Volume 38, Issue 9 pp. 1635-1645
ORIGINAL ARTICLE

Immune response to human telomerase reverse transcriptase-derived helper T cell epitopes in hepatocellular carcinoma patients

Masashi Kumagai

Masashi Kumagai

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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Eishiro Mizukoshi

Corresponding Author

Eishiro Mizukoshi

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

Correspondence

Eishiro Mizukoshi, MD, Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.

Email: [email protected]

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Toshikatsu Tamai

Toshikatsu Tamai

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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Masaaki Kitahara

Masaaki Kitahara

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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Tatsuya Yamashita

Tatsuya Yamashita

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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Kuniaki Arai

Kuniaki Arai

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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Takeshi Terashima

Takeshi Terashima

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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Noriho Iida

Noriho Iida

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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Kazumi Fushimi

Kazumi Fushimi

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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Shuichi Kaneko

Shuichi Kaneko

Department of Gastroenterology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan

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First published: 06 February 2018
Citations: 8

Funding information

This study was supported by research grants from the Ministry of Education, Culture, Sports, Science, and Technology of Japan.

Handling Editor: Gabriele Missale

Abstract

Background and Aims

Human telomerase reverse transcriptase is a catalytic enzyme involved in telomere elongation. It is expressed in many tumours, including hepatocellular carcinoma. The purpose of the present study was to identify major histocompatibility complex class II-restricted helper T cell epitopes derived from human telomerase reverse transcriptase in patients with hepatocellular carcinoma.

Methods

TEPITOPE software was used to predict helper T cell epitopes based on the entire amino acid sequence of human telomerase reverse transcriptase, and peptides were synthesized based on the predicted sequence. Interferon (IFN)-γ enzyme linked immunospot assay was performed to examine the T cell response to each of the synthesized peptides in peripheral blood mononuclear cells. Furthermore, the peptides were labelled with fluorescein isothiocyanate to test their binding affinity for major histocompatibility complex class II molecules. Lastly, the association between patient characteristics and the level of immune response to these epitopes was examined.

Results

Positive T cell response (>10% enzyme linked immunospot positivity) was detected against 4 of 10 peptides. Among all peptides, positive T cell response to the hTERT68 peptide was detected most frequently. While hTERT68 was HLA-DRB1*0405-restricted, it also bound to other MCH class II molecules. Positive helper T cell response was detected most frequently in hepatocellular carcinoma patients with a low serum alpha-foetoprotein level. Several treatments for hepatocellular carcinoma enhanced the immune response against the peptides.

Conclusion

Our findings indicate that helper T cell epitopes identified in the present study may be useful to investigate immune responses and for immunotherapy in hepatocellular carcinoma patients.

CONFLICT OF INTEREST

The authors do not have any disclosures to report.

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