Identification of the angiogenic endothelial-cell growth factor-1/thymidine phosphorylase as a potential target for immunotherapy of cancer
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Updated: Aug 11, 2026

Experimental Melanoma Immunotherapy Model Using Tumor Vaccination with a Hematopoietic Cytokine
Published on: February 24, 2023
Elisabeth H Slager1, M Willy Honders, Edith D van der Meijden
1Department of Hematology, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands. e.h.slager@lumc.nl
Abstract:
Characterization of the antigens recognized by tumor-reactive T cells isolated from patients successfully treated with allogeneic HLA-matched hematopoietic stem cell transplantation (SCT) can lead to the identification of clinically relevant target molecules. We isolated tumor-reactive cytotoxic CD8(+) T-cell (CTL) clones from a patient successfully treated with donor lymphocyte infusion for relapsed multiple myeloma after allogeneic HLA-matched SCT. Using cDNA expression cloning, the target molecule of an HLA-B7-restricted CTL clone was identified. The CTL clone recognized a minor histocompatibility antigen produced by a single nucleotide polymorphism (SNP) in the angiogenic endothelial-cell growth factor-1 (ECGF1) gene also known as thymidine phosphorylase. The SNP leads to an Arg-to-His substitution in an alternatively translated peptide that is recognized by the CTL. The ECGF1 gene is predominantly expressed in hematopoietic cells, although low expression can also be detected in other tissues. The patient from whom this CTL clone was isolated had mild graft-versus-host disease despite high numbers of circulating ECGF-1-specific T cells as detected by tetramer staining. Because solid tumors expressing ECGF-1 could also be lysed by the CTL, ECGF-1 is an interesting target for immunotherapy of both hematologic and solid tumors.
Insights
Researchers identified a minor histocompatibility antigen from the ECGF1 gene recognized by T cells after stem cell transplantation. This discovery offers a potential target for immunotherapy in both blood cancers and solid tumors.
Area of Science:
- Immunology
- Oncology
- Genetics
Background:
- Allogeneic hematopoietic stem cell transplantation (SCT) can induce potent anti-tumor immunity.
- Identifying specific antigens recognized by tumor-reactive T cells is crucial for developing targeted immunotherapies.
Purpose of the Study:
- To characterize the target antigen recognized by cytotoxic T lymphocytes (CTLs) from a patient treated for multiple myeloma post-SCT.
- To evaluate the potential of identified antigens as targets for broader cancer immunotherapy.
Main Methods:
- Isolation of tumor-reactive CD8+ T-cell clones from a patient post-SCT.
- cDNA expression cloning to identify the target antigen.
- Analysis of gene expression and T-cell recognition of the identified antigen.
Main Results:
- An HLA-B7-restricted CTL clone recognized a minor histocompatibility antigen derived from a single nucleotide polymorphism (SNP) in the ECGF1 gene (thymidine phosphorylase).
- The SNP resulted in an amino acid substitution (Arg-to-His) in an alternatively translated peptide.
- ECGF1 is expressed in hematopoietic cells and some other tissues, and ECGF1-specific T cells were detected in the patient with mild graft-versus-host disease.
- The identified CTLs could lyse solid tumors expressing ECGF1.
Conclusions:
- ECGF1 represents a novel target antigen for T-cell-based immunotherapy.
- This antigen holds promise for treating both hematologic malignancies and solid tumors following allogeneic SCT.
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