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<art>
   <ui>1479-5876-2-40</ui>
   <ji>1479-5876</ji>
   <fm>
      <dochead>Research</dochead>
      <bibl>
         <title>
            <p>Vaccination with EphA2-derived T cell-epitopes promotes immunity against both EphA2-expressing and EphA2-negative tumors</p>
         </title>
         <aug>
            <au id="A1" ce="yes">
               <snm>Hatano</snm>
               <fnm>Manabu</fnm>
               <insr iid="I1"/>
               <insr iid="I3"/>
               <email>hatanom@upmc.edu</email>
            </au>
            <au id="A2" ce="yes">
               <snm>Kuwashima</snm>
               <fnm>Naruo</fnm>
               <insr iid="I1"/>
               <email>kuwashiman@upmc.edu</email>
            </au>
            <au id="A3">
               <snm>Tatsumi</snm>
               <fnm>Tomohide</fnm>
               <insr iid="I2"/>
               <email>tatsumit@upmc.edu</email>
            </au>
            <au id="A4">
               <snm>Dusak</snm>
               <mi>E</mi>
               <fnm>Jill</fnm>
               <insr iid="I1"/>
               <insr iid="I3"/>
               <email>dusakje@upmc.edu</email>
            </au>
            <au id="A5">
               <snm>Nishimura</snm>
               <fnm>Fumihiko</fnm>
               <insr iid="I1"/>
               <insr iid="I3"/>
               <email>nishimuraf@upmc.edu</email>
            </au>
            <au id="A6">
               <snm>Reilly</snm>
               <mi>M</mi>
               <fnm>Karlyne</fnm>
               <insr iid="I4"/>
               <email>kreilly@ncifcrf.gov</email>
            </au>
            <au id="A7">
               <snm>Storkus</snm>
               <mi>J</mi>
               <fnm>Walter</fnm>
               <insr iid="I2"/>
               <email>storkuswj@upmc.edu</email>
            </au>
            <au id="A8" ca="yes">
               <snm>Okada</snm>
               <fnm>Hideho</fnm>
               <insr iid="I1"/>
               <insr iid="I2"/>
               <insr iid="I3"/>
               <email>okadah@upmc.edu</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Department of Neurological Surgery, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA, 15213, USA</p>
            </ins>
            <ins id="I2">
               <p>Department of Surgery, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA, 15213, USA</p>
            </ins>
            <ins id="I3">
               <p>Brain Tumor Program, University of Pittsburgh Cancer Institute, 5117 Centre Avenue, Pittsburgh, PA, 15213, USA</p>
            </ins>
            <ins id="I4">
               <p>Genetic Modifiers of Tumorigenesis Section, Mouse Cancer Genetics Program, National Cancer Institute at Frederick, West 7th Street at Fort Detrick, PO Box B, Building 560, Room 32-31B, Frederick, MD 21702-1201, USA</p>
            </ins>
         </insg>
         <source>Journal of Translational Medicine</source>
         <issn>1479-5876</issn>
         <pubdate>2004</pubdate>
         <volume>2</volume>
         <issue>1</issue>
         <fpage>40</fpage>
         <url>http://www.translational-medicine.com/content/2/1/40</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="pmpid">15563374</pubid>
               <pubid idtype="doi">10.1186/1479-5876-2-40</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>11</day>
               <month>10</month>
               <year>2004</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>24</day>
               <month>11</month>
               <year>2004</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>24</day>
               <month>11</month>
               <year>2004</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2004</year>
         <collab>Hatano et al; licensee BioMed Central Ltd.</collab>
         <note>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<url>http://creativecommons.org/licenses/by/2.0</url>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</note>
      </cpyrt>
      <kwdg>
         <kwd>EphA2</kwd>
         <kwd>dendritic cells</kwd>
         <kwd>cancer vaccines</kwd>
         <kwd>melanoma</kwd>
      </kwdg>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <sec>
               <st>
                  <p>Background</p>
               </st>
               <p>A novel tyrosine kinase receptor EphA2 is expressed at high levels in advanced and metastatic cancers. We examined whether vaccinations with synthetic mouse EphA2 (mEphA2)-derived peptides that serve as T cell epitopes could induce protective and therapeutic anti-tumor immunity.</p>
            </sec>
            <sec>
               <st>
                  <p>Methods</p>
               </st>
               <p>C57BL/6 mice received subcutaneous (s.c.) vaccinations with bone marrow-derived dendritic cells (DCs) pulsed with synthetic peptides recognized by CD8+ (mEphA2<sub>671&#8211;679</sub>, mEphA2<sub>682&#8211;689</sub>) and CD4+ (mEphA2<sub>30&#8211;44</sub>) T cells. Splenocytes (SPCs) were harvested from primed mice to assess the induction of cytotoxic T lymphocyte (CTL) responses against syngeneic glioma, sarcoma and melanoma cell lines. The ability of these vaccines to prevent or treat tumor (s.c. injected MCA205 sarcoma or B16 melanoma; i.v. injected B16-BL6) establishment/progression was then assessed.</p>
            </sec>
            <sec>
               <st>
                  <p>Results</p>
               </st>
               <p>Immunization of C57BL/6 mice with mEphA2-derived peptides induced specific CTL responses in SPCs. Vaccination with mEPhA2 peptides, but not control ovalbumin (OVA) peptides, prevented the establishment or prevented the growth of EphA2+ or EphA2-negative syngeneic tumors in both s.c. and lung metastasis models.</p>
            </sec>
            <sec>
               <st>
                  <p>Conclusions</p>
               </st>
               <p>These data indicate that mEphA2 can serve as an attractive target against which to direct anti-tumor immunity. The ability of mEphA2 vaccines to impact EphA2-negative tumors such as the B16 melanoma may suggest that such beneficial immunity may be directed against alternative EphA2+ target cells, such as the tumor-associated vascular endothelial cells.</p>
            </sec>
         </sec>
      </abs>
   </fm>
   <meta>
      <classifications>
         <classification type="bmc" subtype="user_supplied_xml" id="refman"/>
      </classifications>
   </meta>
   <bdy>
      <sec>
         <st>
            <p>Background</p>
         </st>
         <p>EphA2 is a member of Eph family of receptor tyrosine kinases comprised of two major classes (EphA and EphB), which are distinguished by their specificities for ligand (ephrin-A and ephrin-B, respectively <abbrgrp><abbr bid="B1">1</abbr><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr></abbrgrp>). Recent reports suggest that EphA2 is frequently overexpressed and often functionally dysregulated in advanced cancers, where it contributes to multiple aspects of malignant character. These changes in EphA2 have been observed in a wide array of solid tumors, including melanoma <abbrgrp><abbr bid="B4">4</abbr><abbr bid="B5">5</abbr></abbrgrp> and prostate <abbrgrp><abbr bid="B6">6</abbr></abbrgrp>, breast <abbrgrp><abbr bid="B7">7</abbr></abbrgrp> and lung <abbrgrp><abbr bid="B8">8</abbr></abbrgrp> carcinomas. Indeed, the highest degree of EphA2 expression among tumors is most commonly observed in metastatic lesions <abbrgrp><abbr bid="B6">6</abbr><abbr bid="B9">9</abbr></abbrgrp>.</p>
         <p>These data suggest that EphA2 may serve as an attractive target for cancer vaccines. In this regard, we have identified five human leukocyte antigen (HLA)-A2 binding and three HLA-DR4-binding peptides derived from EphA2 that are capable of inducing specific, tumor-reactive CD8<sup>+ </sup>or CD4<sup>+ </sup>T-cell responses, respectively <abbrgrp><abbr bid="B10">10</abbr></abbrgrp>. A more recent report has identified two additional HLA-A2 restricted T-cell epitopes encoded by EphA2 <abbrgrp><abbr bid="B11">11</abbr></abbrgrp>.</p>
