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Cancer Immune Therapy Edited by G. Stuhler and P. Walden ...

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Tab. 1.1. Publicly available alogorithms for epitope deduction<br />

Algorithm Internet site<br />

Tab. 1.2 Tumor-associated antigens with peptide<br />

epitopes identified <strong>by</strong> the method of deduction<br />

Antigen Reference<br />

Ig idiotype 26<br />

Telomerase hTERT 28<br />

Survivin 47<br />

Mage-3 48<br />

P53 49<br />

Ras 50<br />

Bcr-abl 51<br />

Proteinase-3 52<br />

Wilm's tumor antigen-1 53<br />

CEA 54<br />

PSA 55<br />

Her2-neu 56<br />

MUC-1 57<br />

Folate-binding protein 58<br />

Ep-CAM 59<br />

1.5 Epitope Deduction<br />

BioInformatics & Molecular http://bimas.dcrt.nih.gov/molbio/hla_bind/<br />

Analysis Section<br />

SYFPEITHI http://www.uni-tuebingen.de/uni/kxi/<br />

SEREX http://www-ludwig.unil.ch/SEREX/mhc_pep.html<br />

c<strong>and</strong>idate epitopes are used to generate specific CTLs that are then evaluated for cytotoxicity<br />

against tumor cells expressing the antigen <strong>and</strong> the appropriate MHC allele.<br />

A similar approach shows promise for the identification of MHC class II-restricted<br />

epitopes [20].<br />

In some cases, due to mutation, protein fusion or recombination, the deduced peptide<br />

epitopes are truly tumor-specific. Typically, the antigen from which the epitope<br />

is deduced is a self-protein, for which the existence of T cell tolerance may be formidable<br />

[21, 22]. Tolerance is less probable against epitopes derived from oncogenic viral<br />

proteins, but the clinical applicability of such deduced epitopes is restricted to a few<br />

tumor types. For epitopes identified <strong>by</strong> deduction, we speculate that most ± but certainly<br />

not all [23, 24] ± are probably ignored <strong>by</strong> the immune system, even in the setting<br />

of measurable cancer, raising the hypothesis that targeting such epitopes might<br />

draw upon a naÒve T cell repertoire that has been spared functional inactivation [18].<br />

It is controversial how well HLA/peptide affinity is predicted <strong>by</strong> available algorithms<br />

<strong>and</strong> whether or not this truly indicates immunogenicity. For some antigens, such as<br />

human papillomavirus [25] or the human immunoglobulin idiotype [26], there is a<br />

7

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