR-bio proved to be entirely due to nonspecific binding of streptavidin-PE to the cancer cell surface. For Mel-526 cells, we were unable to detect significant Ag levels, although the average NYE(113) TCR-bio staining consistently lay slightly above background in all three repeat experiments (Fig. 4E). This suggests that these cells may express very low levels of Ag, consistent with the low level of intracellular NY-ESO-1 as detected by FACS. Of seven HLA-A2-positive, NY-ESO-1- and LAGE-1-negative cancer cell lines, none showed specific staining with our NYE(113) TCR-bio (data not shown). The Ag levels that we determined for SK-Mel-37 and Mel-624 cells were biologically significant, given that these cells were efficiently recognized by CTL in an IFN-
ELISPOT assay (Fig. 4, C and D). As seen previously, IFN-
secretion in this assay could be blocked by addition of the NYE(113) TCR, but not by irrelevant TAX(134) TCR. A small amount of specific, and TCR-inhibitable, CTL activity was observed in response to Mel-526 cells (Fig. 4E), supporting our conclusion by FACS and microscopy that these cells do express Ag, albeit at low copy numbers. Unlike for our minigene-transfected cell lines, the presence of IFN-
did not significantly affect Ags levels on cells that naturally express NY-ESO-1 and/or LAGE-1 (SK-Mel-37, Mel-624, and Mel-526). In contrast, IFN-
treatment resulted in severalfold up-regulation of surface HLA-A2 (Fig. 4F), indicating that Ag processing, not HLA levels, is the limiting step for NY-ESO-1157165 presentation.
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| Discussion |
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Current thoughts on the efficiency of Ag presentation suggest that the most abundant Ags presented are derived from the proteins with the highest rate of synthesis, such as heat shock, ribosomal, or viral proteins (41). The typical cellular protein is thus believed to be inefficiently presented, with only a few (or no) Ags reaching the cell surface. Our observation that NY-ESO-1+ and/or LAGE-1+ cancer cells present an average of
1050 NY-ESO-1157165 Ags per cell suggests that this density represents the physiological level at which most self Ags and TAAs are presented. This suggestion is further supported by our observation that these Ag densities are sufficient to induce effective CTL responses. Interestingly, unlike observations for our minigene-transfected cells, NY-ESO-1157165 Ag levels on melanoma cells were largely unaffected by IFN-
-induced up-regulation of HLA-A2 levels, indicating that NY-ESO-1/LAGE-1 processing, and not HLA levels, is limiting in the case of this Ag. Given that tumor cells frequently express low HLA class I levels in an attempt to evade immune surveillance, it may be that the most effective anticancer immune responses are directed to those low level TAAs that are largely unaffected by HLA down-regulation.
Because the majority of cellular Ags, including TAAs, are likely to be presented at low densities, the reagents to detect these complexes are required to be highly sensitive to low numbers of Ag. Soluble binding molecules, such as TCRs, Fabs, or MHCs, are frequently oligomerized to increase binding to surface bound target molecules. However, for such oligomers (including Abs, which are natural Fab dimers), the avidity effects of multiple binding sites comes into effect only if target molecules are densely packed and more than one binding subunit can interact with its target. At low target concentrations, such as the physiological densities of most self peptide-HLA Ags on the cell surface, targets will be too sparse for an oligomer to bind multiple targets simultaneously. Thus, any interaction with low density targets will be monomeric, with the stability of the interaction determined by the affinity of the single oligomer subunit. Given the low natural affinity of TCRs for Ag, it is improbable that oligomers of wild-type TCR, even those with somewhat above average Ag affinities (21), will be able to detect low levels or quantitate high levels of Ag. In the light of our observations, it is surprising that flow cytometric staining of a HLA-A2low human melanoma cell line with a murine derived single-chain TCR with 2.2 µM Ag affinity indicated the presence of several thousand p53264272-HLA-A2 complexes per cell (21, 23), specifically because such inferred Ag levels are also difficult to reconcile with current thoughts on Ag presentation.
