PMID- 16596621 OWN - NLM STAT- MEDLINE DCOM- 20060711 LR - 20141120 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 106 IP - 11 DP - 2006 Jun 1 TI - Evaluation of the HER2/neu-derived peptide GP2 for use in a peptide-based breast cancer vaccine trial. PG - 2309-17 AB - BACKGROUND: E75 and GP2 are human leukocyte antigen (HLA)-A2-restricted immunogenic peptides derived from the HER2/neu protein. In a E75 peptide-based vaccine trial, preexisting immunity and epitope spreading to GP2 was detected. The purpose of this study was to further investigate GP2 for potential use in vaccination strategies. Importantly, a naturally occurring polymorphism (I-->V at position 2, 2VGP2) associated with increased breast cancer risk was addressed. METHODS: Prevaccination peripheral blood samples (PBMC) from HLA-A2 breast cancer patients and CD8+ T cells from HLA-A2 healthy donors were stimulated with autologous dendritic cells (DC) pulsed with GP2 and tested in standard cytotoxicity assays with HER2/neu+ tumor cells or GP2- or 2VGP2-loaded T2 targets. Additional cytotoxicity experiments used effectors stimulated with DC pulsed with E75, GP2, or the combination of E75+GP2. RESULTS: GP2-stimulated prevaccination PBMC from 28 patients demonstrated killing of MCF-7, SKOV3-A2, and the HLA-A2- control target SKOV3 of 28.8+/-3.7% (P<.01), 29.5+/-4.0% (P<.01), and 16.9+/-2.7%, respectively. When compared with E75, GP2-stimulated CD8+ T cells lysed HER2/neu+ targets at 43.8+/-5.2% versus 44.2+/-5.7% for E75 (P=.87). When combined, an additive effect was noted with 58.6+/-5.4% lysis (P=.05). GP2-stimulated CD8+ T cells specifically recognized both GP2-loaded (19.6+/-5.7%) and 2VGP2-loaded T2 targets (17.7+/-5.2%). CONCLUSIONS: GP2 is a clinically relevant HER2/neu-derived peptide with immunogenicity comparable to that of E75. Importantly, GP2-specific effectors recognize 2VGP2-expressing targets; therefore, a GP2 vaccine should be effective in patients carrying this polymorphism. GP2 may be most beneficial used in a multiepitope vaccine. FAU - Mittendorf, Elizabeth A AU - Mittendorf EA AD - Clinical Breast Care Project, Department of Surgery, Walter Reed Army Medical Center, Washington, DC, USA. FAU - Storrer, Catherine E AU - Storrer CE FAU - Foley, Rebecca J AU - Foley RJ FAU - Harris, Katie AU - Harris K FAU - Jama, Yusuf AU - Jama Y FAU - Shriver, Craig D AU - Shriver CD FAU - Ponniah, Sathibalan AU - Ponniah S FAU - Peoples, George E AU - Peoples GE LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Cancer JT - Cancer JID - 0374236 RN - 0 (Cancer Vaccines) RN - 0 (Epitopes) RN - 0 (HER-2 peptide E75 (369-377), human) RN - 0 (HER2-neu-derived peptide (654-662)) RN - 0 (Peptide Fragments) RN - 0R0008Q3JB (Chromium) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Breast Neoplasms/immunology/*therapy MH - CD8-Positive T-Lymphocytes/immunology MH - Cancer Vaccines/*therapeutic use MH - Chromium/metabolism MH - Dendritic Cells/immunology MH - Epitopes/immunology MH - Female MH - Humans MH - Ovarian Neoplasms/immunology/therapy MH - Peptide Fragments/*immunology/therapeutic use MH - Receptor, ErbB-2/*immunology/metabolism MH - T-Lymphocytes, Cytotoxic/immunology MH - Tissue Donors MH - Tumor Cells, Cultured EDAT- 2006/04/06 09:00 MHDA- 2006/07/13 09:00 CRDT- 2006/04/06 09:00 PHST- 2006/04/06 09:00 [pubmed] PHST- 2006/07/13 09:00 [medline] PHST- 2006/04/06 09:00 [entrez] AID - 10.1002/cncr.21849 [doi] PST - ppublish SO - Cancer. 2006 Jun 1;106(11):2309-17. doi: 10.1002/cncr.21849.