冻融抗原负载树突状细胞诱导细胞毒性T淋巴细胞特异性杀伤急性白血病细胞的实验研究

我们应用基因重组人白介素 4 (rhIL 4 ) ,基因重组人粒 /单细胞集落刺激因子 (rhGM CSF)联合培养体系自健康志愿者骨髓单个核细胞诱导产生DC ,使其负载急性髓系白血病 (AML)细胞冻融抗原 ,体外诱导细胞毒性T细胞 (CTL) ,观察负载AML细胞冻融抗原后DC的状态对所激发的T淋巴细胞表型及功能的影响及CTL对AML细胞特异性杀伤活性。我们发现负载AML冻融抗原后DC的CD1a、CD83、CD86、CD11C、HLA DR表达率为较培养前明显增高 (P <0 .0 1) ,且负载AML冻融抗原的DC诱导的CTL中CD3 CD8 T细胞比例 ,较诱导前明显增高 (P <0 .0 1) ,而负载AML细胞冻融抗原的DC诱导CTL对AML细胞有较强的杀伤作用 ,明显强于加或不加IL 2培养的T细胞对照组 (P <0 .0 1) ,而对K5 6 2细胞无明显的杀伤活性。通过以上实验我们认为经rhGM CSF ,rhIL 4培养产生的DC为CD14CD1a DC ,能诱导CTL对AML细胞产生明显的特异性杀伤作用 ,另外 ,负载AML细胞冻融抗原DC诱导的CTL中CD3 CD8 T细胞比例明显增高 ,提示CD8 T细胞在抗肿瘤免疫中具有极其重要的作用。     

人癌胚抗原重组痘苗病毒转染树突状细胞体外诱导的抗肿瘤免疫

目的：研究人癌胚抗原重组痘苗病毒（rV-CEA)转染外周血树突状细胞（DC）后在外体诱导的抗CEA分泌性肿瘤免疫。方法：分离晚期结肠癌患者的外周血单核细胞，在体外用人重组粒－巨噬细胞集落刺激因子（GM－CSF）及白细胞介素4（IL－4）培养成DC，再用rV-CEA转染DC后激发自体T细胞，观察其体外激发自体T细胞的增殖能力及其诱导的细胞毒性T淋巴细胞（CTL）对自体CEA分泌性肿瘤细胞的杀伤活性，并与野生型痘苗病毒（W－VV）及无病毒转染的DC所激发的T细胞进行比较。结果：经rV-CEA转染的DC能显著刺激自体T细胞的增殖，其激活的T细胞对CEA分泌性自体肿瘤细胞具有特异性杀伤作用。结论：rV-CEA转染的DC可以诱导体CEA分泌性肿瘤免疫。     

SP2/0细胞膜抗原负载DC诱导体外特异性CTL效应

目的 研究SP2／0细胞膜抗原负载树突状细胞（DC）诱导的特异性细胞毒性T淋巴细胞（CTL）对肿瘤细胞的杀伤活性。方法 密度梯度离心法分离SP2／0细胞膜，负载经rmGM-CSF和rmIL-4诱导扩增的小鼠骨髓来源的DC，活化T淋巴细胞获得肿瘤特异性CTL，MTT法检测对SP2／0细胞的杀伤效果。结果 骨髓单个核细胞在rmGM-CSF和rmIL-4作用下获得了高表达CDS0、CD86和MHC-Ⅱ分子的DC，致敏的CTL对SP2／0骨髓瘤细胞具有高杀伤率，显著高于对I5178Y淋巴瘤细胞的杀伤活性（P〈0．01）。结论 SP2／0细胞膜抗原负载DC能诱导明显的特异性抗肿瘤免疫应答。     

EIER2／neu和GM-CSF共转染树突状细胞的免疫杀伤研究

目的：探讨HER2／neu蛋白细胞胞外段的基因重组腺相关病毒（rAAV-HER2／neu）和粒-巨噬细胞集落刺激因子重组腺相关病毒（rAAV-GM-CSF）共转染树突状细胞（DC）诱导的细胞免疫应答。方法：成熟的DC通过淋巴细胞分离液分离培养获得，流式细胞技术分析HER-2／neu以及细胞表面标志CD1a、CD83、CD80、CD86和HIA-DR的表达，MTT检测混合淋巴反应，^3H-TdR释放法检测CTL杀伤活性，RT-PCR检测FasL表达。结果：共转染组（CT）、单独转染组（ST）和未转染组（UT）3组DC的细胞表面标志表达无统计学意义（P〉0．05），共转染组中HER2／neu和FasL的表达比单独转染组高，共转染组中可以检测到更强的混合淋巴细胞反应和CTL杀伤活性。结论：HER2／neu蛋白细胞外段的基因通过DC的抗原提呈作用可以诱导出免疫应答，其免疫应答作用与FasL表达相关，而GM-CSF可以增强其免疫应答作用。     

