Previously, we found that human papillomavirus type 16 (HPV-16) E5 protein is a tumor rejection antigen and can induce cytotoxic T-lymphocyte (CTL) activity. Therefore, in this study, human leukocyte antigen A*0201 (HLA-A*0201)-restricted human CTL epitopes of HPV-16 E5 protein were identified using a bioinformatics approach, and the abilities of these predicted peptides to induce an immune response in HLA-A*0201 transgenic mice were confirmed by assaying E5-specific CTLs and in vitro-generated CTLs from normal peripheral blood T lymphocytes of HLA-A2-positive human donors. Second, the CTL responses to HLA-A*0201 CTL epitopes (E5 63-71 and E7 11-20) were examined in HPV-16-infected patients with HLA-A2. Third, the effect of HLA-A-type alleles on CTL activities in response to the entire E5 and E7 proteins was examined in cervical cancer patients. E5 and E7 peptides (but not the whole proteins) stimulated E5-and E7-specific CTL recall responses in HPV-16-and HLA-A2-positive cervical cancer patients, and HPV-16 E5 and E7 proteins stimulated naïve T cells in HPV-16-negative cervical cancer patients with HLA-A11 and -A24 haplotypes. In summary, this is the first demonstration that E5 63-71 is an HLA-A*0201-restricted T-cell epitope of HPV-16 E5.Cervical cancer accounts for almost 12% of all cancers in women and thus represents the second most frequent gynecological malignancy in the world (50). Cervical cancer is caused by specific human papillomavirus (HPV) infections. HPV type 16 (HPV-16) is the predominant etiologic agent of cervical cancer and carries three transforming oncogenes, E5, E6, and E7. E6 and E7 expression has been found in cervical cancer cell lines and cancer biopsy specimens, and the two proteins play roles in malignant transformation. They are independently able to immortalize various human cell types in tissue culture, but the efficiency of transformation is increased when they are coexpressed (50).HPV-16 E5 protein stimulates cell growth by forming a complex with the epidermal growth factor receptor, ErbB4, platelet-derived growth factor receptor, and colony-stimulating factor 1 receptor (12,16,41,50). In vivo studies have demonstrated that E5 is expressed soon after infection. E5 mRNA and protein are detectable in low-grade squamous intraepithelial lesions (2, 9), and the prevalence of E5-containing mRNA increases with the advancing severity of disease (2). However, as HPV-infected lesions progress to cervical cancer, episomal viral DNA frequently becomes integrated into the host cell DNA, and a substantial part of the genome, commonly including the E5 coding sequence, is deleted (16,41,50). Thus, E5 expression is not obligatory in late events of HPV-mediated carcinogenesis.The viral oncoproteins are unique tumor antigens and can be ideally used as tumor vaccines (32, 33). HPV-16 E5, E6, and E7 have been experimentally identified as target antigens by immune intervention protocols against cervical cancer. Evidence for increased tumor incidence in T-cell-immunosuppressed patients strongly suggest...