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Originally published in Science Express on 19 September 2002
Science 25 October 2002:
Vol. 298. no. 5594, pp. 850 - 854
DOI: 10.1126/science.1076514

Reports

Cancer Regression and Autoimmunity in Patients After Clonal Repopulation with Antitumor Lymphocytes

Mark E. Dudley,1 John R. Wunderlich,1 Paul F. Robbins,1 James C. Yang,1 Patrick Hwu,1 Douglas J. Schwartzentruber,1 Suzanne L. Topalian,1 Richard Sherry,1 Nicholas P. Restifo,1 Amy M. Hubicki,1 Michael R. Robinson,2 Mark Raffeld,3 Paul Duray,3 Claudia A. Seipp,1 Linda Rogers-Freezer,1 Kathleen E. Morton,1 Sharon A. Mavroukakis,1 Donald E. White,1 Steven A. Rosenberg1*

We report here the adoptive transfer, to patients with metastatic melanoma, of highly selected tumor-reactive T cells directed against overexpressed self-derived differentiation antigens after a nonmyeloablative conditioning regimen. This approach resulted in the persistent clonal repopulation of T cells in those cancer patients, with the transferred cells proliferating in vivo, displaying functional activity, and trafficking to tumor sites. This led to regression of the patients' metastatic melanoma as well as to the onset of autoimmune melanocyte destruction. This approach presents new possibilities for the treatment of patients with cancer as well as patients with human immunodeficiency virus-related acquired immunodeficiency syndrome and other infectious diseases.

1 Surgery Branch, National Cancer Institute;
2 National Eye Institute;
3 Laboratory of Pathology, National Cancer Institute; National Institutes of Health, Bethesda, MD 20902, USA.
*   To whom correspondence should be addressed. E-mail: SAR{at}nih.gov


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J. N. Kochenderfer, C. D. Chien, J. L. Simpson, and R. E. Gress (2006)
J. Immunol. 177, 8860-8873
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Enhancement of Immunologic Tumor Regression by Intratumoral Administration of Dendritic Cells in Combination with Cryoablative Tumor Pretreatment and Bacillus Calmette-Guerin Cell Wall Skeleton Stimulation.
M. Udagawa, C. Kudo-Saito, G. Hasegawa, K. Yano, A. Yamamoto, M. Yaguchi, M. Toda, I. Azuma, T. Iwai, and Y. Kawakami (2006)
Clin. Cancer Res. 12, 7465-7475
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IL-22-Mediated Tumor Growth Reduction Correlates with Inhibition of ERK1/2 and AKT Phosphorylation and Induction of Cell Cycle Arrest in the G2-M Phase.
G. F. Weber, F. C. Gaertner, W. Erl, K.-P. Janssen, B. Ble