About 50% of cervical cancers are associated with human papillomavirus type 16 (HPV-16), and since the HPV-16 E6 and E7 oncoproteins are constitutively expressed in the tumor cells, they are attractive targets for cytotoxic T lymphocyte (CTL)-mediated immunotherapy. Nevertheless, only a limited number of HPV-16 E6 epitopes have been identified to date. Using reverse immunological methods, we have generated a CTL clone against the HPV-16 E6 49-57 epitope restricted by HLA-A*2402, which is the most common allele in Japan and relatively frequent worldwide, capable of lysing 293T cells transduced with HLA-A*2402 and HPV-16 E6. Although it was unable to recognize the SiHa cervical cancer cell line positive for HPV-16 and HLA-A*2402, the cells became susceptible to lysis when transduced with E6-E7 genes, which was unexpectedly offset by pretreatment with interferon (IFN)-c alone. Interestingly, however, combined pretreatment with a proteasome inhibitor, bortezomib and IFN-c fully restored CTL-mediated lysis of the original SiHa cells. Furthermore, such intervention of 2 of 4 other cervical cancer cell lines expressing HPV-16 E6 and HLA-A*2402 was found to induce IFN-c production by specific CTLs. Tetramer analysis further revealed that induction of E6 49-57 -specific T cells was possible in 5 of 7 patients with HPV-16-positive high grade cervical intraepithelial neoplasia or cervical cancer by in vitro stimulation with E6 49-57 peptide. Thus, these findings together indicate that E6 49-57 is a candidate epitope for immunotherapy and immunological monitoring of such patients. ' 2006 Wiley-Liss, Inc.Key words: cytotoxic T lymphocyte; tumor immunity; epitope, cervical neoplasm; bortezomib Cervical cancer, the second most common cancer in women worldwide, with 250,000 new cases diagnosed each year, 1 is causally linked with human papillomavirus (HPV), the first proposed necessary cause of a human cancer as assessed by the World Health Organization. 2 High-risk HPV-16 is the most common type in all countries, with an overall prevalence of more than 50% in cervical cancers, 3 and 42.4% in Japanese patients. 4 Approximately 95% of HPV infections of the anogenital tract resolve spontaneously because of immune responses, 5 and the risk of cervical cancer is markedly increased in patients with immunodeficiency. [6][7][8] These findings suggest that the immune system plays a pivotal role in preventing development and progression of cervical cancer.Two HPV oncoproteins, E6 and E7, which can inhibit the tumor suppressors, p53 and RB respectively, are constitutively expressed in cervical cancer cells and appear to be required to maintain their malignant growth. 9 These viral oncoproteins, which are not present in normal cells, have been considered to be attractive targets for specific immunotherapy against cervical cancer, and identification and characterization of cytotoxic T lymphocyte (CTL) epitopes for HPV have facilitated the development of peptide vaccines against cervical cancer. Most of the CTL epitopes identified to date ...