Abstract
The tumour-associated antigen, Ep-CAM, is over-expressed in colorectal carcinoma (CRC). In the present study, a recombinant Ep-CAM protein or a human anti-idiotypic antibody (anti-Id) mimicking Ep-CAM, either alone or in combination, was used for vaccination of CRC patients (n=9). GM-CSF was given as an adjuvant cytokine. A cellular immune response was assessed by measuring anti-Ep-CAM lymphoproliferation, IFN-γ production (ELISPOT) and by analysing the TCR BV gene usage within the CD4+ and CD8+ T-cell subsets followed by CDR3 fragment analysis. A proliferative and/or IFN-γ T-cell response was induced against the Ep-CAM protein in eight out of nine patients, and against Ep-CAM-derived peptides in nine out of nine patients. Analysis of the TCR BV gene usage showed a significantly higher usage of BV12 family in CD4+ T cells of patients both before and after immunisation than in those of healthy control donors (p<0.05). In the CD8+ T-cell subset, a significant (p<0.05) increase in the BV19 usage was noted in patients after immunisation. In individual patients, a number of TCR BV gene families in both CD4+ and CD8+ T cells were over-expressed mainly in post-immunisation samples. Analysis of the CDR3 length polymorphism revealed a higher degree of clonality in post-immunisation samples than in pre-immunisation samples. In vitro stimulation with Ep-CAM protein confirmed the expansion of anti-Ep-CAM T-cell clones. The results indicate that immunisation with the Ep-CAM protein and/or anti-Id entails the induction of an anti-Ep-CAM T-cell response in CRC patients, and suggest that BV19+ CD8+ T cells might be involved in a vaccine-induced immune response.
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Abbreviations
- AJCC:
-
American Joint Committee on Cancer
- Anti-Id:
-
Anti-idiotypic antibody
- BCP:
-
Baculovirus control protein
- CEA:
-
Carcinoembryonic antigen
- CRC:
-
Colorectal carcinoma
- CTL:
-
Cytotoxic T lymphocyte
- ELISA:
-
Enzyme-linked immunosorbent assay
- ELISPOT:
-
Enzyme-linked immunospot
- Ep-CAM:
-
Epithelial-cell adhesion molecule
- GM-CSF:
-
Granulocyte-macrophage colony-stimulating factor
- IFN-γ:
-
Gamma interferon
- mAb:
-
Monoclonal antibody
- MHC:
-
Major histocompatibility complex
- PBMC:
-
Peripheral blood mononuclear cells
- PHA:
-
Phytohemagglutinin
- PPD:
-
Purified protein derivative of tuberculin
- SDS:
-
Sodium dodecyl sulfate
- SFU:
-
Spot-forming unit
- SI:
-
Stimulation index
- TAA:
-
Tumour-associated antigen
- TCR:
-
T-cell receptor
- TIL:
-
Tumour-infiltrating lymphocytes
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Acknowledgements
This study was supported by grants from the Swedish Research Council, Swedish Cancer Society, Cancer Society in Stockholm, King Gustav V Jubilee Fund, Cancer and Allergy Foundation, Torsten and Ragnar Söderberg Foundation, Gunnar Nilsson Cancer Foundation and Karolinska Institute Foundations. We thank Dr H. Wigzell for the scientific discussion.
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Mosolits, S., Markovic, K., Fagerberg, J. et al. T-cell receptor BV gene usage in colorectal carcinoma patients immunised with recombinant Ep-CAM protein or anti-idiotypic antibody. Cancer Immunol Immunother 54, 557–570 (2005). https://doi.org/10.1007/s00262-004-0620-y
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DOI: https://doi.org/10.1007/s00262-004-0620-y