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Blood, 15 October 2003, Vol. 102, No. 8, pp. 2885-2891. Prepublished online as a Blood First Edition Paper on July 3, 2003; DOI 10.1182/blood-2002-11-3584.
IMMUNOBIOLOGY Generation of autologous cytotoxic and helper T-cell responses against the B-cell leukemiaassociated antigen HB-1: relevance for precursor B-ALLspecific immunotherapyFrom the Central Hematology Laboratory and the Department of Hematology, University Medical Center St Radboud, Nijmegen, The Netherlands.
Tumor relapses in patients with precursor B-cell acute lymphoblastic leukemia (BALL) occur frequently after primary treatment. Therefore, development of additional treatment modalities to eliminate residual tumor cells is needed. Active immunotherapy using dendritic cells (DCs) loaded with tumor-associated antigens is a promising approach to induce specific T-cell immunity in patients with cancer. In previous studies, we described HB-1 as a B-cell lineage-specific antigen that is recognized by donor-derived cytotoxic T lymphocytes (CTLs) on allogeneic B-ALL tumor cells. Here, we investigated the potential use of the HB-1 antigen as an autologous T-cell vaccine target. To determine whether HB-1specific CTL precursors are present within the T-cell repertoire, we induced expansion of CD8+ T cells using mature monocyte-derived DCs pulsed with the previously identified HB-1.B44 antigenic peptide. In 6 of 8 donors, CD8+ CTL lines have been generated that exert cytotoxicity against target cells exogenously pulsed with peptide or endogenously expressing the HB-1 antigen. From one of these HB-1specific T-cell lines, we isolated a CD8+ CTL that produces interferon-
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