         <p>These observations and findings support our rationale for near future implementation of EphA2-targeted vaccine clinical trials. For pre-clinical evaluation of EphA2-targeted vaccines, however, there is little information on immune responses against EphA2 in mouse models. Therefore, we hypothesized that identification of mouse T-cell epitopes in mEphA2 would allow us to determine the effect of EphA2-targeted vaccinations in mice bearing tumors. In this study, we examined whether novel T-cell epitope peptides identified in the mEphA2 protein sequence could elicit protective and therapeutic anti-tumor immune responses in murine models. Our results indicate that DC-based vaccines incorporating these peptides elicit effective CTL responses that can inhibit the growth both EphA2+ and EphA2-deficient tumors.</p>
      </sec>
      <sec>
         <st>
            <p>Materials and methods</p>
         </st>
         <sec>
            <st>
               <p>Animals</p>
            </st>
            <p>Female 6&#8211;8-week-old C57BL/6 mice were purchased from The Jackson Laboratory (Bar Harbor, ME). Animals were handled under aseptic conditions in microisolator cages within the Central Animal Facility at the University of Pittsburgh per an Institutional Animal Care and Use Committee-approved protocol, and in accordance with recommendations for the proper care and use of laboratory animals.</p>
         </sec>
         <sec>
            <st>
               <p>Cell Lines and Culture</p>
            </st>
            <p>Glioma cell lines KR129, KR130, KR233 and KR158D were derived from spontaneously arising gliomas in F1 between B6 &#215; CBA (KR129), B6 &#215; SJL (KR130), and C57BL/6 (KR233 and KR158D)-background NPcis mice that express mutations in two tumor-suppressor genes, <it>Nf1 </it>and <it>Trp53 </it><abbrgrp><abbr bid="B12">12</abbr></abbrgrp>. B16 melanoma, NPcis-derived glioma cells, GL261 glioma and MCA205 sarcoma (H-2<sup>b</sup>) cell lines were cultured in complete medium (CM) [RPMI 1640 supplemented with 10% heat-inactivated fetal bovine serum, 100 units/ml penicillin, 100 &#956;g/ml streptomycin, and 10 mM L-glutamine (all reagents from Life Technologies, Inc., Grand Island, NY)] in a humidified incubator in 5% CO<sub>2 </sub>at 37&#176;C.</p>
         </sec>
         <sec>
            <st>
               <p>Generation of DCs in Vitro from Bone Marrow</p>
            </st>
            <p>The procedure used to generate DCs has been previously described <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. Briefly, C57BL/6 bone marrow cells were cultured in CM supplemented with 1000 units/ml recombinant mouse granulocyte/macrophage colony-stimulating factor and recombinant mouse interleukin-4 (Schering-Plough, Kenilworth, NJ) at 37&#176;C in a humidified, 5% CO<sub>2 </sub>incubator for 7 days. DCs were then isolated at the interface of 14.5% (w/v) metrizamide (Sigma, St. Louis, MO) in CM discontinuous gradients by centrifugation. DCs typically represented >90% of the harvested population of cells based on morphology and expression of the CD11b, CD11c, CD40, CD54, CD80, CD86, and class I and class II MHC antigens as assessed using flow cytometry (data not shown).</p>
         </sec>
         <sec>
            <st>
               <p>Peptides and immunization</p>
            </st>
            <p>The protein sequences of mEphA2 was obtained from GenBank and analyzed for H-2K<sup>b</sup>-, H-2D<sup>b</sup>-, and I-A<sup>b</sup>-binding binding motifs using <ul>BIMAS</ul>, and a proteosomal cleavage site prediction system <abbrgrp><abbr bid="B14">14</abbr></abbrgrp>, respectively. Peptide sequences that were given high binding scores and predicted proteosomal cleavage sites at the ends of the sequences were chosen <abbrgrp><abbr bid="B15">15</abbr></abbrgrp>. The H-2D<sup>b</sup>-binding mEphA2<sub>671&#8211;679 </sub>(FSHHNIIRL), H-2K<sup>b</sup>-binding mEphA2<sub>682&#8211;689 </sub>(VVSKYKPM), and I-A<sup>b</sup>-binding mEphA2<sub>30&#8211;44 </sub>(LLDFAAMKGELGWLT) epitopes were synthesized using an automated solid-phase peptide synthesizer (Applied Biosystems, Foster City, CA) by the protein synthesis facility at the University of Pittsburgh Cancer Institute, purified (to greater than 95%) by reverse phase HPLC, and characterized for amino acid sequences by mass spectrometry.</p>
            <p>Day 7 DCs were pulsed with 10 &#956;M each of the indicated peptides for 4 hours at 37&#176;C, as previously described <abbrgrp><abbr bid="B13">13</abbr></abbrgrp>. Cells were then washed twice with Hank's balanced salt solution (HBSS), with animals receiving injections of the indicated numbers of peptide-pulsed DCs in 0.1 ml HBSS s.c.</p>
         </sec>
         <sec>
            <st>
               <p>Tumor challenge</p>
            </st>
            <p>In the s.c. model, animals were injected with the indicated numbers of tumor cells in the right flank. Anti-tumor responses were assessed based on comparative longitudinal measurements of tumor area. In the lung metastasis model, animals were injected i.v. with 2 &#215; 10<sup>5 </sup>B16-BL6 tumor cells on day 0, and they subsequently received s.c. vaccinations of peptide-loaded DCs on days 3, 10 and 17. Animals were sacrificed on day 28 post-tumor injection and analyzed for the assessment of pulmonary metastases by enumerating the number of surface tumor-nodules.</p>
         </sec>
         <sec>
            <st>
               <p>Western Blotting</p>
            </st>
            <p>Protein lysates isolated from normal mouse brain, spleen, liver, lung, heart, skeletal muscle, and mouse tumor lines were separated by SDS-PAGE, blotted onto nitrocellulose and analyzed for expression of mEphA2 using EphA2 monoclonal antibody (C-20 Ab; Santa Cruz Biotechnology, Inc., Santa Cruz, CA). Blots were imaged on Kodak X-Omat Blue XB-1 film (NEN Life Science Products, Boston, MA) after using horseradish peroxidase (HRP)-conjugated goat anti-rabbit Ig (Biorad, Hercules, CA) and the Western Lighting&#8482; chemiluminescence detection kit (Perkin Elmer, Boston, MA).</p>
         </sec>
         <sec>
            <st>
               <p>CTL activity assay</p>
            </st>
            <p>Single cell suspensions of SPCs were cultured at 2 &#215; 10<sup>6 </sup>cells/ml with 2 &#956;g/ml mEphA2<sub>671&#8211;679 </sub>or mEphA2<sub>682&#8211;689 </sub>in presence of 10 U/ml human IL-2 (Chiron, Emeryville, CA), 50 &#956;M 2-mercaptoethanol (Sigma), and 50 &#956;M N<sup>G </sup>mono-methyl-L-arginine (Cyclopss, Salt Lake City, UT) in 24 wells plates (Corning, Corning, NY) for 5 days. Specific CTL activity was determined in 4 h <sup>51</sup>Cr release assays against the indicated target cells, as previously described <abbrgrp><abbr bid="B16">16</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p>Matrigel plug assay</p>
            </st>
            <p>Eight-week-old mice were injected s.c. twice (days -14 and -7) with DCs loaded with either EphA2-derived peptides (EphA2 <sub>671&#8211;679/30&#8211;44</sub>) or OVA-derived peptides (OVA <sub>257&#8211;264/265&#8211;280</sub>). Each animal then received 400 &#956;l of Matrigel (BD Biosciences) supplemented with 400 ng/ml vascular endothelial growth factor (VEGF) in the dorsal area <abbrgrp><abbr bid="B17">17</abbr></abbrgrp>. The animals were sacrificed 10 days later, then the plugs were removed and photographed.</p>
         </sec>
         <sec>
            <st>
               <p>Statistical analysis</p>
            </st>
            <p>Comparative numbers of lung metastasis, growth of s.c. tumors and T cell responses were compared by Student's <it>t </it>test for two samples with unequal variances. Statistical significance was determined at p value &lt;0.05.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Results</p>
         </st>
         <sec>
            <st>
               <p>Expression of mEphA2 in murine tumor cells</p>
            </st>
