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Prepublished online as a Blood First Edition Paper on July 25, 2002; DOI 10.1182/blood-2002-05-1389.
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Blood, 1 December 2002, Vol. 100, No. 12, pp. 4108-4115
IMMUNOBIOLOGY
Stressed apoptotic tumor cells stimulate dendritic cells and
induce specific cytotoxic T cells
Hanping Feng,
Yi Zeng,
Michael W. Graner, and
Emmanuel Katsanis
From the Department of Pediatrics, Steele Memorial
Children's Research Center, University of Arizona, Tucson.
We have previously reported that stressed apoptotic tumor cells are
more immunogenic in vivo than nonstressed ones. Using confocal
microscopy we have confirmed our previous observation that
heat-stressed apoptotic 12B1-D1 leukemia cells
(BCR-ABL+) express HSP60 and HSP72 on their
surface. To explore how the immune system distinguishes stressed from
nonstressed apoptotic tumor cells, we analyzed the responses of
dendritic cells to these 2 types of apoptotic cells. We found that
nonstressed and heat-stressed apoptotic 12B1-D1 cells were taken up by
dendritic cells in a comparable fashion. However, when stressed
apoptotic 12B1-D1 cells were coincubated with immature dendritic cells
for 24 hours, this resulted in greater up-regulation of costimulatory
molecules (CD40, CD80, and CD86) on the surface of dendritic cells.
Moreover, stressed apoptotic 12B1-D1 cells were more effective in
stimulating dendritic cells to secrete interleukin-12 (IL-12) and in
enhancing their immunostimulatory functions in mixed leukocyte
reactions. Furthermore, we demonstrated that immunization of mice with
stressed apoptotic 12B1-D1 cells induced the secretion of T helper-1
(TH1) profile of cytokines by spleen cells. Splenocytes
from mice immunized with stressed apoptotic cells, but not nonstressed
ones, were capable of lysing 12B1-D1 and the parental 12B1 line, but
not a B-cell leukemia line, A20. Our data indicate that stressed
apoptotic tumor cells are capable of providing the necessary danger
signals, likely through increased surface expression of heat shock
proteins (HSPs), resulting in activation/maturation of dendritic cells and, ultimately, the generation of potent antitumor T-cell responses.

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