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Blood, 1 March 2006, Vol. 107, No. 5, pp. 2013-2021.
Prepublished online as a Blood First Edition Paper on November 8, 2005; DOI 10.1182/blood-2005-05-1795.


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Submitted May 3, 2005
Accepted October 18, 2005

Tumor-derived lactic acid modulates dendritic cell activation and antigen expression

Eva Gottfried, Leoni A Kunz-Schughart, Stephanie Ebner, Wolfgang Mueller-Klieser, Sabine Hoves, Reinhard Andreesen, Andreas Mackensen, and Marina Kreutz*

Hematology and Oncology, University of Regensburg, Regensburg, Germany
Institute of Pathology, University of Regensburg, Regensburg, Germany
Institute of Physiology and Pathophysiology, University of Mainz, Mainz, Germany

* Corresponding author; email: marina.kreutz{at}klinik.uni-regensburg.de.

The tumor milieu can influence dendritic cell (DC) differentiation. We analyzed DC differentiation in a 3-dimensional tumor model and propose a new mechanism of DC modulation by the tumor environment. Monocytes were cultured in the presence of IL-4 and GM-CSF within multicellular tumor spheroids (MCTS) generated from different tumor cell lines. Monocytes invaded the MCTS and differentiated into tumor-associated dendritic cells (TADC). The antigen expression was altered on TADC independent of the culture conditions (immature/mature DC, langerhans cells) and IL-12 secretion was reduced. Supernatants of MCTS could partially transfer the suppressive effect. Conditioned media from urothelial carcinoma cell lines contained high levels of M-CSF and IL-6, both cytokines known to modulate DC differentiation. In contrast, melanoma and prostate carcinoma MCTS co-cultures produced little M-CSF and IL-6, but high levels of lactic acid. Indeed, addition of lactic acid during DC differentiation in vitro induced a phenotype comparable to TADC generated within melanoma and prostate carcinoma MCTS. Blocking of lactic acid production in melanoma MCTS co-cultures reverted the TADC phenotype back to normal. We therefore conclude that tumor-derived lactic acid is an important factor modulating the DC phenotype in the tumor environment which may critically contribute to tumor escape mechanisms.


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