            <p>We evaluated the expression of mEphA2 in H-2<sup>b</sup>-syngeneic murine tumor cell lines and normal organs from C57BL/6 mice by Western Blotting (Figure <figr fid="F1">1</figr>). MCA205 sarcoma, the NPcis mice-derived spontaneously developed glioma cell lines KR129, KR130, KR233 and KR158D (Figure <figr fid="F1">1A</figr>), as well as, the GL261 glioma (Figure <figr fid="F1">1B</figr>) expressed detectable but variable levels of mEphA2 protein. In marked contrast, none of melanoma lines tested, including B16 melanoma and its more metastatic sub-clones B16V1 and B16BL6, expressed detectable levels of mEphA2 (Figure <figr fid="F1">1A</figr>). The control &#946;-actin staining on the same blots demonstrated that equal amount of protein was loaded in each lane. With regard to the normal organs examined, moderate levels of mEphA2 expression were identified in the spleen, liver and lung, whereas no detectable expression was observed in brain, heart and skeletal muscle (Figure <figr fid="F1">1B</figr>).</p>
            <fig id="F1">
               <title>
                  <p>Figure 1</p>
               </title>
               <caption>
                  <p>Expression of EphA2 in murine tumor cell lines and tumor/normal tissues</p>
               </caption>
               <text>
                  <p><b>Expression of EphA2 in murine tumor cell lines and tumor/normal tissues. </b>(A) Aliquots of protein lysates (10 &#956;g/lane) were analyzed by Western Blotting for expression of mEphA2 protein using a specific monoclonal antibody (C-20 Ab; Santa Cruz Biotechnology, Inc., Santa Cruz, CA). Lysate samples were obtained from mouse tumor lines including the B16, B16V1 and B16BL6 melanomas and the KR129, KR130, KR233 and KR158D glioma cell lines derived from spontaneously developed glioma tissues in NPcis mice. Control &#946;-actin labeling demonstrated equal amount of protein loading in each lane. (B) Protein lysates isolated from normal mouse brain, spleen, liver, lung, heart, skeletal muscle, and the G261 glioma and MCA 205 sarcoma cell lines were separated by SDS-PAGE, blotted onto nitrocellulose and analyzed for expression of mEphA2 using C-20 anti-EphA2 monoclonal antibody.</p>
               </text>
               <graphic file="1479-5876-2-40-1"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>Vaccination of mice with synthetic mEphA2 T cell epitopes promotes specific CTL responses</p>
            </st>
            <p>We have previously characterized the immunogenicity of the H-2D<sup>b</sup>-binding mEphA2<sub>671&#8211;679</sub>, H-2K<sup>b</sup>-binding mEphA2<sub>682&#8211;689</sub>, and I-A<sup>b</sup>-binding mEphA2<sub>30&#8211;44 </sub>epitopes based on delayed-type hypersensitivity responses in B6 mice (Storkus <it>et al</it>., unpublished results). We immunized syngeneic C57BL/6 mice twice s.c. with syngenic DCs loaded with the K<sup>b</sup>-binding and the I-A<sup>b</sup>-binding epitopes, or DCs loaded with the D<sup>b</sup>-binding and the I-A<sup>b</sup>-binding epitopes on a weekly basis. Control animals received DCs loaded with the cancer-irrelevant K<sup>b</sup>-binding OVA<sub>257&#8211;264 </sub>and the I-A<sup>b</sup>-binding OVA<sub>265&#8211;280 </sub>epitopes <abbrgrp><abbr bid="B18">18</abbr></abbrgrp>. One week after the secondary immunization, the animals were sacrificed, and SPCs were harvested. The SPCs were then stimulated <it>in vitro </it>with the MHC class I peptide that was used for <it>in vivo </it>immunization, in the presence of 10 U/ml hIL-2, for 7 days. SPCs from control animals immunized with OVA peptides were stimulated <it>in vitro </it>with the mEphA2<sub>671&#8211;79 </sub>to provide an index for a control, "primary" level of specific CTL induction. CTL activity against mEphA2-expressing, and H-2<sup>b</sup>-syngeneic MCA205 sarcoma, GL261 glioma and KR158D glioma cells were assessed by standard <sup>51</sup>Cr-release assays (Figure <figr fid="F2">2</figr>). All three mEphA2+ cell lines demonstrated susceptibility to CTLs generated by the immunizations with K<sup>b</sup>- or D<sup>b</sup>-binding mEphA2 derived epitopes. With 20 h &#8211; incubation time, the percent lysis by EphA2-induced CTLs increased remarkably in comparison to 4 h-incubation regimen, whereas the lysis by OVA-induced CTLs do not, suggesting that the specific lysis can be more appreciated with the prolonged incubation time (up to 20 h) for the CTLs raised against EphA2-epitopes. B16 melanoma and YAC cells, which were used as negative control target cells, displayed constantly less than 10% of specific lyses in all groups (data not shown). These data support the conclusion that these mEphA2-derived peptides may serve as effective <it>in vivo </it>immunogens for anti-tumor T cell activation.</p>
            <fig id="F2">
               <title>
                  <p>Figure 2</p>
               </title>
               <caption>
                  <p>Immunizations with mEphA2-derived peptides elicit anti-tumor CTLs</p>
               </caption>
               <text>
                  <p><b>Immunizations with mEphA2-derived peptides elicit anti-tumor CTLs. </b>C57BL/6 mice received two cycles of s.c. immunization with 5 &#215; 10<sup>5 </sup>DCs loaded with mEphA2-derived peptides or control OVA-derived peptides. One week after the second immunization, the animals were sacrificed, and SPCs were re-stimulated <it>in vitro </it>with the indicated peptides in the presence of 20 IU/ml hIL-2 for 7 days. Standard 4-hr (upper panel) and 20-hr (lower panel) <sup>51</sup>Cr-release assays were used to assess cytotoxicity of the responder SPCs against the EphA2+ MCA205, GL261 and KR158D tumor cell lines. Each value represents the average of triplicate determinations for each group. YAC cells were evaluated as non-specific target cells, while EphA2-negative B16 melanoma cells were examined as negative control target cells in all groups, with the lysis of each of these targets constantly less than 10% (data not shown).</p>
               </text>
               <graphic file="1479-5876-2-40-2"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>mEphA2 peptide-pulsed DC-based vaccines effectively protect/treat s.c MCA205 sarcoma and B16 melanoma</p>
            </st>
            <p>We evaluated the efficacy of protective and therapeutic immunizations with mEphA2-derived peptides in s.c. tumor models. These included the mEphA2-positive MCA205 sarcoma and the mEphA2-negative B16 melanoma models. First, animals bearing established s.c. MCA205 tumors received therapeutic vaccinations with mEphA2-derived CTL (H-2K<sup>b </sup>or H-D<sup>b </sup>presented) + Th epitope peptides on days 3 and 10 following tumor inoculation (5 animals/group). Control animals received DCs loaded with the OVA-derived CTL + Th epitopes. As displayed in Figure <figr fid="F3">3A</figr>, vaccination with either combination of mEphA2-derived CTL (H-2K<sup>b </sup>or H-D<sup>b </sup>presented) + Th epitope peptides significantly inhibited the growth of tumors in comparison to control vaccinations with irrelevant (OVA)-derived T cell epitopes.</p>
            <fig id="F3">
               <title>
                  <p>Figure 3</p>
               </title>
               <caption>
                  <p>Immunizations with DCs loaded with Eph-A2 derived peptides inhibit the growth of both EphA2-positive and EphA2-negative tumors</p>
               </caption>
               <text>
                  <p><b>Immunizations with DCs loaded with Eph-A2 derived peptides inhibit the growth of both EphA2-positive and EphA2-negative tumors. </b>(A) C57BL/6 mice received 1 &#215; 10<sup>5 </sup>MCA205 cells s.c. on day 0. These animals were then immunized with 1 &#215; 10<sup>6 </sup>DCs loaded with the indicated peptides on days 3, 10. Tumor growth was monitored for 28 days following the tumor inoculation (N = 5/group). <it>P </it>&lt; 0.05 for both mEphA2<sub>671&#8211;679/30&#8211;44 </sub>and mEphA2<sub>682&#8211;689/30&#8211;44 </sub>treatments in comparison to OVA control for the tumor based on a two-tailed Student-t test (*). (B) C57BL/6 mice received s.c. pre-immunizations with 1 &#215; 10<sup>6 </sup>DCs loaded with either mEphA2<sub>671&#8211;679</sub>, mEphA2<sub>682&#8211;689</sub>, mEphA2<sub>30&#8211;44 </sub>or control OVA<sub>257&#8211;264 </sub>on days -14 and -7 (N = 5 /group), followed by s.c. challenge with 5 &#215; 10<sup>4 </sup>B16 melanoma cells on day 0. On day 14, the size of tumors and the number of animals that had measurable tumors were assessed. P &lt; 0.01 for EphA2<sub>671&#8211;679</sub>, EphA2<sub>682&#8211;689 </sub>and EphA2<sub>30&#8211;44 </sub>treatments in comparison to OVA<sub>257&#8211;264 </sub>treated group (*).</p>
