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Target Discovery and Validation Reviews and Protocols

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15<br />

Potential <strong>Target</strong> Antigens for Immunotherapy Identified<br />

by Serological Expression Cloning (SEREX)<br />

Dirk Jäger<br />

Summary<br />

Immunotherapy in cancer relies on the identification <strong>and</strong> characterization of potential target<br />

antigens that can be recognized by effector cells of the immune system. Several strategies have<br />

been developed to identify such antigens, which then can be used for immunization strategies.<br />

Serological analysis of recombinant tumor cDNA expression libraries (SEREX) identifies tumor<br />

antigens based on a spontaneous humoral immune response in cancer patients. SEREX is not<br />

limited to tumor types that can be grown in cell culture nor does it depend on T-cell clones that<br />

recognize the autologous tumor. SEREX-defined antigens need to be evaluated following an<br />

algorithm of several analytical steps before they become new target antigens for active<br />

immunotherapy: expression analysis to evaluate tumor association, serological analysis with sera<br />

from tumor patients <strong>and</strong> normal individuals to prove tumor-associated immunogenicity, identification<br />

of potential peptide epitopes for CD8 <strong>and</strong> CD4 T-cells, <strong>and</strong> evaluation in T-cell assays to<br />

demonstrate their potential use as vaccine targets. We recently identified a new breast cancer differentiation<br />

antigen designated as NY-BR-1 in an autologous breast cancer SEREX screening.<br />

The different steps of further evaluation are summarized in this chapter.<br />

Key Words: Immunotherapy; serological analysis of recombinant tumor cDNA expression<br />

libraries; SEREX; reverse immunology; tumor antigens.<br />

1. Introduction<br />

The immune system interacts with tumor cells during the natural course of<br />

a malignant disease. It was shown for different tumor types by several groups<br />

that the presence of tumor-infiltrating lymphocytes is associated with a better<br />

prognosis in individual patients (1–4). This observation suggests that tumorinfiltrating<br />

lymphocytes recognize tumor-associated antigens expressed by the<br />

tumor cells or by the surrounding tumor stroma (see Chapter 14, Volume 1).<br />

From: Methods in Molecular Biology, vol. 360, <strong>Target</strong> <strong>Discovery</strong> <strong>and</strong> <strong>Validation</strong> <strong>Reviews</strong> <strong>and</strong> <strong>Protocols</strong><br />

Volume I, Emerging Strategies for <strong>Target</strong>s <strong>and</strong> Biomarker <strong>Discovery</strong><br />

Edited by: M. Sioud © Humana Press Inc., Totowa, NJ<br />

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