Zhou Ziqi, Zhao Jing, Hu Ke, Hou Xiaorong, Sun Xiansong, Pan Xiaoli, Wang Xiaohui, Li Nan, Yang Zhiwei, Zhang Fuquan, Zhou Qianqian, Zhan Linsheng
Department of Radiation Oncology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
Department of Oncology, Beijing Shijitan Hospital, Capital Medical University, Beijing, People's Republic of China.
Int J Radiat Oncol Biol Phys. 2021 Jan 1;109(1):95-108. doi: 10.1016/j.ijrobp.2020.07.2321. Epub 2020 Aug 4.
Radiation therapy (RT) affects tumor-infiltrating immune cells, cooperatively driving tumor growth inhibition. However, there is still no absolute consensus on whether the homing ability of dendritic cells (DCs) is affected by direct x-ray irradiation. Most importantly, the underlying mechanisms are poorly understood.
Using noninvasive imaging, we systematically examined the dose effect of RT on the in vivo homing and distribution of bone marrow-derived DCs and elucidated the detailed mechanisms underlying these events. After exposure to 2, 5, 10, 15, and 20 Gy, DCs were analyzed for maturation, in vivo homing ability, and T cell priming.
At ranges of 2 to 20 Gy, irradiation did not cause direct cellular apoptosis or necrosis, but it induced mitochondrial damage in DCs independent of dose. In addition, upregulation of CD40, CD80, CD86, CXCR4, and CCR7 were detected on irradiated DCs. Secretion of IL-1β and IL-12p70 remained unchanged, whereas decreased secretion of IL-6 and promotion of tumor necrosis factor α secretion were observed. In particular, the homing ability of both the local residual and blood circulating DCs to lymphoid tissues was significantly higher in groups that received ≥5 Gy radiation than in the group that received 2 Gy. Furthermore, improved homing ability was associated with rearrangement of the cytoskeleton, which was regulated by reactive oxygen species accumulation through the RhoA/ROCK1 signaling pathway. Finally, more robust T cell activation was observed in mice inoculated with 20 Gy-treated DCs than in those inoculated with 2 Gy-irradiated DCs, and T cell activation also correlated with reactive oxygen species production.
An RT dose ≥5 Gy has distinct advantages over 2 Gy in facilitating DC homing to lymph nodes and cross-priming T cells.
放射治疗(RT)会影响肿瘤浸润免疫细胞,协同抑制肿瘤生长。然而,关于树突状细胞(DCs)的归巢能力是否受到直接X射线照射的影响,目前仍未达成绝对共识。最重要的是,其潜在机制尚不清楚。
我们使用无创成像技术,系统地研究了放疗对骨髓源性DCs体内归巢和分布的剂量效应,并阐明了这些事件背后的详细机制。在暴露于2、5、10、15和20 Gy后,分析DCs的成熟度、体内归巢能力和T细胞启动情况。
在2至20 Gy范围内,照射并未导致细胞直接凋亡或坏死,但它会诱导DCs线粒体损伤,且与剂量无关。此外,在照射后的DCs上检测到CD40、CD80、CD86、CXCR4和CCR7上调。IL-1β和IL-12p70的分泌保持不变,而IL-6分泌减少,肿瘤坏死因子α分泌增加。特别是,接受≥5 Gy辐射的组中,局部残留和血液循环DCs向淋巴组织的归巢能力明显高于接受2 Gy辐射的组。此外,归巢能力的提高与细胞骨架重排有关,细胞骨架重排由活性氧通过RhoA/ROCK1信号通路积累来调节。最后,接种20 Gy处理的DCs的小鼠比接种2 Gy照射的DCs的小鼠表现出更强的T细胞活化,且T细胞活化也与活性氧产生相关。
在促进DCs归巢至淋巴结和交叉启动T细胞方面,≥5 Gy的放疗剂量比2 Gy具有明显优势。