The affinity of the monomeric TAX(134) TCR for Ag (2.5 nM) falls within the range of Ag affinities commonly displayed by the Fab regions of Abs. Because this TCR dissociates fairly rapidly from Ag-pulsed APCs (within 30 min), nanomolar affinity reagents, including peptide-HLA specific Fabs, may not be ideal for detecting low levels of Ag. Instead, detection and quantification of physiological levels of self-Ags may require monomeric reagents with picomolar affinities, such as can be achieved by affinity-matured TCRs.
Previous studies on an affinity-maturated murine alloreactive TCR (42) have suggested that high affinity TCRs can show significant cross-reactivity to self peptides (43). We have not observed cross-reactivity of our syngenic high affinity TAX(134) and NYE(113) TCRs when tested against a broad panel of peptide-HLA complexes by SPR (26). It has been reported that the wild-type TAX TCR cross-reacts against a variety of naturally occurring epitopes that mimic the Tax1119 sequence (44). The binding of wild-type TAX TCR and our high affinity TAX(134) TCR to the two most cross-reactive of these mimitopes (the Saccharomyces cereviseae Tel1p549557 and Homo sapiens HuD8795 epitopes) has been previously investigated by SPR (25). Wild-type and high affinity TAX TCRs bound HLA-A2-complexed Tel1p549557 with similar affinities (38.6 and 46.5 µM, respectively), whereas the affinity for the HuD8795 epitope was increased 5-fold for the high affinity TCR (from 21 µM to 123 µM). This increase, however, is small when compared with the 720-fold increase in binding for cognate Ag, suggesting that in fact our high affinity TAX(134) TCR is comparatively less cross-reactive than the wild-type TAX TCR. For our high affinity NYE(113) TCR, we show here by single epitope imaging that only NY-ESO-1/LAGE-1-expressing or Ag-pulsed cells are stained, indicating that this TCR does not cross-react with other Ags among the cellular pool of presented self-peptides, even at the single-molecule level. We have thus shown in a variety of biophysical and cellular assays that our high affinity TCRs are not significantly cross-reactive with self-Ags, a finding of fundamental importance when considering the development of high affinity TCRs for clinical therapies.
In summary, we aim to develop high affinity TCRs for use in immunotherapy, such as Ag-specific drug targeting, and we show here that our high affinity TCRs are capable of targeting Ag at low, physiological densities without appreciable cross-reactivity to other self-Ags. Furthermore, our observation that high affinity TCRs are able to inhibit T cell responses by stable masking of specific epitopes is a critical indicator that high affinity TCRs may also be capable of blocking specific immune responses, such as those involved in autoimmune diseases. Finally, our high affinity TCRs are shown here to be unique tools for investigating and characterizing the presentation of specific Ags, thus addressing parameters, such as Ag density, critical to the design of therapeutic approaches. Our current efforts to produce high affinity TCRs specific for numerous self or foreign Ags presented on HLA class I, HLA class II, or HLA-like molecules (26) will facilitate a wealth of comparative studies leading to a greater understanding of the cellular immune response.
| Acknowledgments |
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| Disclosures |
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| Footnotes |
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1 Address correspondence and reprint requests to Dr. Bent Jakobsen, Avidex, Ltd., 57c Milton Park, Abingdon OX14 4RX, United Kingdom. E-mail address: bent.jakobsen{at}avidex.com ![]()
2 Abbreviations used in this paper: TAA, tumor-associated Ag; SPR, surface plasmon resonance. ![]()
Received for publication November 18, 2005. Accepted for publication April 5, 2006.
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2-microglobulin gene mutations, HLA-A2 allospecificity loss, and antigen-processing machinery component down-regulation in melanoma cells derived from recurrent metastases following immunotherapy. J. Immunol. 174: 1462-1471. This article has been cited by other articles:
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Y. Zhao, A. D. Bennett, Z. Zheng, Q. J. Wang, P. F. Robbins, L. Y. L. Yu, Y. Li, P. E. Molloy, S. M. Dunn, B. K. Jakobsen, et al. High-Affinity TCRs Generated by Phage Display Provide CD4+ T Cells with the Ability to Recognize and Kill Tumor Cell Lines J. Immunol., November 1, 2007; 179(9): 5845 - 5854. [Abstract] [Full Text] [PDF] |
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