               </text>
               <graphic file="1479-5876-2-40-3"/>
            </fig>
            <p>We next examined whether vaccination with mEphA2-derived peptides could induce anti-tumor effects against mEphA2-negative tumors, expecting that this would not be the case. Since s.c. B16 melanomas grow aggressively, we employed a pre-immunization model to assess the anti-tumor response. Syngeneic C57BL/6 mice were pre-immunized with either mEphA2<sub>671&#8211;679</sub>, mEphA2<sub>682&#8211;679</sub>, or mEphA2<sub>30&#8211;44 </sub>peptides on days -14 and -7 before s.c. injection with 5 &#215; 10<sup>4 </sup>B16 cells on day 0 (5 animals/group). The control group received irrelevant OVA<sub>257&#8211;264 </sub>instead of mEphA2-derived peptides. Tumor size and the number of animals that had measurable tumors are assessed on day 21 (Figure <figr fid="F3">3B</figr>). All control animals receiving OVA-immunization developed large tumors, whereas, surprisingly, 3 of 5 animals in each of mEphA2-derived peptide-treated groups rejected the tumor growth. Indeed, the average tumor size in each of mEphA2-immunized groups was significantly smaller than the control groups (P &lt; 0.01). As B16 melanoma cells did not express mEphA2 protein <it>in vitro </it>(Figure <figr fid="F1">1A</figr>), these data suggest that vaccination with mEphA2-derived peptides may induce <it>in vivo </it>CTL activity not only directly against mEphA2 expressed in tumors, but also against mEphA2 expressed by other critical components of tumor-structure, such as tumor vascular endothelial cells. With regard to EphA2 expression <it>in vivo</it>, we attempted immunohistochemistry on s.c. B16 tumors to directly validate EphA2 expression. Although deposition of endogenous melanin in B16 tissues posed interference for the substrate-development, we did not observe EphA2-specific staining in s.c. B16 tumor tissues (data not shown).</p>
         </sec>
         <sec>
            <st>
               <p>EphA2 peptide-pulsed DC-based vaccines protect against/treat B16-BL6 lung metastasis</p>
            </st>
            <p>We next evaluated a lung metastasis model using B16-BL6 melanoma cell line. Syngeneic C57BL/6 mice received 2 &#215; 10<sup>5 </sup>B16-BL6 melanoma cells via tail vein injection. The animals subsequently received s.c. immunizations with 1 &#215; 10<sup>6 </sup>DCs loaded with mEphA2 CTL (H-2K<sup>b </sup>or H-D<sup>b </sup>presented) + Th on days 3, 10 and 17 (5 animals/group). Control animals received DCs loaded with the OVA CTL + Th epitopes. On day 28, the animals were sacrificed, and the lungs harvested from each animal. The number of surface pulmonary metastases and lung weight were measured and compared between the groups. As demonstrated in Figure <figr fid="F4">4A</figr> and <figr fid="F4">4B</figr>, both of mEphA2-immunization regimens resulted in remarkable suppression of B16-BL6 lung metastases in comparison to the OVA-immunized control group in this early-stage treatment model.</p>
            <fig id="F4">
               <title>
                  <p>Figure 4</p>
               </title>
               <caption>
                  <p>Inhibition of B16-BL6 lung metastasis and VEGF-induced angiogenesis by s.c. immunizations with DCs loaded with EphA2-derived peptides</p>
               </caption>
               <text>
                  <p><b>Inhibition of B16-BL6 lung metastasis and VEGF-induced angiogenesis by s.c. immunizations with DCs loaded with EphA2-derived peptides</b>. (A and B), C57BL/6 mice received i.v. injections of 2 &#215; 10<sup>5 </sup>B16-BL6 cells followed by s.c. immunizations with 1 &#215; 10<sup>6 </sup>DCs loaded with the indicated peptides on days 3, 10 and 17 (N = 4/group). The animals were sacrificed on day 28, with representative macroscopic pictures of the harvested lungs from each group (A) and the numbers of pulmonary surface metastases counted (B) <it>P </it>&lt; 0.001 for both mEphA2<sub>671&#8211;679/30&#8211;44 </sub>(*) and mEphA2<sub>682&#8211;689/30&#8211;44 </sub>(**) treatments in comparison to OVA control for the number of metastasis based on two-tailed Student-t test. (C), mEphA2-targeted immunizations inhibited the vascular formation in the Matrigel plug assay. Syngeneic mice pre-immunized with control OVA- (left) or EphA2- (right) peptides were injected s.c. with Matrigel containing VEGF. After 10 days, the plugs were removed and photographed. The picture shows representative VEGF-containing plugs excised from total 5 mice/group.</p>
               </text>
               <graphic file="1479-5876-2-40-4"/>
            </fig>
            <p>VEGF has been implicated to be a major mediator of tumor-angiogenesis <abbrgrp><abbr bid="B19">19</abbr><abbr bid="B20">20</abbr></abbrgrp>, and EphA2-blockade has been shown to inhibit VEGF-induced angiogenesis <abbrgrp><abbr bid="B21">21</abbr></abbrgrp>. To examine whether immunizations with mEphA2-derived peptides inhibit VEGF-induced angiogenesis, Matrigel plugs containing VEGF were implanted in pre-immunized mice and recovered 10 days later. Macroscopic analysis revealed that the plugs from mice pre-immunized with mEphA2-derived peptides were much paler than those from control mice (Figure <figr fid="F4">4C</figr>). These results suggest that vaccinations with mEphA2-derived T cell epitopes may induce potent anti-tumor responses in mEphA2-deficient tumor models through inhibition of tumor angiogenesis.</p>
         </sec>
      </sec>
      <sec>
         <st>
            <p>Discussion</p>
         </st>
         <p>In this report, we have demonstrated that mEphA2-derived peptide epitopes can elicit specific CTL responses and anti-tumor response <it>in vivo</it>. Of major note, the anti-tumor response was not restricted to mEphA2-postive models, but was also observed in the case of both s.c. and metastatic B16 melanoma models.</p>
         <p>While the melanoma cell lines were negative for EphA2 expression <it>in vitro </it>as assessed by Western Blotting, it was conceivable that they had become EphA2+ after <it>in vivo </it>injection, which could more easily explain the efficacy of the mEphA2 peptide-based vaccinations. However, we were unable to detect mEphA2 expression even in the <it>in vivo </it>grown B16 tumors (data not shown), suggesting that the T-cell immunity against mEphA2-derived epitopes suppress the <it>in vivo </it>tumor-growth not only through the direct anti-tumor cell mechanisms but also through indirect mechanisms, such as inhibition of tumor-angiogenesis.</p>
         <p>The Eph kinases and ephrins play a crucial role in vascular development during embryogenesis and tumor formation <abbrgrp><abbr bid="B1">1</abbr></abbrgrp>. In two independent tumor types, the RIP-Tag transgenic model of angiogenesis-dependent pancreatic islet cell carcinoma and the 4T1 metastatic mammary adenocarcinoma, Ephrin-A1 ligand is expressed in both tumor and endothelial cells, and EphA2 receptor was localized primarily in tumor-associated vascular endothelial cells <abbrgrp><abbr bid="B3">3</abbr></abbrgrp>. Soluble EphA2-Fc or EphA3-Fc receptors inhibit angiogenesis and tumor formation in multiple models <abbrgrp><abbr bid="B3">3</abbr><abbr bid="B22">22</abbr></abbrgrp>. Further molecular analyses revealed that the EphA-ephrinA interaction is necessary for VEGF-induced angiogenesis <abbrgrp><abbr bid="B21">21</abbr><abbr bid="B22">22</abbr></abbrgrp>. These published observations suggest that immunological targeting of EphA2 may also inhibit tumor growth by suppression of tumor-neoangiogenesis. Immunization against angiogenic-associated antigens selectively expressed on tumor vasculature may provide for a novel strategy to block tumor growth. The feasibility of this approach has been borne out in reports demonstrating that the protein or DNA encoding angiogenic molecules, such as VEGF-R2, can be used as a vaccine to generate effective CTL and antibody responses against tumor vessels, thereby limiting tumor growth and metastasis <abbrgrp><abbr bid="B19">19</abbr><abbr bid="B20">20</abbr></abbrgrp>. In this regard, our results with Matrigel assays suggest that immunization of C57BL/6 mice with mEphA2-derived peptides may inhibit VEGF-induced angiogenesis. We are currently confirming these observations with quantitative analyses of vessel formations in the Matrigel plugs.</p>
