Abstract
Cancer/testis (CT) antigens are protein antigens with normal expression restricted to adult testicular germ cells, and yet are aberrantly activated and expressed in a proportion of various types of human cancer. At least a subset of this group of antigens has been found to elicit spontaneous humoral and cell-mediated immune responses in cancer patients, raising the possibility that these antigens could be cancer vaccine targets. More than 100 CT antigen genes have been reported in the literature, with approximately 30 being members of multigene families on the X chromosome, i.e., the CT-X genes. Most CT-X genes are expressed at the spermatogonia stage of spermatogenesis, and their functions are mostly unknown. In cancer, the frequency of CT antigen expression is highly variable among different tumor types, but is more often expressed in high-grade late-stage cases in general. Cancer vaccine trials based on CT antigens, MAGE-A3 and NY-ESO-1 are currently ongoing, and these antigens may also play a role in antigen-specific adoptive T cell transfer and in the immunomodulation approach of cancer therapy.
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Abbreviations
- 5DC:
-
5-aza-2-deoxycytidine
- CT:
-
Cancer/testis
- CTL:
-
Cytotoxic T lymphocyte
- HDAC:
-
Histone deacetylase
- IHC:
-
Immunohistochemical
- NSCLC:
-
Non-small cell lung cancer
- qRT-PCR:
-
Quantitative reverse transcription-polymerase chain reaction
- SEREX:
-
Serological analysis of recombinant cDNA expression libraries
References
Ait-Tahar K, Liggins AP, Collins GP et al (2009) Cytolytic T-cell response to the PASD1 cancer testis antigen in patients with diffuse large B-cell lymphoma. Br J Haematol 146(4):396–407
Almeida LG, Sakabe NJ (2009) deOliveira AR, et al. CTdatabase: a knowledge-base of high-throughput and curated data on cancer-testis antigens. Nucleic Acids Res 37:D816–D819
Andrade VC, Vettore AL (2009) Regis Silva MR, et al. Frequency and prognostic relevance of cancer testis antigen 45 expression in multiple myeloma. Exp Hematol 37:446–449
Aoki VW, Liu L, Jones KP et al (2006) Sperm protamine 1/protamine 2 ratios are related to in vitro fertilization pregnancy rates and predictive of fertilization ability. Fertil Steril 86:1408–1415
Atanackovic D, Altorki NK, Cao Y et al (2008) Booster vaccination of cancer patients with MAGE-A3 protein reveals long-term immunological memory or tolerance depending on priming. Proc Natl Acad Sci U S A 105:1650–1655
Atanackovic D, Luetkens T, Hildebrandt Y et al (2009) Longitudinal analysis and prognostic effect of cancer-testis antigen expression in multiple myeloma. Clin Cancer Res 15:1343–1352
Bai S, He B, Wilson EM (2005) Melanoma antigen gene protein MAGE-11 regulates androgen receptor function by modulating the interdomain interaction. Mol Cell Biol 25:1238–1257
Bellati F, Napoletano C, Tarquini E et al (2007) Cancer testis antigen expression in primary and recurrent vulvar cancer: association with prognostic factors. Eur J Cancer 43:2621–2627
Boel P, Wildmann C, Sensi ML et al (1995) BAGE: a new gene encoding an antigen recognized on human melanomas by cytolytic T lymphocytes. Immunity 2:167–175
Boon T, Coulie PG, Van den Eynde B (1997) Tumor antigens recognized by T cells. Immunol Today 18:267–268
Brasseur F, Rimoldi D, Lienard D et al (1995) Expression of MAGE genes in primary and metastatic cutaneous melanoma. Int J Cancer 63:375–380
Brinkmann U, Vasmatzis G, Lee B, Pastan I (1999) Novel genes in the PAGE and GAGE family of tumor antigens found by homology walking in the dbEST database. Cancer Res 59:1445–1448
Chen YT, Scanlan MJ, Sahin U et al (1997) A testicular antigen aberrantly expressed in human cancers detected by autologous antibody screening. Proc Natl Acad Sci U S A 94:1914–1918
