Ayyoub Maha, Zippelius Alfred, Pittet Mikaël J, Rimoldi Donata, Valmori Danila, Cerottini Jean-Charles, Romero Pedro, Lejeune Ferdy, Liénard Danielle, Speiser Daniel E
Division of Clinical Onco-Immunology, Ludwig Institute for Cancer Research, Centre Hospitalier Universitaire Vaudois, CH-1005 Lausanne, Switzerland.
Clin Cancer Res. 2003 Feb;9(2):669-77.
As compared with natural tumor peptide sequences, carefully selected analog peptides may be more immunogenic and thus better suited for vaccination. However, T cells in vivo activated by such altered analog peptides may not necessarily be tumor specific because sequence and structure of peptide analogs differ from corresponding natural peptides.
Three melanoma patients were immunized with a Melan-A peptide analog that binds more strongly to HLA-A*0201 and is more immunogenic than the natural sequence. This peptide was injected together with a saponin-based adjuvant, followed by surgical removal of lymph node(s) draining the site of vaccination.
Ex vivo analysis of vaccine site draining lymph nodes revealed antigen-specific CD8+ T cells, which had differentiated to memory cells. In vitro, these cells showed accelerated proliferation upon peptide stimulation. Nearly all (16 of 17) of Melan-A-specific CD8+ T-cell clones generated from these lymph nodes efficiently killed melanoma cells.
Patient immunization with the analog peptide leads to in vivo activation of T cells that were specific for the natural tumor antigen, demonstrating the usefulness of the analog peptide for melanoma immunotherapy.
与天然肿瘤肽序列相比,精心挑选的类似肽可能具有更强的免疫原性,因此更适合用于疫苗接种。然而,被此类改变的类似肽激活的体内T细胞不一定具有肿瘤特异性,因为肽类似物的序列和结构与相应的天然肽不同。
三名黑色素瘤患者用一种与HLA - A*0201结合更强且比天然序列更具免疫原性的Melan - A肽类似物进行免疫接种。该肽与基于皂苷的佐剂一起注射,随后手术切除接种部位引流的淋巴结。
对接种部位引流淋巴结的体外分析显示出已分化为记忆细胞的抗原特异性CD8 + T细胞。在体外,这些细胞在肽刺激后显示出加速增殖。从这些淋巴结产生的几乎所有(17个中的16个)Melan - A特异性CD8 + T细胞克隆都能有效杀伤黑色素瘤细胞。
用类似肽对患者进行免疫接种可导致对天然肿瘤抗原具有特异性的T细胞在体内被激活,证明了类似肽在黑色素瘤免疫治疗中的有用性。