O growth handle of TAP-deficient tumours expressing low levels of MHC-I/peptide complexes21. In humans, we had previously identified a non-mutated tumour epitope derived in the preprocalcitonin (ppCT) signal peptide (ppCT16?five) by a mechanism independent of proteasomes and TAP, involving signal peptidase (SP) and signal peptide peptidase (SPP)22. In this report, we define 3 more HLA-A2-restricted T cell epitopes derived from either the hydrophobic core area (h-region) of the ppCT signal peptide (ppCT9?7) or the procalcitonin (pCT) precursor protein (ppCT50?9 and ppCT91?00). They are processed within the cytosol just after release of a peptide precursor from the ppCT leaderNATURE COMMUNICATIONS DOI: 10.1038/s41467-018-07603-Csequence by SPP or right after retrotranslocation of a pCT substrate in the endoplasmic reticulum (ER) lumen by the ER-associated degradation (ERAD) pathway, respectively. Importantly, active immunotherapy depending on a cocktail of 5 ppCT peptides, such as ppCT16?5, ppCT9?7 plus a 15-amino acid (aa)-long peptide derived in the NH2-terminal area from the ppCT leader sequence (ppCT1?five), was capable to induce antitumour CTL responses in HLA-A0201/HLA-DR3-transgenic (HHD-DR3) mice and NOD-scid-Il2rnull (NSG) mice adoptively transferred with human peripheral blood mononuclear cells (PBMCs), capable of controlling growth of established tumours expressing low levels of HLA-A2/human ppCT peptide complexes. We propose that ppCT leader sequence-derived peptides constitute promising T cell targets permitting CTL to eradicate tumours with impaired antigen processing and presenting machinery (APM) and hence overcome tumour escape from CD8 T cell immunity. Final results ppCT and TAP expression in human lung tumours. To further extend our preceding studies22 on the prevalence of CALCA gene expression in primary human lung tumours, we first evaluated the level of the calcitonin (CT) transcript in tumours from 28 more non-small-cell lung carcinoma (NSCLC) sufferers and allogeneic standard thyroids, employed as a reference, by quantitative real-time PCR (qRT-PCR). Higher expression levels of CT mRNA have been detected in several lung cancer samples as compared to allogeneic thyroid tissues (Table 1). Indeed, as much as 39 of lung tumour tissues, primarily from adenocarcinoma (ADC) histological subtypes, (more than)expressed the CT transcript, with levels ranging from 2- to two,000-fold higher than these found in regular human thyroids. We then confirmed the expression of CT in the protein level by immunohistochemistry (IHC) in a cohort of 215 formalin-fixed paraffin-embedded (FFPE) lung tumour samples (Supplementary Figure 1a), where as much as 20 of ADC and 38 of neuroendocrine tumours (NET) expressed the protein (Table two). Our previous research had demonstrated that downregulation of TAP1 or TAP2 subunits CPPG Technical Information potentiates ppCT16?five epitope presentation on tumour cells expressing the CALCA gene23. We consequently evaluated the prevalence of TAP downregulation in human lung cancer specimens by analysing the expression levels of TAP1 and TAP2 mRNA in principal human tumours and autologous typical lungs. qRT-PCR studies indicated that as much as 71 of the 28 analysed lung tumours expressed low levels of TAP1 and/or TAP2 mRNA as when compared with autologous standard lungs (Table 1). To estimate the percentage of tumours with TAP protein defects, we performed IHC staining with anti-TAP2 mAb inside a cohort of 135 FFPE lung tumour samples (Supplementary Figure 1b). Benefits indicated that 53 and 32 of th.