Idiotype
protein (Id) secreted by myeloma cells is the best-characterized
tumor-specific
antigen and is widely used in clinical trials of
immunotherapy in B-cell
tumors. In this study, we used a myeloma murine model to compare the efficacy of two commonly used
vaccines in human trials, Id-
keyhole limpet hemocyanin (KLH)
protein versus Id-KLH-pulsed DC
vaccines in preventing or treating myeloma and priming
tumor-specific immune responses. Although both
vaccines were able to protect mice from developing myeloma, only the DC
vaccine induced therapeutic immunity in
tumor-bearing mice. DC vaccinations not only retarded
tumor growth but also eradicated established myeloma in 60% of mice. The therapeutic efficacy of the DC
vaccine was associated with increased
tumor-specific IFN-g and
IL-4 T-cell responses and cytolytic activity of splenic T cells. Moreover, the
vaccines induced
tumor-specific immune responses that protected surviving mice from
tumor rechallenge. Thus, our results demonstrate that Id-based DC
vaccine but not Id-KLH
protein vaccine can be therapeutic to established myeloma. Further studies are needed to optimize methods of DC-based
vaccines to improve the efficacy of clinical trials.