We characterized the T-cell receptor (TCR) repertoire in freshly harvested tumor lesions, in short-termexpanded CD4؉ tumor infiltrating lymphocytes (TIL) as well as in CD4 ؉ and CD8 ؉ peripheral blood lymphocytes (PBL) from three patients with cervical cancer. Skewing of the T-cell repertoire as defined by measuring the length of the complementarity-determining region 3 (CDR3) of the TCR VA and VB chains was observed in CD8 ؉ PBL, in freshly harvested tumor tissue, as well as in CD4 ؉ TIL. Comparative analysis of the TCR repertoire revealed unique monoclonal TCR transcripts within the tumor lesion which were not present in PBL, suggesting selection of TCR clonotypes due to antigenic stimulation. TCR repertoire analysis of the short-term (7-day) CD4؉ TIL lines revealed that the TCR composition is markedly different from that in CD4 Several methods have been used to analyze the cellular immune response in patients with cervical cancer, including enzyme-linked immunospot analysis of T cells obtained from peripheral blood (32) and characterization of tumor-infiltrating lymphocytes (TIL) directed against human papillomavirus type 16 (HPV-16) (6) or HPV-derived peptides which bind to different major histocompatibility complex (MHC) class II alleles, including DR3, DR4, DR15 or DQ2 (12, 13, 32). CD8 ϩ cytotoxic T cells directed against HPV-16 E6 and E7 antigens have also been detected in peripheral blood lymphocytes (PBL) from women with cervical dysplasia (1, 29). Recruitment and maintenance of HPV-specific and MHC class IIrestricted CD4 ϩ T cells may be beneficial for patients at high risk of ultimately developing cervical cancer since the majority of early cervical cancer lesions show allelic loss of MHC class I expression (16) and defects in the MHC class I antigenprocessing and presentation machinery (3).One of the crucial experiments in evaluating anticancer immune responses is to show that the antipeptide-specific cellular immune responses elicited by in vitro stimulation with HPV oncoproteins (9, 31) or with peptides (15, 28) are also directed against the autologous tumor cells. This has not yet been demonstrated, since cervical cancer cell lines are not easily established. Thus, HLA-matched cancer cells served as targets for evaluating the anti-HPV-directed immune responses (15, 31).In cancers of different histologies, the molecular definition of an antitumor response was initiated by demonstrating anticancer CD4 ϩ or CD8 ϩ responses. These tumor-specific T cells have been used to identify a number of antigens, which may serve as tumor rejection antigens (for a review, see reference 35). A different scenario is true for cervical cancer, since the majority of cervical cancers express the HPV E6 and E7 oncoproteins that may provide targets for an antitumor cellular immune response (35). Thus, most studies used HPV-derived targets as a readout and surrogate marker of anti-cervical cancer-directed immunity. To gauge the cellular immune response in patients with cervical cancer, we evaluated the T-cell receptor (TC...