PMID- 17440952 OWN - NLM STAT- MEDLINE DCOM- 20070801 LR - 20171116 IS - 0270-4137 (Print) IS - 0270-4137 (Linking) VI - 67 IP - 9 DP - 2007 Jun 15 TI - Immunological evaluation of neoadjuvant peptide vaccination before radical prostatectomy for patients with localized prostate cancer. PG - 933-42 AB - BACKGROUND: The purpose of this study was to determine the safety and immune responses of pre-operative personalized peptide vaccine for patients with localized prostate cancer. METHOD: Ten human leukocyte antigen (HLA)-A24(+) patients with localized prostate cancer received weekly personalized peptide vaccine for six times with positive peptides (up to four kinds of peptides) from 16 kinds of vaccine candidates, followed by a retropubic radical prostatectomy (RRP). Eight patients with localized prostate cancer receiving RRP served as the control group. The serum prostate-specific antigen (PSA) level, and peptide-specific cytotoxic T lymphocyte (CTL) precursor analysis by interferon-gamma production, and peptide-reactive immunoglobulin G (IgG) using an enzyme-linked immunosorbent assay were monitored during the treatment. Distributions of CD45RO(+) cells, CD8(+) T cells, and CD20(+) B cells in tissue microarray samples were studied using an immunohistochemical technique. RESULT: The peptide vaccination was safe and well tolerated with no major adverse effects. Increased CTL response and the anti-peptide IgG titer were observed in the post-vaccination samples in 8 of 10 or 8 of 10 patients, respectively. The intensity of CD45RO(+) infiltrating cells in the vaccination group was significantly larger than that in the control group. CD8(+) T cell infiltration was seen only in the vaccinated group. CONCLUSION: Increased immune responses, at both the circulation and tumor sites in the vaccinated group, support the further development of personalized peptide vaccines for patients with localized prostate cancer. FAU - Noguchi, Masanori AU - Noguchi M AD - Department of Urology, Kurume University School of Medicine, Kurume, Japan. noguchi@med.kurume-u.ac.jp FAU - Yao, Akihisa AU - Yao A FAU - Harada, Mamoru AU - Harada M FAU - Nakashima, Osamu AU - Nakashima O FAU - Komohara, Yoshihiro AU - Komohara Y FAU - Yamada, Satoko AU - Yamada S FAU - Itoh, Kyogo AU - Itoh K FAU - Matsuoka, Kei AU - Matsuoka K LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Prostate JT - The Prostate JID - 8101368 RN - 0 (Cancer Vaccines) RN - 0 (HLA-A Antigens) RN - 0 (HLA-A24 Antigen) RN - 0 (Immunoglobulin G) RN - 0 (Vaccines, Subunit) RN - EC 3.1.3.48 (Leukocyte Common Antigens) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Aged MH - *Cancer Vaccines MH - HLA-A Antigens/blood MH - HLA-A24 Antigen MH - Humans MH - Immunoglobulin G/blood MH - Immunohistochemistry MH - Leukocyte Common Antigens/blood MH - Lymphocyte Count MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Prostate-Specific Antigen/blood MH - Prostatectomy MH - Prostatic Neoplasms/*immunology/pathology/*surgery MH - Vaccines, Subunit/*therapeutic use EDAT- 2007/04/19 09:00 MHDA- 2007/08/02 09:00 CRDT- 2007/04/19 09:00 PHST- 2007/04/19 09:00 [pubmed] PHST- 2007/08/02 09:00 [medline] PHST- 2007/04/19 09:00 [entrez] AID - 10.1002/pros.20572 [doi] PST - ppublish SO - Prostate. 2007 Jun 15;67(9):933-42. doi: 10.1002/pros.20572.