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[Cancer Research 60, 4830-4837, September 1, 2000]
© 2000 American Association for Cancer Research


Immunology

A New Tumor-Rejection Antigen Recognized by Cytotoxic T Lymphocytes Infiltrating into a Lung Adenocarcinoma1

Shinya Nishizaka, Shinya Gomi, Kenji Harada, Kotaro Oizumi, Kyogo Itoh and Shigeki Shichijo2

Department of Immunology [S. N., K. H., K. I., S. S.], Cancer Vaccine Development Division, Kurume University Research Center for Innovative Cancer Therapy [K. I.], and the First Department of Internal Medicine [S. N., K. O.], Kurume University School of Medicine, Kurume 830-0011, Japan, and the First Department of Surgery, Okayama University School of Medicine [S. G.], Okayama 700-9559, Japan


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Lung cancer is the most commonly occurring malignancy worldwide and one of the few that continues to show an increasing incidence. To understand the molecular basis of host immunity against lung cancer, we investigated tumor antigens recognized by HLA-A24-restricted CTLs established from T cells infiltrating into lung adenocarcinoma and report a new gene coding for antigens recognized by the CTLs. The mRNA of this gene was expressed at different levels in all of the malignant cells tested (high in adenocarcinomas and gliomas and low in esophageal cancers and malignant hematological disease). It was also expressed at the different levels in each of a panel of normal tissues (high in the thymus, low in peripheral blood mononuclear cells, and lowest in the stomach, small intestine, and skeletal muscle). This gene encodes a Mr 60,000 nuclear protein with 414 deduced amino acids. The three peptides at positions 158–165, 170–179, and 188–196 were recognized by the CTLs. One peptide at position 188–196 had the ability to induce HLA-A24-restricted and tumor-specific CTLs in peripheral blood mononuclear cells of lung cancer patients. These CTLs, however, did not lyse HLA-A24+ PHA-activated T cells in which the mRNA of this gene was highly expressed, even in the presence of excess amounts of a corresponding peptide in culture. These results suggest that this gene product and peptide could be applicable to specific immunotherapy of lung cancer patients.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The prognosis of lung cancer, the most commonly occurring malignancy in the world, is poor, and that of advanced stages is extremely poor, despite the many recent clinical trials with numerous chemotherapeutic agents (1, 2, 3, 4) . Therefore, development of new treatment modalities is needed, including a novel specific immunotherapy (5 , 6) . Although relatively large numbers of CTL-directed tumor antigens have been identified from melanoma cDNA (7, 8, 9, 10, 11, 12, 13, 14) and also from tumors other than melanomas, including HER2/neu (15 , 16) , prostate-specific antigen (17 , 18) , SART-1 (19) , and SART-3 (20) , very little information is available on the tumor epitopes of lung cancers (21) . This could be attributable partly to the insufficient number of studies on target molecules recognized by CTLs infiltrating into lung cancers. The HLA3 -A24 allele is found in ~60% of the Japanese population, 20% of Caucasians, and 12% of Africans (22) . We reported previously that HLA-A24-restricted CTLs (GK-CTLs) established from T cells infiltrating into lung adenocarcinoma recognized the cyclophilin B peptides (23) . In this study, we also investigated other antigens recognized by the GK-CTLs and report a new gene coding for CTL-directed antigenic epitopes.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Cell Lines.
A bladder carcinoma cell line, HT1376, was used for preparation of the cDNA library (23) . COS-7 and C1R-A*2402 (an HLA-A*2402 transfectant) cells were used for the transfection and peptide-pulse experiments, respectively. C1R-A*2402 cells were kindly provided by Dr. Takiguchi (Kumamoto University, Kumamoto, Japan). The other cell lines used in this study were the lung adenocarcinoma lines 11-18, PC-9, and RERF-LC-MS and the lung SCC lines SQ-1, LC-1/sq, and QG56.