         <p>As expected, based on our Western Blotting, several normal organs examined expressed EphA2 including the spleen, liver and lung. This could provide concern for the potential clinical translation of EphA2-based vaccines, given concerns for autoimmune pathology that might occur in these anatomic sites. However, despite the effective induction of antigen-specific CTLs that are capable of mediating DTH-type reactivity (unpublished data) and anti-tumor responses <it>in situ</it>, our careful observation of EphA2-vaccinated animals at autopsy did not reveal any evidence for tissue infiltration by inflammatory leukocytes or the destruction of EphA2+ tissues.</p>
         <p>In our assessment of CTL and anti-tumor response, in most cases, we employed both MHC class I and II associated peptides in our treatment regimens based on our previous study demonstrating that the combination of MHC class I and II-restricted OVA-immuno-epitopes induced higher levels of anti-tumor efficacy than MHC class I-restricted OVA-epitopes solely <abbrgrp><abbr bid="B18">18</abbr></abbrgrp>. With regard to the immunogenicity of each mEphA2-derived peptide, our data with preimmunizations against s.c. B16 challenge indicated that each of mEphA2 <sub>671&#8211;679</sub>, mEphA2 <sub>682&#8211;689 </sub>and mEphA2 <sub>30&#8211;44 </sub>could induce anti-tumor response. It was noteworthy that mEphA2 <sub>30&#8211;44</sub>, which was found to bind I-A<sup>b </sup>and induce DTH and specific CD4+ T cell responses, also suppressed the growth of s.c. (MHC class II-deficient) B16 melanomas as a single agent. This may suggest that neovessels in the B16 microenvironment are MHC class II+ either constitutively or under inflammatory conditions under which IFN-&#947; is elaborated, that B16 melanomas become class II+ after <it>in vivo </it>transfer or upon provision of IFN-&#947; <it>in situ</it>, or that the mEphA2 <sub>30&#8211;44 </sub>Th peptide also contains an embedded CTL epitope. We are currently assessing each of these possibilities.</p>
         <p>It is also intriguing to determine whether there is a correlation between expression levels of mEphA2 in the target cells and their susceptibility to CTLs raised against EphA2-derived peptides. Our preliminary data indicated EphA2 expression levels did not simply correlate with the CTL susceptibility, suggesting other factors, such as MHC class I expression and intracellular anti-apoptotic proteins, may contribute in the CTL-mediated cytotoxicity (data not shown). To address this issue, our ongoing studies with human glioma cells employ small inhibitory RNA for EphA2 to determine whether specific inhibition of EphA2-expression affects the CTL response.</p>
      </sec>
      <sec>
         <st>
            <p>Conclusions</p>
         </st>
         <p>Although the precise mechanisms that underlie the anti-tumor efficacy of EphA2-based vaccines remain to be elucidated, our results demonstrate that the mEphA2-derived epitopes may represent important vaccine candidates for the development of clinical trials for the treatment of (both EphA2+ and EphA2-negative) cancers.</p>
      </sec>
      <sec>
         <st>
            <p>List of abbreviations</p>
         </st>
         <p>s.c., subcutaneous; i.v., intravenous; CTL, cytotoxic T lymphocyte; Th, T helper; DCs, dendritic cells; APCs, antigen-presenting cells; OVA, ovalbumin; CM, complete medium; HBSS, Hank's balanced salt solution; PBS, phosphate buffered saline; SPCs, splenocytes; HLA, human leukocyte antigen; ELISPOT, enzyme-linked immuno-spot; DTH, delayed-type hypersensitivity; VEGF, vascular endothelial cell growth factor</p>
      </sec>
      <sec>
         <st>
            <p>Disclosure of competing interests</p>
         </st>
         <p>The author(s) declare that they have no competing interests.</p>
      </sec>
      <sec>
         <st>
            <p>Authors' contributions</p>
         </st>
         <p>NK carried out the Western Blotting and immuno-assays. NK, JED, TT, MH and FH carried out assessment of in vivo anti-tumor response and preparation of peptide-pulsed DCs. WJS participated in peptide identification, the design of the study and critical review of data and the manuscript. HO conceived of the study, and participated in its design and coordination. All authors have read and approved the final manuscript.</p>
      </sec>
   </bdy>
   <bm>
      <ack>
         <sec>
            <st>
               <p>Acknowledgements</p>
            </st>
            <p>This work was supported by P01 NS40923 [H.O.] and a grant from the Copeland Fund of the Pittsburgh Foundation [H.O.].</p>
         </sec>
      </ack>
      <refgrp>
         <bibl id="B1">
            <title>
               <p>The ephrin-A1 ligand and its receptor, EphA2, are expressed during tumor neovascularization</p>
            </title>
            <aug>
               <au>
                  <snm>Ogawa</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Pasqualini</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Lindberg</snm>
                  <fnm>RA</fnm>
               </au>
               <au>
                  <snm>Kain</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Freeman</snm>
                  <fnm>AL</fnm>
               </au>
               <au>
                  <snm>Pasquale</snm>
                  <fnm>EB</fnm>
               </au>
            </aug>
            <source>Oncogene</source>
            <pubdate>2000</pubdate>
            <volume>19</volume>
            <fpage>6043</fpage>
            <lpage>6052</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/sj.onc.1204004</pubid>
                  <pubid idtype="pmpid" link="fulltext">11146556</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B2">
            <title>
               <p>EphA2 overexpression causes tumorigenesis of mammary epithelial cells</p>
            </title>
            <aug>
               <au>
                  <snm>Zelinski</snm>
                  <fnm>DP</fnm>
               </au>
               <au>
                  <snm>Zantek</snm>
                  <fnm>ND</fnm>
               </au>
               <au>
                  <snm>Stewart</snm>
                  <fnm>JC</fnm>
               </au>
               <au>
                  <snm>Irizarry</snm>
                  <fnm>AR</fnm>
               </au>
               <au>
                  <snm>Kinch</snm>
                  <fnm>MS</fnm>
               </au>
            </aug>
            <source>Cancer Res</source>
            <pubdate>2001</pubdate>
            <volume>61</volume>
            <fpage>2301</fpage>
            <lpage>2306</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11280802</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B3">
            <title>
               <p>Soluble Eph A receptors inhibit tumor angiogenesis and progression in vivo</p>
            </title>
            <aug>
               <au>
                  <snm>Brantley</snm>
                  <fnm>DM</fnm>
               </au>
               <au>
                  <snm>Cheng</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Thompson</snm>
                  <fnm>EJ</fnm>
               </au>
               <au>
                  <snm>Lin</snm>
                  <fnm>Q</fnm>
               </au>
               <au>
                  <snm>Brekken</snm>
                  <fnm>RA</fnm>
               </au>
               <au>
                  <snm>Thorpe</snm>
                  <fnm>PE</fnm>
               </au>
               <au>
                  <snm>Muraoka</snm>
                  <fnm>RS</fnm>
               </au>
               <au>
                  <snm>Cerretti</snm>
                  <fnm>DP</fnm>
               </au>
               <au>
                  <snm>Pozzi</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Jackson</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Lin</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Chen</snm>
