Many recombinant poxviral
vaccines are currently in clinical trials for
cancer and
infectious diseases. However, these agents have failed to generate T cell responses specific for recombinant gene products at levels comparable with T cell responses associated with natural
viral infections. The recent identification of
vaccinia-encoded CTL
epitopes, including a new
epitope described in this study, allows the simultaneous comparison of CTL responses specific for poxviral and recombinant
epitopes. We performed detailed kinetic analyses of CTL responses in
HLA-A*0201 patients receiving repeated
injections of recombinant modified
vaccinia Ankara encoding a string of
melanoma tumor Ag
epitopes. The
vaccine-driven CTL hierarchy was dominated by modified
vaccinia Ankara
epitope-specific responses, even in patients who had not received previous
smallpox vaccination. The only recombinant
epitope that was able to impact on the CTL hierarchy was the melan-A26-35 analog
epitope, whereas responses specific for the weaker affinity
epitope NY-ESO-1(157-165) failed to be expanded above the level detected in prevaccination samples. Our results demonstrate that immunodominant
vaccinia-specific CTL responses limit the effectiveness of poxviruses in recombinant vaccination strategies and that more powerful priming strategies are required to overcome immunodominance of poxvirus-specific T cell responses.