Cloning of a Gene.
An HLA-A24-restricted and tumor-specific CTL (GK-CTL) line was used in this study as a source of effector cells to detect tumor antigens. This line was established from TILs of a patient with lung adenocarcinoma (HLA-A*0206/A*2402, B39/B52, Cw7/) by incubation of TILs with interleukin 2 alone for >60 days. Its characteristics have been reported elsewhere (23) . Methods for identification of a gene coding for the tumor antigen recognized by CTLs were also reported previously (23) . In brief, poly(A)+ RNA of the HT1376 bladder carcinoma cells was converted to cDNA, ligated to SalI adapter, and inserted into the expression vector pSV-SPORT-1 (Life Technologies, Inc., Rockville, MD). Both 200 ng of plasmid DNA pools or clones of the HT1376 cDNA library and 200 ng of the HLA-A*2402 or HLA-A*2601 (as a negative control) cDNA were mixed with 1 µl of LipofectAMINE reagent (Life Technologies, Inc.) in 100 µl of Opti-MEM (Life Technologies, Inc.) for 15 min. Fifty µl of the mixture were then added to the COS-7 cells and incubated for 5 h, and then 200 µl of RPMI 1640 containing 10% FCS were added and cultured for 2 days, followed by incubation with the CTLs. After an 18-h incubation, 100 µl of supernatant were collected to measure IFN-{gamma} by an ELISA (Ref. 3 ; limiting sensitivity, 10 pg/ml). For inhibition of CTL activity, 10 µg/ml of anti-class I (W6/32, IgG2a), anti-HLA-A24 (A11.1 M, IgG3), anti-CD8 (Nu-Ts/c, IgG2a), anti-class II (H-DR-1, IgG2a), and anti-CD4 (Nu-Th/i, IgG1) mAbs were used as reported previously (23) . Anti-CD14 (JML-H14, IgG2a) or anti-CD13 (MCS-2, IgG1) mAb was used as an isotype-matched control mAb. Two-tailed Student’s t test was used for the statistical analysis in this study.

A cDNA library derived from HT1376 cells and containing a total of 1 x 105 clones was screened, and two positive clones (6A1-3D9 and 6A1-4F2) were selected for additional analysis. This report describes the results for the 6A1-3D9 gene. A 6A1-4A9 gene was used as a negative control. The result for the 6A1-4F2 gene has been reported elsewhere (23) . The mRNA expression of a 6A1-3D9 gene on various tumor cells and tissues was investigated by Northern blot analysis with a 32P-labeled 6A1-3D9 as a probe, with a ß-actin probe as control by the methods reported previously (23) . The relative expression of the ART-1 mRNA was calculated with the following formula: index = (6A1-3D9 density of a sample/ß-actin density of a sample) x (ß-actin density of the unstimulated PBMCs/6A1-3D9 density of the unstimulated PBMCs). Mann-Whitney U test was used for the statistical analysis.

The full-length of the 6A1-3D9 clone was obtained from both a PBMC cDNA library (SuperScript Human Leukocyte cDNA library in pCMV-SPORT; Life Technologies, Inc.) and an HT1376 cDNA library by the colony hybridization method with 32P-labeled 6A1-3D9 cDNA. DNA sequencing was performed by the dideoxynucleotide sequencing method using a DNA Sequencing kit (Perkin-Elmer Corp., Foster, CA), and the sequence was analyzed by the ABI PRISM 377 DNA Sequencer (Perkin-Elmer). Then the full-length 6A1-3D9 gene was tentatively designated ART-1 (adenocarcinoma antigen recognized by T cell-1).

Subcellular Localization Analysis.
For preparation of the ART-1/GFP fusion gene, a fragment of positions 1–1324 of ART-1 was obtained by digestion of ART-1/pCMV-SPORT with EcoRI and HindIII. The fragment of positions 1219–1622 of ART-1 was amplified by PCR using a forward primer 5'-TGTCAGTGAGGAGCTGGAGG-3' and a reverse primer 5'-CTCCCTCTGTCGACTTTGTATTTTCC-3', followed by digestion with SalI and HindIII. These two fragments were ligated into a pEGFP-N2 vector (Clontech, Palo Alto, CA), which was digested by EcoRI and SalI. The sequence of the PCR-amplified region was checked. The ART-1/GFP gene or the pEGFP-N2 vector alone as a control was transfected to 293T cells (SV-40-transformed human embryonic kidney cells). The paraformaldehyde-fixed samples were observed under a confocal Ar-Kr LSM (Carl Zeiss, Oberkochen, Germany). Localization of the ART-1/GFP protein was recorded under an FITC filter (520 nm). The exposure sequences and imaging were controlled by LSM imaging software (version 3.7; Carl Zeiss). Western blot analysis was used to detect estimated molecules of the ART-1 protein.

The ART-1-transfected 293T cells were lysed with RIPA buffer (20 mM Tris-HCl, 150 mM NaCl, 1% NP-40, 1% sodium deoxycholate, 0.1% SDS, 2 mM EDTA, 10 µg/ml aprotinin, 10 µg/ml leupeptin, and 1 µM phenylmethylsulfonyl fluoride), rotated for 30 min at 4°C, and centrifuged at 15,000 rpm for 30 min. The supernatant was separated by SDS-PAGE. The proteins in acrylamide gel were blotted to a Hybond-poly(vinylidene difluoride) membrane (Amersham Pharmacia, Buckinghamshire, United Kingdom) and were incubated with anti-GFP polyclonal antibody (Clontech) for 3 h at room temperature. The other methods used for the Western blot analysis were described previously (19) .

