
[Cancer Research 60, 3848-3855, July 15, 2000]
© 2000 American Association for Cancer Research
Identification on a Human Sarcoma of Two New Genes with Tumor-specific Expression1
Valérie Martelange,
Charles De Smet,
Etienne De Plaen,
Christophe Lurquin and
Thierry Boon2
Ludwig Institute for Cancer Research, Brussels Branch, and Cellular Genetics Unit, Université Catholique de Louvain, B-1200 Brussels, Belgium
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ABSTRACT
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Genes MAGE, BAGE, GAGE, and
LAGE-1/NY-ESO-1 code for antigens that are
recognized on melanoma cells by autologous CTLs. Because the pattern of
expression of these genes results in the presence of antigens on many
tumors of various histological types and not on normal tissues, these
antigens qualify for cancer immunotherapy. To identify new genes with
tumor-specific expression, we applied a cDNA subtraction approach,
i.e., representational difference analysis, to a human
sarcoma cell line. We obtained two cDNA clones that appeared to be
tumor specific. The corresponding genes were named SAGE
and HAGE because they have the same pattern of
expression as genes of the MAGE family. SAGE
encodes a putative protein of 904 amino acids and shows no homology to
any recorded gene. Like the MAGE-A genes, it is
located in the q28 region of chromosome X. Expression of gene
SAGE was observed mainly in bladder carcinoma, lung
carcinoma, and head and neck carcinoma but not in normal tissues, with
the exception of testis. Gene HAGE, which is located on
chromosome 6, encodes a putative protein of 648 amino acids. This
protein is a new member of the DEAD-box family of ATP-dependent RNA
helicases. Gene HAGE is expressed in many tumors of
various histological types at a level that is 100-fold higher than the
level observed in normal tissues except testis. Because of this
tumor-specific expression, genes SAGE and
HAGE ought to encode antigens that could be useful for
antitumoral therapeutic vaccination.
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INTRODUCTION
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Several studies have shown that by cultivating irradiated tumor
cells with autologous lymphocytes, it is possible to obtain responder
cell populations that display a cytotoxic response against tumor cells
(1)
. The CTL clones derived from such responder
populations have been found to recognize several antigens
(2)
. The genes coding for these antigens have been
identified by transfection and detection of the transfectants by the
CTLs. A first important class of tumor antigens recognized by CTLs is
encoded by genes that are activated in tumors. These genes belong to
the MAGE, BAGE, GAGE, and
LAGE-1/NY-ESO-1 families. They are all expressed in tumors
of different histological types but not in normal tissues, except for
spermatogenic cells, and for some of them, placenta
(38)
. A second category contains differentiation
antigens encoded by genes expressed in normal melanocytes and in
melanoma cells, such as tyrosinase, Melan-A/Mart-1, gp100, and gp75
(912)
. A third class constitutes antigens produced by
point mutations in genes that are expressed ubiquitously,
e.g., MUM-1, cyclin-dependent kinase 4,
ß-catenin, and HLA-A2 (1316)
. Finally, there are
antigens derived from genes overexpressed in tumors relative to normal
cells, such as HER-2/neu and PRAME (17, 18)
.
The antigens encoded by genes that are expressed only in tumors
and in germ-line cells appear to be strictly tumor specific, because
the spermatogenic cells that express these genes do not express HLA
molecules and are therefore incapable of presenting antigens to T cells
(19, 20)
. Because these genes are expressed in a large
proportion of tumors of various histological types, they appear to be
excellent potential sources of antigens for cancer immunotherapy.
Clinical trials involving MAGE antigens are ongoing, and
tumor regressions have been observed (2124)
.
