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The Journal of Immunology, 2004, 173: 1772-1778.
Copyright © 2004 by The American Association of Immunologists

{alpha}-Fetoprotein Impairs APC Function and Induces Their Apoptosis1

Soon Ho Um*, Catherine Mulhall*, Akeel Alisa*,{dagger}, Annette Robyn Ives*, John Karani{dagger}, Roger Williams*,{dagger}, Antonio Bertoletti* and Shahriar Behboudi2,*

* Institute of Hepatology, University College London, and {dagger} Liver Unit, Cromwell Hospital, London, United Kingdom

{alpha}-Fetoprotein (AFP) is a tumor-associated Ag, and its serum level is elevated in patients with hepatocellular carcinoma (HCC). In vitro, AFP induces functional impairment of dendritic cells (DCs). This was demonstrated by the down-regulation of CD40 and CD86 molecules and the impairment of allostimulatory function. Also, AFP was found to induce significant apoptosis of DCs, and AFP-treated DCs produced low levels of IL-12 and TNF-{alpha}, a cytokine pattern that could hamper an efficient antitumor immune response. Ex vivo, APCs of patients with HCC and high levels of AFP produced lower levels of TNF-{alpha} than that of healthy individuals. In conclusion, these results illustrate that AFP induces dysfunction and apoptosis of APCs, thereby offering a mechanism by which HCC escapes immunological control.




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