Peptide and CTL Assay.
The literature was searched for ART-1-derived peptides capable of binding to the HLA-A*2402 molecules (24) , resulting in the 16 different ART-1 peptides used in this study. These peptides were kindly provided by Dr. Kanaoka (Sumitomo Pharmaceutical, Osaka, Japan), and their purity was >95%. Among them, the three peptides at positions 158–165, 170–179, and 188–196 (ART-1158–165, ART-1170–179, and ART-1188–196, respectively), which were recognized by the CTLs, were also evaluated for their binding activity to HLA-A24 molecules. For the peptide-binding assay, a chimera gene A*2402/Kb encoding for the {alpha}1 and {alpha}2 domains of the HLA-A*2402 molecule and for the {alpha}3 transmembrane and intracellular domains of the H-2Kb molecule was established. Exons 1–3 of HLA-A*2402 cDNA and exons 4–8 of H-2Kb cDNA were ligated into pcDNA3.1 (Invitrogen, CH Groningen, the Netherlands). This gene was then transfected into RMA-S cells (mouse lymphoma cell line). These cells expressed HLA-A*2402 molecules that were detectable with anti-HLA-A23/A24 mAb (One Lambda, Canoga Park, CA). These cells were incubated at 26°C for 18 h. After washing with PBS, the cells (2 x 105) were suspended with Opti-MEM (Life Technologies, Inc.) containing 3 µg/ml human ß2-microglobulin (Cortex Biochem, San Leandro, CA) and the appropriate concentration of peptide, followed by incubation at 26°C for 3 h and at 37°C for 3 h. The cells were then incubated with anti-HLA-A23/A24 mAb at 4°C for 30 min, washed with PBS, and incubated with phycoerythrin-conjugated rabbit antimouse IgG antibody (Cappel, Aurora, OH) at 4°C for 30 min. After washing with PBS, the cells were suspended with 1 ml of PBS containing 1% formaldehyde and analyzed by FACScan (Becton Dickinson, San Jose, CA). An HIV-derived peptide (RYLRDQQLGI) capable of binding to HLA-A*2402 (25) and SART-1736–745 (KGSGKMKTER) capable of binding to HLA-A*2601 (19) were used as positive and negative controls, respectively.

For detection of antigenic peptides recognized by the GK-CTL line, C1R-A*2402 cells (2 x 104) were pulsed with a peptide at a final concentration of 10 µM for 2 h. The GK-CTLs (1 x 104) were then added and incubated for 18 h, and 100 µl of supernatant were collected to measure IFN-{gamma} by ELISA in triplicate assays as reported previously (23) . To test peptide specificity, GK-CTL sublines were established from the parental CTL line by the limiting dilution culture method at 1 or 10 cells/well as described previously (23) .

CTL Induction by Peptides.
PBMCs (1 x 106 per well) from HLA-A*2402+ healthy volunteers or cancer patients were incubated with 10 µM of each peptide in a 24-well plate in the presence of 100 IU/ml interleukin 2 as reported previously (23) . At days 7 and 14 of culture, the cells were restimulated at a responder:stimulator ratio of 4:1 with the irradiated (30 Gy) autologous PBMCs as APCs that had been incubated with the same peptide (10 µM) for 2 h. These cells were cultured additionally in a 96-well, U-bottomed microculture plate in the presence of irradiated autologous PBMCs (2 x 106 cells/well) that had been pulsed with the corresponding peptide and were used as APCs. Seven to 10 days later, the expanded cells were transferred to a 24-well plate and additionally cultured for 14–25 days without peptide and without APCs. The cytotoxic activity was measured by a standard 6-h 51Cr release assay at different E:T ratios as reported previously (23) . The target cells used were from the lung adenocarcinoma cell lines 11-18, PC-9, and RERF-LC-MS, and the lung SCC cell lines LC-1/sq and QG56. PHA blasts from HLA-A24+ healthy volunteers were also used as target cells as described by Gomi et al. (23) . Expression of HLA-class I or HLA-A24 antigens on these cells was studied by staining of the cells with anti-HLA-class I (W6/32) mAb recognizing a monomorphic region of the HLA-class I molecule or anti-HLA-A24 mAb recognizing a polymorphic region of the HLA-class I molecule (One Lamda, Inc.), and the expression was measured by FACScan (Becton Dickinson) as reported previously (23) .


