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In Vivo Augmentation of Gut-Homing Regulatory T Cell Induction
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Probiotics, dendritic cells and bladder cancer.

Oladapo Feyisetan1, Christopher Tracey, Giles O Hellawell

  • 1Department of Urology, University College London Hospitals NHS Trust, London, UK.

BJU International
|December 20, 2011
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Summary

Probiotics may suppress superficial bladder cancer by activating natural killer (NK) cells, potentially through dendritic cells (DCs). This research sheds light on how probiotics influence the immune system to combat bladder cancer.

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Area of Science:

  • Immunology
  • Oncology
  • Microbiology

Background:

  • The immune-suppressive effect of probiotics on superficial bladder cancer is recognized, but the underlying mechanisms remain unclear.
  • Natural killer (NK) cells are identified as key anti-tumor effector cells, with their activity correlating to anti-cancer effects in preclinical models.
  • Dendritic cells (DCs) are known to recruit and mobilize NK cells, suggesting they may be the crucial interface for probiotic action.

Purpose of the Study:

  • To investigate the mechanism by which probiotics exert their anti-tumor effects on superficial bladder cancer.
  • To explore the role of dendritic cells (DCs) and natural killer (NK) cells in the anti-cancer activity of probiotics.
  • To understand how probiotic intervention might modulate immune responses relevant to bladder cancer treatment.

Main Methods:

  • Observed the suppressor effect of probiotics on superficial bladder cancer.
  • Correlated NK cell activity with the anti-tumor effect in animal models.
  • Investigated the role of DCs in NK cell recruitment and mobilization.
  • Examined the impact of NK cell purification on NK cell activity.

Main Results:

  • Evidence strongly suggests that NK cells are the effector cells responsible for the anti-tumor effects of probiotics.
  • NK cell activity was found to correlate with the observed anti-tumor effects in mice.
  • Purification of NK cells led to a decrease in their activity, supporting their role in the anti-cancer mechanism.

Conclusions:

  • Dendritic cells (DCs) are likely the cellular interface through which probiotics exert their influence on NK cells.
  • Understanding the probiotic-DC-NK cell axis could offer novel immunotherapeutic strategies for superficial bladder cancer.
  • Probiotics may represent a complementary approach to existing treatments like intravesical bacille Calmette-Guérin (BCG) by modulating the immune response.