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Blood, 1 February 2007, Vol. 109, No. 3, pp. 1103-1112.
Prepublished online as a Blood First Edition Paper on October 5, 2006; DOI 10.1182/blood-2006-04-014480.
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IMMUNOBIOLOGY
Cancer-testis antigens are commonly expressed in multiple myeloma and induce systemic immunity following allogeneic stem cell transplantation
Djordje Atanackovic1,
Julia Arfsten1,
Yanran Cao1,
Sacha Gnjatic5,
Frank Schnieders2,
Katrin Bartels1,
Georgia Schilling1,
Christiane Faltz1,
Christine Wolschke3,
Judith Dierlamm1,
Gerd Ritter5,
Thomas Eiermann4,
Dieter Kurt Hossfeld1,
Axel R. Zander3,
Achim A. Jungbluth5,
Lloyd J. Old5,
Carsten Bokemeyer1, and
Nicolaus Kröger3
1 Department of Oncology/Hematology,
2 Institute for Biochemistry and Molecular Biology,
3 Bone Marrow Transplantation, Transplantation-Centre,
4 Department of Transfusion Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;
5 Ludwig Institute for Cancer Research (LICR), New York Branch at Memorial Sloan-Kettering Cancer Center, New York, NY
Immunotherapies using cancer-testis (CT) antigens as targets represent a potentially useful treatment in patients with multiple myeloma (MM) who commonly show recurrent disease following chemotherapy. We analyzed the expression of 11 CT antigens in bone marrow samples from patients with MM (n = 55) and healthy donors (n = 32) using reverse transcriptasepolymerase chain reaction (RT-PCR). CT antigens were frequently expressed in MM with 56% (MAGEC2), 55% (MAGEA3), 35% (SSX1), 20% (SSX4, SSX5), 16% (SSX2), 15% (BAGE), 7% (NY-ESO-1), and 6% (ADAM2, LIPI) expressing the given antigen. Importantly, CT antigens were not expressed in healthy bone marrow. Analyzing patients with MM (n = 66) for antibody responses against MAGEA3, SSX2, and NY-ESO-1, we found strong antibody responses against CT antigens preferentially in patients who had received allogeneic stem cell transplantation (alloSCT). Antibody responses against NY-ESO-1 correlated with NY-ESO-1specific CD4+ and CD8+ T-cell responses against peptide NY-ESO-151-62 and CD4+ responses against NY-ESO-1121-140 in 1 of these patients. These allogeneic immune responses were not detectable in pretransplantation samples and in the patients' stem cell donors, indicating that CT antigens might indeed represent natural targets for graft-versus-myeloma effects. Immune responses induced by alloSCT could be boosted by active CT antigenspecific immunotherapy, which might help to achieve long-lasting remissions in patients with MM.

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