For the purpose of finding new genes that present the same pattern of
expression as the MAGE, BAGE, GAGE,
and LAGE-1/NY-ESO-1 genes, we have recently applied
subtraction of cDNA from a tumor with cDNA from a panel of normal
tissues. This approach has led to the identification of a new member of
the MAGE family, gene MAGE-C1
(25)
, as well as LAGE-1, a cancer
germ-line gene mentioned above (7)
. We report here that a
similar approach, this time applied to a sarcoma cell line, led to the
identification of two new genes that have a pattern of expression
similar to the MAGE-type genes. These genes are not
homologous to the MAGE, BAGE, GAGE,
and LAGE-1/NY-ESO-1 families.
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MATERIALS AND METHODS
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Cell Lines.
Rhabdomyosarcoma cell line LB23-SAR was derived from patient LB23 and
cultured in Iscoves medium (Life Technologies, Inc., Grand Island,
NY) containing 10% FCS (Life Technologies) and supplemented with
L-asparagine (36 mg/l), L-arginine (116 mg/l),
and L-glutamine (216 mg/l).
Representational Difference Analysis.
Total RNA was isolated from normal tissues (uterus, breast, colon, and
heart) and from cell line LB23-SAR by the guanidine
isothiocyanate/cesium chloride procedure (26)
. Poly(A)+
RNA was prepared by binding to oligo-dT cellulose (mRNA purification
kit; Pharmacia Fine Chemicals, Piscataway, NJ), starting from 500 µg
of rhabdomyosarcoma LB23-SAR total RNA and from 455 µg of a mixture
of human uterus, breast, heart, and colon total RNA. About 4 µg of
each poly(A)+ RNA were used to synthesize double-stranded cDNA (cDNA
Synthesis Module; Amersham Life Science, Buckinghamshire, United
Kingdom). Two micrograms of each cDNA were then digested with
DpnII (New England Biolabs, Beverly, MA). The digested cDNAs
were ligated to R-Bgl adapters and PCR-amplified to generate the
rhabdomyosarcoma (tester) and uterus-breast-heart-colon (driver)
representations, as described by Hubank and Schatz (27)
.
We performed three rounds of subtractive hybridization and selective
amplification with the J-Bgl and N-Bgl adapters, as described
(27)
.
Cloning of Difference Products.
The second and third difference products were digested with
DpnII, separated from the adapters on a 1.2% agarose gel,
and purified using the QIAEX II Gel Extraction kit (Qiagen, Westburg,
Leusden, the Netherlands). They were ligated to dephosphorylated
BamHI ends of pTZ18R (Pharmacia). DH5
F'IQ bacteria (Life
Technologies, Gaithersburg, MD) were transformed by electroporation
with one-fifth of the ligation product.
Sequencing and Sequence Comparison.
Plasmid DNA was prepared by the boiling minipreparation procedure
(28)
. Sequencing was performed with the T7 Sequencing kit
(Pharmacia LKB) and [
-35S]dATP (>1000
Ci/mmol; Amersham), and reaction products were separated on a 2010
Macrophor manual sequencer (Pharmacia LKB). When long read lengths were
required, we performed the sequencing reactions with the BigDye
Terminator Cycle Sequencing kit (PE Applied Biosystems, Warrington,
United Kingdom). The reaction products were separated on the ABI PRISM
310 Genetic Analyser (Perkin-Elmer).
Sequence homology searches were performed in the databases provided by
the National Center for Biotechnology Information (Bethesda, MD) using
the BLAST program (29)
. Alignments were performed with the
GeneWorks computer program (Intelligenetics, Mountain View, CA). For
DNA, we used parameters 30-2-10-4000.
RT-PCR Analyses.
The expression of cDNA clones isolated from the difference products was
analyzed by
RT-PCR3
. RNA were extracted from tumor cells and normal tissues and reverse
transcribed, as described previously (30)
. RNA samples
from 5-aza-2'-deoxycytidine-treated cells were obtained as described
(31)
. Twenty-four pairs of PCR primers were derived from
the sequences of the fragments of cDNA of the enriched library. The
sequence of these primers are available from the authors. PCR
amplification of cDNA was performed for 30 or 35 cycles, whereas
amplification of ß-actin was performed for 21 cycles with primer
5'-GGCATCGTGATGGACTCCG-3' (exon 3, sense) and primer
5'-GCTGGAAGGTGGACAGCGA-3' (exon 6, antisense). PCR products were
visualized on 1.7% agarose gels stained with ethidium bromide.
