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CD8 T-cell responses to Wilms tumor gene product WT1 and proteinase 3 in patients with acute myeloid leukemia.

Abstract
Wilms tumor gene product WT1 and proteinase 3 are overexpressed antigens in acute myeloid leukemia (AML), against which cytotoxic T lymphocytes can be elicited in vitro and in murine models. We performed this study to investigate whether WT1- and proteinase 3-specific CD8 T cells spontaneously occur in AML patients. T cells recognizing HLA-A2.1-binding epitopes from WT1 or proteinase 3 could be detected ex vivo in 5 of 15 HLA-A2-positive AML patients by interferon-gamma (IFN-gamma) ELISPOT assay and flow cytometry for intracellular IFN-gamma and in 3 additional patients by flow cytometry only. T cells producing IFN-gamma in response to proteinase 3 were further characterized in one patient by 4-color flow cytometry, identifying them as CD3(+)CD8(+)CD45RA(+) CCR7(-) T cells, resembling cytotoxic effector T cells. In line with this phenotype, most of the WT1- and proteinase-reactive T cells were granzyme B(+). These results provide for the first time evidence for spontaneous T-cell reactivity against defined antigens in AML patients. These data therefore support the immunogenicity of WT1 and proteinase 3 in acute leukemia patients and the potential usefulness of these antigens for leukemia vaccines.
AuthorsCarmen Scheibenbogen, Anne Letsch, Eckhard Thiel, Alexander Schmittel, Volker Mailaender, Steffi Baerwolf, Dirk Nagorsen, Ulrich Keilholz
JournalBlood (Blood) Vol. 100 Issue 6 Pg. 2132-7 (Sep 15 2002) ISSN: 0006-4971 [Print] United States
PMID12200377 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antigens, Neoplasm
  • HLA-A2 Antigen
  • WT1 Proteins
  • Interferon-gamma
  • GZMB protein, human
  • Granzymes
  • Serine Endopeptidases
  • Myeloblastin
Topics
  • Acute Disease
  • Antigens, Neoplasm (immunology)
  • CD8-Positive T-Lymphocytes (immunology)
  • Case-Control Studies
  • Granzymes
  • HLA-A2 Antigen (immunology)
  • Humans
  • Immunophenotyping
  • Interferon-gamma (analysis)
  • Leukemia, Myeloid (immunology)
  • Myeloblastin
  • Serine Endopeptidases (analysis, immunology)
  • WT1 Proteins (immunology)

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