Abstract

BackgroundT-cell based immunotherapy for lung cancer (LC) could be a promising and novel therapeutic approach. Six-transmembrane epithelial antigen of the prostate (STEAP) and the polycomb group protein enhancer of zeste homolog 2 (EZH2) are highly expressed in LC and since the expression of molecules in normal tissue is significantly lower as compared to tumor cells, these proteins are considered as potential tumor-associated antigens (TAAs) for developing T-cell based immunotherapy.MethodsWe assessed the capacity of predicted CD4 T-cell epitopes from STEAP and EZH2 to induce anti-tumor immune responses to LC cell lines.ResultsOut of several predicted epitopes, two synthetic peptides, STEAP281-296 and EZH295-109, were effective in inducing CD4 T-cell responses that were restricted by HLA-DR1, DR15, or DR53 molecules, indicating that the peptides function as promiscuous T-cell epitopes. Moreover, STEAP281-296 and EZH295-109-reactive T-cells could directly recognize STEAP or EZH2 expressing LC cells in an HLA-DR restricted manner. In addition, some STEAP-reactive T-cells responded to STEAP+ tumor cell lysates presented by autologous dendric cells. Most significantly, both of these peptides were capable of stimulating in vitro T-cell responses in patients with LC.ConclusionsPeptides STEAP281-296 and EZH295-109 function as strong CD4 T-cell epitopes that can elicit effective anti-tumor T-cell responses against STEAP or EZH2 expressing LC. These observations may facilitate the translation of T-cell based immunotherapy into the clinic for the treatment of LC.

Highlights

  • T-cell based immunotherapy for lung cancer (LC) could be a promising and novel therapeutic approach

  • Expression of Six-transmembrane epithelial antigen of the prostate (STEAP) and enhancer of zeste homolog 2 (EZH2) in LC samples and tumor cell lines In immunohistochemistry studies with several surgical specimens of LC, we observed moderate to strong staining with anti-STEAP antibody and anti-EZH2 monoclonal antibody (mAb)

  • We have found the expression of HLA-DR in the adenocarcinoma cells (4/5 cases) and in the infiltrating antigen-presenting cell (APC), lymphocytes and alveolar macrophages (Figure 2)

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Summary

Introduction

T-cell based immunotherapy for lung cancer (LC) could be a promising and novel therapeutic approach. Six-transmembrane epithelial antigen of the prostate (STEAP) and the polycomb group protein enhancer of zeste homolog 2 (EZH2) are highly expressed in LC and since the expression of molecules in normal tissue is significantly lower as compared to tumor cells, these proteins are considered as potential tumor-associated antigens (TAAs) for developing T-cell based immunotherapy. Molecular target-based drugs (gefitinib, erlotinib, etc.) are available for specific types of NSCLC showing epidermal growth factor receptor mutations. These chemotherapeutic regimens can be extremely toxic and provide limited survival benefit for advanced LC. The low expression of STEAP and EZH2 in normal tissues together with recent studies reporting that these molecules are overexpressed in NSCLC, suggests that both protein could be utilized as TAAs in LC [10,11]

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