Melanoma cells are unusual because, unlike most epithelial tumors, constitu
tive expression of human leukocyte antigen (HLA) class II molecules is comm
on. To elucidate the role of HLA class II expression in the immunopathogene
sis of melanoma, the authors compared HLA class II+ melanoma cells to autol
ogous B cells with respect to their ability to stimulate primary (naive) hi
stoincompatible lymphocytes and T-cell clones (antigen experienced). Using
primary lymphocytes (peripheral blood lymphocytes [PBLs]), melanoma cells w
ere nonstimulatory when compared to autologous B cells. To determine whethe
r this was caused by defective antigen processing, the authors used allorea
ctive T-cell clones, which require alloantigen presentation by a histocompa
tible stimulator cell but not costimulation. Melanoma cells stimulated the
alloreactive T-cell clones in two of three clones tested, indicating that t
hey processed and presented alloantigen. To determine whether the failure o
f melanoma cells to stimulate primary lymphocytes was caused by their inabi
lity to costimulate the T cells, the authors transduced the melanoma cells
with B7.1 and achieved stable expression in more than 95% of the cells. The
transduced cells were highly stimulatory, eliciting a 17- to 25-fold incre
ase in proliferation by the peripheral blood lymphocytes compared with cont
rols. Indeed, B7-expressing melanoma cells were more stimulatory than autol
ogous B cells, which elicited an 11- to 15-fold increase compared with cont
rols. These data indicate that melanoma cells fail to stimulate primary lym
phocytes because they do not deliver costimulatory signals. Engineering HLA
class II+ melanoma cells to express high levels of B7.1 may provide a way
to elicit primary T-cell responses to melanoma-associated antigens.