In previous studies, the antigen CSH-275 (RTNKEASIC) was found expressed in tissue specimens from colorectal cancer but not in normal colonic mucosa. It was also naturally expressed in the DHD-K12 experimental colorectal cancer in BDIX rats. In this study, we describe the effect of vaccination with the synthetic nonapeptide CSH-275 in preventing tumor growth in a model closely mimicking the clinical situation of liver metastases, after surgical resection of primary colorectal cancer. A vaccination protocol using CSH-275, conjugated with complete or incomplete Freund's adjuvant, was carried out to determine the effect in preventing the progression of liver metastases induced by DHD-K12 cells injected in the splenic vein (preventive vaccine). An additional vaccination procedure was carried out to determine the effect on s.
Key words: cancer vaccine; peptide; liver metastasisThe identification of tumor antigens recognized by cellular or humoral effectors of the immune system has opened new possibilities for cancer therapy. One of the major applications of cancer antigens is the cancer vaccine. The molecular definition of several tumor antigens has opened the possibility of devising specific vaccination protocols based on the use of peptides, 1-5 and synthetic peptides may be particularly advantageous. 6 -8 A large number of clinical trials have demonstrated the feasibility of antitumor vaccinations and active immunotherapy with tumor-specific peptide vaccines. 4,9,10 Results are, however, variable: some tumors are easily rejected, whereas others escape destruction by the immune system. 11-14 This is probably due to the marked differences in the degree of immunogenicity between different tumors and the fact that colorectal cancer is regarded as refractive to conventional T-cell therapies. 15,16 Candidate immunodominant tumor antigens, providing the bases for antigen-specific vaccines, have been identified only for a limited number of tumors, such as melanoma and virus-associated tumors, 1,17,18 though a relevant number of tumor antigens have been characterized. 19,20 Moreover, in the majority of cases, tumor antigens are tumor-associated (TAA) rather than tumor-specific (TSA). 5,18,19 Therefore, the identification of specific epitopes remains one of the major problems in developing a vaccine approach, especially for epithelial tumors. 7,18 An ideal cancer vaccine should induce specific cytolytic immune activity against molecular targets expressed only on tumor cells, thus avoiding any damage to nonneoplastic cells.In previous studies, we demonstrated expression of the nonapeptide epitope CSH-275 (RTNKEASIC) in tissue specimens from colorectal cancer, while normal colonic mucosa was negative. CSH-275 expression was also correlated with the various stages of human colorectal cancer transformation. 21 Subsequently, the CSH-275 epitope was found to be constitutionally expressed in DHD-K12 tumor cells, 22 which is an immunogenic rat colorectal carcinoma cell line. 23 Injection of DHD-K12 cells in the splenic vein of syn...