Salem Mohamed L, Díaz-Montero C Marcela, Al-Khami Amir A, El-Naggar Sabry A, Naga Osama, Montero Alberto J, Khafagy Ahmed, Cole David J
Department of Surgery, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC 29425, USA.
J Immunol. 2009 Feb 15;182(4):2030-40. doi: 10.4049/jimmunol.0801829.
Recent preclinical studies suggest that vaccination following adoptive transfer of CD8(+) T cells into a lymphopenic host can augment the therapeutic antitumor responses of the transferred cells. However, the mechanism by which the lymphopenic microenvironment benefits Ag-specific CD8(+) T cell responses remains elusive. We show herein that induction of lymphodepletion by a single 4 mg cyclophosphamide (CTX) treatment induces a marked expansion of immature dendritic cells (DCs) in the peripheral blood on days 8-16 post-CTX (termed restoration phase). In vitro, these DCs were functional, because they showed normal phagocytosis and effective Ag presentation capability upon activation. In vivo, administration of the TLR3 agonist poly(I:C) at the peak of DC expansion (day 12 postlymphopenia) induced inflammatory cytokine production and increases in the number of activated DCs in lymph nodes. Importantly, boosting with gp100(25-33) melanoma peptide combined with poly(I:C) 12 days after an initial priming with the same regimen significantly increased the expansion and the antitumor efficacy of adoptively transferred pmel-1 CD8(+) T cells. These responses were abrogated after depletion of activated DCs during Ag boosting. In conclusion, our data show that CTX treatment induces, during the restoration phase, expansion of immature DCs, which are functional and can be exploited in vivo to foster more effective antitumor adoptive immunotherapy strategies.
近期的临床前研究表明,将CD8(+) T细胞过继转移至淋巴细胞减少的宿主后进行疫苗接种,可增强转移细胞的治疗性抗肿瘤反应。然而,淋巴细胞减少的微环境有益于抗原特异性CD8(+) T细胞反应的机制仍不清楚。我们在此表明,单次给予4 mg环磷酰胺(CTX)诱导淋巴细胞减少后,在CTX治疗后的第8 - 16天(称为恢复阶段),外周血中未成熟树突状细胞(DCs)显著扩增。在体外,这些DCs具有功能,因为它们在激活后表现出正常的吞噬作用和有效的抗原呈递能力。在体内,在DC扩增高峰期(淋巴细胞减少后第12天)给予TLR3激动剂聚肌胞苷酸(poly(I:C))可诱导炎症细胞因子产生,并增加淋巴结中活化DCs的数量。重要的是,在以相同方案初次致敏12天后,用gp100(25 - 33)黑色素瘤肽联合poly(I:C)进行加强免疫,可显著增加过继转移的pmel-1 CD8(+) T细胞的扩增及抗肿瘤疗效。在抗原加强免疫期间去除活化的DCs后,这些反应消失。总之,我们的数据表明,CTX治疗在恢复阶段诱导未成熟DCs扩增,这些DCs具有功能,可在体内用于促进更有效的抗肿瘤过继免疫治疗策略。