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Blood, 1 September 2008, Vol. 112, No. 5, pp. 1844-1852.
Prepublished online as a Blood First Edition Paper on June 10, 2008; DOI 10.1182/blood-2007-11-125492.


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Submitted November 29, 2007
Accepted May 3, 2008

Targeting a single mismatched minor histocompatibility antigen with tumor-restricted expression eradicates human solid tumors

Lothar Hambach*, Marcel Vermeij, Andreas Buser, Zohara Aghai, Theodorus van der Kwast, and Els Goulmy

Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, Netherlands
Erasmus Medical Center, Department of Pathology, Rotterdam, Netherlands

* Corresponding author; email: l.w.h.hambach{at}lumc.nl.

Regressions of metastatic solid tumors after allogeneic human leukocyte antigen (HLA)-matched stem-cell transplantation (SCT) are often associated with detrimental graft-versus-host-disease (GvHD). The graft-versus-host reaction of the HLA-matched donor is mainly directed against the multiple mismatched minor histocompatibility antigens (mHags) of the patient. mHags are strong HLA-restricted allo-antigens with differential tissue distribution. Ubiquitously expressed mHags are the prime in situ targets of GvHD. The mHag HA-1 is hematopoiesis-restricted, but displays additionally an aberrant expression on solid tumors. Thus, HA-1 might be an excellent target to boost the anti-solid tumor effect of allogeneic SCT without inducing severe GvHD. Here, we show that cytotoxic T-lymphocytes (CTLs) solely targeting the human mHag HA-1 are capable of eradicating three-dimensional human solid tumors in a highly mHag specific manner in vitro, accompanied by interferon-gamma release. In vivo, HA-1 specific CTLs distribute systemically and prevent human breast cancer metastases in immunodeficient mice. Moreover, HA-1 specific CTLs infiltrate and inhibit the progression of fully established metastases. Our study provides the first proof for the efficacy of a clinically applicable concept to exploit single mismatched mHags with hematopoiesis- and solid tumor-restricted expression for boosting the anti-solid tumor effect of allogeneic SCT.


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L. Hambach, K.-W. Ling, J. Pool, Z. Aghai, E. Blokland, H. J. Tanke, J. A. Bruijn, H. Halfwerk, H. van Boven, B. Wieles, et al.
Hypomethylating drugs convert HA-1-negative solid tumors into targets for stem cell-based immunotherapy
Blood, March 19, 2009; 113(12): 2715 - 2722.
[Abstract] [Full Text] [PDF]



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