Chen YT, Gure AO, Tsang S et al (1998) Identification of multiple cancer/testis antigens by allogeneic antibody screening of a melanoma cell line library. Proc Natl Acad Sci U S A 95:6919–6923
Chen YT, Scanlan MJ, Venditti CA et al (2005a) Identification of cancer/testis-antigen genes by massively parallel signature sequencing. Proc Natl Acad Sci U S A 102:7940–7945
Chen YT, Venditti CA, Theiler G et al (2005b) Identification of CT46/HORMAD1, an immunogenic cancer/testis antigen encoding a putative meiosis-related protein. Cancer Immun 5:9
Chen YT, Hsu M, Lee P et al (2009) Cancer/testis antigen CT45: analysis of mRNA and protein expression in human cancer. Int J Cancer 124:2893–2898
Cho HJ, Caballero OL, Gnjatic S et al (2006) Physical interaction of two cancer-testis antigens, MAGE-C1 (CT7) and NY-ESO-1 (CT6). Cancer Immun 6:12
Cilensek ZM, Yehiely F, Kular RK, Deiss LP (2002) A member of the GAGE family of tumor antigens is an anti-apoptotic gene that confers resistance to Fas/CD95/APO-1, Interferon-gamma, taxol and gamma-irradiation. Cancer Biol Ther 1:380–387
Condomines M, Quittet P, Lu ZY et al (2006) Functional regulatory T cells are collected in stem cell autografts by mobilization with high-dose cyclophosphamide and granulocyte colony-stimulating factor. J Immunol 176:6631–6639
Coulie PG, Karanikas V, Colau D et al (2001) A monoclonal cytolytic T-lymphocyte response observed in a melanoma patient vaccinated with a tumor-specific antigenic peptide encoded by gene MAGE-3. Proc Natl Acad Sci U S A 98:10290–10295
Davis ID, Chen W, Jackson H et al (2004) Recombinant NY-ESO-1 protein with ISCOMATRIX adjuvant induces broad integrated antibody and CD4(+) and CD8(+) T cell responses in humans. Proc Natl Acad Sci U S A 101:10697–10702
De Smet C, De Backer O, Faraoni I, Lurquin C, Brasseur F, Boon T (1996) The activation of human gene MAGE-1 in tumor cells is correlated with genome-wide demethylation. Proc Natl Acad Sci U S A 93:7149–7153
De Smet C, Lurquin C, Lethe B, Martelange V, Boon T (1999) DNA methylation is the primary silencing mechanism for a set of germ line- and tumor-specific genes with a CpG-rich promoter. Mol Cell Biol 19:7327–7335
Depa-Martynow M, Kempisty B, Lianeri M, Jagodzinski PP, Jedrzejczak P (2007) Association between fertilin beta, protamines 1 and 2 and spermatid-specific linker histone H1-like protein mRNA levels, fertilization ability of human spermatozoa, and quality of preimplantation embryos. Folia Histochem Cytobiol 45(Suppl 1):S79–S85
Dhodapkar MV, Osman K, Teruya-Feldstein J et al (2003) Expression of cancer/testis (CT) antigens MAGE-A1, MAGE-A3, MAGE-A4, CT-7, and NY-ESO-1 in malignant gammopathies is heterogeneous and correlates with site, stage and risk status of disease. Cancer Immun 3:9
Duan Z, Duan Y, Lamendola DE et al (2003) Overexpression of MAGE/GAGE genes in paclitaxel/doxorubicin-resistant human cancer cell lines. Clin Cancer Res 9:2778–2785
Eichmuller S, Usener D, Thiel D, Schadendorf D (2003) Tumor-specific antigens in cutaneous T-cell lymphoma: expression and sero-reactivity. Int J Cancer 104:482–487
Frank C, Hundemer M, Ho AD, Goldschmidt H, Witzens-Harig M (2008) Cellular immune responses against the cancer-testis antigen SPAN-XB in healthy donors and patients with multiple myeloma. Leuk Lymphoma 49:779–785
Fukuyama T, Hanagiri T, Takenoyama M et al (2006) Identification of a new cancer/germline gene, KK-LC-1, encoding an antigen recognized by autologous CTL induced on human lung adenocarcinoma. Cancer Res 66:4922–4928
Gaugler B, Van den Eynde B, van der Bruggen P et al (1994) Human gene MAGE-3 codes for an antigen recognized on a melanoma by autologous cytolytic T lymphocytes. J Exp Med 179:921–930
Gedye C, Quirk J, Browning J et al (2009) Cancer/testis antigens can be immunological targets in clonogenic CD133(+) melanoma cells. Cancer Immunol Immunother 58(10):1635–1646
