Clinical Interest
Cancer, Immunology, Pathology
Research Interests
Cancer is caused by genetic mutations and immunology and genetics provide
therefore most powerful tools to search for cancer-specific changes in malignant
cells. Our discovery of truly cancer-specific molecular
targets allow for selective immunological destruction of cancer cells without
killing normal cells. Such therapies should not only be more effective
but also have no noticeable side effects. Tumor-specific mutant proteins
even when intranuclear can be recognized as peptides by therapeutic T cells
on the surface of tumor cells. Tumor-specific mutations also affect surface
structures on the cancer cells and provide cancer-specific targets for the
destruction of malignant cells by therapeutic antibodies. In addition,
the identification of the molecular and genetic basis of these antigens may
identify critical causative mechanisms leading to cancer. Genetic manipulations
of the cancer or of the surrounding host tissue ("gene therapy")
can make certain cancer cells more immunogenic and/or reverse malignant growth. Activation
of known oncogenes appears to be only one of the many changes required for
the development of malignancy, and a cell must escape other yet unknown host
control mechanisms in order to become a cancer cell.
Some of the ongoing projects in my laboratory are:
1. Identification of the genetic origins, molecular biology and function of
tumor-specific antigens.
2. Development of novel strategies focusing on truly cancer-specific targets
to destroy long-term established cancers. We are studying the use of
recombinant high affinity T cell receptors or antibody receptors as effectors
or as vehicles for molecules. Such reagents can kill the cancer cell
or detect it by imaging.
3. Study of the tumor microenvironment, tumor stroma, and mechanisms of a local
tumor barrier and of paracrine stimulation of tumor growth. Approaches
of targeting tumor stroma and tumor vessels for destruction.
4. Mechanism of long-lasting growth arrest of cancer in the absence of T cells
or antibodies by certain cytokines, tumor necrosis factor and interferon gamma
in particular.
5. Development of approaches to immune prevention of cancer development in
cancer-prone individuals by the deletion of initiated cells harboring oncogenes. We
have generated novel transgenic models for this purpose.
6. Developing new means to prevent cancer recurrence by therapy-resistant escape
variants and to eliminate residual micro-disseminated cancer cells to prevent
relapse remaining in individuals following surgery, radiotherapy or chemotherapy.
Selected Publications
- Schietinger A, Philip M, Yoshida BA, Azadi P, Liu H, Meredith SC, Schreiber H. A mutant chaperone converts a wild-type protein into a tumor-specific antigen. Science. 314: 304-8, 2006.
- Schreiber K, Rowley DA, Riethmuller G, Schreiber H. Cancer immunotherapy and preclinical studies: why we are not wasting our time with animal experiments. Hematol Oncol Clin North Am. 20:567-84, 2006.
- Spiotto MT, Rowley DA, and Schreiber H. “Bystander” elimination
of antigen loss variants in established tumors. Nature Medicine 10: 294-8,
2004.
- Schreiber H. Tumor Immunology. Chapter 48. In: Fundamental Immunology 5th edition. W.E. Paul, ed. Lippincott Raven Press, New York pp 1557-1592, 2003
- Spiotto MT, Yu P, Rowley DA, Nishimura MI, Meredith SC, Gajewski TF Y.X.
Fu YX, and Schreiber H. Increasing tumor antigen expression overcomes "ignorance" to
solid tumors via crosspresentation by bone marrow-derived stromal cells. Immunity
17:737-747, 2002.
- Beck-Engeser GB, Monach PA, Mumberg D, Yang F, Wanderling S, Schreiber K,
Espinosa R, LeBeau M, Meredith SC, and Schreiber H. Point mutation in essential
genes with loss or mutation of the second allele: Relevance to the retention
of tumor-specific antigens. J. Exp. Med. 194:285-300, 2001.
- Siegel CT, Schreiber K, Meredith SC, Beck-Engeser G, Lanck, DW, Lazarski
CA, Fu Y, Rowley DA, and Schreiber H. Enhanced growth of primary tumors in
cancer-prone mice following immunization against the mutant region of an inherited
oncoprotein. J. Exp. Med., 191:1945-56, 2000.
- Mumberg D, Monach PA, Wanderling S, Philip M, Toledano AY, Schreiber RD,
Schreiber H. CD4(+) T cells eliminate MHC class II-negative cancer cells in
vivo by indirect effects of IFN-gamma. Proc. Natl. Acad. Sci. USA, 96:8633-8638,
1999.
- Wick M, Dubey P, Koeppen H, Siegel CT, Fields PE, Fitch FW, Chen L, Bluestone
JA and Schreiber H.. Antigenic cancer cells can grow progressively in immune
hosts without evidence for T cell exhaustion or systemic anergy. J. Exp. Med.,
185:229-237, 1997.
- Dubey P, Hendrickson RC, Meredith SC, Siegel CT, Shabanowitz J, Skipper JCA,
Engelhard VH, Hunt DF and Schreiber H.: The immunodominant antigen of an ultraviolet-induced
regressor tumor is generated by a somatic point mutation in the DEAD box helicase
p68. J. Exp. Med.,185:695-705, 1997.
- Monach PA, Meredith SC, Siegel CT and Schreiber H. A unique tumor antigen
produced by a single amino acid substitution. Immunity, 2:45-59, 1995.
- Wortzel RD, Philipps C and Schreiber H. Multiplicity of unique tumor-specific
antigens expressed on a single malignant cell. Nature 304:165-167, 1983.
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