The transcription factor PAX3 is expressed during early embryogenesis and in multiple cancer types, including embryonal rhabdomyosarcoma (ERMS), Ewing sarcoma (ES) and malignant melanoma (MEL), suggesting that it could function as a general tumor associated antigen. Major histocompatibility complex (MHC) peptide binding algorithms were used to predict potential epitopes in PAX3 capable of stimulating in vitro na€ ıve HLA-A0201 restricted cytotoxic T-lymphocytes (CTLs). Two peptides, PAX3-282 (QLMAFNHLI) and a modified version of this peptide PAX3-282.9V (QLMAFNHLV), were capable of inducing antigen-specific CTLs. Of these peptides, PAX3-282.9V was the most efficient inducer of primary CTL response. These CTLs were able to lyse HLA-A0201 expressing target cells that were pulsed with peptide, and more importantly, were effective in killing tumor cells that express PAX3, including ERMS, ES and MEL cell lines. These findings provide compelling evidence that peptide PAX3-282 is naturally processed by tumors and is presented in the context of HLA-A0201 in adequate amounts to allow CTL recognition. Also, PAX3-282.9V is an effective immunogenic peptide able to induce CTL recognition of PAX3-containing tumors and may be used as an antitumor peptide vaccine. ' 2006 Wiley-Liss, Inc.Key words: immunotherapy; cancer vaccine; sarcoma; melanoma As knowledge about the immune response has evolved, expectations have been raised that immunotherapy may provide a promising noninvasive nontoxic adjuvant therapy for cancer.
1,2Immunotherapy would most likely be used to treat minimal residual disease, and thereby prevent or delay metastatic spread or recurrences without compromising quality of life.However, identifying appropriate tumor-associated antigens (TAA) that contain peptide antigens capable of triggering an effective anti-tumor T lymphocyte response remains one of the major obstacles for developing effective immunotherapies. T lymphocytes recognize these tumor antigens as small peptides bound to cell surface molecules encoded by the major histocompatibility complex (MHC).2 Cytotoxic T-lymphocytes (CTLs) are characterized by expression of CD8 cell-surface molecules and recognize peptides bound to class I MHC molecules. For many tumor types such as malignant melanoma (MEL), ovarian/breast and colorectal adenocarcinomas, there is clear evidence that peptide epitopes from conventional tumor markers such as gp100, NY-ESO-1, MAGE, CEA and HER2/neu can induce tumor-reactive T-lymphocytes, from na€ ıve individuals, in the context of either MHC class I or II molecules.3-10 Most of the peptide epitopes used in these studies were identified by computer algorithms that predict peptides capable of binding to specific MHC alleles.11-13 Therefore, the identification of antigenic peptide epitopes present in novel tumor markers, such as PAX3, is critical for the development of effective, targeted antitumor immunotherapy.Rhabdomyosarcoma (RMS) is the most common sarcoma and is the fourth most common solid tumor during childhood and adolescence...