Hypomethylating drugs convert HA-1-negative solid tumors into targets for stem cell-based immunotherapy

Blood. 2009 Mar 19;113(12):2715-22. doi: 10.1182/blood-2008-05-158956. Epub 2008 Dec 18.

Abstract

Clinical responses of solid tumors after allogeneic human leukocyte antigen-matched stem cell transplantation (SCT) often coincide with severe graft-versus-host disease (GVHD). Targeting minor histocompatibility antigens (mHags) with hematopoiesis- and cancer-restricted expression, for example, HA-1, may allow boosting the antitumor effect of allogeneic SCT without risking severe GVHD. The mHag HA-1 is aberrantly expressed in cancers of most entities. However, an estimated 30% to 40% of solid tumors do not express HA-1 (ie, are HA-1(neg)) and cannot be targeted by HA-1-specific immunotherapy. Here, we investigated the transcriptional regulation of HA-1 gene expression in cancer. We found that DNA hypermethylation in the HA-1 promoter region is closely associated with the absence of HA-1 gene expression in solid tumor cell lines. Moreover, we detected HA-1 promoter hypermethylation in primary cancers. The hypomethylating agent 5-aza-2'-deoxycytidine induced HA-1 expression only in HA-1(neg) tumor cells and sensitized them for recognition by HA-1-specific cytotoxic T lymphocytes. Contrarily, the histone deacetylation inhibitor trichostatin A induced HA-1 expression both in some HA-1(neg) tumor cell lines and in normal nonhematopoietic cells. Our data suggest that promoter hypermethylation contributes to the HA-1 gene regulation in tumors. Hypomethylating drugs might extend the safe applicability of HA-1 as an immunotherapeutic target on solid tumors after allogeneic SCT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylation / drug effects
  • Antigens, Neoplasm / biosynthesis*
  • Antigens, Neoplasm / genetics
  • Antigens, Neoplasm / immunology
  • Azacitidine / analogs & derivatives*
  • Azacitidine / pharmacology
  • Azacitidine / therapeutic use
  • Cell Line, Tumor / drug effects
  • Cell Line, Tumor / metabolism
  • CpG Islands
  • DNA (Cytosine-5-)-Methyltransferase 1
  • DNA (Cytosine-5-)-Methyltransferases / antagonists & inhibitors
  • DNA Methylation / drug effects*
  • DNA, Neoplasm / drug effects*
  • Decitabine
  • Gene Expression Regulation, Neoplastic / drug effects*
  • Gene Silencing / drug effects*
  • Histones / metabolism
  • Humans
  • Hydroxamic Acids / pharmacology
  • Immunotherapy / methods*
  • Minor Histocompatibility Antigens / biosynthesis*
  • Minor Histocompatibility Antigens / genetics
  • Minor Histocompatibility Antigens / immunology
  • Neoplasm Proteins / antagonists & inhibitors
  • Neoplasm Proteins / metabolism
  • Neoplasms / genetics*
  • Neoplasms / immunology
  • Neoplasms / pathology
  • Oligopeptides / biosynthesis*
  • Oligopeptides / genetics
  • Oligopeptides / immunology
  • Promoter Regions, Genetic / drug effects
  • Promoter Regions, Genetic / genetics
  • Protein Processing, Post-Translational / drug effects
  • RNA, Messenger / biosynthesis
  • RNA, Neoplasm / biosynthesis
  • T-Lymphocytes, Cytotoxic / immunology
  • Transcription, Genetic

Substances

  • Antigens, Neoplasm
  • DNA, Neoplasm
  • HA-1 antigen
  • Histones
  • Hydroxamic Acids
  • Minor Histocompatibility Antigens
  • Neoplasm Proteins
  • Oligopeptides
  • RNA, Messenger
  • RNA, Neoplasm
  • trichostatin A
  • Decitabine
  • DNA (Cytosine-5-)-Methyltransferase 1
  • DNA (Cytosine-5-)-Methyltransferases
  • Azacitidine