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Prepublished online as a Blood First Edition Paper on July 25, 2002; DOI 10.1182/blood-2002-05-1389.

Submitted May 22, 2002
Accepted July 9, 2002
Stressed apoptotic tumor cells stimulate dendritic cells and induce specific cytotoxic T cells
Hanping Feng, Yi Zeng, Michael W Graner, and Emmanuel Katsanis*
Department of Pediatrics, University of Arizona, Tucson, AZ, USA
* Corresponding author; email: katsanis{at}peds.arizona.edu.
We have previously reported that stressed apoptotic tumor cells are more immunogenic in vivo than non-stressed 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 non-stressed apoptotic tumor cells, we analyzed the responses of dendritic cells to these two types of apoptotic cells. We found that non-stressed 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 co-incubated with immature dendritic cells for 24 hours, this resulted in greater upregulation of co-stimulatory 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 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 TH1 profile of cytokines by spleen cells. Splenocytes from mice immunized with stressed apoptotic cells, but not non-stressed 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 HSPs, resulting in activation/maturation of dendritic cells, and ultimately the generation of potent antitumor T-cell responses.

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