PMID- 18790454 OWN - NLM STAT- MEDLINE DCOM- 20081118 LR - 20080915 IS - 1521-6926 (Print) IS - 1521-6926 (Linking) VI - 21 IP - 3 DP - 2008 Sep TI - Targeting haematopoietic-specific minor histocompatibility antigens to distinguish graft-versus-tumour effects from graft-versus-host disease. PG - 543-57 LID - 10.1016/j.beha.2008.06.001 [doi] AB - Allogeneic stem cell transplantation (allo-SCT) and donor lymphocyte infusions can induce durable remission in patients with haematological malignancies through a graft-versus-tumour (GvT) effect. In human leukocyte antigen (HLA)-matched settings, this powerful immunotherapeutic effect is predominantly mediated by donor T cells directed at the recipient's minor histocompatibility antigens (mHags) presented on malignant cells. The mHags are short peptides excised from polymorphic regions of intracellular proteins, and are presented by HLA molecules to donor T cells. Several ubiquitously expressed mHags are involved not only in GvT but also in graft-versus-host disease (GvHD). However, a specific set of mHags is expressed exclusively by haematopoietic cells and their malignant counterparts. Targeting these haematopoietic mHags is an attractive strategy to induce specific GvT effects without increasing the risk of GvHD. This chapter will summarize the current efforts to identify therapeutically relevant haematopoietic mHags, and outline the strategies to apply mHag-based cellular immunotherapy to treat recurrent malignancies after allo-SCT. FAU - Spaapen, Robbert AU - Spaapen R AD - Department of Clinical Chemistry and Haematology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. FAU - Mutis, Tuna AU - Mutis T LA - eng PT - Journal Article PT - Review PL - Netherlands TA - Best Pract Res Clin Haematol JT - Best practice & research. Clinical haematology JID - 101120659 RN - 0 (Cancer Vaccines) RN - 0 (HLA Antigens) RN - 0 (Minor Histocompatibility Antigens) SB - IM MH - Cancer Vaccines/therapeutic use MH - Dendritic Cells/*immunology/transplantation MH - Diagnosis, Differential MH - Graft vs Host Disease/diagnosis/*immunology MH - Graft vs Tumor Effect/*immunology MH - HLA Antigens/immunology MH - Histocompatibility Testing/methods MH - Humans MH - Immunotherapy, Adoptive MH - Minor Histocompatibility Antigens/*immunology RF - 90 EDAT- 2008/09/16 09:00 MHDA- 2008/11/19 09:00 CRDT- 2008/09/16 09:00 PHST- 2008/09/16 09:00 [pubmed] PHST- 2008/11/19 09:00 [medline] PHST- 2008/09/16 09:00 [entrez] AID - S1521-6926(08)00052-2 [pii] AID - 10.1016/j.beha.2008.06.001 [doi] PST - ppublish SO - Best Pract Res Clin Haematol. 2008 Sep;21(3):543-57. doi: 10.1016/j.beha.2008.06.001.