For the analysis of SAGE expression, the cDNA produced from
50 ng of total RNA was PCR amplified in a TRIO-Thermoblock (Biometra,
Göttingen, Germany) for 30 cycles of 1 min at 94°C, 2 min at
57°C, and 2 min at 72°C with primers sdph3.10S and sdph3.10A.
To analyze HAGE expression, PCR amplification was performed
for 30 cycles of 1 min at 94°C, 2 min at 57°C, and 2 min at 72°C
with primers sdp3.8.8 and sdp3.8.9.
PCR Analysis of Radiation Hybrids.
The GeneBridge 4 Radiation Hybrid Panel (Research Genetics, Inc.,
Huntsville, AL) was used to map the SAGE and HAGE
genes (32)
. Twenty-five ng of genomic DNA from each of the
93 radiation hybrid clones were PCR amplified with primers sdph3.10S
(5'-TGTACCTCTTCAAGCAAAAT-3') and sdph3.10A (5'-GTGACCCACCAGTTACAGTA-3')
that are specific for gene SAGE. PCR amplification was
performed for 30 cycles of 1 min at 94°C, 2 min at 57°C, and 2 min
at 72°C. PCR results were submitted for analysis to the web site of
the Whitehead Institute for Biomedical
Research.4
Positioning of markers from the Whitehead RH map on the chromosome
cytogenetic map was performed via the Genome Database web
site.5
The same panel was used to map gene HAGE with primers
sdp3.8.8 (5'-TATTCTTCAGATTGACGAAG-3') and sdp3.8.9
(5'-CCTTTCAATGTTATCCTGAG-3') using identical PCR conditions.
Construction and Screening of the cDNA Library.
We used a cDNA library derived from human testis sample LB451 to search
for the complete cDNA sequences of genes SAGE and
HAGE. Poly(A)+ RNA was extracted from testis cells using the
FastTrack mRNA extraction kit (InVitrogen, San Diego, CA). mRNA was
converted to cDNA with the SuperScript Choice System (Life
Technologies, Inc.) using an oligo-dT primer containing a
NotI site at its 5' end. cDNAs were then ligated to
BstXI adaptors and digested with NotI. After size
fractionation, the cDNAs were cloned into the BstXI and
NotI sites of plasmid pcDNAI/Amp. Recombinant plasmids were
electroporated into Escherichia coli DH5
F'IQ and selected
with ampicillin (50 µg/ml). The library was divided into three
fractions: A (54,000 independent clones); B (150,000 clones); and C
(300,000 clones). Recombinant bacteria (250,000) from fractions B and C
were screened by colony hybridization with a PCR-amplified fragment of
genes SAGE or HAGE, using the same primers as
those used for the analysis of radiation hybrids, and labeled with
[
-32P]dCTP (3000 Ci/mmol). Plasmid DNA from
one positive clone was amplified and purified for further analysis.
Northern Blot Analysis.
Four µg of poly(A)+ RNA were separated by formaldehyde agarose
gel electrophoresis, transferred to a nylon membrane by capillary
transfer, and fixed to the membrane by heating at 80°C for 2 h.
Hybridization with the 1.95-kb insert of SAGE cDNA or the
2.3-kb insert of HAGE cDNA probes was performed overnight at
60°C in 10% dextran sulfate, 1 M NaCl, 1%
SDS, and 100 µg/ml denatured herring sperm DNA. Final washing of the
membrane was done in 0.2x SSC, 0.1% SDS for 10 min at 60°C.
Autoradiography was performed overnight using BioMax MS film (Kodak).
