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Blood, 1 September 2008, Vol. 112, No. 5, pp. 1844-1852. Prepublished online as a Blood First Edition Paper on June 10, 2008; DOI 10.1182/blood-2007-11-125492.
IMMUNOBIOLOGY Targeting a single mismatched minor histocompatibility antigen with tumor-restricted expression eradicates human solid tumors1 Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden; and 2 Department of Pathology, Erasmus Medical Center, Rotterdam, The Netherlands
Regressions of metastatic solid tumors after allogeneic human leukocyte antigen (HLA)–matched stem cell transplantation (SCT) are often associated with detrimental graft-versus-host disease (GVHD). The graft-versus-host reaction of the HLA-matched donor is directed mainly against the multiple mismatched minor histocompatibility antigens (mHags) of the patient. mHags are strong HLA-restricted alloantigens with differential tissue distribution. Ubiquitously expressed mHags are the prime in situ targets of GVHD. The mHag HA-1 is hematopoiesis restricted, but displays additionally an aberrant expression on solid tumors. Thus, HA-1 might be an excellent target to boost the anti–solid tumor effect of allogeneic SCT without inducing severe GVHD. Here, we show that cytotoxic T lymphocytes (CTLs) solely targeting the human mHag HA-1 are capable of eradicating 3-dimensional human solid tumors in a highly mHag-specific manner in vitro, accompanied by interferon-
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