Abstract. We previously reported that glypican-3 (GPC3) is uniquely overexpressed in human hepatocellular carcinoma and melanoma and that it is an ideal tumor antigen for immunotherapy in mouse models. We recently identified both HLA-A24 (A * 2402) and H-2K d -restricted GPC3 298-306 (EYILSLEEL) and HLA-A2 (A * 0201)-restricted GPC3 144-152 (FVGEFFTDV), both of which can induce GPC3-reactive cytotoxic T cells (CTLs). The present study was a preclinical study in a mouse model that was conducted in order to design an optimal schedule for clinical trial of GPC3-derived peptide vaccine. When BALB/c mice were intradermally vaccinated at the base of the tail with K d -restricted GPC3 298-306 peptide mixed with incomplete Freund's adjuvant (IFA), the peptidespecific CTLs were induced. But the peptide alone could not induce peptide-specific CD8 + T cells. Furthermore, proteomic analyses showed that IFA protected the peptide against degradation in the human serum. Peptide-reactive CTLs were induced by peptide vaccine in a dose-dependent manner. In addition, at least two vaccinations with a single dose >10 μg were needed for the induction of GPC3 298-306 -specific CTLs. But repeated vaccination with a lower dose of GPC3 298-306 did not induce peptide-specific CTLs. Similarly, induction of an Ag-specific immune response by HLA-A2 GPC3 144-152 depended on the dose administered. The results of this study suggested that IFA is one of the indispensable adjuvants for peptide-based immunotherapy, and that the immunological effect of peptide vaccines depends on the dose of peptide injected.
IntroductionHepatocellular carcinoma (HCC) is one of the most common tumors worldwide, especially in Asian and Western countries (1). Despite advances in diagnosis and treatment, the overall survival of patients with HCC has not significantly improved in the last two decades (2). The effective treatments currently available are only indicated in a relatively small proportion of early stage cases. When patients presents with clinical manifestations of HCC, the tumor is usually advanced, and there are few treatment options. Many HCC patients have type B or C hepatitis or cirrhosis, so patients treated surgically or by other therapies are also at high risk for recurrence. Furthermore, the liver function of such patients is often very poor, so treatment for recurrence is often restricted. As a result, the prognosis of HCC remains poor and new therapies for cancer development and recurrence, i.e., adjuvant therapy, are urgently needed.We previously reported that glypican-3 (GPC3), glycosylphosphatidylinositol (GPI)-anchored membrane protein, is specifically overexpressed in human HCC and melanoma, and that among normal tissues it is slightly expressed in placenta and embryonic liver (3). We found that GPC3 is useful not only as a novel tumor marker, but also as a target antigen for immunotherapy in several studies with mice (4,5). In addition, we identified CTL epitope peptides: HLA-A24-restricted GPC3 298-306 (EYILSLEEL) and HLA-A2-restricted GPC3...