Epstein-Barr virus (EBV) is associated with several human malignancies that each show different viral gene expressionprofiles. In malignancies such as Hodgkin's disease and nasopharyngeal carcinoma only Epstein-Barr nuclear antigen 1 (EBNA1) and varying levels of latent membrane proteins 1 and 2 (LMP1 and -2) are expressed. Since endogenously expressed EBNA1 is protected from CTL recognition, LMP1 and LMP2 are the most likely target antigens for anti-tumor immunotherapy. Therefore, we sought to identify in a systematic way CD8 ؉ T-cell responses directed against eptitopes derived from LMP1 and LMP2. Using IFN␥-ELISPOT assays of interferon-␥ release, peripheral blood mononuclear cells (PBMC) of healthy donors were screened with peptide panels (15 mer overlapping by 10) spanning the LMP1 and LMP2 sequences of the prototype EBV strain B95.8. When positive responses were found, CD4 ؉ or CD8 ؉ T cells were depleted from donor PBMC to determine the origin of the responder population. We detected CD8 ؉ T-cell responses to LMP1 in 9/50(18%) donors and to LMP2 in 15/28 (54%) donors. In addition to the already described epitopes, 3 new LMP1-and 5 new LMP2-derived CD8 ؉ epitopes were identified. In most donors LMP1-and LMP2-specific CD8 ؉ precursor frequencies were low compared with precursors against immunodominant EBV epitopes from latent (EBNA3A, -3B and -3C) and lytic cycle antigens. These results demonstrate that CD8 ؉ memory T cell responses to LMP1 and especially to LMP2 do exist in Caucasians, albeit at low levels and could potentially be exploited for therapeutic use. © 2002 Wiley-Liss, Inc.
Key words: CTL; LMP1; LMP2; Epstein-Barr virusEpstein-Barr virus (EBV) can induce fatal B lymphoproliferative lesions in immunocompromised patients and is etiologically linked to several malignancies arising in the immunocompetent host. Examples of the latter include all cases of endemic Burkitt's lymphoma (BL), all undifferentiated nasopharyngeal carcinomas (NPC), 10% of gastric carcinomas, certain T-/NK-cell lymphomas and 40 -90% of Hodgkin's Disease (HD) cases. 1 EBV is transcriptionally active in the tumor cells but expresses only a restricted set of EBV-encoded proteins; expression patterns range from the Epstein-Barr nuclear antigen 1 (EBNA1) only in BL through to EBNA1 plus high levels of both latent membrane proteins 1 and 2 (LMP1, -2) in HD. 2-4 EBV-associated carcinomas are intermediate in that EBNA1 and LMP2 appear to be expressed, with or without LMP1. 5 Interestingly many EBV-positive carcinomas also show detectable transcription of a gene, BARF1, which is otherwise thought to be associated only with the virus lytic cycle. 6,7 Given the presence of at least some viral antigens in tumor cells, EBV-positive malignancies are potential candidates for immunotherapy. Because endogenously expressed EBNA1 is protected from proteasomal processing and therefore escapes cytotoxic T lymphocyte (CTL) recognition, 8 the prime targets for therapeutic responses in the context of HD and NPC are LMP1 and LMP2. Both are multiple mem...