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Serologic markers of effective tumor immunity against chronic lymphocytic leukemia include non-mutated B cell antigens
Ist Teil von
Cancer research (Chicago, Ill.), 2010-02, Vol.70 (4), p.1344-1355
Erscheinungsjahr
2010
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Patients with chronic lymphocytic leukemia (CLL) who relapse after allogeneic transplant may achieve durable remission following donor lymphocytes infusion (DLI), demonstrating the potency of donor-derived immunity in eradicating tumor. We sought to elucidate the antigenic basis of the effective graft-versus-leukemia (GvL) responses associated with DLI for the treatment of CLL by analyzing the specificity of plasma antibody responses developing in two DLI-treated patients who achieved long-term remission without graft-versus-host disease (GvHD). By probing high-density protein microarrays with patient plasma, we discovered 35 predominantly intracellular antigens that elicited high-titer antibody reactivity greater in post-than in pre-DLI plasma. Three antigens, C6orf130, MDS032, and ZFYVE19, were identified by both patients. Along with additional candidate antigens DAPK3, SERBP1 and OGFOD1, these proteins demonstrated higher transcript and protein expression in B cells and CLL cells compared to normal PBMC. DAPK3 and the shared antigens do not represent minor histocompatibility antigens, as their sequences are identical in both donor and tumor. While ZFYVE19, DAPK3 and OGFOD1 elicited minimal antibody reactivity in 12 normal subjects and 12 chemotherapy-treated CLL patients, 5 of 12 CLL patients with clinical GvL responses were serologically reactive to these antigens. Moreover, antibody reactivity against these antigens was temporally correlated with clinical disease regression. These B cell antigens represent promising biomarkers of effective anti-CLL immunity.