Gnjatic S, Altorki NK, Tang DN et al (2009) NY-ESO-1 DNA vaccine induces T-cell responses that are suppressed by regulatory T cells. Clin Cancer Res 15:2130–2139
Goydos JS, Patel M, Shih W (2001) NY-ESO-1 and CTp11 expression may correlate with stage of progression in melanoma. J Surg Res 98:76–80
Gure AO, Stockert E, Arden KC et al (2000) CT10: a new cancer-testis (CT) antigen homologous to CT7 and the MAGE family, identified by representational-difference analysis. Int J Cancer 85:726–732
Gure AO, Chua R, Williamson B et al (2005) Cancer-testis genes are coordinately expressed and are markers of poor outcome in non-small cell lung cancer. Clin Cancer Res 11:8055–8062
Hamer G, Gell K, Kouznetsova A, Novak I, Benavente R, Hoog C (2006) Characterization of a novel meiosis-specific protein within the central element of the synaptonemal complex. J Cell Sci 119:4025–4032
Harada N, Hoshiai K, Takahashi Y et al (2008) Preclinical safety pharmacology study of a novel protein-based cancer vaccine CHP-NY-ESO-1. Kobe J Med Sci 54:E23–E34
Heidebrecht HJ, Claviez A, Kruse ML et al (2006) Characterization and expression of CT45 in Hodgkin’s lymphoma. Clin Cancer Res 12:4804–4811
Hoffmann MJ, Schulz WA (2005) Causes and consequences of DNA hypomethylation in human cancer. Biochem Cell Biol 83:296–321
Hofmann O, Caballero OL, Stevenson BJ et al (2008) Genome-wide analysis of cancer/testis gene expression. Proc Natl Acad Sci U S A 105:20422–20427
Hunder NN, Wallen H, Cao J et al (2008) Treatment of metastatic melanoma with autologous CD4+ T cells against NY-ESO-1. N Engl J Med 358:2698–2703
Jager E, Stockert E, Zidianakis Z et al (1999) Humoral immune responses of cancer patients against “Cancer-Testis” antigen NY-ESO-1: correlation with clinical events. Int J Cancer 84:506–510
Jager D, Stockert E, Gure AO et al (2001) Identification of a tissue-specific putative transcription factor in breast tissue by serological screening of a breast cancer library. Cancer Res 61:2055–2061
Jager E, Karbach J, Gnjatic S et al (2006) Recombinant vaccinia/fowlpox NY-ESO-1 vaccines induce both humoral and cellular NY-ESO-1-specific immune responses in cancer patients. Proc Natl Acad Sci U S A 103:14453–14458
Jungbluth AA, Antonescu CR, Busam KJ et al (2001) Monophasic and biphasic synovial sarcomas abundantly express cancer/testis antigen NY-ESO-1 but not MAGE-A1 or CT7. Int J Cancer 94:252–256
Jungbluth AA, Ely S, DiLiberto M et al (2005) The cancer-testis antigens CT7 (MAGE-C1) and MAGE-A3/6 are commonly expressed in multiple myeloma and correlate with plasma-cell proliferation. Blood 106:167–174
Kawakami Y, Robbins PF, Wang RF, Parkhurst M, Kang X, Rosenberg SA (1998) The use of melanosomal proteins in the immunotherapy of melanoma. J Immunother 21:237–246
Kim J, Reber HA, Hines OJ et al (2006) The clinical significance of MAGEA3 expression in pancreatic cancer. Int J Cancer 118:2269–2275
Kurashige T, Noguchi Y, Saika T et al (2001) Ny-ESO-1 expression and immunogenicity associated with transitional cell carcinoma: correlation with tumor grade. Cancer Res 61:4671–4674
Lee SY, Obata Y, Yoshida M et al (2003) Immunomic analysis of human sarcoma. Proc Natl Acad Sci U S A 100:2651–2656
Lee SY, Williamson B, Caballero OL et al (2004) Identification of the gonad-specific anion transporter SLCO6A1 as a cancer/testis (CT) antigen expressed in human lung cancer. Cancer Immun 4:13
Lehmann F LJ, Gaulis S, Gruselle O, Brichard V. Clinical response to the MAGE-A3 immunotherapeutic in metastatic melanoma patients is associated with a specific gene profile present prior to treatment. XVIth Meeting in the cancer research institute international cancer immunotherapy symposium series and the 2008 meeting of the cancer vaccine consortium, New York City, 2008, S25.