树突状细胞负载肝癌可溶性抗原后的免疫应答

目的 用负载肝癌可溶性抗原的DC诱导肝癌特异性T细胞。方法 在体外用GM－CSF和IL－4诱导健康人外周血单核细胞，使其分化为高纯度树突状细胞（DC）。用负载人肝癌细胞株SMMC－7721可溶性抗原的DC诱导自身淋巴细胞。结果 诱导后淋巴细胞增殖指数大于1．5，表面CD56分子表达下降，CD3^ T/CD4^ T和CD3^ T/CD8^ T细胞比例增加，以CD3^ T/CD4^ T细胞比例增加最为明显。CD4／CD8比例由诱导前的0．84增加为1．04，活化前后γδ比例没有改变。活化后的淋巴细胞不但可杀伤SMMC－7721细胞，同时还可不同程度的杀伤其它3株肝癌细胞。另外，诱导7d的DC可不同程度的抑制4株肝癌细胞和胃癌细胞。结论 实验结果为肝癌DC疫苗的研究提供了理论基础。     

ΔNp73α基因转染树突状细胞抗乳腺癌细胞的免疫效应

目的:研究ΔNp73α基因转染树突状细胞(DC)诱导的特异性抗乳腺癌免疫效应。方法:人脐带血细胞经GM-CSF、IL-4、TNF-α等细胞因子诱导培养DC,流式细胞仪(FCM)检测DC成熟前后CD1a、CD83的表达变化情况。脂质体法将pc DNA-HA/ΔNp73α转染至DC,经Western blot检测转染情况。转染DC与自体T细胞共培养诱导特异性CTL。MTT法测定T细胞增殖能力;ELISA法检测IFN-γ的分泌水平;LDH释放法检测T细胞对乳腺癌细胞MDA-MB-231的杀伤作用。结果:DC诱导成熟后,CD1a表达约占56%,CD83约占74%,与未成熟DC(CD1a 19%,CD83 13%)比较,差异有显著统计学意义(P0.01)。Western blot检测到DC-ΔNp73α组有一特异条带表达。DC-ΔNp73α组诱导的特异性CTL对MDA-MB-231杀伤作用高于DC组(P0.05),而且刺激T细胞增殖能力增强,分泌IFN-γ的水平升高,与空载体DC-pc DNA组及DC组比较有显著统计学意义(P0.01)。结论:以ΔNp73α转染DC制备的DC疫苗,具有显著诱导CTL杀伤乳腺癌细胞的作用。     

人急性髓系白血病HL-60来源的树突样细胞诱导的CTL体内外作用研究

目的 观察人急性髓系白血病HL－60来源的树突样细胞（HL－60DC）对细胞毒T淋巴细胞（CTL）的免疫调节作用。方法 采用PKC激活剂佛波酯（PMA）及细胞因子GM－CSF、IL－4、TNF－α在体外诱导培养HL－60细胞，获得具有树突状细胞形态、表型（CD1a、CD80、CD86、RelB阳性表达）的HL60DC，观察HL－60DC诱导的CTL体外抗瘤效应，并建立人白血病HL－60／SCID（严重联合免疫缺陷）小鼠异种移植模型进行过继治疗。结果 联合GM－CSF、TNF－α及PMA处理7－11d，获得的HL－60DC体外激活的CTL在体外对HL－60细胞有显著的细胞毒活性。CTL以5：1效靶比多次腹腔回输，能够明显延长荷瘤鼠存活时间，降低瘤块重量，减轻肝、脾、骨髓受肿瘤浸润程度，但流式细胞检测发现部分受治疗的存活小鼠有微小病灶的存在。结论 人急性髓系白血病HL－60来源的树突样细胞诱导的CTL在体内外有一定的抗瘤效应。     

