ABSTRACT

Melanoma Antigens The development of cancer vaccines has been most advanced in melanoma, which is unique

among human tumors in the existence of compelling evidence for its immunogenicity. Sponta­ neous regression of primary melanomas is quite common, and the prognosis of cutaneous melanomas varies direcdy with the lymphocytic infiltrate.4-5 Vitiligo is an autoimmune de­ struction of melanocytes that commonly occurs in melanoma patients, especially those who have been treated with interferon alpha or interleukin-2, and it is known to correlate with a favorable response to immunotherapy.6-8 Tumor-reactive lymphocytes from patient peripheral blood or those which infiltrate metastatic melanoma lesions can be propagated in vitro as long term T cell lines or clones.9-11 The ease with which such melanoma specific T-cells can be grown in vitro allowed Boon and colleagues in 1991 to describe the cloning of an antigen derived from a mutagenized melanoma cell line which was recognized by T cells.12,13 This antigen was called MAGE, and was shown to define a family of antigens that had not previ­ ously been identified. MAGE-1 and several members of its multigene family were shown to be present on a significant proportion of melanoma cell lines and fresh tumors but were also found on a variety of tumors of epithelial and neuroectodermal origin as well as normal testis and placental tissue, but no other normal tissue.14 MAGE, GAGE, BAGE and RAGE defined X-chromosome linked families of genes that were found respectively on melanoma, gastrointesti­ nal, breast and renal cell tumors, many of which encoded antigens that were recognized byT-cells

Peptide-Based Cancer Vaccines, edited by W. Martin Kast. ©2000 Eurekah.com.