Cytolytic T cell (CTL) lines and clones have been established from various lymphoid sources of patients with metastatic melanoma, and the antigens (Ags) and peptides recognized by the CTL have been identified (reviewed by Lindauer et al., 1998). Most of the CTL directed against melanoma were CD8 ϩ and HLA-class I-restricted (frequently A1 or A2; reviewed by Lindauer et al., 1998). At least 14 different melanoma-associated CTL Ags and more than 26 peptides derived from these Ags have been described. These peptides were associated primarily with HLA-A2, followed by HLA-A1, -A24, -A31 and -Cw16 (reviewed by Lindauer et al., 1998), and sensitized HLA-matched target cells for CTL lysis. Peptides mimicking melanoma-associated Ags MAGE-1, MAGE-3, MART-1/MELAN-A, tyrosinase or gp100 induced proliferative and/or cytolytic T lymphocyte responses in melanoma patients (reviewed by Rivoltini et al., 1998). The clinical responses of the vaccinated patients were highly variable and need to be evaluated in randomized control studies.CD4 ϩ , HLA class II-restricted CTL against melanoma, have been described at a much lower frequency than CD8 ϩ , HLA class I-restricted CTL (Carrel and Johnson, 1993;de Vries and Spits, 1984;Thomas and Hersey, 1998). Such CD4 ϩ CTL usually showed low in vitro growth stabilities.A third type of CTL against melanoma that is of CD4 phenotype and may utilize HLA class I for tumor cell lysis has been described (Darrow et al., 1996;LeMay et al., 1993;Morisaki et al., 1994). Similar CTL have been found in colon and pancreatic carcinoma patients (Jacob et al., 1997). However, involvement of HLA class I in tumor cell lysis by the CD4 ϩ CTL has not been demonstrated unequivocally.We describe here a CD4 ϩ , HLA class I-restricted CTL clone that specifically and effectively lyses autologous melanoma cells. HLA-class I (B57 [17]) dependency of the CTL clone is demonstrated in CTL assays using various HLA-B57[17]-matched and -unmatched target cells and in CTL blocking assays with monoclonal antibody (MAb) to B17. Importantly, we demonstrate lysis of allogeneic HLA-class I-and II-unmatched melanoma cells by the CTL after transfection of the melanoma cells with HLA-B57 [17] cDNA. Furthermore, CD4 is involved in the lysis of autologous melanoma cells by the CTL. Thus, our results provides direct evidence for the involvement of both CD4 and HLA-class I in the CTL lysis of tumor cells.
MATERIAL AND METHODS
Patient 793Patient 793 (male Caucasian, 39 years of age) had excision of a ''low risk'' primary melanoma [superficial spreading type with early vertical growth phase present; the tumor thickness was 0.55 mm and the vertical growth phase had a brisk lymphatic infiltrate, with no evidence of metastases. The primary lesion was excised approx. 14 years earlier and there has been no recurrence since. Patient 793 did not receive any chemotherapy after the removal of primary lesion.
Tumor cell linesMelanoma cell lines WM793, WM902B and WM3248 were established from the vertical growth phase of the primary lesions of mela...