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Blood, 1 October 2007, Vol. 110, No. 7, pp. 2556-2560. Prepublished online as a Blood First Edition Paper on June 19, 2007; DOI 10.1182/blood-2007-01-071001.
Submitted January 29, 2007
Department of Hematology/Oncology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany * Corresponding author; email: helga.bernhard{at}lrz.tum.de.
In Ph+ chronic myeloid leukemia (CML), the constitutively active Bcr-Abl kinase leads to the upregulation and activation of multiple genes, which may subsequently result in the expression of leukemia-associated antigens. In this study, we investigated the immunogenicity of Bcr-Abl regulated antigens by stimulating CD8+ T lymphocytes with autologous dendritic cells transfected with RNA coding for Bcr-Abl wild type or a kinase deficient mutant. Significant HLA class I-restricted T-cell responses were detected against antigens regulated by the Bcr-Abl kinase, but not towards the Bcr-Abl protein itself. The T-cell repertoire of a patient with CML in major molecular remission due to imatinib mesylate was also dominated by T cells directed against Bcr-Abl regulated antigens. These results encourage the development of immunotherapeutical approaches against Bcr-Abl regulated antigens for the treatment of CML patients with residual disease following therapy with Bcr-Abl kinase inhibitors.
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