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Identification of the ART-1 Gene.
A total of 1 x 105 cDNA clones from the cDNA library of the HT1376 tumor cells, which induced the highest IFN-{gamma} production by the GK-CTLs, were tested for their ability to stimulate IFN-{gamma} production by the CTLs against the COS-7 cells after cotransfection with HLA-A*2402 cDNA. This method allows identification of genes encoding tumor-rejection antigens as reported previously (23) . In the third screening, one clone (6A1-3D9) was found to confer recognition by the GK-CTLs, i.e., the CTLs produced significant amounts of IFN-{gamma} by recognition of the COS-7 cells transfected with the HLA-A*2402 and 6A1-3D9 genes but not by recognition of those transfected with the HLA-A*2601 cDNA (a negative control) and the 6A1-3D9 genes, nor by those transfected with the HLA-A*2402 and 6A1-4A9 genes (a negative control; Fig. 1ACitation ).



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Fig. 1. Identification of an ART-1 antigen recognized by the CTLs. A, recognition of a 6A1-3D9 gene product by the GK-CTLs. COS-7 cells were transfected with 100 ng of cDNA of clone 6A1-3D9 or 6A1-4A9 (a negative control) along with 100 ng of HLA-A*2402 or HLA-A*2601 (as a negative control) cDNA. Two days later, the cells were tested for their ability to stimulate IFN-{gamma} production by the GK-CTLs at a responder:stimulator ratio of 25. Values represent the means of triplicate assays. *, significantly different from the controls with P < 0.05 by two-tailed Student’s t test. B and C, deduced amino acid sequence of the ART-1. The nucleotide sequence of ART-1 was proved to be 2021 bp long and to encode 414 amino acids. The nucleotide sequence of the ART-1 gene was almost identical to the corresponding region of the 4261-bp-long KIAA0764 gene already registered in GenBank (accession no. AB018307), i.e., the sequence of ART-1 is identical to that of KIAA0764, except for one nucleotide position 848 (in which C is replaced by T). The ART-1 gene, encoding 414 amino acids in the ATG at nucleotide position 363–365, is used as a start codon, which is identical to the translated amino acids sequence of KIAA0764 if its ATG at positions 344–346 is used as a start codon. D, expression of the ART-1 gene at the mRNA level. Thirty-two malignant cell lines (HT1376, YM21, LC-1, PC9, 11-18, YT803, RERF-LC-MS, A549, 1-87, SW620, MCF7, MKN45, RUMG-L, KMG-A, KNS42, KALS1, GI-1, LC-1/sq, SQ-1, QG56, KE4, TE9, TE11, TE8, ARH77, NAMALWA, HUT102, U937, THP-1, ML-3, K562, and HEL), normal PBMCs, PHA blasts, transformed normal cells (293, 293T, SALT3, and VA13), or 13 normal tissues were provided for Northern blot analysis. Only representative results are given for the cell lines. E, expression of the ART-1/GFP fusion protein in the transfectants. 293T cells were transfected with the ART-1/GFP fusion gene followed by serial observation under a Zeiss confocal Ar-Kr LSM with both fluorescence and visible rays or with fluorescence only. Localization of the ART-1/GFP protein was recorded under an FITC filter (520 nm). The exposure sequences and imaging were controlled by LSM version 3.70 imaging software. The visible-ray image was studied by differential interference microscopy. F, expression of the ART-1/GFP protein in the cells. The ART-1/GFP protein expression was tested in the 293T cells transfected with the ART-1/GFP fusion gene. Anti-GFP polyclonal antibody recognized a Mr 87,000 band, indicating that the expected molecular weight of the ART-1 protein was Mr ~60,000.

 
The nucleotide sequence of this cDNA clone was shown to be 1784 bp long and to encode 414 amino acids (Fig. 1B)Citation . The nucleotide sequence of this 6A1-3D9 gene was almost identical to the corresponding position of the KIAA0764 gene, which is 4261 bp in length and is registered in GenBank (accession no. AB018307; Ref. 26 ; Fig. 1CCitation ), i.e., the sequence of 6A1-3D9 is identical to that of KIAA0764, except at position 848 (at which C is replaced by T). The KIAA0764 gene was isolated from a human brain cDNA library in the human gene cloning project. To our knowledge, little is known about KIAA0764, other than its sequence, mRNA expression in some tissues, and chromosomal location. The 6A1-3D9 gene encoding 414 amino acids in the first ATG at nucleotide positions 363–365 is used as a start codon, which is identical to the translated amino acids sequence of KIAA0764 if its ATG at positions 344–346 is used as a start codon (Fig. 1C)Citation .