EBV-LMP2A重组腺病毒体外转染树突状细胞激发特异性CTL的研究

目的：用EBV潜伏膜蛋白2A(EBV-LMP2A)重组腺病毒转染树突状细胞(DC)激发特异性细胞毒性T细胞(CTL)，分析CTL的特性。方法：用AdS-LaMP2A重组腺病毒转染EBV健康携带者及鼻咽癌患者的DC，与自体来源的外周血单个核细胞(PBMC)混合培养，激发LMP2A特异性CIL。用LDH释放法检测CIL杀伤活性；流式细胞术(FACS)检测培养细胞群体中CD3^ 、CD4^ 、CD8^ 、CD56^ 细胞的组成；生物活性法检测细胞培养上清中IFN-γ含量；RT-PCR分析CTL的FasL mRNA表达。结果：EBV健康携带者及鼻咽癌患者的PBMC，经AdS-LMP2A转染的自体DC两次刺激后，都能诱导出显著的EBV-LMP2A特异的CIL。EBV健康携带者CTL的杀伤活性，随DC刺激次数的增加而逐渐增强，诱导的CTL细胞群体以CD^4 和CD8^ 细胞组成为主，且CD4^ 细胞比例高于CD8^ 细胞，另含少量CD56^ 细胞；在不同时段所诱导的CTL上清中，均含一定量的IFN-γ并随刺激次数和诱导时间的延长呈上升趋势；RT-PCR研究表明，所诱导的CTL有FasL mRNA的表达。结论：以腺病毒载体介导EBV-LMP2A基因转染的成熟DC，在体外能激发较强的LMP2A特异的功能性CTL，可用于EBV相关NPC的免疫治疗。     

转染HPV16E6基因人树突状细胞疫苗的制备及生物学特性

目的：制备来源于人外周血并转染HPV16E6基因的树突状细胞（DC）疫苗，检测其细胞形态、分子表型及诱导的免疫效应。方法：细胞因子扩增人外周血DC，Lipofectamine转染HPV16E6制备DC疫苗。动态形态学观察，免疫细胞化学及流式细胞术检测分子表达．体外诱导并测定CTL活性。结果：转染DC呈形态迥异的多突起状，其E6蛋白、CD80、CD86和CD83分子的表达率依次为47．3％、82．5％、79．8％和85．7％，诱导杀伤Caski细胞的活性明显高于对照组（P〈0．01）。结论：转染DC疫苗保持了功能成熟DC的形态特征，且内源性表达E6蛋白，能诱导高效的特异性抗肿瘤免疫应答。     

基因修饰树突状细胞诱导前列腺癌患者外周血T细胞亚群重排的研究

目的探讨以腺相关病毒（AAV）为载体,前列腺特异性抗原（PSA）基因转染树突状细胞（DC）诱导前列腺癌患者外周血T细胞亚群变化特点及临床意义。方法抽取30例前列腺癌患者外周血,采用密度梯度离心法分离外周血单个核细胞,以rAAV/PSA感染DC前体细胞,采用系列细胞因子诱导DC前体细胞成熟。第6天收集成熟DC并与T细胞按比例混合培养,诱导细胞毒性T淋巴细胞（CTL）。分别于DC与T细胞混合培养前后应用流式细胞术分析外周血T细胞亚群及调节性T细胞（CD4^＋CD25^＋FoxP3^＋Treg）的表达水平。结果 PSA基因转染DC刺激T淋巴细胞爆发增殖,与培养前比较,混合培养6d后CD8^＋、CD8^＋CD69^＋、CD8^＋CD28^＋T细胞的比例和CD8^＋/CD4^＋比值均明显增高,差异有统计学意义（P〈0.01）;而CD8＋CD28-T细胞和Treg细胞的比例均显著降低,差异有统计学意义（P〈0.01）。CD4^＋T细胞比例较前略有升高,但差异无统计学意义（P〉0.05）。结论 PSA基因转染DC能够有效地激活CD8＋抗原特异性CTL,下调免疫抑制性T细胞,提高患者的细胞免疫功能,为前列腺癌的免疫治疗提供新的有效策略。     

Characterisation of breast cancer cell lines and establishment of a novel isogenic subclone to study migration,invasion and tumourigenicity

