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The Journal of Immunology, 2004, 173: 2855-2865.
Copyright © 2004 by The American Association of Immunologists

Leukemia-Derived Immature Dendritic Cells Differentiate into Functionally Competent Mature Dendritic Cells That Efficiently Stimulate T Cell Responses1

Alessandro Cignetti2,*, Antonella Vallario*,{dagger}, Ilaria Roato*, Paola Circosta*, Bernardino Allione§, Laura Casorzo{ddagger}, Paolo Ghia*,{dagger} and Federico Caligaris-Cappio3,*,{dagger}

* Laboratory of Cancer Immunology, Institute for Cancer Research and Treatment, {dagger} Department of Oncological Sciences, University of Torino Medical School, and {ddagger} Unit of Pathology, Institute for Cancer Research and Treatment, Candiolo, Italy; and § Division of Hematology, Azienda Ospedaliera Santissimi. Antonio e Biagio, Alessandria, Italy

Primary acute myeloid leukemia cells can be induced to differentiate into dendritic cells (DC). In the presence of GM-CSF, TNF-{alpha}, and/or IL-4, leukemia-derived DC are obtained that display features of immature DC (i-DC). The aim of this study was to determine whether i-DC of leukemic origin could be further differentiated into mature DC (m-DC) and to evaluate the possibility that leukemic m-DC could be effective in vivo as a tumor vaccine. Using CD40L as maturating agent, we show that leukemic i-DC can differentiate into cells that fulfill the phenotypic criteria of m-DC and, compared with normal counterparts, are functionally competent in vitro in terms of: 1) production of cytokines that support T cell activation and proliferation and drive Th1 polarization; 2) generation of autologous CD8+ CTLs and CD4+ T cells that are MHC-restricted and leukemia-specific; 3) migration from tissues to lymph nodes; 4) amplification of Ag presentation by monocyte attraction; 5) attraction of naive/resting and activated T cells. Irradiation of leukemic i-DC after CD40L stimulation did not affect their differentiating and functional capacity. Our data indicate that acute myeloid leukemia cells can fully differentiate into functionally competent m-DC and lay the ground for testing their efficacy as a tumor vaccine.




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