PMID- 9924693 OWN - NLM STAT- MEDLINE DCOM- 19990325 LR - 20191102 IS - 1524-9557 (Print) IS - 1524-9557 (Linking) VI - 22 IP - 1 DP - 1999 Jan TI - Donor-recipient polymorphism of the proteinase 3 gene: a potential target for T-cell alloresponses to myeloid leukemia. PG - 1-6 AB - The curative effect of allogeneic bone marrow transplantation (BMT) is in part due to an alloresponse of donor lymphocytes against recipient leukemia termed the graft versus leukemia (GvL) effect. To identify target antigens for the GvL response on leukemia cells, we looked for polymorphism of proteinase 3, a primary granule protein overexpressed in myeloid leukemias. The study was carried out in 10 patients with hematologic diseases and their HLA-identical marrow donors. By polymerase chain reaction (PCR)-single strand conformation polymorphism assay, followed by direct sequencing of the PCR products, we found seven DNA polymorphisms. One of them encodes for either an isoleucine or a valine at position 119 of the amino acid sequence. Peptides that span the polymorphic site, at amino acids 115-124, were shown to bind in vitro to the HLA-A2 molecule. We screened 23 HLA-A2 patients with myeloid leukemia and their HLA-identical donors for this polymorphism. No relapse was found in the group of 4 evaluable patients who possessed at least one allele absent in their donor, whereas 7 of the 15 remaining evaluable patients relapsed. These data support the possibility that T-cell responses to allelic differences of proteinase 3 could be used as a basis for designing leukemia-specific adoptive T-cell therapy in acute and chronic myeloid leukemias. FAU - Clave, E AU - Clave E AD - Bone Marrow Transplantation Unit, Hematology Branch, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland 20892-1652, USA. FAU - Molldrem, J AU - Molldrem J FAU - Hensel, N AU - Hensel N FAU - Raptis, A AU - Raptis A FAU - Barrett, A J AU - Barrett AJ LA - eng PT - Journal Article PL - United States TA - J Immunother JT - Journal of immunotherapy (Hagerstown, Md. : 1997) JID - 9706083 RN - 0 (HLA-A Antigens) RN - 0 (Peptide Fragments) RN - EC 3.4.21.- (Serine Endopeptidases) RN - EC 3.4.21.76 (Myeloblastin) SB - IM MH - Alleles MH - *Bone Marrow Transplantation MH - Exons/genetics MH - Female MH - Flow Cytometry MH - Gene Frequency MH - Genotype MH - *Graft vs Tumor Effect MH - HLA-A Antigens/genetics/immunology/metabolism MH - Histocompatibility Testing MH - Humans MH - Leukemia, Myeloid/genetics/immunology/*therapy MH - Male MH - Myeloblastin MH - Peptide Fragments/genetics/immunology/metabolism MH - *Polymorphism, Genetic MH - Polymorphism, Single-Stranded Conformational MH - Protein Binding MH - Recurrence MH - Serine Endopeptidases/*genetics/immunology/metabolism MH - T-Lymphocytes/immunology/metabolism MH - *Tissue Donors EDAT- 1999/01/30 00:00 MHDA- 1999/01/30 00:01 CRDT- 1999/01/30 00:00 PHST- 1999/01/30 00:00 [pubmed] PHST- 1999/01/30 00:01 [medline] PHST- 1999/01/30 00:00 [entrez] AID - 10.1097/00002371-199901000-00001 [doi] PST - ppublish SO - J Immunother. 1999 Jan;22(1):1-6. doi: 10.1097/00002371-199901000-00001.