The expression of the 6A1-3D9 gene at the mRNA level was investigated by Northern blot analysis, and one major band of ~2 kb in length along with several dim bands between 2 and 4 kb in length were observed in all of the malignant cells and normal tissues tested, with higher expression in the lung adenocarcinoma and gliomas and lower expression in the esophageal SCCs and hematological malignant cells (Fig. 1D)Citation . These results suggest that the 1784-bp-long 6A1-3D9 gene was a truncated gene. A 2021-bp-long gene was independently cloned from the cDNA libraries of HT1376 tumor (four of four clones tested) and PBMCs of healthy donors (five of seven clones tested) using the 6A1-3D9 gene as a probe by the colony hybridization method (Fig. 1C)Citation . This 2021-bp-long gene, containing all of the sequences of 6A1-3D9 gene (Fig. 1C)Citation , also encoded antigens recognized by the GK-CTLs (data not shown). We designated this gene an adenocarcinoma antigen recognized by T cell-1 (ART-1) gene (GenBank accession no. AF197954).

The mean relative level of mRNA expression of the ART-1 of ~2 kb in length in adenocarcinomas was significantly higher than that of either of the SCCs (P = 0.018) and malignant hematological disease (P = 0.0002; Table 1Citation ). Among SCCs, the expression of the mRNA in the lung cancers was three times higher than that of esophageal SCCs. The mRNA was also expressed in a panel of normal cells and tissues tested different levels of expression (highest in the thymus; high in the testis, placenta, and PHA blast; lower in the lung, kidney, and PBMCs; and lowest in the stomach, small intestine, and skeletal muscle). Table 1Citation summarizes the data on the relative levels of mRNA expression. Taken together, these results suggest that the ART-1 gene with 2021-bp length was dominantly expressed at the mRNA level in both malignant and normal cells, although its expression levels varied largely among the samples tested.


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Table 1 Expression of ART1 mRNA in malignant and normal cells

 
The remaining two clones (shown as P17; GenBank accession no. AF224759 in Fig. 1BCitation ) from the PBMC cDNA library was different from those of ART-1 and KIAA0764 gene and encode 412 amino acids if the ATG at nucleotide positions 1228–1230 is used as starting codon that is identical to the 414 amino acids of ART-1 peptide sequence, except the second (N) and fourth (Q) amino acids were deleted. Therefore, there might be an ART-1 gene family that includes such genes as the P17 gene and the KIAA0764 gene, with much lower expression levels than ART-1 itself.

Localization of the ART-1 Protein.
Localization of the ART-1 protein in cells was studied by transfection of the ART-1/GFP fusion gene into 293T cells. The ART-1/GFP protein was expressed in the nucleus of the 293T cells transfected with the fusion gene (Fig. 1E)Citation . Anti-GFP polyclonal antibody recognized a Mr 87,000 band in the extraction of these transfected 293T cells, indicating that the expected Mr of the ART-1 protein was ~60,000 (Fig. 1F)Citation .

ART-1 Peptides Recognized by the CTLs.
Sixteen different ART-1-derived peptides with motifs of binding to HLA-A*2402 molecules were loaded onto the HLA-A*2402-transfected COS-7 cells at a concentration of 10 µM and then tested for their ability to induce IFN-{gamma} production by the GK-CTLs. Three of these 16 peptides, ART-1158–165, ART-1170–179, and ART-1188–196, stimulated significant levels of IFN-{gamma} production in a dose-dependent manner (Fig. 2, A and B)Citation . The other 13 peptides failed to stimulate IFN-{gamma} production by the CTLs. The lowest dose of peptide capable of inducing significant levels of IFN-{gamma} production by the GK-CTLs was 0.01 µM in ART-1158–165, 1 µM in ART-1170–179, and 0.01 µM in ART-1188–196.



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Fig. 2. Identification of epitopes recognized by the CTLs. A, determination of the antigenic peptides derived from the ART-1 protein. Sixteen different peptides of ART-1 protein with motifs capable of binding to HLA-A*2402 molecules were loaded onto COS-7 cells transfected with HLA-A*2402. The GK-CTLs were added to the peptide-loaded cells and incubated for 18 h, and the culture supernatant was harvested to measure IFN-{gamma} production by ELISA in triplicate assays. The background of IFN-{gamma} production by the GK-CTLs in response to the HLA-A*2402-transfected COS-7 cells alone (100 pg/ml) was subtracted from the values. *, significantly different from the controls with P < 0.05 by two-tailed Student’s t test. B, dose-dependent reaction of the ART-1 peptides. ART-1158–165, ART-1170–179, and ART-1188–196 peptides were loaded at various doses on COS-7 cells that had been transfected with HLA-A*2402 and cultured for 2 days, followed by addition of CTLs at an E:T ratio of 10. Values represent the means of triplicate assays. C, peptide specificity of the GK-CTL sublines. Sublines were established from the parental GK-CTL line by a limiting dilution culture. One hundred twenty different GK-CTL sublines with a CD3+CD4-CD8+ phenotype were tested for their reactivity to C1R-A*2402 cells pulsed with ART-1158–165, ART-1170–179, and ART-1188–196 or HIV-derived peptide as a negative control at an E:T ratio of 5 in triplicate assays. Representative results for each subline (7c2, 9b4, and 6a2 showing specificity to ART-1 peptide) are shown. *, significantly different from the controls with P < 0.05 by two-tailed Student’s t test.

