High frequency of functionally active Melan-a-specific T cells in a patient with progressive immunoproteasome-deficient melanoma

Cancer Res. 2004 Sep 1;64(17):6319-26. doi: 10.1158/0008-5472.CAN-04-1341.

Abstract

Tumor-reactive T cells play an important role in cancer immunosurveillance. Applying the multimer technology, we report here an unexpected high frequency of Melan-A-specific CTLs in a melanoma patient with progressive lymph node metastases, consisting of 18 and 12.8% of total peripheral blood and tumor-infiltrating CD8+ T cells, respectively. Melan-A-specific CTLs revealed a high cytolytic activity against allogeneic Melan-A-expressing target cells but failed to kill the autologous tumor cells. Loading of the tumor cells with Melan-A peptide reversed the resistance to killing, suggesting impaired function of the MHC class I antigen processing and presentation pathway. Mutations of the coding region of the HLA-A2 binding Melan-A26-35 peptide or down-regulation of the MHC class I heavy chain, the antigenic peptide TAP, and tapasin could be excluded. However, PCR and immunohistochemical analysis revealed a deficiency of the immunoproteasomes low molecular weight protein 2 and low molecular weight protein 7 in the primary tumor cells, which affects the quantity and quality of generated T-cell epitopes and might explain the resistance to killing. This is supported by our data, demonstrating that the resistance to killing can be partially reversed by pre-exposure of the tumor cells to IFN-gamma, which is known to induce the immunoproteasomes. Overall, this is the first report of an extremely high frequency of tumor-specific CTLs that exhibit competent T-cell-effector functions but fail to lyse the autologous tumor cells. Immunotherapeutic approaches should not only focus on the induction of a robust antitumor immune response, but should also have to target tumor immune escape mechanisms.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, Neoplasm
  • Cysteine Endopeptidases / deficiency*
  • Cysteine Endopeptidases / genetics
  • Cysteine Endopeptidases / immunology*
  • HLA-A2 Antigen / genetics
  • HLA-A2 Antigen / immunology
  • Humans
  • Lymph Nodes / immunology
  • Lymph Nodes / pathology
  • MART-1 Antigen
  • Male
  • Melanoma / immunology*
  • Middle Aged
  • Multienzyme Complexes / deficiency
  • Multienzyme Complexes / genetics
  • Multienzyme Complexes / immunology*
  • Mutation
  • Neoplasm Proteins / immunology*
  • Proteasome Endopeptidase Complex
  • T-Lymphocytes, Cytotoxic / immunology*

Substances

  • Antigens, Neoplasm
  • HLA-A2 Antigen
  • MART-1 Antigen
  • MLANA protein, human
  • Multienzyme Complexes
  • Neoplasm Proteins
  • LMP-2 protein
  • Cysteine Endopeptidases
  • LMP7 protein
  • Proteasome Endopeptidase Complex