title: Frameshift peptide-derived T-cell epitopes: a source of novel tumor-specific antigens.
abstract: Microsatellite instability (MSI) caused by defective DNA mismatch repair (MMR) is a hallmark of hereditary nonpolyposis colorectal cancers (HNPCC) but also occurs in about 15% of sporadic tumors. If instability affects microsatellites in coding regions, translational frameshifts lead to truncated proteins often marked by unique frameshift peptide sequences at their C-terminus. Since MSI tumors show enhanced lymphocytic infiltration and our previous analysis identified numerous coding mono- and dinucleotide repeat-bearing candidate genes as targets of genetic instability, we examined the role of frameshift peptides in triggering cellular immune responses. Using peptide pulsed autologous CD40-activated B cells, we have generated cytotoxic T lymphocytes (CTL) that specifically recognize HLA-A2.1-restricted peptides derived from frameshift sequences. Among 16 frameshift peptides predicted from mutations in 8 different genes, 3 peptides conferred specific lysis of target cells exogenously loaded with cognate peptide. One peptide derived from a (-1) frameshift mutation in the TGFbetaIIR gene gave rise to a CTL bulk culture capable of lysing the MSI colorectal cancer cell line HCT116 carrying this frameshift mutation. Given the huge number of human coding microsatellites and assuming only a fraction being mutated and encoding immunologically relevant peptides in MSI tumors, frameshift protein sequences represent a novel subclass of tumor-specific antigens. It is tempting to speculate that a frameshift peptide-directed vaccination approach not only could offer new treatment modalities for existing MSI tumors but also might benefit asymptomatic at-risk individuals in HNPCC families by a prophylactic vaccination strategy.
authors.affiliation: Institut für Immunologie, Universität Heidelberg, Heidelberg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Linnebacher
authors.forename: J
authors.initials: J
authors.lastname: Gebert
authors.forename: W
authors.initials: W
authors.lastname: Rudy
authors.forename: S
authors.initials: S
authors.lastname: Woerner
authors.forename: Y P
authors.initials: YP
authors.lastname: Yuan
authors.forename: P
authors.initials: P
authors.lastname: Bork
authors.forename: M
authors.initials: M
authors.lastname: von Knebel Doeberitz
mesh_terms: D000595:Amino Acid Sequence; D015703:Antigens, CD / Q000276:immunology; D001402:B-Lymphocytes / Q000276:immunology*; D020137:Base Pair Mismatch; D019013:CD40 Antigens / Q000276:immunology*; D023201:CD40 Ligand / Q000276:immunology; D003110:Colonic Neoplasms / Q000276:immunology*; D003123:Colorectal Neoplasms, Hereditary Nonpolyposis / Q000235:genetics; D004260:DNA Repair; D016368:Frameshift Mutation; D015789:HLA-A2 Antigen / Q000737:chemistry / Q000235:genetics*; D006801:Humans; D018895:Microsatellite Repeats / Q000235:genetics; D010446:Peptide Fragments / Q000737:chemistry / Q000276:immunology*; D017346:Protein Serine-Threonine Kinases; D000077294:Receptor, Transforming Growth Factor-beta Type II; D018125:Receptors, Transforming Growth Factor beta / Q000235:genetics / Q000276:immunology; D013602:T-Lymphocytes, Cytotoxic / Q000276:immunology*; D014407:Tumor Cells, Cultured
chemical_list: D015703:Antigens, CD; D019013:CD40 Antigens; D015789:HLA-A2 Antigen; D010446:Peptide Fragments; D018125:Receptors, Transforming Growth Factor beta; D023201:CD40 Ligand; D017346:Protein Serine-Threonine Kinases; D000077294:Receptor, Transforming Growth Factor-beta Type II