Specificity analysis of sera from breast cancer patients vaccinated with MUC1-KLH pins QS-21 Journal Article


Authors: Adluri, S.; Gilewski, T.; Zhang, S.; Ramnath, V.; Ragupathi, G.; Livingston, P.
Article Title: Specificity analysis of sera from breast cancer patients vaccinated with MUC1-KLH pins QS-21
Abstract: The mucin MUC1 is expressed on breast cancers in an underglycosylated form compared to normal tissues and is therefore a potential target for cancer immunotherapy. MUC1 contains multiple tandem repeats of the 20 amino acid (aa) peptide (VTSAPDTRPAPGSTAPPAHG). The APDTRPA epitope is particularly immunogenic since it is recognized by a variety of murine monoclonal antibodies and by some sera and cytotoxic T-cells from unimmunized patients with epithelial cancers. We have prepared a 30 aa peptide (C)VTSAPDTRPAPGSTAPPAHGVTSAPDTRPA with cysteine at the N-terminal end, and used the cysteine for chemical conjugation to keyhole limpet haemocyanin (KLH). Six breast cancer patients immunized with this conjugate plus the immunological adjuvant QS-21 have all produced high titre (by ELISA) IgG and IgM antibodies against the 30 aa MUC1 peptide, but these sera reacted moderately, or not at all, with MUC1-positive tumour cells. To understand this specificity better, we prepared a series of smaller peptides to determine the epitopes recognized by these immune sera in inhibition assays. Only peptides containing APDTRPA at the C-terminal end were able to completely inhibit ELISA reactivity for the full 30 aa peptide. No sera were completely inhibited by APDTR, APDTRP, PDTRPA or any other peptides that did not contain the full APDTRPA epitope. Remarkably, sera from all six patients recognized this same epitope and were completely inhibited by only this epitope. The specificity of these sera (1) primarily for C-terminal APDTRPA, and the absence of this epitope at the C-terminal end of any tumour mucins, and (2) the N-terminal APDTRPA alanine, which is normally buried in the β turn MUC1 assumes in its secondary structure may explain the moderate to weak reactivity of these high titer sera against MUC1-positive tumour cells.
Keywords: clinical article; cancer immunotherapy; breast cancer; gene expression; carboxy terminal sequence; immunoreactivity; breast neoplasms; amino acid sequence; molecular sequence data; peptide fragments; vaccination; epitope; antibody specificity; antibodies; immunoglobulin g antibody; vaccine; cysteine; keyhole limpet hemocyanin; immunoglobulin m antibody; hemocyanin; mucin; antigen-antibody reactions; tandem repeat; qs-21; immune sera; titrimetry; ca-15-3 antigen; muc1; humans; human; female; priority journal; article; keyhole limpet haemocyanin (klh)
Journal Title: British Journal of Cancer
Volume: 79
Issue: 11-12
ISSN: 0007-0920
Publisher: Nature Publishing Group  
Date Published: 1999-03-12
Start Page: 1806
End Page: 1812
Language: English
PUBMED: 10206297
PROVIDER: scopus
PMCID: PMC2362788
DOI: 10.1038/sj.bjc.6990288
DOI/URL:
Notes: Article -- Export Date: 16 August 2016 -- Source: Scopus
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MSK Authors
  1. Govindaswami Ragupathi
    144 Ragupathi
  2. Sucharita   Adluri
    25 Adluri
  3. Shengle Zhang
    25 Zhang