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Leukemia derived dendritic cell (DCleu) mediated immune response goes along with reduced (leukemia-specific) regulatory T-cells
Affiliation:1. WG Immune Modulation, Medical Department III, University Hospital of Munich, Marchioninistraße 15, 81377 Munich, Germany;2. Department of Orthodontics and Orofacial Orthopedics, Universitätsklinikum Erlangen and Friedrich-Alexander Universität (FAU) Erlangen-Nürnberg, Glückstr. 11, 91054 Erlangen, Germany;3. Diakonie Hospital Stuttgart, Department Hematology and Oncology, Department of Internal Medicine, Rosenbergstraße 38, 70176 Stuttgart, Germany;4. Department of Haematology, Oncology and Palliative Care, Kath. Krankenhaus Hagen gem. GmbH, St.-Josefs-Hospital, Dreieckstraße 17, 58097 Hagen, Germany;5. Department of Haematology and Oncology, University Hospital of Augsburg, Stenglinstraße 2, 86156 Augsburg, Germany;1. Department of Biotechnology, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu 603203, India;2. Department of Clinical Pharmacology, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu 603203, India;1. Programa de Pós-Graduação em Patologia Ambiental e Experimental, Universidade Paulista (UNIP), Rua Dr. Bacelar 902, CEP 04057-000, São Paulo, SP, Brazil;2. Faculdade de Medicina da Universidade Federal de Alagoas, Campus A. C. Simões Tabuleiro do Martins, CEP 57072-900, Maceió, AL, Brazil;3. Departamento de Fisiopatologia, Instituto Butantan, Av. Vital Brasil 1500, CEP 05503-900, São Paulo, SP, Brazil;4. Pesquisadora associada, Pós-Doutoranda da Companhia Ambiental do Estado de São Paulo - CETESB, Brazil;1. Division of Immunology and Microbiology, Javakhishvili Tbilisi State University, Georgia;2. Tbilisi Medical Academy, Georgia;3. School of Life Sciences, University of Westminster, London, UK;4. University of Georgia, Georgia;5. IQ Clinic, Georgia;1. Faculty of Health & Life Sciences, De Montfort University, UK;2. Department of Respiratory Sciences, University of Leicester, UK;3. Warwick Medical School, University of Warwick, UK;4. Biosciences, Brunel University London, Uxbridge, UK;5. Department of Veterinary Medicine, U.A.E. University, Al Ain, United Arab Emirates;1. Department of Immunology, Medical University of Bialystok, 15-269 Bialystok, Poland;2. Department of Regenerative Medicine and Immune Regulation, Medical University of Bialystok, 15-269 Bialystok, Poland;3. Otolaryngology and Maxillofacial Surgery Ward of the Provincial Integrated Hospital Jedrzej Sniadecki in Bialystok, 15-950 Bialystok, Poland;4. Department of Maxillofacial and Plastic Surgery, Medical University of Bialystok, 15-269 Bialystok, Poland
Abstract:The blastmodulatory Kit-M, composed of granulocyte-macrophage colony-stimulating-factor (GM-CSF) and Prostaglandin E1 (PGE1), is known to convert myeloid leukaemic blasts (from AML patients) into leukaemia derived dendritic cells (DCleu), which activate immunoreactive cells to gain antileukemic/leukaemia-specific activity. In this study we had a special focus on the influence of Kit-M treated, DC/DCleu containing patients’whole blood (WB, n = 16) on the provision of immunosuppressive regulatory T-cells.We could confirm that Kit-M significantly increased frequencies of (mature) dendritic cells (DC) and DCleu from leukemic whole blood (WB) without induction of blast proliferation. After mixed lymphocyte culture (MLC) with patients’ T-cells we confirmed that DCleu mediated leukemia-specific responses- going along with activated and leukemia-specific T- and NK-cells in an intracellular cytokine staining assay (ICS) and a degranulation assay (Deg)- resulted in an increased anti-leukemic cytotoxicity (Cytotoxicity Fluorolysis Assay = CTX). We could demonstrate that (leukemia-specific) CD4+ and CD8+ regulatory T-cell population (Treg) decreased significantly after MLC compared to controls. We found significant positive correlations of leukemia-specific CD3+CD4+ cells with frequencies of (mature) DCleu. Achieved anti-leukemic cytotoxicity correlated significantly positive with leukemia-specific CD3+CD8+ cells and significantly negatively with (leukemia-specific) Treg.In summary we demonstrate that immunesuppressive (leukemia-specific) regulatory T-cells are significantly downregulated after Kit-M triggered MLC- going along with a (reinstalled) antileukemic reactivity of the immune system (as demonstrated with functional assays ICS, Deg, CTX).
Keywords:Leukemia derived DC  Acute myeloid leukaemia  Anti-leukaemic functionality  Leukemia-specific cells  Regulatory T cells  Ø"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0035"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  on average  AML"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0045"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  acute myeloid leukemia  APCs"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0055"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  antigen presenting cells  APC"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0065"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  allophycocyanin  Bla"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0075"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  blast cells  proliferating blasts  BM"  },{"  #name"  :"  keyword"  ,"  $"  :{"  id"  :"  k0095"  },"  $$"  :[{"  #name"  :"  text"  ,"  _"  :"  bone 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