The same membrane was stripped and hybridized with a 0.6-kb probe
for ß-actin obtained in similar conditions. Autoradiography was
performed for 2 h.
Southern Blot Analysis.
Ten µg of genomic DNA were digested with restriction enzymes
BamHI, EcoRI, HindIII, and
PstI. They were separated by agarose gel electrophoresis,
transferred to nylon membranes by the capillary transfer method, and
fixed by heating at 80°C for 2 h. Hybridization with the
-32P-radiolabeled PCR probes was performed in
5x SSC, 5x Denhardts solution, 0.1% SDS, and 100 µg/ml denatured
herring sperm DNA for 16 h at 65°C. Final washing of the
membranes was done in 2x SSC, 0.1% SDS for 20 min at 65°C.
Autoradiography was performed overnight using BioMax MS film (Kodak).
Rapid Amplification of the 5' cDNA End of Gene
SAGE.
The amplification of the 5' cDNA end of SAGE was performed
with the 5' rapid amplification of cDNA ends system, version 2.0 (Life
Technologies, Inc.). We used antisense primers Gsp1
(5'-CTGGTACTCATGGGTGGAAT-3'), Gsp2 (5'-GTTAATAAGCTCTGGTGTAA-3'), and
GspN (5'-CATATCAGCTGTTGCCAAAT-3'). The amplified products were cloned
using the Original TA Cloning kit (InVitrogen). The resulting clones
were screened with the labeled sdph3.10.1 oligonucleotide
(5'-ACTCACAATGTCTGTGAAGA-3'). We sequenced 24 positive clones with
primer GspN.
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RESULTS
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Genes Overexpressed in a Rhabdomyosarcoma.
To obtain a cDNA library enriched for tumor-specific sequences,
we used the representational difference analysis method
(27)
. Rhabdomyosarcoma LB23-SAR was used as the source of
tester cDNA to be subtracted with driver cDNA that was a mixture of
human uterus, breast, heart, and colon cDNA. Tester and driver were
subjected to PCR amplification. The amplified tester was then ligated
to a pair of adapters and hybridized to a large excess of driver. The
hybridization product was amplified by PCR using the tester-specific
adapters as primers. Under these conditions, only tester-tester
homoduplexes, corresponding to LB23-SAR specific sequences, were
amplified exponentially. This first difference product was submitted to
two additional rounds of subtraction and amplification, generating the
second and third difference products, which were cloned.
Forty-two different sequences of the second and third difference
products were analyzed. Twenty-two sequences showed ubiquitous
expression, 12 of these coding for mitochondrial or ribosomal
components or for known abundant proteins involved in cell
proliferation. Eighteen clones were transcribed in some normal tissues
but had a level of expression in LB23-SAR cells that was significantly
higher. Among those, six were not recorded in databases. Finally, two
sequences that we named SAGE and HAGE appeared to
be highly expressed in testis and in LB23-SAR but were completely or
nearly completely silent in normal tissues. Because these genes had a
pattern of expression similar to that of the MAGE,
BAGE, GAGE, and LAGE-1/NY-ESO-1 genes,
we felt that they had the potential to code for tumor-specific
antigens, and we characterized them fully.
Gene SAGE.
We analyzed the expression pattern of gene SAGE in
tumor samples and normal tissues. The PCR product was 171 bp when
derived from cDNA templates. It was easily distinguished from the
750-bp product derived from genomic DNA, eliminating the risk of false
positives attributable to DNA contamination of the RNA. SAGE
was expressed in many samples of bladder, lung, and head and neck
carcinomas (Table 1
). In contrast, normal tissues were found to express <0.1% of the
amount expressed by LB23-SAR. The only positive tissue was testis, as
has been observed for the other MAGE-type genes (Fig. 1
). The expression of several MAGE genes can be induced with
5-aza-2'-deoxycytidine in normal and tumoral cell types that do not
normally express these genes (25, 31)
. We examined whether
gene SAGE could also be activated in nonexpressing cells
after treatment with this agent. We found that gene SAGE was
induced in fibroblasts and in tumoral cell lines of various types (data
not shown).