 
In the peptide-binding assay, the mean fluorescence intensities of RMA-S-A*2402/Kb cells that were loaded with the ART-1158–165, ART-1170–179, and ART-1188–196 peptides were 22.06, 12.30, and 48.28, respectively. That of the HIV-derived peptide capable of binding to HLA-A*2402 molecules (as a negative control) was 27.4, and that of the SART-1736–745 peptide capable of binding to HLA-A*2601 but not to HLA-A*2402 molecules (as a negative control) was 10.25.

GK-CTL sublines were established from the parental GK-CTL line by incubation at 1, 10, or 100 cells/well, and their peptide specificities were tested. Two cyclophilin B peptides at positions 84–92 and 91–99 were used as negative control, because the same GK-CTL line was also used for identification of these cyclophilin B peptides (23) . The HIV-derived peptide capable of binding to HLA-A*2402 molecules was used as a negative control. Among the 120 different sublines tested, one, two, or three sublines recognized C1R-A*2402 cells pulsed with ART-1158–165, ART-1170–179, or ART-1188–196, respectively. Representative results for each subline in response to the corresponding peptides are shown in Fig. 2CCitation . IFN-{gamma} production by these sublines in response to the corresponding peptides was inhibited by anti-HLA-class I (W6/32) or anti-CD8 mAb but not by anti-HLA-class II (H-DR-1) or anti-CD4 mAb (data not shown).

Induction of CTLs by Peptides.
ART-1158–165, ART-1170–179, and ART-1188–196 peptides were tested for their ability to induce HLA-A24-restricted and tumor-specific CTLs from the PBMCs of HLA-A24+ patients with lung cancer (n = 7; six with adenocarcinomas and one with SCCs) and HLA-A24+ healthy volunteers (n = 5). PBMCs from the three cancer patients who received chemotherapy at the time of blood sampling did not proliferate well under the condition used. Those from the remaining four patients (three with adenocarcinoma and one with SCC) did proliferate well; analysis of their surface phenotypes showed that CD3+CD4-CD8+ cells made up 10–30% of the population of PBMCs at day 21 of the culture period (data not shown). These PBMCs at day 21 were incubated for an additional 23–28 days, followed by a 6-h 51Cr release assay to measure CTL activity against various target cells (Fig. 3A)Citation . The PBMCs that were stimulated by the ART-1188–196 peptide but not those stimulated by either the ART-1158–165 or ART-1170–179 peptide showed significant levels of cytotoxicity to HLA-A24+ lung cancer cells (11-18, LC-1/sq, and PC9; Fig. 3Citation ). In contrast, these PBMCs did not lyse either HLA-A24+ PHA blasts from healthy volunteers or HLA-A24- lung cancer cells (RERF-LC-MS and QG-56). These CTLs failed to lyse HLA-A24+ PHA blasts in the presence of exogenous ART-1188–196 peptide added in culture, although they showed cytotoxicity to the C1R-A*2402 cells pulsed with the peptide under the same condition (Fig. 4A)Citation . The percentages of CD3+CD4-CD8+ cells in the population of PBMCs showing the HLA-A24-restricted and tumor-specific CTL activity at the time of the 6-h 51Cr release assay were 42% in patient 1, 46% in patient 2, 32% in patient 3, and 21% in patient 4. The CTL sublines were established from patient 2 by incubation at 1 and 10 cells/well, and their peptide specificities were tested. Among the 40 different sublines tested, one subline (no. 10) recognized C1R-A*2402 cells pulsed with ART-1188–196 but did not recognize C1R-A*2402 cells pulsed with the other peptides (Fig. 4B)Citation . The IFN-{gamma} production by this subline in response to HLA-A24 tumor cells (HT1376) was inhibited by anti-HLA-class I (W6/32) or anti-CD8 mAb but not by anti-class II (H-DR-1), anti-CD4, or irrelevant control mAbs (anti-CD13 and anti-CD14; Fig. 4CCitation ). These results suggest that the ART-1188–196 peptide has the ability to induce HLA-A24restricted and tumor-specific CTLs in PBMCs of lung cancer patients.



