MAGE-type genes are expressed by many tumors of different histological type
s and not by normal cells, except for male germline cells, which do not exp
ress major histocompatibility complex (MHC) molecules. Therefore, the antig
ens encoded by MAGE-type genes are strictly tumor specific and common to ma
ny tumors. We describe here the identification of the first MAGE-encoded ep
itopes presented by histocompatibility leukocyte antigen (HLA) class II mol
ecules to CD4(+) T lymphocytes. Monocyte-derived dendritic cells were loade
d with a MAGE-3 recombinant protein and used to stimulate autologous CD4(+)
T cells. We isolated CD4(+) T cell clones that recognized two different MA
GE-3 epitopes, MAGE-3(114-127) and MAGE-3(121-134), both presented by the H
LA-DR13 molecule, which is expressed in 20% of Caucasians. The second epito
pe is also encoded by MAGE-1, -2, and -6. Our procedure should be applicabl
e to other proteins for the identification of new tumor-specific antigens p
resented by HLA class II molecules. The knowledge of such antigens will be
useful for evaluation of the immune response of cancer patients immunized w
ith proteins or with recombinant viruses carrying entire genes coding for t
umor antigens. The use of antigenic peptides presented by class II in addit
ion to peptides presented by class I may also improve the efficacy of thera
peutic antitumor vaccination.