1. Vaccine-induced CD4+ T cell responses to MAGE-3 protein in lung cancer patients.
- Author
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Atanackovic D, Altorki NK, Stockert E, Williamson B, Jungbluth AA, Ritter E, Santiago D, Ferrara CA, Matsuo M, Selvakumar A, Dupont B, Chen YT, Hoffman EW, Ritter G, Old LJ, and Gnjatic S
- Subjects
- Adjuvants, Immunologic administration & dosage, Amino Acid Sequence, Antibodies, Neoplasm biosynthesis, Antibodies, Neoplasm blood, CD8-Positive T-Lymphocytes immunology, Cytokines biosynthesis, Epitopes, T-Lymphocyte immunology, Humans, Lipid A administration & dosage, Lipid A immunology, Lymphocyte Activation immunology, Melanoma immunology, Molecular Sequence Data, Saponins administration & dosage, Saponins immunology, Th1 Cells immunology, Th1 Cells metabolism, Th2 Cells immunology, Th2 Cells metabolism, Vaccines, Combined administration & dosage, Vaccines, Combined immunology, Vaccines, DNA administration & dosage, Antigens, Neoplasm immunology, CD4-Positive T-Lymphocytes immunology, CD4-Positive T-Lymphocytes metabolism, Cancer Vaccines immunology, Carcinoma, Non-Small-Cell Lung immunology, Lipid A analogs & derivatives, Lung Neoplasms immunology, Neoplasm Proteins immunology, Vaccines, DNA immunology
- Abstract
MAGE-3 is the most commonly expressed cancer testis Ag and thus represents a prime target for cancer vaccines, despite infrequent natural occurrence of MAGE-3-specific immune responses in vivo. We report in this study the successful induction of Ab, CD8(+), and CD4(+) T cells in nonsmall cell lung cancer patients vaccinated with MAGE-3 recombinant protein. Two cohorts were analyzed: one receiving MAGE-3 protein alone, and one receiving MAGE-3 protein with adjuvant AS02B. Of nine patients in the first cohort, three developed marginal Ab titers and another one had a CD8(+) T cell response to HLA-A2-restricted peptide MAGE-3 271-279. In contrast, of eight patients from the second cohort vaccinated with MAGE-3 protein and adjuvant, seven developed high-titered Abs to MAGE-3, and four had a strong concomitant CD4(+) T cell response to HLA-DP4-restricted peptide 243-258. One patient simultaneously developed CD8(+) T cells to HLA-A1-restricted peptide 168-176. The novel monitoring methodology used in this MAGE-3 study establishes that protein vaccination induces clear CD4(+) T cell responses that correlate with Ab production. This development provides the framework for further evaluating integrated immune responses in vaccine settings and for optimizing these responses for clinical benefit.
- Published
- 2004
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