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Blood, 1 July 2005, Vol. 106, No. 1, pp. 167-174.
Prepublished online as a Blood First Edition Paper on March 10, 2005; DOI 10.1182/blood-2004-12-4931.


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Submitted December 29, 2004
Accepted February 22, 2005

The Cancer-Testis antigens CT7 (MAGE-C1) and MAGE-A3/6 are commonly expressed in multiple myeloma and correlate with plasma cell proliferation

Achim A Jungbluth, Scott Ely, Maurizio DiLiberto, Ruben Niesvizky, Barbara Williamson, Denise Frosina, Yao-Tseng Chen, Nina Bhardwaj, Selina Chen-Kiang, Lloyd J Old, and Hearn J Cho*

New York Branch, Ludwig Institute for Cancer Research, New York, NY, USA
Department of Pathology, Weill Medical College of Cornell University, New York, NY, USA
Division of Hematology/ Medical Oncology, Department of Medicine, Weill Medical College of Cornell University, New York, NY, USA
The New York University School of Medicine, New York, NY, USA
Department of Pathology, Weill Medical College of Cornell University, New York, NY, USA; Graduate Program in Immunology and Microbial Pathogenesis, Weill Graduate School of Medical Sciences, New York, NY, USA
Division of Hematology/ Medical Oncology, Department of Medicine, Weill Medical College of Cornell University, New York, NY, USA; Graduate Program in Immunology and Microbial Pathogenesis, Weill Graduate School of Medical Sciences, New York, NY, USA

* Corresponding author; email: hjc2001{at}med.cornell.edu.

Multiple myeloma is a malignancy of plasma cells. Vaccine immunotherapy is among the novel therapeutic strategies under investigation for this disease. To identify myeloma-associated antigens as potential targets for vaccine immunotherapy, we surveyed a comprehensive panel of bone marrow specimens from patients with Monoclonal Gammopathy of Undetermined Significance (MGUS) and multiple myeloma for expression of Cancer-Testis (CT) antigens. Immunohistochemistry (IHC) demonstrated that 82% of stage III myeloma specimens expressed the CT antigen CT7 (also known as MAGE-C1), and 70% expressed MAGE-A3/6. Messenger RNA for CT7 and MAGE-A family members was detected in 87% and 100% of stage III samples, respectively. CT7 protein expression increased with advanced stage of disease. Higher levels of CT7 and MAGE-A3/6 proteins also correlated with elevated plasma cell proliferation. These results show that CT7 and MAGE-A3/6 are promising myeloma-associated antigens for application in vaccine immunotherapy. Furthermore, the common expression and correlation with proliferation suggest a possible pathogenic role for these proteins in myeloma.


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