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Table 1 Expression of gene SAGE tested by RT-PCR in samples of normal
tissues and tumors
Total RNA was converted to cDNA; the cDNA corresponding to 50 ng of
total RNA was then amplified by PCR with primers sdph3.10S and
sdph3.10A (Fig. 3)
and 0.625 unit of TaKaRa Taq for 30 cycles (94°C
for 1 min, 57°C for 2 min, 72°C for 2 min).
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Fig. 1. RT-PCR analysis of gene SAGE expression.
Total RNA from the indicated normal tissues or tumor samples was
submitted to 30 cycles of RT-PCR amplification with
SAGE-specific primers. The 171-bp PCR products were
visualized on a 1.7% agarose gel stained with ethidium bromide.
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To obtain a full-length cDNA for gene SAGE, we screened
a testis library. A 1950-bp cDNA clone hybridized with the 171 bp PCR
product that we used as a probe. This insert was sequenced and
comparison with sequences available in databases revealed that it was
unrelated to any known sequence. This 1.95-kb insert was used as a
probe and was found to hybridize with a single messenger of about 3.5
kb on a Northern blot prepared with poly(A)+ RNA
from tumor cell lines and normal tissues (Fig. 2
) indicating that we had not obtained a full-length cDNA clone. To
obtain the full-length cDNA, we used the PCR amplification of the 5'
cDNA end. This led to a 3069 bp sequence. The largest open reading
frame comprised 2712 bp and encoded a putative protein of 904 amino
acids; this protein is composed of 15 repeated motifs of 47 amino acids
(Fig. 3
).

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Fig. 2. Northern blot hybridized with the 1.95-kb insert of
SAGE cDNA. Each lane was loaded with 4 µg of
poly(A)+ RNA from tumor cell lines.
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Fig. 3. Nucleotide and amino acid sequences of gene
SAGE. Primers are underlined. The
repetitive motif of 47 amino acids is in bold.
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In a Southern blot analysis, the labeled 1.95-kb insert hybridized with
several bands (Fig. 4
) suggesting that SAGE is a member of a family of genes.
Using the GeneBridge 4 Radiation Hybrid Panel, we established that gene
SAGE was located between markers WI-6213 and
WI-5285 on the chromosome X, in the q28 region, like the
MAGE-A and LAGE-1/NY-ESO-1 genes (Fig. 5
).

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Fig. 4. Southern blot hybridized with the 1.95-kb insert of
SAGE cDNA. Each lane was loaded with 10 µg of genomic
DNA from LB23-SAR cell line digested with the indicated restriction
enzymes.
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Fig. 5. Localization of gene SAGE and other
tumor-specific genes on the human X chromosome. The diagram is a
schematic representation of the X chromosome, with its G-banding
pattern. Left, name of the cytogenetic bands.
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Gene HAGE.
The expression of gene HAGE was tested in
RT-PCR assays with a large panel of tumor
samples and normal tissues. We used PCR primers that enabled us to
distinguish the amplification product derived from cDNA templates (431
bp) from that of genomic DNA (
2 kb). With the exception of testis,
which showed a high level of expression, a very low level of expression
was observed with normal tissues (Fig. 6
). The level of expression of gene HAGE in normal tissues,
including skeletal muscle, was
0.2% of the level of expression
found in the LB23-SAR sarcoma cell line. When we analyzed tumor
samples, we found that gene HAGE was expressed in a large
fraction of tumor samples of various histological types, well above the
level observed in normal tissues (Table 2
). About 5% of the positive tumor samples tested showed a level of
expression >10% of the level of LB23-SAR, and 7% showed a level of
expression between 1 and 10%. Like gene SAGE, the
expression of gene HAGE could also be induced in cells
treated with 5-aza-2'-deoxycytidine (data not shown).