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Fig. 3. Induction of CTLs by peptides. The PBMCs from patients with lung cancer were stimulated with no peptide or ART-1158–165, ART-1170–179, and ART-1188–196 peptides (10 µM), followed by a test of their cytotoxicity against HLA-A24+ lung cancer cells (11-18, PC9, and LC-1/sq), HLA-A24+ PHA blasts, and HLA-A24- lung cancer cells (QG56 and RERF-LC-MS), as measured by a 6-h 51Cr release assay at different E:T ratios. Detailed methods for the 51Cr release assay and CTL induction are described in "Materials and Methods." {blacksquare}, 11-18 (A24+); {blacktriangleup}, LC-1/sq (A24+); •, PC9 (A24+); +, QG56 (A24-); {circ}, RERF-LC-MS (A24-); *, PHA blasts (A24+).

 


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Fig. 4. Characterization of the peptide-induced CTLs. A, cytotoxicity in the presence of exogenic peptide. The ART-1188–196 peptide-induced CTLs from the lung cancer patient 2 (Fig. 3)Citation were tested their cytotoxicity to C1R-A*2402 cells that were preincubated with the ART-1188–196 peptide or to HLA-A*2402+-PHA blasts preincubated with the same peptide at an E:T ratio of 80:1. B, CTL sublines were established from the PBMCs of a lung cancer patient (patient 2) stimulated with the ART-1188–196 peptide. The sublines were tested at an E:T ratio of 5:10 in the triplicate assays for their reactivity to C1R-A*2402 cells pulsed with the ART-1188–196 peptide used for the stimulation but were not tested for their reactivity to cells pulsed with any other peptides. *, significantly different from the controls with P < 0.05 by two-tailed Student’s t test. C, IFN-{gamma} production by the sublines (subline 10) in response to HT1376 tumor cells was also measured at a responder:stimulator ratio of 5 in the presence of 10 µg/ml of anti-class I (W6/32, IgG2a), anti-CD8 (Nu-Ts/c, IgG2a), anti-class II (H-DR-1, IgG2a), or anti-CD4 (Nu-Th/i, IgG1) mAbs. Anti-CD14 (JML-H14, IgG2a) or anti-CD13 (MCS-2, IgG1) mAb was used as isotype-matched control. Values represent the mean IFN-{gamma} levels of triplicate assays. *, significantly different from the control values with P < 0.05 by the two-tailed Student’s t test.

 
In contrast to ART-1188–196, neither ART-1158–165 nor ART1170–179 induced the HLA-A24-restricted CTLs in any of the PBMCs tested under the used condition, and the results of patients 1 and 2 are shown in Fig. 3Citation . None of the three ART-1 peptides tested induced the HLA-A24-restricted CTL activity in PBMCs of five healthy donors. These PBMCs showed either no cytotoxicity or MHC nonrestricted cytotoxicity (data not shown).


    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The results of this study demonstrate that the ART-1 gene encodes antigenic epitopes recognized by the HLA-A24-restricted and tumor-specific CTLs established from T cells infiltrating into lung cancers. The nucleotide sequence of the ART-1 gene is almost identical to that of a corresponding region of the gene with unknown function already registered in GenBank under the name of KIAA0764. It is possible that both the ART-1 and KIAA0764 genes encode the same protein, but there is a difference of ~2 kb between these genes at the nucleotide level in the noncoding region of the COOH terminus. Results from the Northern blotting suggest that the ART-1 gene, with a 2021-bp length, was dominantly expressed at the mRNA level in both malignant and normal cells, although its expression levels varied widely among the samples tested. Furthermore, there might be an ART-1 gene family that includes such genes as the P17 gene and the KIAA0764 gene, with much lower expression levels than ART-1 itself.

The ART-1 mRNA was ubiquitously expressed in normal tissues and malignant tumor cell lines at different levels. Among tumor cell lines, ART-1 mRNA was highly expressed in adenocarcinomas and particularly in lung adenocarcinomas. It was also highly expressed in gliomas. The expression in lung SCCs (n = 3; mean, 0.39) was three times higher than that in esophageal SCCs (n = 4; mean, 0.13), and ART-1 mRNA was scarcely expressed in malignant hematological cells. Therefore, the ART-1 peptide might be applicable for use in peptide-based immunotherapy of patients with non-small cell lung cancers and gliomas. Among normal tissues, ART-1 mRNA expression was highest in the thymus, high in the testis and placenta, low in the lung and several other tissues, and lowest in the stomach, small intestine, and skeletal muscle. ART-1 mRNA was highly expressed in PHA blasts but only slightly expressed in unstimulated PBMCs. It is of note that the expression in 293T cells, a 293 cell line with SV-40 large T, was three times higher than that in 293 cells (Table 1)Citation . The results of the present laser-confocal microscopic analysis of the GFP-tagged ART-1 transfectants indicate that the ART-1 protein is localized at the nucleus. The other tumor-rejection antigens, SART-3 and SART-1800, were preferentially expressed in both normal and malignant proliferating cells but were not detectable in normal tissues or unstimulated normal cells as determined by the Western blot analysis. SART-3 and SART-1 genes were ubiquitously expressed at the mRNA level by Northern blot analysis (19 , 20) . Taken together, these present results and our previous results (19 , 20 , 23) suggest that ART-1 is a nuclear protein with a probable biological role in cellular proliferation. Further studies, including detection of ART-1 at the protein level, will be needed to clarify the biological function of ART-1 and its family. On the basis of the present results, however, it can be conclusively stated that the ART-1, P17, and KIAA0764 genes, respectively, encode the GK-CTL-recognized peptides ART-1158–165, ART-1170–179, and ART-1188–196. Therefore, proteins encoded by these three genes might be appropriate target molecules for use in peptide-based specific immunotherapy of lung and gliomas.

