A cancer immunotherapy strategy is described herein that combines the advantage of the well established tumor targeting capabilities of high-affinity recombinant fragments of Abs with the known efficient, specific, and potent killing ability of CD8 T lymphocytes directed against highly antigenic MHC-peptide complexes. Structurally, it consists of a previously uncharacterized class of recombinant chimerical molecules created by the genetic fusion of single-chain (sc) Fv Ab fragments, specific for tumor cell surface antigens, to monomeric scHLA-A2 complexes containing immunodominant tumor-or viralspecific peptides. The fusion protein can induce very efficiently tumor cell lysis, regardless of the expression of self peptide-MHC complexes. Moreover, these molecules exhibited very potent antitumor activity in vivo in nude mice bearing preestablished human tumor xenografts. These in vitro and in vivo results suggest that recombinant scFv-MHCpeptide fusion molecules could represent an approach to immunotherapy, bridging Ab and T lymphocyte attack on cancer cells. C urrent cancer immunotherapy strategies typically employ two arms of the natural immune system: humoral and cellular. In the first, systemic injection of high-affinity mAbs directed against cell surface tumor-associated antigens has demonstrated statistically significant antitumor activities in clinical trials (1-3). Antitumor Abs that carry effector payloads such as toxins (immunotoxins) or cytokines are also potent molecules currently being tested in various clinical trials (4, 5). The second major approach for specific cancer immunotherapy consists of the potentiation of the cellular arm of the immune system, mainly through CD8 ϩ cytotoxic T lymphocytes (CTLs). Two major strategies are currently being used: (i) active immunization of patients with antigens known to be recognized by T lymphocytes and to activate them (6-8) and (ii) adoptive transfer therapies that enable the selection and activation of highly reactive T cell subpopulations with improved antitumor activities (9). Clinical studies using MHC tetramer staining have demonstrated T lymphocyte responses against the immunizing tumor antigens in the course of vaccination. However, these promising clinical trials using active immunization have suffered from a relatively low percentage of tumor remissions and a lack of correlation between clinical and T lymphocyte responses to the vaccine (9, 10). Furthermore, in using this approach there is the potential risk of selecting tumor cell variants that have undergone HLA loss (11). The adoptive transfer approach has recently demonstrated impressive results (12, 13). Regression of metastatic melanoma was reported in patients undergoing adoptive transfer protocols with highly selected tumor-reactive T cells directed against overexpressed self-derived differentiation antigens after a nonmyeloablative conditioning regimen (12, 13). The efficiency of such T cell-based immunotherapy approaches may be limited by the absence or low expression of either MHC molecul...