树突细胞与细胞因子诱导的杀伤细胞共培养增强其体内外抗肿瘤活性

目的探讨与树突细胞(DC)共培养能否增强正常人细胞因子诱导的杀伤细胞(CIK)的体内外抗瘤活性.方法分别按照常规方法从正常人外周血单个核细胞诱导DC和CIK细胞,将NB4白血病细胞冻融物(LCL)冲击或未冲击的DC与CIK细胞共培养(LCL-DC+CIK、DC+CIK),以CIK细胞单独培养作为对照.用流式细胞术分析细胞表型,酶联免疫斑点法(ELISPOT)测定分泌IFN-γ的细胞数,51Cr释放实验测定体外细胞毒活性,同时用NB4细胞系建立荷瘤裸鼠模型研究其体内抗肿瘤活性和归巢情况.结果在培养第15天, LCL-DC+CIK与CIK细胞单独培养相比,增殖速率明显提高 [(18.2±2.1)倍vs(11.6±2.3)倍, P<0.05],CD3+CD56+ 表达水平也明显提高 [(51.05±2.63)% vs(30.18±1.45)%, P<0.05],分泌IFN-γ的细胞数量明显增高 [(86.33±5.51)/104细胞 vs(44.61±3.05)/104细胞, P<0.05],同时LCL-DC+CIK对NB4、K562、KG1a的体外细胞毒活性增强.体内实验显示与单独培养CIK细胞相比,LCL-DC+CIK细胞共培养后,可明显抑制接种瘤细胞裸鼠的成瘤率,提高裸鼠的长期无瘤存活率(100% vs 66.7%, P<0.05),以DiI标记的LCL-DC+CIK细胞在接种后7 d内可在脾脏、淋巴结及肿瘤局部被检测到.LCL-DC+CIK与DC+CIK细胞在抗瘤效应上没有明显差异.结论与DC共培养可使CIK细胞获得更高的增殖速率和更强的体内外抗肿瘤活性,可以作为一种临床有效的抗白血病免疫治疗策略.

Coculture of dendritic cell with cytokine-induced killer results in a significant increase in cytotoxic activity of CIK to tumor cells in vitro and in vivo

OBJECTIVE: To explore whether coculture of dendritic cells (DC) with cytokine-induced killer (CIK) lead to an increase of cytotoxicity against tumor cells in vitro and in vivo. METHODS: DC and CIK were prepared from human peripheral blood mononuclear cells (PBMC) by conventional methods, the DC pulsed with or without NB4 leukemia cell lyses (LCL) was cocultured with the CIK (LCL-DC + CIK and DC + CIK), CIK was used as control. Cells phenotypes were analyzed by flow cytometry, secretion of IFN-gamma was determined by ELISPOT assay, and cytotoxicity was assayed in vitro with (51)Cr-release assay. A human leukemia cell NB4-bearing nude mice model was established to test in vivo antitumor efficacy and cell homing. RESULTS: Compared with CIK, LCL-DC + CIK got a significant increasing of proliferation rate [(18.2 +/- 2.1) times vs (11.6 +/- 2.3) times, P < 0.05] and CD(3)(+)CD(56)(+) expression rate [(51.05 +/- 2.63)% vs (30.18 +/- 1.45)%, P < 0.05], and the number of IFN-gamma secreting cells was increased significantly [(13.86 +/- 3.28)/10(4) cells vs (8.74 +/- 2.53)/10(4) cells, n = 12, P < 0.05]. Meanwhile, LCL-DC + CIK led to an increase of cytotoxic activity to NB4, K562, and KG1a cells, and showed significant inhibition of the growth of transplanted tumor cells and increased tumor free survival rate of nude mice (100% vs 66.7%, P < 0.05), DiI labeled LCL-DC + CIK were detected in spleen, lymph node and tumor within a week after injection. There was no significant different in antitumor activity between LCL-DC + CIK cell and DC + CIK cell. CONCLUSION: Coculture of CIK with DCs can promote the effect of CIK against tumor in vitro and in vivo. DC-CIK is promising as an immuno-therapeutic strategy for patients with leukemia.