Purpose: Identification of minor histocompatibility antigens (mHag) with classic methods often requires sophisticated technologies, determination, and patience. We here describe and validate a nonlaborious and convenient genetic approach, based on genome-wide correlations of mHag zygosities with HapMap single-nucleotide polymorphism genotypes, to identify clinical relevant mHags within a reasonable time frame. Experimental Design: Using this approach, we sought for the mHag recognized by a HLA-DRB1*1501-restricted T-cell clone, isolated from a multiple myeloma patient during a strong graft-versus-tumor effect associated with acute graft-versus-host disease grade 3. Results: In a period of 3 months, we determined the mHag phenotype of 54 HapMap individuals, deduced the zygosity of 20 individuals, defined the mHag locus by zygosity-genotype correlation analyses, tested the putative mHag peptides from this locus, and finally showed that the mHag is encoded by the arginine (R) allele of a nonsynonymous single-nucleotide polymorphism in the SLC19A1 gene. is an effective treatment for hematologic malignancies. After allo-SCT, donor T cells directed at the minor histocompatibility antigens (mHag) of the recipient mediate graft-versus-tumor (GvT) effects, but they can also cause graft-versus-host disease (GvHD). mHags are polymorphic peptides derived from intracellular proteins and presented by HLA molecules (1-4). Pioneering studies indicated that mHags expressed exclusively in hematopoietic cells can serve as excellent tools to separate GvT effects from GvHD (5). Currently, one of the important bottlenecks toward broad application of mHag-based immunotherapy strategies is the speed of identifying relevant hematopoietic mHags. Classic identification methods such as peptide elution and cDNA library screening are complex, time-consuming, and offer a moderate chance of success (3,4,6). Recently introduced pairwise linkage analyses are also time-consuming, require advanced genetic know-how, and are not always successful in identifying the precise mHag locus (7-10). We recently identified the CD19 L -encoded mHag by combining pairwise linkage analysis with a novel finemapping strategy, called zygosity-genotype correlation analysis (11). In retrospective computational analyses, the genome-wide approach of zygosity-genotype correlation analysis seemed powerful enough to be applied as stand-alone identification strategy for mHags with 10% to 85% population frequency. Because this method was hypothesized to be more rapid and accessible than other (genetic) approaches, we now explored its actual speed and ease, using a CD4 + T-cell clone recognizing a novel HLA-DRB1*1501 restricted mHag. Within only 3 months, we succeeded in identifying the HLA class II mHag as a polymorphic peptide encoded by the SLC19A1 R gene.
Materials and MethodsCells. The HLA-DRB1*1501 restricted CD4 + T-cell clone 1GF5 was previously isolated from a multiple myeloma patient (12). It was expanded using a feeder cell cytokine mixture as previously ...