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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.


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IMMUNOBIOLOGY

Targeting a single mismatched minor histocompatibility antigen with tumor-restricted expression eradicates human solid tumors

Lothar Hambach1, Marcel Vermeij2, Andreas Buser1, Zohara Aghai1, Theodorus van der Kwast2, and Els Goulmy1

1 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-{gamma} release. In vivo, HA-1–specific CTLs distribute systemically and prevent human breast cancer metastases in immunodeficient mice. Moreover, HA-1–specific CTLs infiltrate and inhibit the progression of fully established metastases. Our study provides the first proof for the efficacy of a clinically applicable concept to exploit single mismatched mHags with hematopoiesis- and solid tumor–restricted expression for boosting the anti–solid tumor effect of allogeneic SCT.


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L. Hambach, K.-W. Ling, J. Pool, Z. Aghai, E. Blokland, H. J. Tanke, J. A. Bruijn, H. Halfwerk, H. van Boven, B. Wieles, et al.
Hypomethylating drugs convert HA-1-negative solid tumors into targets for stem cell-based immunotherapy
Blood, March 19, 2009; 113(12): 2715 - 2722.
[Abstract] [Full Text] [PDF]



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