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Prepublished online as a Blood First Edition Paper on June 28, 2002; DOI 10.1182/blood-2002-02-0659.
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Blood, 1 January 2003, Vol. 101, No. 1, pp. 259-264
NEOPLASIA
Interferon- , but not the ABL-kinase inhibitor imatinib
(STI571), induces expression of myeloblastin and a specific T-cell
response in chronic myeloid leukemia
Andreas Burchert,
Stefan Wölfl,
Manuel Schmidt,
Cornelia Brendel,
Barbara Denecke,
Dali Cai,
Larissa Odyvanova,
Tanja Lahaye,
Martin C. Müller,
Thomas Berg,
Harald Gschaidmeier,
Burghardt Wittig,
Rüdiger Hehlmann,
Andreas Hochhaus, and
Andreas Neubauer
From the Klinikum der Philipps Universität
Marburg, Klinik für Hämatologie, Onkologie und Immunologie,
Germany; Friedrich-Schiller-Universität Jena, Klinik
für Innere Medizin, Germany; Mologen, Berlin,
Germany; Fakultät für Klinische Medizin
Mannheim der Universität Heidelberg, III Medizinische Klinik,
Germany; Charité-Virchow Klinikum, Medizinische
Klinik, Gastroenterologie-Hepatologie, Humboldt
Universität, Berlin, Germany; and Novartis Pharma,
Nuremberg, Germany.
Chronic myeloid leukemia (CML) is a clonal disease of hematopoietic
stem cells caused by a reciprocal translocation of the long arms of
chromosomes 9 and 22. In human leukocyte antigen A*0201+ (HLA-A*0201+) individuals,
response after interferon- (IFN- ) was shown to be associated with
the emergence of CML-specific cytotoxic T cells that recognize PR-1, a
myeloblastin (MBN)-derived nonapeptide. In contrast,
imatinib potently induces remissions from CML by specific inhibition of
the ABL tyrosine kinase. Here, we explored molecular
regulations associated with CML responses under different treatment
forms using cDNA-array. Expression of MBN was found to be
down-regulated in remission under imatinib therapy (0 of 7 MBN+ patients). In contrast, MBN
transcription was readily detectable in the peripheral blood in 8 of 8 tested IFN- patients in complete remission
(P = .0002). IFN- -dependent MBN
transcription was confirmed in vitro by stimulation of peripheral blood
mononuclear cells (PBMCs) with IFN- and by IFN- -mediated
activation of the MBN promoter in reporter gene assays.
Finally, with the use of HLA-A*0201-restricted, MBN-specific tetrameric complexes, it was demonstrated that
all of 4 IFN- -treated patients (100%), but only 2 of 11 imatinib patients (19%), in complete hematological or cytogenetic remission developed MBN-specific cytotoxic T cells
(P = .011). Together, the induction of MBN
expression by IFN- , but not imatinib, may contribute to the specific
ability of IFN- to induce an MBN-specific T-cell
response in CML patients. This also implies that the character of
remissions achieved with either drug may not be equivalent and
therefore a therapy modality combining IFN- and imatinib may be most effective.

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