title: Simultaneous expression of different immunogenic antigens in acute myeloid leukemia.
abstract: Identification of immunogenic leukemia-associated antigens as target structures is mandatory for specific immunotherapy of leukemia. Here, we define acute myeloid leukemia (AML) antigens eliciting a humoral immune response in the autologous host. We applied the method of serologic screening of cDNA expression libraries with autologous serum (SEREX). To date, this technique has been used to characterize antigen structures in solid tumors. The mRNA expression pattern of these newly in AML isolated antigens and previously described leukemia antigens (PRAME, MAGE-1, and Wt-1) was evaluated by reverse transcriptase polymerase chain reaction. For Wt-1, Western blotting also was performed. Screening of a cDNA expression library prepared from a patient with AML FAB M2 using autologous and allogeneic sera, followed by sequencing of positive clones, yielded three autoantigens (Prp1p/Zer1p, L19H1, and one without homology to previously described genes) and two antigens reactive with allogeneic sera (MAZ, PINCH). PRAME mRNA was expressed in 47% of 34 AML patients, but not in 13 CD34(+) cell samples or in peripheral blood mononuclear cells of 13 healthy volunteers. mRNA expression of MAZ was detected in 44% of AML patients, but only in 8% of healthy donors. Humoral responses to MAZ were detected in 35%. More than 80% of the screened AML patients showed simultaneous expression of two or more of these antigens.Differential expression in AML patients vs healthy volunteers suggests that the immunogenic antigens PRAME and MAZ are potential candidates for immunotherapy in AML.
authors.affiliation: Third Department of Medicine, University of Ulm, Ulm, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Greiner
authors.forename: M
authors.initials: M
authors.lastname: Ringhoffer
authors.forename: O
authors.initials: O
authors.lastname: Simikopinko
authors.forename: A
authors.initials: A
authors.lastname: Szmaragowska
authors.forename: S
authors.initials: S
authors.lastname: Huebsch
authors.forename: U
authors.initials: U
authors.lastname: Maurer
authors.forename: L
authors.initials: L
authors.lastname: Bergmann
authors.forename: M
authors.initials: M
authors.lastname: Schmitt
mesh_terms: D048868:Adaptor Proteins, Signal Transducing; D000818:Animals; D018952:Antigens, CD34 / Q000032:analysis; D000951:Antigens, Neoplasm / Q000235:genetics*; D004252:DNA Mutational Analysis; D018076:DNA, Complementary / Q000032:analysis; D004268:DNA-Binding Proteins / Q000235:genetics; D015870:Gene Expression; D015723:Gene Library; D006801:Humans; D060588:LIM Domain Proteins; D015470:Leukemia, Myeloid, Acute / Q000235:genetics / Q000276:immunology*; D007963:Leukocytes, Mononuclear / Q000276:immunology; D008565:Membrane Proteins; D051379:Mice; D008807:Mice, Inbred BALB C; D012333:RNA, Messenger / Q000032:analysis; D020133:Reverse Transcriptase Polymerase Chain Reaction; D014157:Transcription Factors / Q000235:genetics; D014407:Tumor Cells, Cultured
chemical_list: D048868:Adaptor Proteins, Signal Transducing; D018952:Antigens, CD34; D000951:Antigens, Neoplasm; D018076:DNA, Complementary; D004268:DNA-Binding Proteins; D060588:LIM Domain Proteins; C088088:LIMS1 protein, human; C490232:Lims1 protein, mouse; D008565:Membrane Proteins; D012333:RNA, Messenger; D014157:Transcription Factors; C076035:c-MYC-associated zinc finger protein