The Contribution of Vascular Endothelial Growth Factor to the Induction of Regulatory T-Cells in Malignant Effusions

It has been suggested that immunosuppressive cytokines such as transforming growth factor β (TGF-β) and interleukin 10 play an important role in the induction and/or maintenance of regulatory T-cells (Tregs) in patients with cancer. In the present study, whether or not vascular endothelial growth...

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Veröffentlicht in:Anticancer research 2009-03, Vol.29 (3), p.881-888
Hauptverfasser: WADA, Junji, SUZUKI, Hiroyuki, KATANO, Mitsuo, FUCHINO, Ryouta, YAMASAKI, Akio, NAGAI, Shuntaro, YANAI, Kousuke, KOGA, Kenichiro, NAKAMURA, Masafumi, TANAKA, Masao, MORISAKI, Takashi
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container_issue 3
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container_title Anticancer research
container_volume 29
creator WADA, Junji
SUZUKI, Hiroyuki
KATANO, Mitsuo
FUCHINO, Ryouta
YAMASAKI, Akio
NAGAI, Shuntaro
YANAI, Kousuke
KOGA, Kenichiro
NAKAMURA, Masafumi
TANAKA, Masao
MORISAKI, Takashi
description It has been suggested that immunosuppressive cytokines such as transforming growth factor β (TGF-β) and interleukin 10 play an important role in the induction and/or maintenance of regulatory T-cells (Tregs) in patients with cancer. In the present study, whether or not vascular endothelial growth factor (VEGF) contributes to the induction and/or maintenance of Tregs was examined, because of experience with a patient in whom a positive correlation between VEGF concentration and the percentage of Tregs (% Tregs) among the total CD4 + T-cells in the pleural effusion was found during dendritic cell activated lymphocyte therapy. CD4 + CD25 high T-cells were estimated as Tregs in the present study. In an in vitro experimental system, VEGF-containing malignant effusions increased the % Tregs in autologous peripheral blood mononuclear cells (PBMCs), which could be suppressed by the addition of a humanized monoclonal anti-VEGF antibody (bevacizumab [Avastin]). When VEGF-producing hepatic carcinoma cells were mix-cultured with PBMCs, the % Tregs increased and this increase was also suppressed by the addition of bevacizumab. Whether or not bevacizumab can affect the % Tregs of PBMCs in patients with colon cancer was also examined. Three out of four patients showed a significant decrease of the % Tregs after intravenous injection of bevacizumab. Interestingly, the expression of VEGF receptor-2 (VEGFR-2) was higher in Tregs than in other CD4 + T-cells. Taken together, the data presented here indicate a contribution of VEGF to induction and/or maintenance of Tregs in patients with cancer.
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Whether or not bevacizumab can affect the % Tregs of PBMCs in patients with colon cancer was also examined. Three out of four patients showed a significant decrease of the % Tregs after intravenous injection of bevacizumab. Interestingly, the expression of VEGF receptor-2 (VEGFR-2) was higher in Tregs than in other CD4 + T-cells. Taken together, the data presented here indicate a contribution of VEGF to induction and/or maintenance of Tregs in patients with cancer.</abstract><cop>Attiki</cop><pub>International Institute of Anticancer Research</pub><pmid>19414323</pmid><tpages>8</tpages></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Angiogenesis Inhibitors - therapeutic use
Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Humanized
Bevacizumab
Biological and medical sciences
Dendritic Cells - transplantation
Enzyme-Linked Immunosorbent Assay
Female
Flow Cytometry
Humans
Immunotherapy
Male
Medical sciences
Middle Aged
Neoplasms - immunology
Neoplasms - therapy
Pleural Effusion, Malignant - immunology
Pleural Effusion, Malignant - therapy
T-Lymphocytes, Regulatory - immunology
Tumors
Vaccination
Vascular Endothelial Growth Factor A - antagonists & inhibitors
Vascular Endothelial Growth Factor A - physiology
Vascular Endothelial Growth Factor Receptor-2 - metabolism
title The Contribution of Vascular Endothelial Growth Factor to the Induction of Regulatory T-Cells in Malignant Effusions
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