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环磷酰胺通过调节淋巴器官树突状细胞亚群的平衡来增强免疫。

Cyclophosphamide enhances immunity by modulating the balance of dendritic cell subsets in lymphoid organs.

机构信息

Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

出版信息

Blood. 2010 Jun 3;115(22):4384-92. doi: 10.1182/blood-2009-11-251231. Epub 2010 Feb 12.


DOI:10.1182/blood-2009-11-251231
PMID:20154220
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2881499/
Abstract

Cyclophosphamide (CTX), a commonly used chemotherapeutic agent can enhance immune responses. The ability of CTX to promote the proliferation of effector T cells and abrogate the function of regulatory T cells (Tregs) has been described. In this study, we examined the effects of CTX treatment on dendritic cell (DC) subsets and the subsequent outcome on the effector and suppressive arms of adaptive immunity. In secondary lymphoid tissues, tissue-derived migratory DCs (migratory DCs), lymphoid tissue-resident DCs (resident DCs), and plasmacytoid DCs (pDCs) are well described. CTX has profound and selective cytotoxic effects on CD8(+) resident DCs, but not skin-derived migratory DCs or pDCs in lymph nodes (LNs) and spleen, causing an imbalance among these DC subsets. CTX treatment increases the potency of DCs in antigen presentation and cytokine secretion, and partially inhibits the suppressor activity of Tregs. Adoptive transfer of CD8(+) DCs can reconstitute this population in regional draining LNs and abrogate the immune-enhancing effects of CTX in vivo. These findings demonstrate that CTX may improve immune responses by preferentially depleting CD8(+) lymphoid-resident DCs, which leads to diminished Treg suppression and enhanced effector T-cell function in vivo.

摘要

环磷酰胺 (CTX) 是一种常用的化疗药物,可增强免疫反应。CTX 促进效应 T 细胞增殖并消除调节性 T 细胞 (Treg) 功能的能力已被描述。在这项研究中,我们检查了 CTX 治疗对树突状细胞 (DC) 亚群的影响,以及随后对适应性免疫的效应和抑制臂的影响。在次级淋巴组织中,组织衍生的迁移性 DC(迁移性 DC)、淋巴组织驻留 DC(驻留 DC)和浆细胞样 DC(pDC)得到了很好的描述。CTX 对 CD8(+) 驻留 DC 具有深远而选择性的细胞毒性作用,但对淋巴结 (LN) 和脾脏中的皮肤衍生迁移性 DC 或 pDC 没有影响,导致这些 DC 亚群之间失衡。CTX 治疗增加了 DC 在抗原呈递和细胞因子分泌中的效力,并部分抑制了 Treg 的抑制活性。CD8(+) DC 的过继转移可以在局部引流的 LN 中重建该群体,并在体内消除 CTX 的免疫增强作用。这些发现表明,CTX 可能通过优先耗尽 CD8(+) 淋巴组织驻留 DC 来改善免疫反应,从而导致体内 Treg 抑制减弱和效应 T 细胞功能增强。

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本文引用的文献

[1]
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J Exp Med. 2009-8-31

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Cancer Immunol Immunother. 2010-1

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Science. 2009-4-17

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J Immunol. 2008-11-15

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