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Vol 44 # 4 December 2012 - Kma.org.kw

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311<br />

Synergy between Dendritic Cell-Based Vaccine and Anti-CD137 Monoclonal ...<br />

<strong>December</strong> <strong>2012</strong><br />

Fig. 1: Phenotype of dendritic cells. The dendritic cells were cultured as described in the methods. Immature and mature dendritic cells<br />

were harvested, stained with fluorescein isothiocyanate-labeled anti-CD11c (dendritic cell marker) monoclonal antibody and phycoerythrinlabeled<br />

anti-CD83 (maturation marker of dendritic cells) monoclonal antibody, and then analyzed by flow cytometry. Expression rates of<br />

CD11c and CD83 in unpulsed dendritic cells (i.e., immature dendritic cells) and Renca tumor lysate-pulsed dendritic cells (i.e., mature<br />

dendritic cells) were 85.9% (i.e., 3.6% + 82.3%) and 3.6%, and 87.1% (i.e., 71.5% + 15.6 %) and 71.5%, respectively.<br />

dendritic cells (i.e., mature dendritic cells) expressed<br />

higher level of CD83 (maturation marker of dendritic<br />

cells), compared with unpulsed dendritic cells (i.e.,<br />

immature dendritic cells).<br />

Tumor lysate-pulsed dendritic cells up-regulate<br />

CD137 expression on T cells<br />

CD137 expression on T cells was measured before<br />

and after stimulation of T cells with Renca tumor<br />

lysate-pulsed dendritic cells. As shown in Fig. 2,<br />

unstimulated T cells showed low expression of CD137.<br />

At three days after stimulation with Renca tumor<br />

lysate-pulsed dendritic cells, T cells increased the<br />

expression of CD137.<br />

Anti-CD137 antibody potentiates the anti-tumor<br />

efficacy of tumor lysate-pulsed dendritic cells<br />

We tested the anticancer effect of tumor lysatepulsed<br />

dendritic cells and anti-CD137 antibody, alone<br />

or in combination, in the subcutaneous Renca tumor<br />

mouse model. As shown in Fig. 3, tumor lysate-pulsed<br />

dendritic cells or anti-CD137 antibody treatment<br />

significantly suppressed tumor growth compared<br />

with control (untreated) group (p < 0.05). However,<br />

the combination therapy with tumor lysate-pulsed<br />

dendritic cells and anti-CD137 antibody resulted in<br />

the greatest inhibition of tumor growth (p < 0.05),<br />

indicating a synergistic anticancer effect of the<br />

combined treatment.<br />

Combination of tumor lysate-pulsed dendritic<br />

cells with anti-CD137 antibody augments T-cell<br />

proliferation<br />

T cells isolated from splenocytes of control<br />

and differently treated mice were assayed for cell<br />

proliferation in response to Renca tumor lysate-pulsed<br />

dendritic cells. As shown in Fig. 4, mice treated with<br />

tumor lysate-pulsed dendritic cells or anti-CD137<br />

antibody alone showed a significant increase in T-cell<br />

proliferation, compared with control group (p < 0.05).<br />

However, co-administration of tumor lysate-pulsed<br />

dendritic cells with anti-CD137 antibody resulted in<br />

stronger cell proliferation than any other groups (p <<br />

0.05).<br />

Combination therapy improves cytotoxic T-<br />

lymphocyte activity<br />

CD8 + T cells isolated from splenocytes of control<br />

and differently treated mice were stimulated in vitro by<br />

co-culture with Renca tumor lysate-pulsed dendritic<br />

cells and analyzed for cytotoxic T-lymphocyte activity.<br />

The cytotoxic T-lymphocyte activity in tumor lysatepulsed<br />

dendritic cells or anti-CD137 antibody-onlytreated<br />

mice was significantly increased in comparison<br />

with control (untreated) mice (p < 0.05) (Fig. 5). The<br />

combination treatment with tumor lysate-pulsed<br />

dendritic cells and anti-CD137 antibody caused a<br />

much higher cytotoxic T-lymphocyte activity than<br />

either monotherapy (p < 0.05) (Fig. 5).

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