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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.

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