Simultaneous induction of
tumor antigen-specific cytotoxic T lymphocytes (CTLs) and helper T lymphocytes (HTLs) is required for an optimal anti-
tumor immune response. WT1332, a 16-mer WT1-derived helper
peptide, induce HTLs in an HLA class II-restricted manner and enhance the induction of WT1-specific CTLs in vitro. However, in vivo immune reaction to WT1332 vaccination in
tumor-bearing patients remained unclear. Here, a striking difference in WT1-specific T cell responses was shown between WT1 CTL + WT1 helper
peptide and WT1 CTL
peptide vaccines in patients with recurrent
glioma. WT1-specific CTLs were more strongly induced in the patients who were immunized with WT1 CTL + WT1 helper
peptide vaccine, compared to those who were immunized with WT1 CTL
vaccine alone. Importantly, a clear correlation was demonstrated between WT1-specific CTL and WT1332-specific HTL responses. Interestingly, two novel distinct populations of WT1-tetramerlow WT1-TCRlow CD5low and WT1-tetramerhigh WT1-TCRhigh CD5high CTLs were dominantly detected in WT1 CTL + WT1 helper
peptide vaccine. Although natural WT1
peptide-reactive CTLs in the latter population were evidently less than those in the former population, the latter population showed natural WT1
peptide-specific proliferation capacity comparable to the former population, suggesting that the latter population highly expressing CD5, a marker of resistance to activation-induced cell death, should strongly expand and persist for a long time in patients. These results demonstrated the advantage of WT1 helper
peptide vaccine for the enhancement of WT1-specific CTL induction by WT1 CTL
peptide vaccine.