T lymphocytes play an important role in tumor rejection and their response to human malignant melanoma has been well documented. In contrast, the existence of cytotoxic T lymphocytes (CTL) to pancreatic cancer remains unclear. Tumor-associated lymphocytes (TAL) and peripheral blood monocytes (PBMC) were isolated from pancreatic cancer patients. Tumor-specific CTL were generated from TAL and PBMC using solid-phase anti-CD3, low-dose IL-2 (50 IU/ml) and repetitive autologous tumor stimulation. The specificity of CTL was tested in standard cytotoxicity assays using autologous tumor cells, autologous fibroblasts when available, several allogeneic pancreatic tumor cells and the NK-sensitive cell line K562. Anti-HLA-Class I MAb, W6/32, was used to demonstrate that tumor-specific CTL were HLA-Class I restricted. HLA-molecules of human pancreatic cancer cells were washed out using acid elution. Eight consecutive, histologically confirmed pancreatic cancer specimen as well as peripheral blood mononuclear cells were analyzed. Pancreatic cancer remains the fifth leading cause of malignant death in Western countries. Despite advances in surgical and non-surgical treatment, this tumor has an overall 5-year survival rate of 3-5%, in selected series of resected tumors an overall survival of up to 30% can be achieved. 1 New treatment efforts are undertaken to control pancreatic cancer including biologic therapies with monoclonal antibodies or cytokines. 2 Cellular immunotherapy and possible vaccine strategies, nevertheless, have been studied scarcely.In recent years, immune response of cytotoxic T lymphocytes (CTL) to human tumors such as malignant melanoma, 3 ovarian cancer and breast cancer 4 have been shown, but little is known about the immune response to pancreatic cancer. In general, HLAClass I restricted recognition of tumor cells by CD8 ϩ cytotoxic T lymphocytes is reported, leading to the identification of tumor specific antigens (TA) and tumor associated antigens (TAA) for several carcinomas. Several clinical trials are being performed using cancer vaccines. The approach of generating CTL in pancreatic cancer, however, has been a limited focus of interest so far, though this might lead to novel therapeutic strategies such as peptide vaccination, because T cell mediated specific immunity plays a central role in tumor rejection. Therefore, it is important to know whether HLA-Class I restricted and tumor specific CTL can be established in pancreatic cancer.
MATERIAL AND METHODS
PatientsEight consecutive patients (PANK1-PANK8) with histologically confirmed adenocarcinoma of the pancreas were included in our study. Specimens were obtained through the Department of General Surgery, University Hospital Hamburg-Eppendorf, under approval of the institutional review board. None of the patients had received chemotherapy and tumor materials were collected from the patients' initial operation in all cases. In 6 cases, primary pancreatic tumor tissue could be obtained, whereas in 1 patient each a metastatic lymph node or malignant ...