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Prepublished online as a Blood First Edition Paper on September 19, 2002; DOI 10.1182/blood-2002-03-0933.

Submitted March 26, 2002
Accepted September 12, 2002
Identification of immunodominant regions among promiscuous HLA-DR restricted CD4+ T cell epitopes on the tumor antigen MAGE-3
Giuseppe Consogno, Simona Manici, Valeria Facchinetti, Angela Bachi, Juergen Hammer, Bianca M Conti-Fine, Claudio Rugarli, Catia Traversari, and Maria Pia Protti*
Cancer Immunotherapy and Gene Therapy Program, Scientific Institute H. San Raffaele, Milan, Italy
Functional Proteomics HRS-IFOM, Scientific Institute H. San Raffaele, Milan, Italy
Department of Genomics and Information Sciences, Hoffmann-La Roche Inc., Nutley, NJ, USA
Universita' Vita-Salute San Raffaele, Milan, Italy
Cancer Immunotherapy and Gene Therapy Program, Scientific Institute H. San Raffaele, Milan, Italy; MOLMED SpA, Milan, Italy
* Corresponding author; email: m.protti{at}hsr.it.
The molecular characterization of the CD4+ T cell epitope repertoire on human tumor antigens would contribute to both clinical investigation and cancer immunotherapy. In particular, the identification of promiscuous epitopes would be beneficial to a large number of neoplastic patients regardless of their HLA-DR type. MAGE-3 is a tumor specific antigen widely expressed in solid and hematological malignancies, therefore is an excellent candidate antigen. We used a MHC class II epitope prediction algorithm, the TEPITOPE software, to predict 11 sequence segments of MAGE-3 that could form promiscuous CD4+ T cell epitopes. In binding assays, the synthetic peptides corresponding to the 11 predicted sequences bound at least 3 different HLA-DR alleles. Nine out of the 11 peptides induced proliferation of CD4+ T cells from both healthy subjects and melanoma patients. Four immunodominant regions (residues 111-125, 146-160, 191-205 and 281-295), containing naturally processed epitopes, were recognized by most of the donors, in association with 3 to 4 different HLA-DR alleles, thus covering up to 94% of the alleles expressed in Caucasians. On the contrary, the other promiscuous regions (residues 161-175 and 171-185) contained epitopes not naturally processed in vitro. The immunodominant epitopes identified will be useful in the design of peptide-based cancer vaccines, and in the study of the functional state of tumor specific CD4+ T cells in patients bearing MAGE-3 expressing tumors.

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