Lethe B, Lucas S, Michaux L et al (1998) LAGE-1, a new gene with tumor specificity. Int J Cancer 76:903–908
Li M, Yuan YH, Han Y et al (2005) Expression profile of cancer-testis genes in 121 human colorectal cancer tissue and adjacent normal tissue. Clin Cancer Res 11:1809–1814
Liggins AP, Brown PJ, Asker K, Pulford K, Banham AH (2004) A novel diffuse large B-cell lymphoma-associated cancer testis antigen encoding a PAS domain protein. Br J Cancer 91:141–149
Liu W, Cheng S, Asa SL, Ezzat S (2008) The melanoma-associated antigen A3 mediates fibronectin-controlled cancer progression and metastasis. Cancer Res 68:8104–8112
Lucas S, De Smet C, Arden KC et al (1998) Identification of a new MAGE gene with tumor-specific expression by representational difference analysis. Cancer Res 58:743–752
Marchand M, van Baren N, Weynants P et al (1999) Tumor regressions observed in patients with metastatic melanoma treated with an antigenic peptide encoded by gene MAGE-3 and presented by HLA-A1. Int J Cancer 80:219–230
Martelange V, De Smet C, De Plaen E, Lurquin C, Boon T (2000) Identification on a human sarcoma of two new genes with tumor-specific expression. Cancer Res 60:3848–3855
Martinez A, Olarte I, Mergold MA et al (2007) mRNA expression of MAGE-A3 gene in leukemia cells. Leuk Res 31:33–37
Meuwissen RL, Meerts I, Hoovers JM, Leschot NJ, Heyting C (1997) Human synaptonemal complex protein 1 (SCP1): isolation and characterization of the cDNA and chromosomal localization of the gene. Genomics 39:377–384
Mischo A, Kubuschok B, Ertan K et al (2006) Prospective study on the expression of cancer testis genes and antibody responses in 100 consecutive patients with primary breast cancer. Int J Cancer 118:696–703
Monte M, Simonatto M, Peche LY et al (2006) MAGE-A tumor antigens target p53 transactivation function through histone deacetylase recruitment and confer resistance to chemotherapeutic agents. Proc Natl Acad Sci U S A 103:11160–11165
Mueller JL, Mahadevaiah SK, Park PJ, Warburton PE, Page DC, Turner JM (2008) The mouse X chromosome is enriched for multicopy testis genes showing postmeiotic expression. Nat Genet 40:794–799
Nagao T, Higashitsuji H, Nonoguchi K et al (2003) MAGE-A4 interacts with the liver oncoprotein gankyrin and suppresses its tumorigenic activity. J Biol Chem 278:10668–10674
Napoletano C, Bellati F, Tarquini E et al (2008) MAGE-A and NY-ESO-1 expression in cervical cancer: prognostic factors and effects of chemotherapy. Am J Obstet Gynecol 198:99e1–99e7
Nicholaou T, Ebert LM, Davis ID et al (2009) Regulatory T-cell-mediated attenuation of T-cell responses to the NY-ESO-1 ISCOMATRIX vaccine in patients with advanced malignant melanoma. Clin Cancer Res 15:2166–2173
Nishikawa H, Sato E, Briones G et al (2006) In vivo antigen delivery by a Salmonella typhimurium type III secretion system for therapeutic cancer vaccines. J Clin Invest 116:1946–1954
Obata Y, Takahashi T, Tamaki H et al (1999) Identification of Cancer Antigens in Breast Cancer by the SEREX Expression Cloning Method. Breast Cancer 6:305–311
Obata Y, Takahashi T, Sakamoto J et al (2000) SEREX analysis of gastric cancer antigens. Cancer Chemother Pharmacol 46(Suppl):S37–S42
Odunsi K, Qian F, Matsuzaki J et al (2007) Vaccination with an NY-ESO-1 peptide of HLA class I/II specificities induces integrated humoral and T cell responses in ovarian cancer. Proc Natl Acad Sci U S A 104:12837–12842