The process of tumour invasion and subsequent metastasis represents the most lethal aspect of cancer. In this study the invasive and migratory activity of four human breast cancer cell lines; MCF-7, MDA-MB-231, BT474 and Hs578T was investigated. Isogenic subclones were isolated from the Hs578T cell line using sequential passages through the BD Matrigel Invasion Chamber assay system. A new invasive subclone designated, Hs578Ts(i)8 was isolated and shown to be 3-fold more invasive and 2.5-fold more migratory than the parental cell line. The variant cells formed up to 25 times more colonies in soft agar and also produced tumours in vivo in nude mice. Flow cytometry analysis showed that the Hs578Ts(i)8 cells had 30% more CD44+/CD24-/low cells than the parental Hs578T cell line. The presence of a breast cancer stem cell population within the variant cell line may provide an explanation for the increased anchorage independent growth and tumourigenicity.     

Concurrent interaction of DCs with CD4+ and CD8+ T cells improves secondary CTL expansion: It takes three to tango

T‐cell help is essential for CTL‐memory formation. Nevertheless, it is unclear whether the continuous presence of CD4⁺ T‐helper (Th) cells is required during dendritic cell (DC)/CD8⁺ T‐cell encounters, or whether a DC will remember the helper signal after the Th cell has departed. This question is relevant for the design of therapeutic cancer vaccines. Therefore, we investigated how human DCs need to interact with CD4⁺ T cells to mediate efficient repetitive CTL expansion in vitro. We established an autologous antigen‐specific in vitro system with monocyte‐derived DCs, as these are primarily used for cancer vaccination. Contrary to common belief, a sequential interaction of licensed DCs with CD8⁺ T cells barely improved CTL expansion. In sharp contrast, simultaneous encounter of Th cells and CTLs with the same DC during the first in vitro encounter is a prerequisite for optimal subsequent CTL expansion in our in vitro system. These data suggest that, in contrast to DC maturation, the activation of DCs by Th cells, which is necessary for optimal CTL stimulation, is transient. This knowledge has significant implications for the design of new and more effective DC‐based vaccination strategies. Furthermore, our in vitro system could be a valuable tool for preclinical immunotherapeutical studies.     

乳腺癌患者腋下淋巴结来源的DC诱导自体特异性CTL的实验研究

目的:研究乳腺癌患者腋下淋巴结单个核细胞来源的树突状细胞(DC)诱导抗原特异性细胞毒T淋巴细胞(CTL)的能力。方法:以多种细胞因子联合诱导腋下淋巴结单个核细胞中的贴壁细胞为DC,非贴壁细胞与IL-2共培养后诱导成为肿瘤区域引流淋巴结细胞(TDLNC),用自体乳腺癌细胞冻融抗原刺激DC,并和TDLNC共培养,以诱导肿瘤抗原特异性CTL。结果:淋巴结细胞经体外培养后,贴壁细胞在DC诱导前,其特异性表面标志物CD1a、CD83、CD86的百分比(%)分别为11.0±2.4、26.6±5.2和33.0±6.1,经与rhGM-CSF、rhIL-4共同培养,并经自体肿瘤冻融抗原加TNF-α诱导后3种标志物的水平升高,其百分比(%)分别为50.2±5.7、60.5±16.5和56.2±16.4(P<0.01)。TDLNC中CD3 和CD8 细胞含量(%)分别为73.9±2.2和32.8±3.2;经DC和肿瘤抗原诱导后,DC-Ag-TDLNC中的CD3 和CD8 细胞含量升高,其百分比(%)分别为82.7±2.8和62.5±2.5(P<0.01)。结论:乳腺癌患者腋下引流淋巴结中的单个核细胞在rhGM-CSF和rhIL-4刺激活化和自体肿瘤抗原及TNF-α的诱导下,可以分化为典型的DC。成熟的DC具有较强的抗原提呈功能,可以促进TDLNC增殖、分化为抗原特异性CTL。     

Extracellular matrix 1 (ECM1) regulates the actin cytoskeletal architecture of aggressive breast cancer cells in part via S100A4 and Rho-family GTPases

