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*
Department of Oncology and Surgical Sciences, Padua, Italy;
Howard Hughes Medical Institute-National Institutes of Health Research Scholars Program, Bethesda, MD 20814; and
Surgery Branch, National Institutes of Health, Bethesda, MD 20892
Tumor cells gene-modified to produce GM-CSF potently stimulate
antitumor immune responses, in part, by causing the growth and
differentiation of dendritic cells (DC). However, GM-CSF-modified tumor
cells must be
-irradiated or they will grow progressively, killing
the host. We observed that 23 of 75 (31%) human tumor lines and two
commonly used mouse tumor lines spontaneously produced GM-CSF. In mice,
chronic GM-CSF production by tumors suppressed Ag-specific
CD8+ T cell responses. Interestingly, an inhibitory
population of adherent CD11b(Mac-1)/Gr-1 double-positive cells caused
the observed impairment of CD8+ T cell function upon direct
cell-to-cell contact. The inhibitory cells were positive for some
markers associated with Ag presenting cells, like F4/80, but were
negative for markers associated with fully mature DC like DEC205, B7.2,
and MHC class II. We have previously reported that a similar or
identical population of inhibitory "immature" APC was elicited
after immunization with powerful recombinant immunogens. We show here
that these inhibitory cells can be elicited by the administration of
recombinant GM-CSF alone, and, furthermore, that they can be
differentiated ex vivo into "mature" APC by the addition of IL-4
and GM-CSF. Thus, tumors may be able to escape from immune detection by
producing "unopposed" GM-CSF, thereby disrupting the balance of
cytokines needed for the maturation of fully functional DC. Further,
CD11b/Gr-1 double-positive cells may function as "inhibitory" APC
under the influence of GM-CSF alone.
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