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具有多种黑素细胞分化蛋白协同缺失的黑色素瘤:免疫逃逸可能通过靶向独特或未定义的抗原来克服。

Melanomas with concordant loss of multiple melanocytic differentiation proteins: immune escape that may be overcome by targeting unique or undefined antigens.

作者信息

Slingluff C L, Colella T A, Thompson L, Graham D D, Skipper J C, Caldwell J, Brinckerhoff L, Kittlesen D J, Deacon D H, Oei C, Harthun N L, Huczko E L, Hunt D F, Darrow T L, Engelhard V H

机构信息

Department of Surgery, University of Virginia, Charlottesville 22906, USA.

出版信息

Cancer Immunol Immunother. 2000 Mar;48(12):661-72. doi: 10.1007/s002620050015.

Abstract

Melanoma-reactive HLA-A x 0201-restricted cytotoxic T lymphocyte (CTL) lines generated in vitro lyse autologous and HLA-matched allogeneic melanoma cells and recognize multiple shared peptide antigens from tyrosinase, MART-1, and Pme117/gp100. However, a subset of melanomas fail to be lysed by these T cells. In the present report, four different HLA-A x 0201+ melanoma cell lines not lysed by melanoma-reactive allogeneic CTL have been evaluated in detail. All four are deficient in expression of the melanocytic differentiation proteins (MDP) tyrosinase, Pme117/gp100, gp75/ trp-1, and MART-1/Melan-A. This concordant loss of multiple MDP explains their resistance to lysis by melanoma-reactive allogeneic CTL and confirms that a subset of melanomas may be resistant to tumor vaccines directed against multiple MDP-derived epitopes. All four melanoma lines expressed normal levels of HLAA x 0201, and all were susceptible to lysis by xenoreactive-peptide-dependent HLA-A x 0201-specific CTL clones, indicating that none had identifiable defects in antigen-processing pathways. Despite the lack of shared MDP-derived antigens, one of these MDP-negative melanomas, DM331, stimulated an effective autologous CTL response in vitro, which was restricted to autologous tumor reactivity. MHC-associated peptides isolated by immunoaffinity chromatography from HLA-A1 and HLA-A2 molecules of DM331 tumor cells included at least three peptide epitopes recognized by DM331 CTL and restricted by HLA-A1 or by HLA-A x 0201. Recognition of these CTL epitopes cannot be explained by defined, shared melanoma antigens; instead, unique or undefined antigens must be responsible for the autologous-cell-specific anti-melanoma response. These findings suggest that immunotherapy directed against shared melanoma antigens should be supplemented with immunotherapy directed against unique antigens or other undefined antigens, especially in patients whose tumors do not express MDP.

摘要

体外产生的黑色素瘤反应性HLA - A0201限制性细胞毒性T淋巴细胞(CTL)系可裂解自体和HLA匹配的同种异体黑色素瘤细胞,并识别来自酪氨酸酶、MART - 1和Pme117/gp100的多种共享肽抗原。然而,一部分黑色素瘤无法被这些T细胞裂解。在本报告中,对四种未被黑色素瘤反应性同种异体CTL裂解的不同HLA - A0201+黑色素瘤细胞系进行了详细评估。这四种细胞系均缺乏黑素细胞分化蛋白(MDP)酪氨酸酶、Pme117/gp100、gp75/trp - 1和MART - 1/Melan - A的表达。多种MDP的这种一致缺失解释了它们对黑色素瘤反应性同种异体CTL裂解的抗性,并证实一部分黑色素瘤可能对针对多种MDP衍生表位的肿瘤疫苗具有抗性。所有四种黑色素瘤细胞系均表达正常水平的HLA - A0201,并且均易被异种反应性肽依赖性HLA - A0201特异性CTL克隆裂解,表明它们在抗原加工途径中均无可识别的缺陷。尽管缺乏共享的MDP衍生抗原,但这些MDP阴性黑色素瘤之一,即DM331,在体外刺激了有效的自体CTL反应,该反应仅限于自体肿瘤反应性。通过免疫亲和层析从DM331肿瘤细胞的HLA - A1和HLA - A2分子中分离的MHC相关肽包括至少三个被DM331 CTL识别并受HLA - A1或HLA - A*0201限制的肽表位。对这些CTL表位的识别无法用已定义的共享黑色素瘤抗原解释;相反,独特或未定义的抗原必定是自体细胞特异性抗黑色素瘤反应的原因。这些发现表明,针对共享黑色素瘤抗原的免疫疗法应辅以针对独特抗原或其他未定义抗原的免疫疗法,尤其是在肿瘤不表达MDP的患者中。

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