The present invention relates to methods and compositions for eliciting an
immune response and the prevention and treatment of primary and
metastatic neoplastic diseases and infectious diseases. The methods of
the invention comprise administering a composition comprising an
effective amount of a complex, in which the complex consists essentially
of a heat shock protein (hsp) noncovalently bound to an antigenic
molecule. "Antigenic molecule" as used herein refers to the peptides with
which the hsps are endogenously associated in vivo as well as exogenous
antigens/immunogens (i.e., with which the hsps are not complexed in vivo)
or antigenic/immunogenic fragments and derivatives thereof. In a
preferred embodiment, the complex is autologous to the individual. The
effective amounts of the complex are in the range of 10-600 micrograms
for complexes comprising hsp70, 50-1000 micrograms for hsp90, and 10-600
micrograms for gp96. The invention also provides a method for measuring
tumor rejection in vivo in an individual, preferably a human, comprising
measuring the generation by the individual of MHC Class I-restricted CD8+
cytotoxic T lymphocytes specific to the tumor. Methods of purifying
hsp70-peptide complexes are also provided.