Multiple myeloma is incurable with standard
therapies but is susceptible to a T-cell-mediated graft versus myeloma effect after allogeneic
stem cell transplantation. We sought to identify myeloma-specific
antigens that might be used for T-cell
immunotherapy of myeloma. MAGE-C1 (CT-7) is a
cancer-testis antigen that is expressed by
tumor cells in >70% of myeloma patients and elicits a humoral response in up to 93% of patients with CT-7(+) myeloma. No CD8(+)
T-cell epitopes have been described for CT-7, so we used a combination of reverse immunology and immunization of
HLA-A2 transgenic mice with a novel cell-based
vaccine to identify three immunogenic
epitopes of CT-7 that are recognized by human CD8(+) T-cells. CT-7-specific T-cells recognizing two of these
peptides are able to recognize myeloma cells as well as CT-7 gene-transduced
tumor cells, demonstrating that these
epitopes are naturally processed and presented by
tumor cells. This is the first report of the identification of immunogenic CD8(+)
T-cell epitopes of MAGE-C1 (CT-7), which is the most commonly expressed
cancer-testis antigen found in myeloma, and these
epitopes may be promising candidate targets for vaccination or T-cell
therapy of myeloma or other CT-7(+)
malignancies.