RT Journal Article SR Electronic T1 Short Peptide Vaccine Induces CD4+ T Helper Cells in Patients with Different Solid Cancers JF Cancer Immunology Research JO Cancer Immunol Res FD American Association for Cancer Research SP 18 OP 25 DO 10.1158/2326-6066.CIR-15-0105 VO 4 IS 1 A1 Gross, Stefanie A1 Lennerz, Volker A1 Gallerani, Elisa A1 Mach, Nicolas A1 Böhm, Steffen A1 Hess, Dagmar A1 von Boehmer, Lotta A1 Knuth, Alexander A1 Ochsenbein, Adrian A1 Gnad-Vogt, Ulrike A1 Forssmann, Ulf A1 Woelfel, Thomas A1 Kaempgen, Eckhart YR 2016 UL http://cancerimmunolres.aacrjournals.org/content/4/1/18.abstract AB Previous cancer vaccination trials often aimed to activate CD8+ cytotoxic T-cell (CTL) responses with short (8–10mer) peptides and targeted CD4+ helper T cells (TH) with HLA class II–binding longer peptides (12–16 mer) that were derived from tumor antigens. Accordingly, a study of immunomonitoring focused on the detection of CTL responses to the short, and TH responses to the long, peptides. The possible induction of concurrent TH responses to short peptides was widely neglected. In a recent phase I vaccination trial, 53 patients with different solid cancers were vaccinated with EMD640744, a cocktail of five survivin-derived short (9- or 10-mer) peptides in Montanide ISA 51VG. We monitored 49 patients and found strong CD8+ T-cell responses in 63% of the patients. In addition, we unexpectedly found CD4+ TH cell responses against at least two of the five short peptides in 61% (23/38) of the patients analyzed. The two peptides were recognized by HLA-DP4– and HLA-DR–restricted TH1 cells. Some short peptide–reactive (sp)CD4 T cells showed high functional avidity. Here, we show that a short peptide vaccine is able to activate a specific CD4+ T-cell repertoire in many patients, facilitating a strong combined CD4+/CD8+ T-cell response. Cancer Immunol Res; 4(1); 18–25. ©2015 AACR.