Leukemia blast-induced T-cell anergy demonstrated by leukemia-derived dendritic cells in acute myelogenous leukemia

To elucidate the mechanism of immunologic escape of leukemia cells and establish an effective anti-leukemia immunotherapy, we attempted to generate dendritic cells from leukemia cells in patients with acute myelogenous leukemia (AML). Using these leukemia-derived dendritic cells, we investigated leu...

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Veröffentlicht in:Experimental hematology 2001-06, Vol.29 (6), p.709-719
Hauptverfasser: Narita, Miwako, Takahashi, Masuhiro, Liu, Aichun, Nikkuni, Kohji, Furukawa, Tatsuo, Toba, Ken, Koyama, Satoru, Takai, Kazue, Sanada, Masayoshi, Aizawa, Yoshifusa
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container_end_page 719
container_issue 6
container_start_page 709
container_title Experimental hematology
container_volume 29
creator Narita, Miwako
Takahashi, Masuhiro
Liu, Aichun
Nikkuni, Kohji
Furukawa, Tatsuo
Toba, Ken
Koyama, Satoru
Takai, Kazue
Sanada, Masayoshi
Aizawa, Yoshifusa
description To elucidate the mechanism of immunologic escape of leukemia cells and establish an effective anti-leukemia immunotherapy, we attempted to generate dendritic cells from leukemia cells in patients with acute myelogenous leukemia (AML). Using these leukemia-derived dendritic cells, we investigated leukemia cell-associated T-cell anergy. Leukemia cells of 30 patients with AML were cultured with granulocyte-macrophage colony-stimulating factor, interleukin-4, and tumor necrosis factor-α. Cultured leukemia cells were evaluated for antigen-presenting ability by mixed leukocyte culture (MLC). Normal lymphocytes, which were cocultured with leukemia blasts in the first MLC, were cultured with leukemia-derived dendritic cells in the second MLC. In cultures of leukemia cells from 21 of 30 patients examined, cells with stellate morphology and cell fractions with CD1a + and/or CD83 + were present. Autologous MLC using lymphocytes obtained in remission phase as responders as well as allogeneic MLC demonstrated antigen-presenting ability in leukemia-derived dendritic cells. Leukemia cells of FAB-M0, M1, M2, M3, or M6 morphology/phenotype gave rise to dendritic cells as well as leukemia cells of M5. The leukemic origin of dendritic cells was suggested by in situ hybridization. By coculture with CD80 − leukemia blasts, the response of normal lymphocytes to leukemia-derived dendritic cells cultured from the same individual as that of leukemia blasts was markedly reduced, compared with the lymphocytes cultured with leukemia blasts from a different individual as leukemia blasts. Escape of leukemia cells from anti-leukemia immunity may be associated with T-cell anergy caused by leukemia blasts. The results of the present study suggest that leukemia-derived dendritic cells can be applied efficiently in anti-leukemia immunotherapy.
doi_str_mv 10.1016/S0301-472X(01)00636-1
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Blast Crisis - immunology
Clonal Anergy - immunology
Coculture Techniques
Colony-Stimulating Factors - pharmacology
Dendritic Cells - drug effects
Dendritic Cells - immunology
Female
Granulocyte-Macrophage Colony-Stimulating Factor - pharmacology
Humans
Interleukin-4 - pharmacology
Karyotyping
Leukemia, Myeloid, Acute - blood
Leukemia, Myeloid, Acute - genetics
Leukemia, Myeloid, Acute - immunology
Leukemia, Myeloid, Acute - pathology
Leukocyte Count
Lymphocyte Culture Test, Mixed
Male
Middle Aged
T-Lymphocytes - immunology
Tumor Cells, Cultured
Tumor Necrosis Factor-alpha - pharmacology
title Leukemia blast-induced T-cell anergy demonstrated by leukemia-derived dendritic cells in acute myelogenous leukemia
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