Mutations to the tumor suppressor protein p53 have been observed in 40-60%
of all human cancers. These mutations are often associated with high
nuclear and cytoplasmic concentrations of p53. Since many tumors exhibit
highly elevated p53 levels, the protein is an attractive target for
cancer immunotherapy. Unfortunately, p53 is an autoantigen that is likely
to be tolerated as a self-protein by the immune system. The present
invention is based on the discovery that this self-tolerance can be
overcome by administration of recombinant modified vaccinia Ankara (MVA)
containing a nucleic acid that encodes p53 (rMVAp53). The invention
discloses a method of generating a p53-specific CTL-response to tumor
cells expressing mutated p53 by administering a composition comprising
rMVAp53. Administration of rMVAp53 decreases tumor development, tumor
growth, and mortality in a variety of malignant cell types. These effects
are enhanced by administration of CTLA-4 blocker and/or CpG
oligodeoxynucleotide immunomodulators.