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Blood, 5 March 2009, Vol. 113, No. 10, pp. 2245-2255.
Prepublished online as a Blood First Edition Paper on November 6, 2008; DOI 10.1182/blood-2008-03-144071.


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Submitted March 14, 2008
Accepted October 15, 2008

Ex-vivo characterization of polyclonal memory CD8+ T-cell responses to PRAME-specific peptides in patients with acute lymphoblastic leukemia and acute and chronic myeloid leukemia

Katayoun Rezvani*, Agnes S.M. Yong, Abdul Tawab, Behnam Jafarpour, Rhoda Eniafe, Stephan Mielke, Bipin N Savani, Keyvan Keyvanfar, Yixin Li, Roger Kurlander, and A John Barrett

Department of Hematology, Imperial College London, London, United Kingdom
Stem Cell Allotransplantation Section, Hematology Branch, National Heart, Lung & Blood Institute, National Institutes of Health, Bethesda, MD, United States
Department of Laboratory Medicine, Clinical Center, National Institutes of Health, Bethesda, MD, United States
Division of Hematology and Oncology, Department of Internal Medicine II, Wuerzburg University Medical Center, Wuerzburg, Germany
Department of Medicine, Vanderbilt University, Nashville, TN, United States

* Corresponding author; email: k.rezvani{at}imperial.ac.uk.

PRAME (Preferentially expressed antigen of melanoma) is aberrantly expressed in hematological malignancies and may be a useful target for immunotherapy in leukemia. To determine whether PRAME is naturally immunogenic, we studied CD8+ T-cell responses to four HLA-A*0201-restricted PRAME-derived epitopes (PRA100, PRA142, PRA300, PRA425) in HLA-A*0201-positive patients with acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic myeloid leukemia (CML) and healthy donors. CD8+ T-cells recognizing PRAME peptides could be detected ex-vivo in 4/10 ALL, 6/10 AML, 3/10 CML patients and 3/10 donors by HLA-A2 tetramer analysis and flow cytometry for intracellular interferon-gamma. The frequency of PRAME-specific CD8+ T-cells was greater in patients with AML, CML and ALL than healthy controls. All peptides were immunogenic in patients, whilst responses were only detected to PRA300 in donors. High PRAME expression in patient peripheral blood mononuclear cells was associated with responses to ≥2 PRAME epitopes compared to low PRAME expression levels (4/7 vs. 0/23, P = 0.001), suggesting a PRAME-driven T-cell response. PRAME-specific T-cells were readily expanded in short-term cultures in donors and patients. These results provide evidence for spontaneous T-cell reactivity against multiple epitopes of PRAME in ALL, AML and CML. The potential for developing PRAME as a target for immunotherapy in leukemia deserves further exploration.


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V. G. Oehler, K. A. Guthrie, C. L. Cummings, K. Sabo, B. L. Wood, T. Gooley, T. Yang, M. T. Epping, Y. Shou, E. Pogosova-Agadjanyan, et al.
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