The genes MAGE-1, -2, -3 and -4 are expressed in tumors of different h
istological types, but not in normal tissues, with the exception of te
stis and placenta. Short peptides derived from MAGE-1 and MAGE-3 gene
products are recognized by cytolytic T lymphocytes when presented by H
LA-class-I molecules, and represent potential targets for specific imm
unotherapy. We have determined whether esophageal carcinoma patients s
hould be eligible for MAGE-peptide-based vaccine therapies. The expres
sion og genes MAGE-1,-2,-3 and -4 in tumor samples was assessed by rev
erse-transcription and polymerase-chain-reaction amplification. Out of
the 49 esophageal squa-mous-cell carcinomas studied, 53% expressed MA
GE-1, 49% MAGE-2, 47% MAGE-3 and 71% MAGE-4. Eighty-four percent of th
e tumors expressed one or more of the four MAGE genes. Owing to the hi
gh incidence of MAGE gene expression in esophageal squamous-cell carci
noma, a large proportion of patients could be suitable candidates for
immune therapies involving tumor-specific antigens encoded by MAGE gen
es.