Human cutaneous melanoma is heterogeneous with respect to the genetic
aberrations involved and the genes altered are potential targets for t
he immune system. The incidence of cutaneous melanoma is known to be l
inked to UV peak exposure, and the N-ras oncogene is dearly one of the
genes involved in the UV carcinogenesis in melanoma. It is mutated in
a significant proportion of melanomas and therefore may serve as a ta
rget forT cells. Here, we report that an human leukocyte antigen-A2 bi
nding peptide CLLDILDTAGL, encompassing the frequently found 61-Leu mu
tation in N-ras, induces cytotoxic T lymphocytes from healthy donor bl
ood that lyse 61-Leu N-ras-transfected melanoma cells. Furthermore, we
have found an association between the presence of N-ras mutations and
clinical response to immunotherapy with interleukin-2 plus interferon
in a group of stage IV melanoma patients. Although the overall surviv
al of these patients was not affected by the N-ras status of their mel
anomas, these studies suggest that mutated N-ras may provide a target
for cytotoxicT lymphocytes in melanoma patients.