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Blood, 15 December 2005, Vol. 106, No. 13, pp. 4217-4224.
Prepublished online as a Blood First Edition Paper on September 6, 2005; DOI 10.1182/blood-2005-02-0563.
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Submitted February 9, 2005
Accepted August 11, 2005
CD8+ T cells specific for cancer-germline gene antigens are found in many patients with multiple myeloma and their frequency correlates with disease burden
Oliver Goodyear*, Karen Piper, Naeem Khan, Jane Starczynski, Prem Mahendra, Guy Pratt, and Paul A Moss
Department of Haematology, CR-UK Institute for Cancer Studies, Birmingham, West Midlands, United Kingdom
Heartlands Hospitals, Birmingham, West Midlands, United Kingdom
Queen Elizabeth Hospital, Birmingham, West Midlands, United Kingdom
* Corresponding author; email: OCG182{at}bham.ac.uk.
The expression of Cancer Germ-line Antigens (CGAgs) is normally restricted to the testis but is also present in many types of malignant cells including plasma cells from patients with myeloma. As T cell immune responses to CGAg have been identified in patients with solid tumors, this may offer a novel target for immunotherapy in patients with myeloma.
We have used twelve peptide epitopes from a range of CGAgs to screen for CGAg-specific T cells in blood from patients with multiple myeloma at various stages of their disease. T cells from 15 out of 37 patients responded to one or more CGAg peptides and the magnitude of the CGAg-specific CD8+ T cell response ranged between 0.0004% and 0.1% of the total CD8+ T cell pool. Serial analyses showed that these immune responses were detectable in individual patients at multiple time-points during the course of their disease. In patients undergoing treatment or disease relapse, the magnitude of the CGAg-specific T cell response was positively correlated with the level of paraprotein.
Functional T cells specific for CGAgs are therefore present in a proportion of patients with multiple myeloma and offer the possibility of a novel approach for immunotherapy in this disease.

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