Among the three peptides with HLA-A24 antigen-binding motifs tested, only the ART-1188–196 peptide was able to induce HLA-A24-restricted CTLs from PBMCs of HLA-A24+ lung cancer patients. This difference among the three peptides may have been related to be the different levels of CTL precursors in PBMCs. The frequency of CTL precursors reacting to the ART-1188–196 peptide might have been higher than that of the others. Indeed, the frequency of CTL sublines from the GK-CTL line reacting to this peptide was highest among the three peptides. The amount of ART-1188–196 expressed on the groove of HLA-A*2402 molecules of cancer cells might have been larger than that of the others expressed. The binding affinity of the ART-1188–196 to HLA-A*2402 molecules was also highest among the three peptides. Therefore, the binding affinity of T cells to the peptide-HLA complex might be higher than the binding of T cells to the other peptides.

Although ART-1 is highly expressed in activated T cells, neither the GK-CTLs nor the CTLs induced by the ART-1186–196 peptide lysed PHA-activated normal T cells, even in the presence of excess amounts of a corresponding peptide in culture. These peptide-induced CTLs showed the cytotoxicity to C1R-A*2402 cells in the presence of an excess amounts of the peptide. Therefore, certain molecules, including a family of serpin, on activated T cells that play a role in protection from lysis by self-CTLs (27) , might be responsible for this phenomenon. Alternatively, the different posttranslational modification of the epitopes between normal and cancer cells might be involved in this issue. Some of the CTL epitopes that were identified previously have posttranslational modifications, and these modifications have had a significant impact on the ability of the CTLs to recognize these peptides (28) . Further studies, including determination of molecules involved in the resistance to the lysis, will be needed to clarify this issue.

In conclusion, the results of this study suggest that the ART1188–196 peptide is one of the target epitopes that is recognized by HLA-A24-restricted CTLs at the sites of lung cancer and that this peptide has the ability to induce HLA-A24-restricted CTLs from PBMCs of non-small cell cancer patients. The HLA-A24 allele is found in 60% of Japanese (with 95% of these cases being genotypically A*2402), in 20% of Caucasians, and in 12% of Africans (17) . The one ART-1-derived peptide was able to induce HLA-A24-restricted and tumor-specific CTLs in PBMCs of lung cancer patients. These ART-1 peptides could be useful for specific immunotherapy of HLA-A24+ patients with non-small cell lung cancer as well as in the development of a cancer vaccine for glioma patients.


    ACKNOWLEDGMENTS
 
We thank Dr. Keisuke Ohta of Kurume University, Fukuoka, Japan, for performing the laser confocal microscopy analysis; Dr. Kunzo Orita, an Executive Director of the Hayashibara Biochemical Laboratory Inc., Okayama, Japan, for providing the natural IFN-{gamma} for ELISA; Dr. Masafumi Takiguchi of Kumamoto University, Kumamoto, Japan, for kindly providing C1R-A*2402 cells for the study; and Hideo Takasu of Sumitomo Pharmaceutical Company, Osaka, Japan, for providing the RMA-S-A*2402/Kb cells.


    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 Supported in part by Grants-in-Aid 08266266, 09470271, 10153265, 09770985, and 09671401 from the Ministry of Education, Science, Sports and Culture of Japan and by Grant H10-genome-003 from the Ministry of Health and Welfare, Japan. Back

2 To whom requests for reprints should be addressed, at Department of Immunology, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan. Phone: 81-942-31-7551; Fax: 81-942-31-7699; E-mail: shichijo{at}med.kurume-u.ac.jp Back

3 The abbreviations used are: HLA, human leukocyte antigen; LSM, laser scanning microscope; TIL, tumor-infiltrating lymphocyte; PBMC, peripheral blood mononuclear cell; mAb, monoclonal antibody; APC, antigen-presenting cell; PHA, phytohemaglutinin; SCC, squamous cell carcinoma; GFP, green fluorescent protein. Back

Received 2/ 7/00. Accepted 6/29/00.


    REFERENCES
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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