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Induction of tyrosinase‐reactive T cells by treatment with dacarbazine, cisplatin, interferon‐alpha ± interleukin‐2 in patients with metastatic melanoma
Author(s) -
Schmittel Alexander,
Keilholz Ulrich,
Max Regina,
Thiel Eckhard,
Scheibenbogen Carmen
Publication year - 1999
Publication title -
international journal of cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.475
H-Index - 234
eISSN - 1097-0215
pISSN - 0020-7136
DOI - 10.1002/(sici)1097-0215(19990105)80:1<39::aid-ijc8>3.0.co;2-y
Subject(s) - dacarbazine , peripheral blood mononuclear cell , medicine , melanoma , tyrosinase , elispot , immunology , interleukin 2 , chemotherapy , t cell , cancer research , cytokine , biology , in vitro , immune system , biochemistry , enzyme
We have shown the presence of tyrosinase‐reactive T cells in the peripheral blood of melanoma patients, who had been in remission after treatment with IL‐2‐containing regimens. In this consecutive study, we analyzed the T‐cell response to various peptides derived from tyrosinase in serial blood samples obtained from 7 stage‐IV melanoma patients before, during and following treatment. All patients were treated within a randomized trial (EORTC 18951) with cisplatin (CDDP), dacarbazine (DTIC), interferon‐α (IFN‐α) ± interleukin‐2 (IL‐2). Using an ELISPOT assay detecting peptide‐specific IFN‐γ release, we measured the T‐cell response to 4 different HLA class I‐binding peptide epitopes derived from tyrosinase containing an HLA‐A2.1‐, HLA‐A24‐ or HLA‐B44‐binding motif in peripheral‐blood mononuclear cells (PBMC). In one patient, tyrosinase‐reactive T cells were detected before therapy. In 4 out of 7 patients, tyrosinase‐reactive T cells against both HLA‐A2.1‐binding peptides and the B44‐binding peptide became detectable at frequencies of up to 30 in 5 × 10 5 lymphocytes following treatment. These patients received CDDP, DTIC and IFN‐α, 2 of them without IL‐2 and 2 with IL‐2, resulting in one complete remission and 3 partial remissions. Two patients relapsed 8 and 9 months after treatment. At the time of relapse, no T cells reactive with tyrosinase were detectable. Our results show that high frequencies of tyrosinase‐reactive T cells in the peripheral blood of melanoma patients can be induced by chemotherapy in combination with IFN‐α, regardless of concomitant IL‐2 administration. Int. J. Cancer 80:39–43, 1999. © 1999 Wiley‐Liss, Inc.