                  <fnm>J</fnm>
               </au>
            </aug>
            <source>Oncogene</source>
            <pubdate>2002</pubdate>
            <volume>21</volume>
            <fpage>7011</fpage>
            <lpage>7026</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/sj.onc.1205679</pubid>
                  <pubid idtype="pmpid" link="fulltext">12370823</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B4">
            <title>
               <p>Protein B61 as a new growth factor: expression of B61 and up-regulation of its receptor epithelial cell kinase during melanoma progression</p>
            </title>
            <aug>
               <au>
                  <snm>Easty</snm>
                  <fnm>DJ</fnm>
               </au>
               <au>
                  <snm>Guthrie</snm>
                  <fnm>BA</fnm>
               </au>
               <au>
                  <snm>Maung</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Farr</snm>
                  <fnm>CJ</fnm>
               </au>
               <au>
                  <snm>Lindberg</snm>
                  <fnm>RA</fnm>
               </au>
               <au>
                  <snm>Toso</snm>
                  <fnm>RJ</fnm>
               </au>
               <au>
                  <snm>Herlyn</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Bennett</snm>
                  <fnm>DC</fnm>
               </au>
            </aug>
            <source>Cancer Res</source>
            <pubdate>1995</pubdate>
            <volume>55</volume>
            <fpage>2528</fpage>
            <lpage>2532</lpage>
            <xrefbib>
               <pubid idtype="pmpid">7780963</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B5">
            <title>
               <p>Up-regulation of ephrin-A1 during melanoma progression</p>
            </title>
            <aug>
               <au>
                  <snm>Easty</snm>
                  <fnm>DJ</fnm>
               </au>
               <au>
                  <snm>Hill</snm>
                  <fnm>SP</fnm>
               </au>
               <au>
                  <snm>Hsu</snm>
                  <fnm>MY</fnm>
               </au>
               <au>
                  <snm>Fallowfield</snm>
                  <fnm>ME</fnm>
               </au>
               <au>
                  <snm>Florenes</snm>
                  <fnm>VA</fnm>
               </au>
               <au>
                  <snm>Herlyn</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Bennett</snm>
                  <fnm>DC</fnm>
               </au>
            </aug>
            <source>Int J Cancer</source>
            <pubdate>1999</pubdate>
            <volume>84</volume>
            <fpage>494</fpage>
            <lpage>501</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">10502726</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B6">
            <title>
               <p>Overexpression of the EphA2 tyrosine kinase in prostate cancer</p>
            </title>
            <aug>
               <au>
                  <snm>Walker-Daniels</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Coffman</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Azimi</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Rhim</snm>
                  <fnm>JS</fnm>
               </au>
               <au>
                  <snm>Bostwick</snm>
                  <fnm>DG</fnm>
               </au>
               <au>
                  <snm>Snyder</snm>
                  <fnm>P</fnm>
               </au>
               <au>
                  <snm>Kerns</snm>
                  <fnm>BJ</fnm>
               </au>
               <au>
                  <snm>Waters</snm>
                  <fnm>DJ</fnm>
               </au>
               <au>
                  <snm>Kinch</snm>
                  <fnm>MS</fnm>
               </au>
            </aug>
            <source>Prostate</source>
            <pubdate>1999</pubdate>
            <volume>41</volume>
            <fpage>275</fpage>
            <lpage>280</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1002/(SICI)1097-0045(19991201)41:4&lt;275::AID-PROS8>3.0.CO;2-T</pubid>
                  <pubid idtype="pmpid" link="fulltext">10544301</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B7">
            <title>
               <p>MCF-10A-NeoST: a new cell system for studying cell-ECM and cell-cell interactions in breast cancer</p>
            </title>
            <aug>
               <au>
                  <snm>Zantek</snm>
                  <fnm>ND</fnm>
               </au>
               <au>
                  <snm>Walker-Daniels</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Stewart</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Hansen</snm>
                  <fnm>RK</fnm>
               </au>
               <au>
                  <snm>Robinson</snm>
                  <fnm>D</fnm>
               </au>
               <au>
                  <snm>Miao</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Wang</snm>
                  <fnm>B</fnm>
               </au>
               <au>
                  <snm>Kung</snm>
                  <fnm>HJ</fnm>
               </au>
               <au>
                  <snm>Bissell</snm>
                  <fnm>MJ</fnm>
               </au>
               <au>
                  <snm>Kinch</snm>
                  <fnm>MS</fnm>
               </au>
            </aug>
            <source>Clin Cancer Res</source>
            <pubdate>2001</pubdate>
            <volume>7</volume>
            <fpage>3640</fpage>
            <lpage>3648</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">11705887</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B8">
            <title>
               <p>Predicting the sites of metastases from lung cancer using molecular biologic markers</p>
            </title>
            <aug>
               <au>
                  <snm>D'Amico</snm>
                  <fnm>TA</fnm>
               </au>
               <au>
                  <snm>Aloia</snm>
                  <fnm>TA</fnm>
               </au>
               <au>
                  <snm>Moore</snm>
                  <fnm>MB</fnm>
               </au>
               <au>
                  <snm>Conlon</snm>
                  <fnm>DH</fnm>
               </au>
               <au>
                  <snm>Herndon</snm>
                  <fnm>JE</fnm>
               </au>
               <au>
                  <snm>Kinch</snm>
                  <fnm>MS</fnm>
               </au>
               <au>
                  <snm>Harpole</snm>
                  <fnm>DHJ</fnm>
               </au>
            </aug>
            <source>Ann Thorac Surg</source>
            <pubdate>2001</pubdate>
            <volume>72</volume>
            <fpage>1144</fpage>
            <lpage>1148</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S0003-4975(01)02979-4</pubid>
                  <pubid idtype="pmpid">11603427</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B9">
            <title>
               <p>Eph receptors and ephrin ligands: embryogenesis to tumorigenesis</p>
            </title>
            <aug>
               <au>
                  <snm>Dodelet</snm>
                  <fnm>VC</fnm>
               </au>
               <au>
                  <snm>Pasquale</snm>
                  <fnm>EB</fnm>
               </au>
            </aug>
            <source>Oncogene</source>
            <pubdate>2000</pubdate>
            <volume>19</volume>
            <fpage>5614</fpage>
            <lpage>5619</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/sj.onc.1203856</pubid>
                  <pubid idtype="pmpid" link="fulltext">11114742</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B10">
            <title>
               <p>Disease stage variation in CD4+ and CD8+ T-cell reactivity to the receptor tyrosine kinase EphA2 in patients with renal cell carcinoma</p>
            </title>
            <aug>
               <au>
                  <snm>Tatsumi</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Herrem</snm>
                  <fnm>CJ</fnm>
               </au>
