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Blood, 15 October 2000, Vol. 96, No. 8, pp. 2828-2833

IMMUNOBIOLOGY

Tumor-specific recognition of human myeloma cells by idiotype-induced CD8+ T cells

Yiwen Li, Maurizio Bendandi, Yuping Deng, Cynthia Dunbar, Nikhil Munshi, Sundar Jagannath, Larry W. Kwak, and H. Kim Lyerly

From the Center for Genetic and Cellular Therapies, Departments of Surgery, Immunology, and Pathology, Duke University Medical Center, Durham, NC; the Department of Experimental Transplantation and Immunology, Medicine Branch, Division of Clinical Sciences, National Cancer Institute, Bethesda, MD; the Hematology Branch, National Heart, Lung, and Blood Institute, Bethesda, MD; and the Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AK.

Immunoglobulin secreted by myeloma cells contains a unique antigenic determinant (idiotype [Id]) that may serve as a tumor-specific antigen. Although Id-protein-specific T-cell responses have been reported in patients with myeloma, it is not known whether primary myeloma tumor cells can present naturally processed Id peptides on their surface as a target. We immunized 2 healthy human stem-cell donors with Id proteins from their recipients. T cells from the immunized donors released high levels of T-helper 1-type cytokines in response to stimulation with myeloma cells from their recipients. The T-cell-mediated cytokine response to tumor cells was blocked by a major histocompatibility complex (MHC) class I monoclonal antibody, whereas the response to soluble Id protein was dependent on MHC class II. To investigate whether Id-specific CD8+ T cells can recognize and kill autologous myeloma cells, we generated T cells from peripheral blood mononuclear cells from a third patient with myeloma by means of in vitro stimulation with autologous dendritic cells pulsed with Id protein. Tumor-specific lysis of myeloma cells was demonstrated by the lack of killing of autologous nonmalignant B cells or natural killer-sensitive K562 cells. Lysis of autologous myeloma targets was restricted by MHC class I molecules. These data represent the first report of class I-restricted T-cell recognition of fresh autologous myeloma targets and formally demonstrate that human myeloma cells can serve as targets of an Id-specific T-cell response.

© 2000 by The American Society of Hematology.
 

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