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Fig. 6. RT-PCR analysis of gene HAGE expression.
Total RNA from the indicated normal tissues or tumor samples were
submitted to 30 cycles of RT-PCR amplification with
HAGE-specific primers. The 431-bp PCR products were
visualized on a 1.7% agarose gel stained with ethidium bromide.
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Table 2 Expression of gene HAGE tested by RT-PCR in normal tissues and
tumoral samples
Total RNA was converted to cDNA; the cDNA corresponding to 50 ng of
total RNA was then amplified by PCR with primers sdp3.8.8 and sdp3.8.9
(Fig. 8)
and 0.625 unit of TaKaRa Taq for 30 cycles (94°C for 1 min,
57°C for 2 min, 72°C for 2 min).
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To obtain a full-length HAGE cDNA, we used colony
hybridization with a HAGE probe to screen the same testis
cDNA library that we used for gene SAGE. The only cDNA clone
hybridizing with the probe contained a 2.3-kb insert. This insert used
as a probe hybridized with a single messenger of
2.2 kb on a
Northern blot (Fig. 7
) suggesting that the isolated cDNA was full length. The largest open
reading frame comprised 1944 bp and encoded a putative protein of 648
amino acids (Fig. 8
).

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Fig. 7. Northern blot hybridized with the 2.3-kb insert of
HAGE cDNA. Each lane was loaded with 4 µg of
poly(A)+ RNA from tumor cell lines.
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Fig. 8. Nucleotide and amino acid sequences of gene
HAGE. The boxes correspond to motifs
typical of the DEAD-box family of helicases: the
D-X-X-X-X-A-X-X-X-X-G-K-T sequence at position 281293 is the typical
A-motif of ATP-binding proteins; the D-E-A-D box at position 394406
represents a special version of the B-motif of ATP-binding proteins;
the S-A-T motif at position 427429 is also conserved in all DEAD-box
proteins, but no function can yet be attributed to this motif; and,
finally, the H-R-I-G-R motif at position 573577 seems to be involved
in the polynucleotide binding and/or unwinding activity.
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Comparison with sequences available in databases revealed a homology
with p68, an ATP-dependent RNA helicase that is a member of the
DEAD-box proteins (33)
. They share several conserved amino
acids, including the D-E-A-D motif, which provides their
name (Fig. 8)
. All of the motifs that are present in all of the members
of the DEAD box family are conserved in the HAGE protein.
We used the 2.3-kb insert for Southern analysis of human genomic DNA,
and it hybridized with several fragments of DNA obtained with four
different restriction enzymes (Fig. 9
). It is probable that the probe hybridizes with other members of the
DEAD-box family because their sequences are well conserved.

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Fig. 9. Southern blot hybridized with the 2.3-kb insert of HAGE
cDNA. Each lane was loaded with 10 µg of genomic DNA from the
LB23-SAR cell line digested with the indicated restriction enzymes.
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The chromosomal location of gene HAGE was established by PCR
analysis of DNA samples of the radiation hybrid panel. Gene
HAGE was found to be located on the long arm of chromosome
6, between markers GATA11B08 and D6S284 in
the region q12-q13.
 |
DISCUSSION
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We have identified two new genes, SAGE and
HAGE, with patterns of expression similar to that of genes
MAGE, BAGE, GAGE, and
LAGE-1/NY-ESO-1, i.e., a strong expression in
many tumor samples and in testis and either no expression or very
little expression (at least 100 times lower) in other normal tissues
(38)
. This confirms the usefulness of representational
difference analysis for the identification of genes with tumor-specific
expression.
As already observed for other MAGE-type genes,
SAGE and HAGE expression was induced by
5-aza-2'-deoxycytidine, suggesting that demethylation plays a role in
the activation of these genes in tumors. There is evidence that, in
cells containing the relevant transcription factors, DNA methylation
can on its own be effective for gene silencing (34, 35)
.
