PMID- 17726460 OWN - NLM STAT- MEDLINE DCOM- 20080111 LR - 20201215 IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 15 IP - 11 DP - 2007 Nov TI - Safety and immunogenicity of tyrosinase DNA vaccines in patients with melanoma. PG - 2044-50 AB - Immunity to self antigens on cancer is constrained by tolerance/ignorance. DNA vaccines encoding xenogeneic differentiation antigens, such as tyrosinase (TYR), mediate tumor protection and regression in implantable mouse models, and dogs with spontaneous melanoma. We conducted a trial of mouse and human TYR DNA vaccines in stage III/IV melanoma patients. Eighteen human leukocyte antigen (HLA)-A*0201(+) melanoma patients were randomized as follows: one group received three mouse TYR DNA injections followed by three human TYR DNA injections; the other group received the same vaccines in opposite sequence. The study was conducted at three dose levels: 100, 500, and 1,500 microg DNA/injection, administered intramuscularly (IM) every 3 weeks. Most toxicities were grade 1 injection site reactions. Seven patients developed CD8(+) T-cell responses, defined by a >3 SD increase in baseline reactivity to TYR peptide in tetramer or intracellular cytokine staining (ICS) assays. There was found to be no relationship between dose, assigned schedule, and T-cell response. At a median of 42 months follow-up, median survival has not been reached. Mouse and human TYR DNA vaccines were found safe and induced CD8(+) T-cell responses in 7 of 18 patients. T cells recognizing a native TYR peptide had a phenotype consistent with that of effector memory cells. FAU - Wolchok, Jedd D AU - Wolchok JD AD - Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA. wolchokj@mskcc.org FAU - Yuan, Jianda AU - Yuan J FAU - Houghton, Alan N AU - Houghton AN FAU - Gallardo, Humilidad F AU - Gallardo HF FAU - Rasalan, Teresa S AU - Rasalan TS FAU - Wang, Jian AU - Wang J FAU - Zhang, Yan AU - Zhang Y FAU - Ranganathan, Rajaram AU - Ranganathan R FAU - Chapman, Paul B AU - Chapman PB FAU - Krown, Susan E AU - Krown SE FAU - Livingston, Philip O AU - Livingston PO FAU - Heywood, Melanie AU - Heywood M FAU - Riviere, Isabelle AU - Riviere I FAU - Panageas, Katherine S AU - Panageas KS FAU - Terzulli, Stephanie L AU - Terzulli SL FAU - Perales, Miguel A AU - Perales MA LA - eng GR - CA008748/CA/NCI NIH HHS/United States GR - CA059350/CA/NCI NIH HHS/United States GR - CA102606/CA/NCI NIH HHS/United States GR - CA33049/CA/NCI NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20070828 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Antibodies) RN - 0 (Vaccines, DNA) RN - EC 1.14.18.1 (Monophenol Monooxygenase) SB - IM MH - Adult MH - Aged MH - Animals MH - Antibodies/immunology MH - CD8-Positive T-Lymphocytes/enzymology/immunology MH - Drug-Related Side Effects and Adverse Reactions/*immunology MH - Humans MH - Immunogenetics MH - *Immunotherapy MH - Melanoma/genetics/*immunology/pathology/*therapy MH - Mice MH - Middle Aged MH - Monophenol Monooxygenase/genetics/*immunology/*metabolism MH - Neoplasm Staging MH - Phenotype MH - Survival Rate MH - Vaccines, DNA/administration & dosage/*immunology EDAT- 2007/08/30 09:00 MHDA- 2008/01/12 09:00 CRDT- 2007/08/30 09:00 PHST- 2007/08/30 09:00 [pubmed] PHST- 2008/01/12 09:00 [medline] PHST- 2007/08/30 09:00 [entrez] AID - S1525-0016(16)32668-5 [pii] AID - 10.1038/sj.mt.6300290 [doi] PST - ppublish SO - Mol Ther. 2007 Nov;15(11):2044-50. doi: 10.1038/sj.mt.6300290. Epub 2007 Aug 28.