Oi S, Natsume A, Ito M et al (2009) Synergistic induction of NY-ESO-1 antigen expression by a novel histone deacetylase inhibitor, valproic acid, with 5-aza-2’-deoxycytidine in glioma cells. J Neurooncol 92:15–22
Old LJ (2001) Cancer/testis (CT) antigens - a new link between gametogenesis and cancer. Cancer Immun 1:1
Old LJ, Chen YT (1998) New paths in human cancer serology. J Exp Med 187:1163–1167
Ono T, Kurashige T, Harada N et al (2001) Identification of proacrosin binding protein sp32 precursor as a human cancer/testis antigen. Proc Natl Acad Sci U S A 98:3282–3287
Park S, Lim Y, Lee D et al (2003) Identification and characterization of a novel cancer/testis antigen gene CAGE-1. Biochim Biophys Acta 1625:173–182
Peikert T, Specks U, Farver C, Erzurum SC, Comhair SA (2006) Melanoma antigen A4 is expressed in non-small cell lung cancers and promotes apoptosis. Cancer Res 66:4693–4700
Perez D, Herrmann T, Jungbluth AA et al (2008) Cancer testis antigen expression in gastrointestinal stromal tumors: new markers for early recurrence. Int J Cancer 123:1551–1555
Riener MO, Wild PJ, Soll C et al (2009) Frequent expression of the novel cancer testis antigen MAGE-C2/CT-10 in hepatocellular carcinoma. Int J Cancer 124:352–357
Robert M, Gagnon C (1999) Semenogelin I: a coagulum forming, multifunctional seminal vesicle protein. Cell Mol Life Sci 55:944–960
Ross MT, Grafham DV, Coffey AJ et al (2005) The DNA sequence of the human X chromosome. Nature 434:325–337
Sahin U, Tureci O, Schmitt H et al (1995) Human neoplasms elicit multiple specific immune responses in the autologous host. Proc Natl Acad Sci U S A 92:11810–11813
Sahin U, Tureci O, Pfreundschuh M (1997) Serological identification of human tumor antigens. Curr Opin Immunol 9:709–716
Scanlan MJ, Gordan JD, Williamson B et al (1999) Antigens recognized by autologous antibody in patients with renal-cell carcinoma. Int J Cancer 83:456–464
Scanlan MJ, Altorki NK, Gure AO et al (2000) Expression of cancer-testis antigens in lung cancer: definition of bromodomain testis-specific gene (BRDT) as a new CT gene, CT9. Cancer Lett 150:155–164
Sharma P, Gnjatic S, Jungbluth AA et al (2003) Frequency of NY-ESO-1 and LAGE-1 expression in bladder cancer and evidence of a new NY-ESO-1 T-cell epitope in a patient with bladder cancer. Cancer Immun 3:19
Sigalotti L, Fratta E, Coral S et al (2004) Intratumor heterogeneity of cancer/testis antigens expression in human cutaneous melanoma is methylation-regulated and functionally reverted by 5-aza-2’-deoxycytidine. Cancer Res 64:9167–9171
Silva WA Jr, Gnjatic S, Ritter E et al (2007) PLAC1, a trophoblast-specific cell surface protein, is expressed in a range of human tumors and elicits spontaneous antibody responses. Cancer Immun 7:18
Simpson AJ, Caballero OL, Jungbluth A, Chen YT, Old LJ (2005) Cancer/testis antigens, gametogenesis and cancer. Nat Rev Cancer 5:615–625
Taylor BJ, Reiman T, Pittman JA et al (2005) SSX cancer testis antigens are expressed in most multiple myeloma patients: co-expression of SSX1, 2, 4, and 5 correlates with adverse prognosis and high frequencies of SSX-positive PCs. J Immunother 28:564–575