One mechanism by which methylation can affect gene expression is that
binding of transcription factors to their target sequences can be
inhibited by methylation of CpGs sites located in these sequences
(36)
. Another mechanism for transcriptional silencing
induced by methylation is through the modification of the structure of
the chromatin. Methylation of DNA helps to stabilize the chromatin in
an inactive configuration and therefore inhibits gene transcription
(37)
. This inactive state of the chromatin is associated
with underacetylated histones, suggesting that DNA methylation and
histone deacetylation are linked. In line with this hypothesis, it has
been shown recently that histone deacetylases form complexes with
methyl-binding proteins such as MeCP2, MBD2, and MBD3
(3840)
.
We suggested previously that the activation of MAGE genes in
tumor cells results from the genome-wide demethylation that occurs in
these cells (31)
. However, tumor cells with demethylated
genomes do not activate all of the MAGE-related genes
(41)
. This is probably attributable to random
demethylation and chromatin modification, which vary from cell to cell
and lead to different patterns of expression of MAGE-related
genes, even in tumors of the same histological type. We report here
that MAGE and SAGE genes are both expressed in
head and neck carcinomas, bladder carcinomas, and epidermoid carcinomas
of the lung, but that in melanomas MAGE genes are expressed
whereas SAGE is rarely expressed. MAGE-1 and
MAGE-4 were found to be regulated by ubiquitous
transcription factors (42, 43)
, but for other genes, such
as SAGE, we cannot exclude that some of the factors
regulating their expression are tissue specific and hence are present
only in certain types of tumors.
Gene SAGE is unrelated to any known sequence and
appears to be a member of a new family of several genes. It is not
expressed at all in normal tissues, with the exception of testis. The
expression of MAGE and LAGE genes in testis
appears to be restricted to germ-line cells
(19)
,6
and we consider it likely that this will apply to SAGE also.
Like MAGE-A genes (44)
, gene SAGE
maps to the q28 region of chromosome X. It is noteworthy that several
other genes that are expressed in a wide array of tumors and in male
germ-line cells map to chromosome X. In addition to MAGE-A
and LAGE genes, this is the case for P1A in the
mouse and for MAGE-B, MAGE-C1, GAGE,
and SSX2 genes in humans (25, 4547)
. The
significance of this localization is not clear.
The second gene that we identified was named HAGE because it
encodes a protein that shows 55% similarity with the human p68
protein, a DEAD-box protein whose ATP-dependent RNA helicase activity
has been demonstrated (48, 49)
. The protein encoded by
gene HAGE seems to be a new member of the family of DEAD-box
proteins (33)
, which contain the highly conserved
Asp-Glu-Ala-Asp (D-E-A-D) motif. These proteins are involved in many
aspects of RNA metabolism, spermatogenesis, embryogenesis, and cell
growth. The amino acids that are highly conserved in all of the
DEAD-box proteins are also present in protein HAGE, suggesting that
HAGE may also be an ATP-dependent RNA helicase. Gene HAGE is
not located on chromosome X but on chromosome 6.
For MAGE-1, it has been shown that tumor cell lines
could be lysed by a relevant CTL clone if the level of expression of
this gene exceeded the threshold of 10% of that found in the MZ2-MEL
reference tumor cell line, i.e., more than three RNA
molecules/cell (50)
. We have indications (data not shown)
that the level of expression of gene HAGE in cell line
LB23-SAR is
10 times lower than the level of expression of
MAGE-1 in MZ2-MEL. This level may be sufficient to produce
antigenic peptides, but it will only be possible to test this once a
CTL clone that recognizes a peptide encoded by gene HAGE has
been obtained. This CTL clone could then also be used to test the
presence of antigens on normal tissues, where the level of expression
of gene HAGE is at least 100 times lower than in LB23-SAR.
The HAGE protein is not the first case of a DEAD-box protein that is
overexpressed in tumors; this has already been described in
retinoblastoma and neuroblastoma cell lines (5153)
.
