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Abstracts (complete list) - Wissenschaft Online

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Viktor Kölzer, David Anz, Michaela Golic, Cornelia Wurzenberger, Stefan Endres,<br />

Carole Bourquin<br />

CpG Oligonucleotide Treatment Alters the Morphological<br />

Distribution and Phenotype of Regulatory T Cells<br />

Regulatory T cells (Treg) contribute to the maintenance of immunological homeostasis<br />

and limit autoimmune reactions. However, Treg also suppress anti-tumor immunity and<br />

may reduce the efficacy of cancer immunotherapy. Synthetic oligonucleotides containing<br />

immunostimulatory CpG motifs (CpG) that signal via Toll-like receptor 9 evoke Th1-type<br />

responses and pro-inflammatory cytokine production. They effectively induce anti-tumor<br />

immune responses in many experimental cancer models and are currently tested in<br />

phase III clinical studies. Despite this promising application in cancer therapy, little is<br />

known about their influence on Treg in vivo.<br />

In healthy, CpG-treated mice, we evaluated Foxp3-positive Treg populations in<br />

secondary lymphoid organs by flow cytometry and immunohistology. The influence of<br />

CpG-based cancer therapy on Treg was investigated in mice carrying subcutaneous<br />

tumors derived from a C26 colon carcinoma.<br />

We show that CpG treatment leads to a shift in the CD25low/CD25high Treg ratio in the<br />

spleen and lymph nodes, with an increase of CD25low expressing Treg phenotypes. Our<br />

analysis also demonstrates that regulatory T cells accumulate in the spleen during CpG<br />

treatment and display an altered morphological distribution. At the same time, CpG<br />

treatment decreases the fraction of CD25low-expressing Treg within PBMC and reduces<br />

the accumulation of Treg in peripheral blood of tumor-bearing mice. CpG application<br />

also slightly reduces the Treg population within tumor-draining lymph nodes.<br />

In summary, we show that CpG-based immunotherapy leads to a shift in the balance<br />

between CD25low and CD25high Treg phenotypes and to their accumulation in the<br />

spleen. We suggest that the described enhancement of anti-tumor immunity through<br />

CpG is unlikely to result from a general reduction of the Treg population. Instead, a<br />

redistribution of Treg during immunotherapy could support anti-tumor immune<br />

responses. Further investigation of the influence of immunotherapy on Treg may<br />

support the development of improved therapeutic regimens.

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