Tureci O, Sahin U, Schobert I et al (1996) The SSX-2 gene, which is involved in the t(X;18) translocation of synovial sarcomas, codes for the human tumor antigen HOM-MEL-40. Cancer Res 56:4766–4772
Tureci O, Sahin U, Zwick C, Koslowski M, Seitz G, Pfreundschuh M (1998) Identification of a meiosis-specific protein as a member of the class of cancer/testis antigens. Proc Natl Acad Sci U S A 95:5211–5216
Valmori D, Souleimanian NE, Tosello V et al (2007) Vaccination with NY-ESO-1 protein and CpG in Montanide induces integrated antibody/Th1 responses and CD8 T cells through cross-priming. Proc Natl Acad Sci U S A 104:8947–8952
Van den Eynde B, Peeters O, De Backer O, Gaugler B, Lucas S, Boon T (1995) A new family of genes coding for an antigen recognized by autologous cytolytic T lymphocytes on a human melanoma. J Exp Med 182:689–698
van der Bruggen P, Traversari C, Chomez P et al (1991) A gene encoding an antigen recognized by cytolytic T lymphocytes on a human melanoma. Science 254:1643–1647
Vatolin S, Abdullaev Z, Pack SD et al (2005) Conditional expression of the CTCF-paralogous transcriptional factor BORIS in normal cells results in demethylation and derepression of MAGE-A1 and reactivation of other cancer-testis genes. Cancer Res 65:7751–7762
Velazquez EF, Jungbluth AA, Yancovitz M et al (2007) Expression of the cancer/testis antigen NY-ESO-1 in primary and metastatic malignant melanoma (MM)–correlation with prognostic factors. Cancer Immun 7:11
Weber J, Salgaller M, Samid D et al (1994) Expression of the MAGE-1 tumor antigen is up-regulated by the demethylating agent 5-aza-2’-deoxycytidine. Cancer Res 54:1766–1771
Xing Q, Pang XW, Peng JR et al (2008) Identification of new cytotoxic T-lymphocyte epitopes from cancer testis antigen HCA587. Biochem Biophys Res Commun 372:331–335
Yakirevich E, Sabo E, Lavie O, Mazareb S, Spagnoli GC, Resnick MB (2003) Expression of the MAGE-A4 and NY-ESO-1 cancer-testis antigens in serous ovarian neoplasms. Clin Cancer Res 9:6453–6460
Yamada A, Kataoka A, Shichijo S et al (1995) Expression of MAGE-1, MAGE-2, MAGE-3/-6 and MAGE-4a/-4b genes in ovarian tumors. Int J Cancer 64:388–393
Yang B, O’Herrin SM, Wu J et al (2007) MAGE-A, mMage-b, and MAGE-C proteins form complexes with KAP1 and suppress p53-dependent apoptosis in MAGE-positive cell lines. Cancer Res 67:9954–9962
Yuan J, Gnjatic S, Li H et al (2008) CTLA-4 blockade enhances polyfunctional NY-ESO-1 specific T cell responses in metastatic melanoma patients with clinical benefit. Proc Natl Acad Sci U S A 105:20410–20415
Zhao H, Lee WH, Shen JH, Li H, Zhang Y (2008) Identification of novel semenogelin I-derived antimicrobial peptide from liquefied human seminal plasma. Peptides 29:505–511
Zhu X, Asa SL, Ezzat S (2008) Fibroblast growth factor 2 and estrogen control the balance of histone 3 modifications targeting MAGE-A3 in pituitary neoplasia. Clin Cancer Res 14:1984–1996
Acknowledgments
The authors would like to thank Drs. Lloyd J. Old and Andy J. G. Simpson of the Ludwig Institute for Cancer Research for their unwavering support over the years.
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Caballero, O.L., Chen, YT. (2012). Cancer/Testis Antigens: Potential Targets for Immunotherapy. In: Wang, R. (eds) Innate Immune Regulation and Cancer Immunotherapy. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9914-6_20
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