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Blood, 15 October 2004, Vol. 104, No. 8, pp. 2591-2599.
Prepublished online as a Blood First Edition Paper on July 1, 2004; DOI 10.1182/blood-2004-02-0459.
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TRANSPLANTATION
CD8+ cytotoxic T lymphocytes isolated from allogeneic healthy donors recognize HLA class Ia/Ibassociated renal carcinoma antigens with ubiquitous or restricted tissue expression
Andreas Dörrschuck,
Andrea Schmidt,
Elke Schnürer,
Matthias Glückmann,
Christian Albrecht,
Catherine Wölfel,
Volker Lennerz,
Alexander Lifke,
Carmela Di Natale,
Elena Ranieri,
Loreto Gesualdo,
Christoph Huber,
Michael Karas,
Thomas Wölfel, and
Wolfgang Herr
From the Department of Medicine III, Hematology and Oncology, Johannes GutenbergUniversity of Mainz, Germany; the Institute of Pharmaceutical Chemistry, Johann Wolfgang GoetheUniversity of Frankfurt, Germany; Applied Biosystems, Darmstadt, Germany; and the Department of Nephrology, University of Bari, Italy.
Allogeneic hematopoietic stem cell transplantation can induce considerable tumor remissions in metastatic renal-cell carcinoma (RCC) patients. The precise effector mechanisms mediating these graft-versus-tumor reactions are unknown. We studied RCC-directed CD8+ T-cell responses in blood lymphocytes of healthy individuals matched with established RCC cell lines for HLA-class I. In 21 of 22 allogeneic mixed lymphocyte/tumor-cell cultures (MLTCs), RCC-reactive cytotoxic T-lymphocytes (CTLs) were readily obtained. From MLTCs, 121 CD8+ CTL clones with memory phenotype were isolated. Their antiRCC reactivity was restricted by multiple classical HLA-Ia molecules, in particular by HLA-A2, -A3, -B7, -B44, -Cw7, and by a nonclassical HLA-Ib determinant. Extensive cross-reactivity analyses on a broad target panel identified CTLs that recognize antigens with expression restricted to renal tissue or to renal and colon tumors. Other CTLs were directed against antigens with broader tissue distribution being expressed in various epithelial and nonepithelial tumors or, additionally, in hematopoietic cells. With microcapillary liquid chromatography and matrix-assisted laser desorption ionization time-of-flight (MALDI-TOF)/TOF mass spectrometry, we identified the HLA-A*0301-associated nonpolymorphic peptide KLPNSVLGR encoded by the ubiquitously expressed Eps15 homology domaincontaining 2 gene as a CTL target. Defining human RCC antigens recognized by alloreactive CTLs may allow to improve the specificity and efficiency of allogeneic cell therapy (eg, specific donor-lymphocyte infusions or vaccination) in metastatic RCC patients.

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