Blood lymphocytes from HLA-A*0201-subtyped melanoma patients and healthy controls were screened for the presence of T cells specific for HLA-A*0201-binding melanoma and viral peptide antigens by the enzyme-linked immunoSPOT (ELISPOT) assay. CD8؉ cells were tested for peptide-specific IFN-␥ release immediately after selection as well as after 2 weeks of in vitro stimulation. After in vitro stimulation, CD8؉ T cells specific for influenza were measured in all patients and controls, whereas these T cells could be detected among nonstimulated CD8؉ cells in only 52% of individuals. Similarly, T cells specific for EBV were more frequently measured among in vitro-stimulated than nonstimulated CD8؉ cells. In nonstimulated CD8 ؉ cells, T cells specific for MART-1/Melan-A, gp100, tyrosinase and CAMEL were present in 4 (33%), 1 (8%), 1 (8%) and 3 (25%) of 12 patients, respectively. Only MART-1/Melan-A-specific CD8 ؉ T cells were found in 1 (11%) of 9 healthy controls. CD8؉ T cells specific for MAGE-2 were not observed. After in vitro stimulation, CD8؉ T cells specific for MART-1/Melan-A could be demonstrated in 6 (46%) of 13 patients and 2 (20%) of 10 controls. CD8 ؉ T cells specific for gp100 were detected in 1 patient after in vitro stimulation. No CD8 ؉ T cells specific for tyrosinase, MAGE-2 or CAMEL could be measured after in vitro stimulation. These data show that the ELISPOT assay allows direct ex vivo detection of CD8 ؉ T cells specific for viral and melanoma antigens. Furthermore, the data show that the sensitivity of the ELISPOT assay to measure influenza-and EBV-specific CD8 ؉ T cells can be enhanced by a short in vitro stimulation step, whereas opposing effects on numbers of CD8 ؉ T cells specific for melanoma antigens have been observed. © 2001 Wiley-Liss, Inc.
Key words: human; blood; T lymphocytes; MHC; melanoma
Cytotoxic CD8ϩ T lymphocytes (CTLs) play an important role in the host defense against many tumors by recognizing specific antigens as short peptides presented on the cell surface by MHC class I molecules. A number of genes coding for CTL epitopes have been identified and characterized in human melanoma. These genes have been isolated by screening cells transfected with cosmid or cDNA libraries for recognition by CTL clones or lines derived from peripheral blood or tumor-infiltrating lymphocytes. Some of these genes, e.g., MAGE, 1 BAGE 2 and GAGE, 3 encoding the so-called cancer-testis antigens, are frequently expressed in tumors of different origins but silent in normal tissues except for testis. Although expressed in other tumor types as well, MAGE genes are most frequently expressed in human melanoma. In particular MAGE-2 and -3 have been reported to be expressed in 30% to 40% of primary and 70% to 80% of metastatic melanoma. 4 -6 In addition to cancer-testis antigens, genes have been isolated coding for melanocyte differentiation antigens, e.g., MART-1/Melan-A, 7,8 tyrosinase, 9 gp100 8,10 and gp75. 11 Melanocyte differentiation antigens are expressed in a high percentage of primary and metastic...