Radford Kristen J, Turtle Cameron J, Kassianos Andrew J, Hart Derek N J
Mater Medical Research Institute, South Brisbane, Queensland, Australia.
J Immunother. 2006 Nov-Dec;29(6):596-605. doi: 10.1097/01.cji.0000211310.90621.5d.
Dendritic cell (DC) immunotherapy for cancer has shown promising results in phase I and II clinical trials. Most studies have used monocyte-derived DCs (MoDCs) but their poor migratory capacity in vivo has emerged as a key issue. The natural circulating peripheral blood CD11c+ DC precursors (BDCs) may be an attractive alternative to MoDCs, as they can be isolated rapidly in sufficient quantities, and have superior migratory and T helper-1-inducing capacity in vitro. We performed the first comparative analysis of the ability of autologous BDCs and MoDCs in healthy donors to induce tumor-specific cytotoxic T lymphocytes (CTLs). BDCs expressed significantly higher levels of major histocompatibility complex class I and CD83 in the absence of exogenous stimuli compared with MoDCs. After activation with polyinosinic-polycytidylic acid, BDCs expressed higher levels of major histocompatibility complex class I, CD40, CD80, and CD83, and secreted higher levels of tumor necrosis factor-alpha, interleukin (IL)-1beta, IL-6, and IL-8 compared with MoDCs. Despite these differences, both preparations secreted similar levels of IL-12 in response to polyinosinic-polycytidylic acid and, importantly, induced CTL responses of similar magnitude and affinity against influenza matrix protein and MART-1. The ability of BDCs to induce efficient CTL responses, combined with their migratory capacity, makes them an appealing alternative to be investigated in clinical immunotherapy research protocols.
树突状细胞(DC)免疫疗法治疗癌症在I期和II期临床试验中已显示出有前景的结果。大多数研究使用单核细胞衍生的DC(MoDC),但其在体内较差的迁移能力已成为一个关键问题。天然循环外周血CD11c + DC前体(BDC)可能是MoDC的一个有吸引力的替代物,因为它们可以快速大量分离,并且在体外具有卓越的迁移能力和诱导辅助性T细胞1的能力。我们首次对健康供体的自体BDC和MoDC诱导肿瘤特异性细胞毒性T淋巴细胞(CTL)的能力进行了比较分析。与MoDC相比,在没有外源性刺激的情况下,BDC表达显著更高水平的主要组织相容性复合体I类分子和CD83。在用聚肌苷酸-聚胞苷酸激活后,与MoDC相比,BDC表达更高水平的主要组织相容性复合体I类分子、CD40、CD80和CD83,并分泌更高水平的肿瘤坏死因子-α、白细胞介素(IL)-1β、IL-6和IL-8。尽管存在这些差异,但两种制剂在对聚肌苷酸-聚胞苷酸的反应中分泌相似水平的IL-12,并且重要的是,诱导出对流感基质蛋白和MART-1具有相似强度和亲和力的CTL反应。BDC诱导有效CTL反应的能力,结合其迁移能力,使其成为临床免疫治疗研究方案中值得研究的有吸引力的替代物。