Common Ewing sarcoma-associated antigens fail to induce natural T cell responses in both patients and healthy individuals

Cancer Immunol Immunother. 2014 Oct;63(10):1047-60. doi: 10.1007/s00262-014-1574-3. Epub 2014 Jun 28.

Abstract

Disseminated or relapsed Ewing sarcoma (EwS) has remained fatal in the majority of patients. A promising approach to preventing relapse after conventional therapy is to establish tumor antigen-specific immune control. Efficient and specific T cell memory against the tumor depends on the expansion of rare T cells with native specificity against target antigens overexpressed by the tumor. Candidate antigens in EwS include six-transmembrane epithelial antigen of the prostate-1 (STEAP1), and the human cancer/testis antigens X-antigen family member 1 (XAGE1) and preferentially expressed antigen in melanoma (PRAME). Here, we screened normal donors and EwS patients for the presence of circulating T cells reactive with overlapping peptide libraries of these antigens by IFN-γ Elispot analysis. The majority of 22 healthy donors lacked detectable memory T cell responses against STEAP1, XAGE1 and PRAME. Moreover, ex vivo detection of T cells specific for these antigens in both blood and bone marrow were limited to a minority of EwS patients and required nonspecific T cell prestimulation. Cytotoxic T cells specific for the tumor-associated antigens were efficiently and reliably generated by in vitro priming using professional antigen-presenting cells and optimized cytokine stimulation; however, these T cells failed to interact with native antigen processed by target cells and with EwS cells expressing the antigen. We conclude that EwS-associated antigens fail to induce efficient T cell receptor (TCR)-mediated antitumor immune responses even under optimized conditions. Strategies based on TCR engineering could provide a more effective means to manipulating T cell immunity toward targeted elimination of tumor cells.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antigen-Presenting Cells / drug effects
  • Antigen-Presenting Cells / immunology
  • Antigens, Neoplasm / biosynthesis
  • Antigens, Neoplasm / immunology*
  • Antigens, Neoplasm / pharmacology
  • Bone Marrow Cells / drug effects
  • Bone Marrow Cells / immunology
  • Case-Control Studies
  • Cell Line, Tumor
  • Child
  • Child, Preschool
  • Epitopes, T-Lymphocyte / immunology
  • Female
  • Humans
  • K562 Cells
  • Male
  • Oxidoreductases / biosynthesis
  • Oxidoreductases / immunology
  • Oxidoreductases / pharmacology
  • Sarcoma, Ewing / blood
  • Sarcoma, Ewing / immunology*
  • Sarcoma, Ewing / pathology
  • T-Lymphocytes, Cytotoxic / drug effects
  • T-Lymphocytes, Cytotoxic / immunology*
  • Young Adult

Substances

  • Antigens, Neoplasm
  • Epitopes, T-Lymphocyte
  • PRAME protein, human
  • XAGE1A protein, human
  • Oxidoreductases
  • STEAP1 protein, human