Moreover, it is worth noting that of 42 tumor antigens discovered until
now, two are derived from mutated helicases. A mutated murine helicase,
named p68, was found to lead to the expression of an antigen recognized
by a CTL clone on a UV-induced sarcoma (54)
. The human
melanoma antigen LB33-A is produced by a point mutation in a new gene,
MUM-3, which is expressed ubiquitously and shows homology
with members of the RNA helicase gene
family.7
These observations suggest that mutated or overexpressed helicases may
contribute to tumoral transformation or progression.
Genes such as SAGE and HAGE, with
expression that appears to be restricted to tumors and germ-line cells,
are potentially coding for tumor-specific antigens recognized by T
lymphocytes. But these antigens remain to be identified. Approaches to
establish which antigenic peptides recognized by T cells are encoded by
such genes have recently made considerable progress. In
vitro stimulation of CD8+ T lymphocytes with dendritic cells
infected with canarypoxes or adenoviruses carrying sequences of
MAGE genes has led to the definition of a large number of
new epitopes encoded by these genes (55, 56)
. Moreover,
stimulation of CD4+ T cells with dendritic cells pulsed with MAGE
proteins has led to the identification of several new antigenic
peptides presented by class II molecules (57)
. These
results significantly enlarge our possibilities for therapeutic
vaccination with tumor-specific antigenic peptides, because it is now
certain that almost every cancer patient whose tumor expresses a
MAGE gene will have at least one HLA molecule presenting a
MAGE antigenic peptide. The same approach could be applied to genes
SAGE and HAGE to identify tumor-specific antigens
derived from them. Consecutive immunization with several antigens might
ensure a more effective rejection of tumor cells because this should
reduce the emergence of antigen-loss variants arising by mutations in
the genes producing the antigenic peptides or by down-regulation of
their expression. SAGE and HAGE antigens could
also be used to immunize patients against tumors that do not express
MAGE genes.
 |
ACKNOWLEDGMENTS
|
|---|
We thank Marie-Claire Letellier and Claudine Blondiaux for
technical assistance, Pierre van der Bruggen for critical reading of
the manuscript, and Saïda Khaoulali and Simon Mapp for
editorial assistance.
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This work was supported by grants from Fonds J.
Maisin (Belgium), Fédération Belge contre le Cancer
(Belgium), Caisse Générale dEpargne et de Retraite
(CGER)-Assurances and VIVA (Belgium), the Belgian program on
Interuniversity Poles of Attraction initiated by the Belgian State,
Prime Ministers Office, Office for Science, Technology and Culture.
V. M. is supported by Fonds pour la Recherche Scientifique dans
lIndustrie et lAgriculture (Belgium). 
2 To whom requests for reprints should be
addressed, at Ludwig Institute for Cancer Research, Université
Catholique de Louvain, 74 avenue Hippocrate, UCL 7459, B-1200 Brussels,
Belgium. Phone: 32-2-764-75-80; Fax: 32-2-762-94-05; E-mail: boon{at}licr.ucl.ac.be 
3 The abbreviations used are: RT-PCR,
reverse transcription-PCR; SAGE, sarcoma antigen gene;
HAGE, helicose antigen gene. 
4 Internet address:
http://www-genome.wi.mit.edu/cgi-bin/contig/rhmapper.pl. 
5 Internet address:
http://www.ncbi.nlm.nih.gov/SCIENCE96. 
6 B. Lethé, personal communication. 
7 J. F. Baurain, D. Colau, N. van Baren, C.
Landry, V. Martelange, M. Vikkula, T. Boon, and P. G. Coulie. High
Frequency of Autologous Anti-Melanoma CTL Directed Against an Antigen
Generated by a Point Mutation in a New Helicase Gene, submitted for
publication.<./> 
Received 12/17/99.
Accepted 5/16/00.
 |
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