               <au>
                  <snm>Olson</snm>
                  <fnm>WC</fnm>
               </au>
               <au>
                  <snm>Finke</snm>
                  <fnm>JH</fnm>
               </au>
               <au>
                  <snm>Bukowski</snm>
                  <fnm>RM</fnm>
               </au>
               <au>
                  <snm>Kinch</snm>
                  <fnm>MS</fnm>
               </au>
               <au>
                  <snm>Ranieri</snm>
                  <fnm>E</fnm>
               </au>
               <au>
                  <snm>Storkus</snm>
                  <fnm>WJ</fnm>
               </au>
            </aug>
            <source>Cancer Res</source>
            <pubdate>2003</pubdate>
            <volume>63</volume>
            <fpage>4481</fpage>
            <lpage>4489</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">12907621</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B11">
            <title>
               <p>EphA2 as target of anticancer immunotherapy: identification of HLA-A*0201-restricted epitopes</p>
            </title>
            <aug>
               <au>
                  <snm>Alves</snm>
                  <fnm>PM</fnm>
               </au>
               <au>
                  <snm>Faure</snm>
                  <fnm>O</fnm>
               </au>
               <au>
                  <snm>Graff-Dubois</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Gross</snm>
                  <fnm>DA</fnm>
               </au>
               <au>
                  <snm>Cornet</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Chouaib</snm>
                  <fnm>S</fnm>
               </au>
               <au>
                  <snm>Miconnet</snm>
                  <fnm>I</fnm>
               </au>
               <au>
                  <snm>Lemonnier</snm>
                  <fnm>FA</fnm>
               </au>
               <au>
                  <snm>Kosmatopoulos</snm>
                  <fnm>K</fnm>
               </au>
            </aug>
            <source>Cancer Res</source>
            <pubdate>2003</pubdate>
            <volume>63</volume>
            <fpage>8476</fpage>
            <lpage>8480</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">14679012</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B12">
            <title>
               <p>Nf1;Trp53 mutant mice develop glioblastoma with evidence of strain-specific effects</p>
            </title>
            <aug>
               <au>
                  <snm>Reilly</snm>
                  <fnm>KM</fnm>
               </au>
               <au>
                  <snm>Loisel</snm>
                  <fnm>DA</fnm>
               </au>
               <au>
                  <snm>Bronson</snm>
                  <fnm>RT</fnm>
               </au>
               <au>
                  <snm>McLaughlin</snm>
                  <fnm>ME</fnm>
               </au>
               <au>
                  <snm>Jacks</snm>
                  <fnm>T</fnm>
               </au>
            </aug>
            <source>Nat Genet</source>
            <pubdate>2000</pubdate>
            <volume>26</volume>
            <fpage>109</fpage>
            <lpage>113</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/79075</pubid>
                  <pubid idtype="pmpid" link="fulltext">10973261</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B13">
            <title>
               <p>Bone marrow derived dendritic cells pulsed with a tumor specific peptide elicit effective anti-tumor immunity against intracranial neoplasms</p>
            </title>
            <aug>
               <au>
                  <snm>Okada</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Tahara</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Shurin</snm>
                  <fnm>MR</fnm>
               </au>
               <au>
                  <snm>Attanucci</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Giezeman-Smits</snm>
                  <fnm>KM</fnm>
               </au>
               <au>
                  <snm>Fellows</snm>
                  <fnm>KW</fnm>
               </au>
               <au>
                  <snm>Lotze</snm>
                  <fnm>MT</fnm>
               </au>
               <au>
                  <snm>Chambers</snm>
                  <fnm>WH</fnm>
               </au>
               <au>
                  <snm>Bozik</snm>
                  <fnm>ME</fnm>
               </au>
            </aug>
            <source>Int J Cancer</source>
            <pubdate>1998</pubdate>
            <volume>78</volume>
            <fpage>196</fpage>
            <lpage>201</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1002/(SICI)1097-0215(19981005)78:2&lt;196::AID-IJC13>3.0.CO;2-9</pubid>
                  <pubid idtype="pmpid" link="fulltext">9754652</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B14">
            <title>
               <p>An algorithm for the prediction of proteasomal cleavages [published erratum appears in J Mol Biol 2000 Aug 4;301(1):229]</p>
            </title>
            <aug>
               <au>
                  <snm>Kuttler</snm>
                  <fnm>C</fnm>
               </au>
               <au>
                  <snm>Nussbaum</snm>
                  <fnm>AK</fnm>
               </au>
               <au>
                  <snm>Dick</snm>
                  <fnm>TP</fnm>
               </au>
               <au>
                  <snm>Rammensee</snm>
                  <fnm>HG</fnm>
               </au>
               <au>
                  <snm>Schild</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Hadeler</snm>
                  <fnm>KP</fnm>
               </au>
            </aug>
            <source>J Mol Biol</source>
            <pubdate>2000</pubdate>
            <volume>298</volume>
            <fpage>417</fpage>
            <lpage>429</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1006/jmbi.2000.3683</pubid>
                  <pubid idtype="pmpid" link="fulltext">10772860</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B15">
            <title>
               <p>Identification of a novel HLA-A*0201 restricted cytotoxic T lymphocyte epitope in a human glioma associated antigen, interleukin-13 receptor 2 chain</p>
            </title>
            <aug>
               <au>
                  <snm>Okano</snm>
                  <fnm>F</fnm>
               </au>
               <au>
                  <snm>Storkus</snm>
                  <fnm>WJ</fnm>
               </au>
               <au>
                  <snm>Chambers</snm>
                  <fnm>WH</fnm>
               </au>
               <au>
                  <snm>Pollack</snm>
                  <fnm>IF</fnm>
               </au>
               <au>
                  <snm>Okada</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Clin Cancer Res</source>
            <pubdate>2002</pubdate>
            <volume>8</volume>
            <fpage>2851</fpage>
            <lpage>2855</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">12231526</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B16">
            <title>
               <p>Effective induction of antiglioma cytotoxic T cells by coadministration of interferon-beta gene vector and dendritic cells</p>
            </title>
            <aug>
               <au>
                  <snm>Nakahara</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Pollack</snm>
                  <fnm>IF</fnm>
               </au>
               <au>
                  <snm>Storkus</snm>
                  <fnm>WJ</fnm>
               </au>
               <au>
                  <snm>Wakabayashi</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Yoshida</snm>
                  <fnm>J</fnm>
               </au>
               <au>
                  <snm>Okada</snm>
                  <fnm>H</fnm>
               </au>
            </aug>
            <source>Cancer Gene Ther</source>
            <pubdate>2003</pubdate>
            <volume>10</volume>
            <fpage>549</fpage>
            <lpage>558</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/sj.cgt.7700598</pubid>
