We Numerous strategies for enhancing the immune response to autologous tumors have recently been developed. Many of the approaches directly target the activation of tumor-specific CD8 ϩ effector T lymphocytes, since these cells are efficient mediators of tumor-specific immunity (1). In contrast, we (2, 3) and others (4-6) have reasoned that improved generation of tumor-specific CD4 ϩ T helper cells enables tumor-specific CD8 ϩ T cells to function more efficiently and, therefore, have focused on activating CD4 ϩ T cells. We have used gene transfection to express syngeneic major histocompatibility complex (MHC) class II genes in tumor cells so that the tumor cells can directly present tumor peptides to CD4 ϩ T helper lymphocytes and bypass the need for host antigen-presenting cells (APC) and soluble tumor antigen. Immunization of autologous mice with class II-transfected tumor cells protects against subsequent challenges of wild-type (class II Ϫ ) primary tumor in a sarcoma model (2), decreases metastatic disease in two melanoma models (7), and mediates regression of a wild-type, long-term established, solid tumor in a sarcoma model (8). T cell depletion experiments established that class II-transfected tumor cells stimulate tumor-specific CD4 ϩ T cells because they are more immunogenic than wild-type class II Ϫ tumor cells (2,8). Immunization with class II-transfected tumor cells, therefore, induces a potent tumor-specific immunity that could be exploited for immunotherapy.To develop the CD4 ϩ T cell activation strategy and methods for predicting its potential clinical application, we are exploring additional approaches to enhance MHC class II expression. The two most practical of these approaches, interferon ␥ (IFN-␥) treatment (9) and class II transactivator (CIITA) gene transduction (10), not only increase autologous MHC class II expression but also up-regulate class II-associated accessory molecules, such as invariant (Ii) chain and DM (11-13). If IFN-␥ treatment and͞or CIITA gene expression are to be considered as immunotherapeutic strategies for treating tumor-bearing patients, the effects of class II-associated accessory molecule expression on class II-transfected tumor cell immunogenicity should be determined. We have, therefore, generated and determined the tumorigenicity of various sarcoma transfectants expressing different combinations of syngeneic MHC class II, Ii, and DM. Since we originally hypothesized that class II-transfected tumor cells that do not coexpress class II accessory molecules will present endogenously synthesized tumor peptides (2, 3), we have also assessed the ability of the various transfectants and transductants to present MHC class II-restricted antigen to antigen-specific CD4 ϩ T cells. Our results demonstrate that tumor cells expressing syngeneic MHC class II without coexpression of Ii and DM are the only transfectants͞transductants that induce tumorspecific immunity and efficiently present class II-restricted, endogenously synthesized antigens. Tumor cell coexpression o...