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Abstract Book 2010 - CIMT Annual Meeting

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101 Karakhanova | Tumor biology & interaction with the immune system<br />

IFN-α up-regulates B7-H1 expression on dendritic cells<br />

and pancreatic tumor cells<br />

Svetlana Karakhanova 1 , Ralf Jesenofsky 2 , Susanne Serba 1 , Alexandr V. Bazhin 1 , Jan Schmidt 1<br />

1 Department of Surgery, University of Heidelberg, Germany<br />

2 II. University Hospital, Mannheim, Germany<br />

150<br />

Pancreatic carcinoma is one of the most aggressive<br />

human malignant tumors and most lethal cancers<br />

worldwide. Despite recent advances in surgery, radiation<br />

and chemotherapy, outcome of pancreatic<br />

cancer could be improved only partially. Therefore<br />

novel approaches are strongly needed. Immunotherapy<br />

represents such an option. Clinical data<br />

show promising results for approaches combining<br />

chemotherapeutics with activating cytokines, like<br />

IFN-α. However, in parallel with immune stimulating<br />

effects of this treatment, the presence and induction<br />

of immunosuppressive mechanisms should<br />

be considered in the course of such a pancreatic<br />

cancer therapy. Regulatory molecules of the B7-H<br />

family, especially B7-H1 (PD-L1, CD274), play an important<br />

role in the regulation of immune responses.<br />

In human pancreatic carcinoma tissue B7-H1 is upregulated<br />

and the patients, demonstrating increased<br />

B7-H1 expression have a poor prognosis. B7-H1<br />

expression in pancreatic tumors contributes to the<br />

tumor immune evasion and tumor progression and,<br />

as recently demonstrated, blocking of B7-H1 improves<br />

anti-tumor effects in a mouse pancreatic cancer<br />

model.<br />

In our study we aim to investigate the expression<br />

and function of B7-H1 molecules in the context of<br />

IFN-α therapy of pancreatic cancer.<br />

Using Flow cytometry, cytological methods as well<br />

as RT-PCR approaches, we showed that B7-H1 expression<br />

is up-regulated on human dendritic cells<br />

(DC) and some human pancreatic cancer cell lines<br />

upon treatment with IFN-α. Interestingly, in some<br />

cell lines we observed additive effect of 5-FU (chemotherapeutic<br />

agents used for pancreatic carcinoma<br />

treatment) and IFN-α on the increase of B7-H1<br />

expression. To confirm the inhibitory potential of<br />

IFN-α -induced B7-H1 molecule, we performed cocultures<br />

of T-Cells and IFN-α-treated DC with and<br />

without blocking of B7-H1 with specific antibodies<br />

and measured proliferation and cytokine production<br />

from T-cells. In ongoing study we are using an<br />

orthotopic mouse model of pancreatic carcinoma to<br />

demonstrate that additional blocking of B7-H1 molecule<br />

during 5-FU and IFN-α combinatory therapy<br />

may additionally improve the outcome of this treatment.<br />

Our data demonstrate that, despite the stimulation<br />

of anti-tumor effects, IFN-α up regulates the expression<br />

of immunosuppressive B7-H1 molecules,<br />

which could limit the effect of immunotherapy<br />

with IFN-α. Thus, it could be of advantage to reduce<br />

undesirable site effects of the IFN-α-induced B7-H1<br />

expression on the tumor and immune cells.

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