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Blood, 1 September 2008, Vol. 112, No. 5, pp. 1876-1885.
Prepublished online as a Blood First Edition Paper on June 30, 2008; DOI 10.1182/blood-2008-04-150045.
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Submitted April 7, 2008
Accepted June 16, 2008
Cytotoxic T lymphocytes directed to the Preferentially Expressed Antigen of Melanoma (PRAME) target chronic myeloid leukemia
Concetta Quintarelli, Gianpietro Dotti, Biagio De Angelis, Valentina Hoyos, Martha Mims, Luigia Luciano, Helen E Heslop, Cliona M Rooney, Fabrizio Pane, and Barbara Savoldo*
Center for Cell and Gene Therapy, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, Texas, United States
Department of Immunology, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, Texas, United States
Department of Medicine, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, Texas, United States
Hematology Unit, CEINGE-Biotecnologie Avanzate, University of Naples Federico II, Naples, Italy
Department of Pediatrics, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, Texas, United States
Department of Molecular Virology and Microbiology, Baylor College of Medicine, The Methodist Hospital and Texas Children's Hospital, Houston, Texas, United States
* Corresponding author; email: bsavoldo{at}bcm.tmc.edu.
The cancer testis antigen (CTA) "Preferentially Expressed Antigen of Melanoma" (PRAME) is overexpressed in many hematological malignancies, including Chronic Myeloid Leukemia (CML). The sensitivity of CML to donor lymphocyte infusion after allogeneic stem cell transplantation suggests this tumor can be highly susceptible to cellular immunotherapy targeted to tumor associated antigens. We therefore tested whether functional PRAME-specific cytotoxic T lymphocytes (PRAME-CTLs) could be generated and expanded from healthy donors and CML patients, or whether the limited immunogenicity of this CTA coupled with tumor-associated-anergy would preclude this approach. Using optimized culture conditions and HLA-A*02 restricted PRAME-peptides we have consistently generated PRAME-CTLs from 8/9 healthy donors and 5/6 CML patients. These CTLs released IFN in response to PRAME peptides (between 113±8 and 795±23 SFC/105 T cells) and lysed PRAME-peptide loaded cells (45±19% at an E:T ratio of 20:1) in an MHC-restricted fashion. Importantly, these CTLs recognized and had cytotoxic activity against HLA-A*02+/PRAME+ tumor cell lines, and could recognize and respond to primary CML cells. PRAME-CTLs were generated almost exclusively from the naive T-cell compartment and clonal analysis showed these cells could have high  TCR-peptide avidity. PRAME-CTLs or vaccines may thus be of value for patients with CML.

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