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Blood, 1 May 2007, Vol. 109, No. 9, pp. 4089-4096.
Prepublished online as a Blood First Edition Paper on January 18, 2007; DOI 10.1182/blood-2006-08-043935.
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Submitted August 29, 2006
Accepted December 20, 2006
Multiple myeloma reactive T cells recognize an activation induced minor histocompatibility antigen encoded by the ATP dependent interferon responsive (ADIR) gene
CAM van Bergen*, MGD Kester, I Jedema, MHM Heemskerk, SAP van Luxemburg-Heijs, FM Kloosterboer, WAF Marijt, AH de Ru, MR Schaafsma, R Willemze, PA van Veelen, and JHF Falkenburg
Laboratory of Experimental Hematology, Dept of Hematology, Leiden University Medical Center, Leiden, Netherlands
Dept of Immunohematology & Blood Transfusion, Centre for Medical Systems Biology, Leiden University Medical Center, Leiden, Netherlands
Medisch Spectrum Twente, Enschede, Netherlands
* Corresponding author; email: c.a.m.van_bergen{at}lumc.nl.
Minor Histocompatibility antigens (mHag) play an important role in both graft versus tumor effects and graft-versus-host disease (GVHD) after allogeneic stem cell transplantation. We applied biochemical techniques and mass spectrometry to identify the peptide recognized by a dominant tumor reactive donor T-cell reactivity isolated from a transplanted patient with relapsed multiple myeloma entering complete remission after donor lymphocyte infusion. A frequently occurring single nucleotide polymorphism in the human ATP-dependent interferon responsive (ADIR) gene was found to encode the epitope we designated LB-ADIR-1F. Although gene expression could be found in cells from hematopoietic as well as non-hematopoietic tissues, the patient suffered from only mild acute GVHD in spite of high percentages of circulating LB-ADIR-1F specific T-cells. Differential recognition of non-hematopioetic cell types and resting hematopoietic cells as compared to activated B-cells, T-cells and tumor cells was demonstrated, illustrating variable LB-ADIR-1F expression dependending on the cellular activation state. In conclusion, the novel mHag LB-ADIR-1F may be a suitable target for cellular immunotherapy when applied under controlled circumstances.

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