BACKGROUND: Myxoid/round cell liposarcoma (MRCL) is the second most common liposarcoma subtype, accounting for >33% of liposarcomas and approximately 10% of all soft tissue sarcomas. Although MRCL is a chemosensitive subtype, patients with metastatic disease have a poor outcome. NY-ESO-1 is a cancer-testis antigen (also known as cancer germ cell antigen) that has been successfully targeted in vaccine trials and in adoptive T-cell therapy trials for the treatment of several solid tumors. METHODS: The authors investigated the feasibility of targeting NY-ESO-1 in patients with MRCL by evaluating the prevalence of NY-ESO-1 expression in tumors using immunohistochemistry and quantitative reverse transcriptase-polymerase chain reaction analysis. NY-ESO-1-specific tumor recognition by NY-ESO-1-specific T-cells also was analyzed using a chromium release assay. RESULTS: A search of the University of Washington Sarcoma Tissue Bank identified paraffin-embedded tumor samples from 25 patients with MRCL. NY-ESO-1 expression was observed in every MRCL tumor assessed (100%); in 18 tumors (72%), staining was homogenous. In all but 2 tumors, staining was sufficiently robust (2þ) that such patients would be eligible for clinical trials of NY-ESO-1-directed therapy. By using NY-ESO-1 specific, CD8-positive T-cells, the in vitro sensitivity of myxoid liposarcoma cell lines to antigen-specific lysis was demonstrated. CONCLUSIONS: The current results establish NY-ESO-1 as an important target antigen for the treatment of patients with MRCL.
INTRODUCTIONOn the basis of its immunogenicity, the cancer-testis antigen NY-ESO-1 is considered to be among the most attractive antigens for immunotherapy. It has been targeted in several clinical studies, including several vaccine trials that have induced serologic, cluster of differentiation 4 (CD4)-positive, and CD8-positive T-cell responses. Delayed type hypersensitivity responses after NY-ESO-1 vaccination have been associated with long-term survival. 1,2 Objective clinical responses have been observed in patients with melanoma after vaccination against NY-ESO-1, including 1 complete response. 3 NY-ESO-1 also has been successfully targeted in trials of antigen-specific adoptive T-cell therapy. For example, transfer of NY-ESO-1-specific CD4-positive cells has been used effectively to treat patients with metastatic melanoma. 4 NY-ESO-1 also has been targeted using a class I T-cell receptor (TCR) retrovirally transfected into T cells, 5 inducing complete responses in patients with melanoma. To date, there have been no known grade III or grade IV autoimmune toxicities associated with anti-NY-ESO-1 therapy.NY-ESO-1, a member of the family of cancer testis antigens (CT antigens), was first discovered through serologic analysis in patients with esophageal cancer; subsequently, it was observed that NY-ESO-1 induced a strong cytotoxic Tcell response. 6-8 CT antigens (also sometimes referred to as cancer germ-cell antigens), as their name implies, are expressed at the protein level in various malignant...