                  <pubid idtype="pmpid" link="fulltext">12833135</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B17">
            <title>
               <p>A simple, quantitative method for assessing angiogenesis and antiangiogenic agents using reconstituted basement membrane, heparin, and fibroblast growth factor</p>
            </title>
            <aug>
               <au>
                  <snm>Passaniti</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Taylor</snm>
                  <fnm>RM</fnm>
               </au>
               <au>
                  <snm>Pili</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Guo</snm>
                  <fnm>Y</fnm>
               </au>
               <au>
                  <snm>Long</snm>
                  <fnm>PV</fnm>
               </au>
               <au>
                  <snm>Haney</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Pauly</snm>
                  <fnm>RR</fnm>
               </au>
               <au>
                  <snm>Grant</snm>
                  <fnm>DS</fnm>
               </au>
               <au>
                  <snm>Martin</snm>
                  <fnm>GR</fnm>
               </au>
            </aug>
            <source>Lab Invest</source>
            <pubdate>1992</pubdate>
            <volume>67</volume>
            <fpage>519</fpage>
            <lpage>528</lpage>
            <xrefbib>
               <pubid idtype="pmpid">1279270</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B18">
            <title>
               <p>Delivery of Interferon-alpha Transfected Dendritic Cells into Central Nervous System Tumors Enhances the Antitumor Efficacy of Peripheral Peptide-Based Vaccines</p>
            </title>
            <aug>
               <au>
                  <snm>Okada</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Tsugawa</snm>
                  <fnm>T</fnm>
               </au>
               <au>
                  <snm>Sato</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Kuwashima</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Gambotto</snm>
                  <fnm>A</fnm>
               </au>
               <au>
                  <snm>Okada</snm>
                  <fnm>K</fnm>
               </au>
               <au>
                  <snm>Dusak</snm>
                  <fnm>JE</fnm>
               </au>
               <au>
                  <snm>Fellows-Mayle</snm>
                  <fnm>WK</fnm>
               </au>
               <au>
                  <snm>Papworth</snm>
                  <fnm>GD</fnm>
               </au>
               <au>
                  <snm>Watkins</snm>
                  <fnm>SC</fnm>
               </au>
               <au>
                  <snm>Chambers</snm>
                  <fnm>WH</fnm>
               </au>
               <au>
                  <snm>Potter</snm>
                  <fnm>DM</fnm>
               </au>
               <au>
                  <snm>Storkus</snm>
                  <fnm>WJ</fnm>
               </au>
               <au>
                  <snm>Pollack</snm>
                  <fnm>IF</fnm>
               </au>
            </aug>
            <source>Cancer Res</source>
            <pubdate>2004</pubdate>
            <volume>64</volume>
            <fpage>5830</fpage>
            <lpage>5838</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">15313927</pubid>
            </xrefbib>
         </bibl>
         <bibl id="B19">
            <title>
               <p>Vaccination against tumor neovascularization: Promise and reality</p>
            </title>
            <aug>
               <au>
                  <snm>Rafii</snm>
                  <fnm>S</fnm>
               </au>
            </aug>
            <source>Cancer Cell</source>
            <pubdate>2002</pubdate>
            <volume>2</volume>
            <fpage>429</fpage>
            <lpage>431</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1016/S1535-6108(02)00208-8</pubid>
                  <pubid idtype="pmpid" link="fulltext">12498709</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B20">
            <title>
               <p>A DNA vaccine against VEGF receptor 2 prevents effective angiogenesis and inhibits tumor growth</p>
            </title>
            <aug>
               <au>
                  <snm>Niethammer</snm>
                  <fnm>AG</fnm>
               </au>
               <au>
                  <snm>Xiang</snm>
                  <fnm>R</fnm>
               </au>
               <au>
                  <snm>Becker</snm>
                  <fnm>JC</fnm>
               </au>
               <au>
                  <snm>Wodrich</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Pertl</snm>
                  <fnm>U</fnm>
               </au>
               <au>
                  <snm>Karsten</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Eliceiri</snm>
                  <fnm>BP</fnm>
               </au>
               <au>
                  <snm>Reisfeld</snm>
                  <fnm>RA</fnm>
               </au>
            </aug>
            <source>Nat Med</source>
            <pubdate>2002</pubdate>
            <volume>8</volume>
            <fpage>1369</fpage>
            <lpage>1375</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1038/nm794</pubid>
                  <pubid idtype="pmpid" link="fulltext">12415261</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B21">
            <title>
               <p>Blockade of EphA receptor tyrosine kinase activation inhibits vascular endothelial cell growth factor-induced angiogenesis</p>
            </title>
            <aug>
               <au>
                  <snm>Cheng</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Brantley</snm>
                  <fnm>DM</fnm>
               </au>
               <au>
                  <snm>Liu</snm>
                  <fnm>H</fnm>
               </au>
               <au>
                  <snm>Lin</snm>
                  <fnm>Q</fnm>
               </au>
               <au>
                  <snm>Enriquez</snm>
                  <fnm>M</fnm>
               </au>
               <au>
                  <snm>Gale</snm>
                  <fnm>N</fnm>
               </au>
               <au>
                  <snm>Yancopoulos</snm>
                  <fnm>G</fnm>
               </au>
               <au>
                  <snm>Cerretti</snm>
                  <fnm>DP</fnm>
               </au>
               <au>
                  <snm>Daniel</snm>
                  <fnm>TO</fnm>
               </au>
               <au>
                  <snm>Chen</snm>
                  <fnm>J</fnm>
               </au>
            </aug>
            <source>Mol Cancer Res</source>
            <pubdate>2002</pubdate>
            <volume>1</volume>
            <fpage>2</fpage>
            <lpage>11</lpage>
            <xrefbib>
               <pubidlist>
                  <pubid idtype="doi">10.1186/1476-4598-1-2</pubid>
                  <pubid idtype="pmpid" link="fulltext">12496364</pubid>
               </pubidlist>
            </xrefbib>
         </bibl>
         <bibl id="B22">
            <title>
               <p>Effector Cell-Derived Lymphotoxin alpha and Fas Ligand, but not Perforin, Promote Tc1 and Tc2 Effector Cell-Mediated Tumor Therapy in Established Pulmonary Metastases</p>
            </title>
            <aug>
               <au>
                  <snm>Dobrzanski</snm>
                  <fnm>MJ</fnm>
               </au>
               <au>
                  <snm>Reome</snm>
                  <fnm>JB</fnm>
               </au>
               <au>
                  <snm>Hollenbaugh</snm>
                  <fnm>JA</fnm>
               </au>
               <au>
                  <snm>Hylind</snm>
                  <fnm>JC</fnm>
               </au>
               <au>
                  <snm>Dutton</snm>
                  <fnm>RW</fnm>
               </au>
            </aug>
            <source>Cancer Res</source>
            <pubdate>2004</pubdate>
            <volume>64</volume>
            <fpage>406</fpage>
            <lpage>414</lpage>
            <xrefbib>
               <pubid idtype="pmpid" link="fulltext">14729652</pubid>
            </xrefbib>
         </bibl>
      </refgrp>
   </bm>
</art>