ECM1 overexpression is an independent predictor of poor prognosis in primary breast carcinomas, however the mechanisms by which ECM1 affects tumor progression have not been completely elucidated. ECM1 was silenced in the triple-negative breast cancer cell lines Hs578T and MDAMB231 using siRNA and the cells were evaluated for changes in morphology, migration, invasion and adhesion. Actin cytoskeleton alterations were evaluated by fluorescent staining and levels of activated Rho GTPases by pull down assays. ECM1 downregulation led to significantly diminished cell migration (p = 0.0005 for Hs578T and p = 0.02 for MDAMB231) and cell adhesion (p < 0.001 for Hs578T and p = 0.01 for MDAMB231). Cell invasion (matrigel) was reduced only in the Hs578T cells (p < 0.01). Silencing decreased the expression of the prometastatic molecules S100A4 and TGFβR2 in both cell lines and CD44 in Hs578T cells. ECM1–silenced cells also exhibited alterations in cell shape and showed bundles of F-actin across the cell (stress fibers) whereas NT-siRNA treated cells showed peripheral membrane ruffling. Downregulation of ECM1 was also associated with an increased F/G actin ratio, when compared to the cells transfected with NT siRNA (p < 0.001 for Hs578T and p < 0.00035 for MDAMB231) and a concomitant decline of activated Rho A in the Hs578T cells. Re-expression of S100A4 in ECM1-silenced cells rescued the phenotype in the Hs578T cells but not the MDAMB231 cells. We conclude that ECM1 is a key player in the metastatic process and regulates the actin cytoskeletal architecture of aggressive breast cancer cells at least in part via alterations in S100A4 and Rho A.     

转染肿瘤总RNA的DC疫苗诱导抗肝癌特异性免疫

目的：探讨转染人肝癌总RNA的树突状细胞(DC) 疫苗体外诱导特异性细胞毒性T淋巴细胞(CTL)的作用。 方法： 采用原发性肝癌（HCC）病人外周血单核细胞（PBMC），在粒/巨细胞集落刺激因子(GM-CSF)和白细胞介素-4(IL-4) 刺激下增殖分化为DC细胞；从人肝癌细胞中体外扩增肝癌RNA。以HCCRNA转染DC细胞，并与PBMC混合培养诱导扩增CTL。MTT法测定CTL的杀瘤活性。 结果： 转染HCCRNA 48 h后， DC表面分子CD83、CD86和HLA-DR表达明显增高。转染HepG-2细胞HCCRNA的DC和病人HCCRNA诱导的CTL对HepG-2细胞和病人HCC细胞的杀瘤活性均明显高于正常肝细胞RNA+DC、脂质体+DC、Opti-MEM+DC以及空白对照组；而对胃癌SGC-7901细胞无杀伤活性。 结论： 以肝癌RNA为肿瘤抗原，DC作为疫苗的抗原提呈细胞，体外冲击致敏DCs，能诱导肝癌特异性CTL。本研究为HCC术后复发和转移的防治提供一种可能有效的疫苗治疗方法。     

Effects of hyaluronan on the invasive properties of human breast cancer cells in vitro

Hyaluronan (HA) is a high molecular weight glycosaminoglycan present mostly in the extracellular matrix (ECM). HA binds to specific receptors such as CD44. Its production is increased at the tumour-stroma interface, including those in breast cancer tumours. It has been suggested that it facilitates invasion of tumour cells into the ECM by a hydrodynamic effect, or by altering tumour cell behaviour. Using in vitro tests we studied the effect of immobilized (iHA) and soluble (sHA) HA on the invasive properties of four human breast cancer cell lines with different levels of CD44 expression. Our results show that iHA acts as an adhesive, haptotactic, and motility stimulating factor for the CD44 positive Hs578T cells and induces the expression of membrane CD44. sHA also changes the motility properties of the Hs578T and MDA-231 cells and increases their CD44 expression. sHA or iHA have no measurable effect on the adhesion, motility or CD44 expression of the ZR-75-1 and MCF-7 breast cancer cells. Our results establish that in high CD44 expressing breast cancer cells HA modulates tumour cell adhesion and motility and also increases the expression of its own receptor, CD44.     

