Huang Lei, Ding Zequn, Zhang Yan
State Key Laboratory of Oncogenes and Related Genes, Renji-Med-X Stem Cell Research Center, Ren Ji Hospital, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Med-X Research Institute, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Glob Med Genet. 2022 Mar 8;9(2):97-109. doi: 10.1055/s-0042-1743569. eCollection 2022 Jun.
Dendritic cell (DC) tumor vaccine has been extensively utilized in preclinical and clinical studies; however, this technique has encountered many difficulties, particularly in late-stage tumor patients. For those, ex vivo-induced DCs are actuallymyeloid-derived suppressive cells-derived DCs (MDSC-DCs). MDSCs with immunosuppressive activity, but not monocytes, became the major DC precursor. Thus, how to enhance antitumor activity of MDSC-DCs is urgent need to address. We utilized 4T1 and MC38 tumor-bearing both wildtype and CC chemokine ligand 5 (CCL5 ) mice as animal models. MDSC-DCs were induced from splenocytes of these mice by granulocyte macrophage-colony stimulating factor/interleukin-4 with or without all-trans-retinoic acid (ATRA) in vitro for 7 days, then incubated with tumor-cell-lysis to treat mouse models for total three doses. For human MDSC-DCs, peripheral bloods from colorectal cancer patients were induced in vitro as murine cells with or without T- lymphocytes depletion to get rid of CCL5. Flow cytometry analysis showed that MDSCs from mice could be induced into a new type of CD24 MDSC-DCs in the presence of ATRA, which had more antitumor activity than control. Antibody blocking and adoptive transfer experiments demonstrated that downregulation of regulatory T cells (Tregs) mediated the inhibition of CD24 MDSC-DCs on tumor growth. Mechanically, CD24 MDSC-DCs inhibited Tregs' polarization by secreting cytokine or coactivators' expression. What's important, decreasing CCL5 protein levels by T- lymphocytes depletion during both murine and human MDSC-DCs in vitro induction could also acquire CD24 MDSC-DCs. Knockdown of CCL5 protein during MDSC-DCs culture might provide a promising method to acquire DC-based tumor vaccines with high antitumor activity.
树突状细胞(DC)肿瘤疫苗已在临床前和临床研究中得到广泛应用;然而,这项技术遇到了许多困难,尤其是在晚期肿瘤患者中。对于这些患者,体外诱导的DC实际上是骨髓来源的抑制细胞衍生的DC(MDSC-DC)。具有免疫抑制活性的MDSC而非单核细胞成为主要的DC前体。因此,如何增强MDSC-DC的抗肿瘤活性是亟待解决的问题。
我们使用4T1和MC38荷瘤的野生型和CC趋化因子配体5(CCL5)小鼠作为动物模型。通过粒细胞巨噬细胞集落刺激因子/白细胞介素-4在体外诱导这些小鼠的脾细胞生成MDSC-DC,培养7天,期间添加或不添加全反式维甲酸(ATRA),然后与肿瘤细胞裂解物孵育,共分三剂治疗小鼠模型。对于人MDSC-DC,从结直肠癌患者的外周血中体外诱导生成类似小鼠细胞的细胞,添加或不添加T淋巴细胞清除以去除CCL5。
流式细胞术分析表明,在ATRA存在的情况下,小鼠的MDSC可被诱导为一种新型的CD24+ MDSC-DC,其抗肿瘤活性高于对照组。抗体阻断和过继转移实验表明,调节性T细胞(Treg)的下调介导了CD24+ MDSC-DC对肿瘤生长的抑制作用。从机制上讲,CD24+ MDSC-DC通过分泌细胞因子或共激活因子的表达来抑制Treg的极化。重要的是,在体外诱导小鼠和人MDSC-DC的过程中,通过T淋巴细胞清除降低CCL5蛋白水平也可获得CD24+ MDSC-DC。
在MDSC-DC培养过程中敲低CCL5蛋白可能为获得具有高抗肿瘤活性的基于DC的肿瘤疫苗提供一种有前景的方法。