PMID- 18056201 OWN - NLM STAT- MEDLINE DCOM- 20080507 LR - 20211020 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 13 IP - 23 DP - 2007 Dec 1 TI - Alteration of cellular and humoral immunity by mutant p53 protein and processed mutant peptide in head and neck cancer. PG - 7199-206 AB - PURPOSE: To determine if serologic recognition of p53 mutations at the protein level depends upon the ability of mutant p53 to express new peptide epitopes that bind to human leukocyte antigen (HLA) class II molecules, we used anti-p53 antibody production as a marker for HLA class II-restricted T-cell involvement in head and neck cancer. EXPERIMENTAL DESIGN: An anti-p53 antibody response was correlated with specific p53 mutations and the patients' HLA class II alleles and haplotypes. HLA binding studies and in vitro stimulation (IVS) of peripheral blood mononuclear cells were done using a mutant versus wild-type HLA-DQ7-binding p53 peptide. RESULTS: Certain HLA-DQ and HLA-DR alleles were frequently present in p53 seropositive patients who produced serum anti-p53 antibodies. Selected mutated p53 peptides fit published allele-specific HLA class II binding motifs for the HLA-DQ7 or HLA-DR1 molecules. Moreover, a mutant p53 peptide bound with a 10-fold greater affinity than the wild-type p53 peptide to HLA-DQ7 molecules. IVS of CD4(+) T cells from seven healthy HLA-DQ7(+) donors using this mutant p53 peptide (p53(220C)) was associated with a partial T helper type 2 phenotype compared with IVS using the wild-type p53(210-223) peptide. CONCLUSIONS: Our results support the hypothesis that mutated p53 neoantigens can bind to specific HLA class II molecules, leading to a break in tolerance. This may lead to skewing of the CD4(+) T lymphocyte response toward a tumor-permissive T helper type 2 profile in head and neck cancer patients, as manifested by seropositivity for p53. FAU - Couch, Marion E AU - Couch ME AD - Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, G0412 Neurosciences Hospital, Chapel Hill, North Carolina, USA. FAU - Ferris, Robert L AU - Ferris RL FAU - Brennan, Joseph A AU - Brennan JA FAU - Koch, Wayne M AU - Koch WM FAU - Jaffee, Elizabeth M AU - Jaffee EM FAU - Leibowitz, Michael S AU - Leibowitz MS FAU - Nepom, Gerald T AU - Nepom GT FAU - Erlich, Henry A AU - Erlich HA FAU - Sidransky, David AU - Sidransky D LA - eng GR - P50 CA096784/CA/NCI NIH HHS/United States GR - P50 CA097190/CA/NCI NIH HHS/United States GR - P50 CA96784/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antibodies, Neoplasm) RN - 0 (Epitopes, B-Lymphocyte) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (IL5 protein, human) RN - 0 (Interleukin-5) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Amino Acid Sequence MH - Antibodies, Neoplasm/biosynthesis/immunology MH - CD4-Positive T-Lymphocytes/immunology MH - Epitopes, B-Lymphocyte/immunology MH - HLA-DQ Antigens/genetics/immunology MH - HLA-DR Antigens/genetics/immunology MH - Head and Neck Neoplasms/*genetics/*immunology MH - Humans MH - Interferon-gamma/immunology MH - Interleukin-5/immunology MH - Leukocytes, Mononuclear/immunology MH - Molecular Sequence Data MH - Polymorphism, Genetic MH - Th2 Cells/immunology MH - Tumor Suppressor Protein p53/*genetics/*immunology EDAT- 2007/12/07 09:00 MHDA- 2008/05/08 09:00 CRDT- 2007/12/07 09:00 PHST- 2007/12/07 09:00 [pubmed] PHST- 2008/05/08 09:00 [medline] PHST- 2007/12/07 09:00 [entrez] AID - 13/23/7199 [pii] AID - 10.1158/1078-0432.CCR-07-0682 [doi] PST - ppublish SO - Clin Cancer Res. 2007 Dec 1;13(23):7199-206. doi: 10.1158/1078-0432.CCR-07-0682.