ABCB5 has been identified as a tumour initiating cell marker and is expressed in various malignancies, including melanoma. Moreover, treatment with anti-ABCB5 monoclonal antibodies has been shown to inhibit tumour growth in xenotransplantation models. Therefore, ABCB5 represents a potential target for cancer immunotherapy. However, cellular immune responses against ABCB5 in humans have not been described so far. Here, we investigated whether ABCB5-reactive T cells are present in human melanoma patients and tested the applicability of ABCB5-derived peptides for experimental induction of human T cell responses. Peripheral blood mononuclear cells (PBMNC) isolated from blood samples of melanoma patients (n=40) were stimulated with ABCB5 peptides, followed by intracellular cytokine staining (ICS) for IFN-γ and TNF-α. To evaluate immunogenicity of ABCB5 peptides in naïve healthy donors, CD8 T cells were co-cultured with ABCB5 antigen-loaded autologous dendritic cells (DC). ABCB5-reactivity in expanded T cells was likewise assessed by ICS. ABCB5-reactive CD8(+) T cells were detected ex vivo in 19 of 29 patients, MART-1-reactive CD8 T cells in 6 of 21 patients. In this small, heterogeneous cohort, reactivity against ABCB5 was significantly higher than against MART-1. It occurred significantly more often and independent of clinical characteristics. Reactivity against ABCB5 could be induced in 14 of 16 healthy donors in vitro by repeated stimulation with peptide-loaded autologous DC. Since ABCB5-reactive CD8 T cells can be found in the peripheral blood of melanoma patients and an ABCB5-specific response can be induced in vitro in naïve donors, ABCB5 could be a new target for immuno-therapies in melanoma. This article is protected by copyright. All rights reserved.