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Blood, 1 October 2008, Vol. 112, No. 7, pp. 2956-2964. Prepublished online as a Blood First Edition Paper on May 23, 2008; DOI 10.1182/blood-2008-02-137695.
Submitted February 6, 2008
Departement d'Immunologie, dermatologie et Oncologie, IMRB, Paris, France * Corresponding author; email: fs{at}soton.ac.uk.
The Wilms' tumor antigen, WT1, is associated with several human cancers including leukemia. We have evaluated WT1 as an immunotherapeutic target using our proven DNA fusion vaccine design, p.DOM-peptide, encoding a minimal tumor-derived MHC class I-binding epitope downstream of a foreign sequence (DOM) of tetanus toxin. Three p.DOM-peptide vaccines, each encoding a different WT1-derived, HLA-A2-restricted epitope, induced cytotoxic T lymphocytes (CTL) in humanized transgenic mice expressing chimeric HLA-A2, without affecting hematopoietic stem cells. Mouse CTL killed human leukemia cells in vitro indicating peptide processing/presentation. Low numbers of T cells specific for these epitopes have been described in cancer patients. Expanded human T cells specific for each of the three epitopes were lytic in vitro. Focussing on human WT137-45-specific cells, the most avid of the murine responses, we demonstrated lysis of primary leukemias, underscoring their clinical relevance. Finally we showed that these human CTL kill target cells transfected with the relevant p.DOM-peptide DNA vaccine, confirming that WT1-derived epitopes are presented to T cells similarly by tumors and following DNA vaccination. Together, these data link mouse and human studies to suggest that rationally-designed DNA vaccines encoding WT1-derived epitopes, particularly WT137-45, have the potential to induce/expand functional tumor-specific cytotoxic responses in cancer patients.
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