Cognate CD4(+) T cell licensing of dendritic cells in CD8(+) T cell immunity

Several studies have indicated that CD8(+) T cells require CD4(+) T cell help for memory formation. Evidence suggests that such help can be antigen independent, challenging whether the 'licensing' of dendritic cells (DCs) by CD4(+) T cells is ever required for cytotoxic T lymphocyte (CTL) responses. We show here that help is essential for the generation of CTL immunity to herpes simplex virus 1 and that CD4(+) T cells mediate help in a cognate, antigen-specific way. We provide direct in vivo evidence for DC licensing by helper T cells and show that licensing is rapid and essential for the formation of effector and memory CTLs. In situations in which DCs are poorly licensed by pathogen-derived signals, our findings suggest that CTL immunity may be heavily dependent on cognate DC licensing.     

Late dendritic cells are still able to evoke a potent alloreactive CTL response

On exposure to maturation stimuli, immature dendritic cells (DCs) undergo changes that turn them into potent amplifiers of innate immunity and into antigen-presenting cells (APCs) able to prime na?ve T cells. However, their progression through the maturation process is very rapid and finally ends in apoptosis. The aim of our study was to investigate the importance of the maturation stage of DCs, defined by morphology, expression of surface markers and IL-12 production, for their immunostimulatory capacity. DCs were matured with LPS, monocyte-conditioned medium (MCM) or TNF-alpha, sampled several times during a 3-day long maturation period and used as stimulators of allogeneic T cells over a wide range of DC/T cell ratios. T-cell response was assessed by cell proliferation, CTL generation and IFN-gamma production. Our results indicate that the in vitro T cell response is determined mainly by the level of expression of co-stimulatory molecules on DCs and the DC/T cell ratio in the culture. Thus, DCs matured for over 20h, with high expression of co-stimulatory molecules, can still induce a potent CTL response at DC/T cell ratios of 1:10 and 1:20, although their IL-12 production, as well as their ability to induce IFN-gamma production by T cells, are both decreased. In contrast, the CTL response at DC/T cell ratios of 1:2 and 1:5 can be profoundly decreased. Notably, the proportion of proliferating CD4+ T cells in these cultures is reduced. This could well be the reason for the absence of CTL response, since we showed that, even in the case of high expression of co-stimulatory molecules on DCs, generation of CTLs still depends on CD4+ T cells. Our study emphasizes the importance of strong expression of co-stimulatory molecules on DCs and of their ability to activate CD8+ and CD4+ T cells concomitantly in order to initiate a potent cell-mediated immune response. We therefore suggest that a combination of early DCs, which are strong producers of cytokines, and late DCs, which have high expression of co-stimulatory molecules, could prove beneficial in the attempt to initiate in vitro and in vivo cell-mediated immune responses for therapeutic purposes.     

激动型CD40单克隆抗体体外抑制结肠癌细胞增殖的实验研究

目的 探讨激动型CD40单克隆抗体在体外对结肠癌细胞增殖的抑制作用.方法 树突状细胞(DCs)经结肠癌冻融抗原致敏后予以不同条件激活,分为激动型CD40单克隆抗体组、阴性对照组及肿瘤坏死因子-α(TNF-α)阳性对照组,诱导培养至第7天,用流式细胞仪检测各组DCs表面分化相关抗原CD80、CD83、CD86和HLA-DR的表达,酶联免疫吸附测定法检测DCs培养液上清中白细胞介素-12(IL-12)的质量浓度,噻唑蓝比色法检测DCs体外刺激T淋巴细胞增殖的能力,进而检测DCs所诱导的肿瘤特异性细胞毒性T淋巴细胞(CTL)对人结肠癌细胞HCT116的杀伤作用.结果 与阴性对照组相比,激动型CD40单克隆抗体组活化的DCs表面抗原CD80、CD83、CD86和HLA-DR的表达率均显著升高(均P＜0.05),DCs上清中IL-12的质量浓度亦显著升高((716.80±53.43) pg/ml比(405.51±12.17) pg/ml,P＜0.05),活化的DCs具有更强的刺激T淋巴细胞增殖的能力(刺激指数2.006 2±0.438 3比1.365 0±0.209 8,P＜0.05),活化的DCs所诱导的CTL对HCT116细胞具有更强的杀伤作用(抑制率(66.08±0.41)％比(46.60±1.10)％,P＜0.05);而与TNF-α阳性对照组相比,其差异均无统计学意义(均P＞0.05).结论 激动型CD40单克隆抗体在体外可促进DCs的活化与成熟,进而诱导肿瘤特异性CTL的产生,从而抑制人结肠癌细胞HCT116的增殖.