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Preparation of Tumor Antigen-loaded Mature Dendritic Cells for Immunotherapy
Published on: August 1, 2013
Exploiting a new strategy to induce immunogenic cell death to improve dendritic cell-based vaccines for lymphoma
B Montico1, C Lapenta2, M Ravo3
1Centro di Riferimento Oncologico, Department of Translational Research, Immunopathology and Cancer biomarkers, Aviano (PN), Italy.
Abstract:
Although promising, the clinical benefit provided by dendritic cell (DC)-based vaccines is still limited and the choice of the optimal antigen formulation is still an unresolved issue. We have developed a new DC-based vaccination protocol for aggressive and/or refractory lymphomas which combines the unique features of interferon-conditioned DC (IFN-DC) with highly immunogenic tumor cell lysates (TCL) obtained from lymphoma cells undergoing immunogenic cell death. We show that treatment of mantle cell lymphoma (MCL) and diffuse large B-cell lymphoma (DLBCL) cell lines with 9-cis-retinoic acid and IFNα (RA/IFNα) induces early membrane exposure of Calreticulin, HSP70 and 90 together with CD47 down-regulation and enhanced HMGB1 secretion. Consistently, RA/IFNα-treated apoptotic cells and -TCLs were more efficiently phagocytosed by DCs compared to controls. Notably, cytotoxic T cells (CTLs) generated with autologous DCs pulsed with RA/IFNα-TCLs more efficiently recognized and specifically lysed MCL or DLBCL cells or targets loaded with several HLA-A*0201 cyclin D1 or HLA-B*0801 survivin epitopes. These cultures also showed an expansion of Th1 and Th17 cells and an increased Th17/Treg ratio. Moreover, DCs loaded with RA/IFNα-TCLs showed enhanced functional maturation and activation. NOD/SCID mice reconstituted with human peripheral blood lymphocytes and vaccinated with autologous RA/IFNα-TCL loaded-IFN-DCs showed lymphoma-specific T-cell responses and a significant decrease in tumor growth with respect to mice treated with IFN-DC unpulsed or loaded with untreated TCLs. This study demonstrates the feasibility and efficacy of the use of RA/IFNα to generate a highly immunogenic TCL as a suitable tumor antigen formulation for the development of effective anticancer DC-based vaccines.
Insights
This study developed a novel dendritic cell (DC) vaccine using interferon-conditioned DCs and tumor cell lysates from lymphoma cells. This new approach shows promise for treating aggressive lymphomas by enhancing immune responses and reducing tumor growth.
Area of Science:
- Immunology
- Oncology
- Vaccine Development
Background:
- Dendritic cell (DC)-based vaccines show promise for cancer treatment but face limitations in clinical benefit and optimal antigen formulation.
- Aggressive and refractory lymphomas require novel therapeutic strategies, including advanced vaccine protocols.
Purpose of the Study:
- To develop and evaluate a new DC-based vaccination protocol for aggressive lymphomas.
- To investigate the efficacy of combining interferon-conditioned DCs (IFN-DCs) with tumor cell lysates (TCLs) from lymphoma cells undergoing immunogenic cell death.
Main Methods:
- Treatment of mantle cell lymphoma (MCL) and diffuse large B-cell lymphoma (DLBCL) cell lines with 9-cis-retinoic acid and IFNα (RA/IFNα) to induce immunogenic cell death.
- Assessment of DC phagocytosis of RA/IFNα-treated cells and TCLs.
- Generation of cytotoxic T cells (CTLs) using autologous DCs pulsed with RA/IFNα-TCLs.
- Evaluation of T-cell responses and tumor growth in NOD/SCID mice reconstituted with human peripheral blood lymphocytes and vaccinated with RA/IFNα-TCL loaded-IFN-DCs.
Main Results:
- RA/IFNα treatment enhanced the immunogenicity of lymphoma cells, evidenced by increased Calreticulin exposure, CD47 down-regulation, and HMGB1 secretion.
- DCs efficiently phagocytosed RA/IFNα-treated cells and TCLs.
- CTLs generated with RA/IFNα-TCL loaded DCs demonstrated specific lysis of lymphoma cells and targets.
- Vaccination with RA/IFNα-TCL loaded-IFN-DCs in a mouse model led to lymphoma-specific T-cell responses and significant tumor growth reduction.
Conclusions:
- The combination of RA/IFNα treatment to generate immunogenic TCLs with IFN-DCs represents a feasible and effective strategy for developing anticancer DC-based vaccines.
- This novel vaccination protocol holds potential for treating aggressive and refractory lymphomas.
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