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The Journal of Immunology, 2005, 175: 820-828.
Copyright © 2005 by The American Association of Immunologists

Dendritic Cell-Mediated Cross-Presentation of Antigens Derived from Colon Carcinoma Cells Exposed to a Highly Cytotoxic Multidrug Regimen with Gemcitabine, Oxaliplatin, 5-Fluorouracil, and Leucovorin, Elicits a Powerful Human Antigen-Specific CTL Response with Antitumor Activity in Vitro1

Pierpaolo Correale*, Maria Grazia Cusi{dagger}, Maria Teresa Del Vecchio*, Angelo Aquino, Salvatore Prete, Kwong Y. Tsang||, Lucia Micheli{ddagger}, Cristina Nencini{ddagger}, Marco La Placa*, Francesco Montagnani*, Chiara Terrosi{dagger}, Michele Caraglia§, Vincenzo Formica, Giorgio Giorgi{ddagger}, Enzo Bonmassar2 and Guido Francini*2

Section of Oncology and* Section of Pathology, Department of Human Pathology and Oncology;{dagger} Section of Virology, Department of Molecular Biology;{ddagger} Giorgio Segre Department of Pharmacology, Siena University School of Medicine, Siena, Italy;§ Experimental Oncology Unit, National Cancer Institute of Naples, Fondazione Pascale, Naples, Italy; Medical Oncology and Pharmacology Section, Department of Neuroscience, University of Roma Tor Vergata, Rome, Italy; and|| Experimental Oncology Section, Laboratory of Tumor Immunology and Biology, National Cancer Institute, Bethesda MD 20892

Gemcitabine, oxaliplatin, leucovorin, and 5-fluorouracil (GOLF) is a novel multidrug regimen inducing high levels of necrosis and apoptosis in colon carcinoma cells. This regimen is also able to promote a process of Ag remodeling including up-regulation of immunotherapy targets like carcinoembryonic Ag (CEA), thymidylate synthase (TS). We have conducted a preclinical study aimed to investigate whether these drug-induced modifications would also enhance colon cancer cell immunogenicity. Several CTL lines were thus generated by in vitro stimulating human HLA-A(*)02.01+ PBMCs, from normal donors and colon cancer patients, with autologous dendritic cells cross-primed with cell lysates of colon cancer cells untreated, irradiated, or previously exposed to different drug treatments including the GOLF regimen. Class I HLA-restricted cytolytic activity of these CTL lines was tested against colon cancer cells and CEA and TS gene transfected target cells. These experiments revealed that CTLs sensitized with GOLF-treated cancer cells were much more effective than those sensitized with the untreated colon carcinoma cells or those exposed to the other treatments. CTL lines sensitized against the GOLF-treated colon cancer cells, also expressed a greater percentage of T-lymphocyte precursors able to recognize TS- and CEA-derived peptides. These results suggest that GOLF regimen is a powerful antitumor and immunomodulating regimen that can make the tumor cells a suitable means to induce an Ag-specific CTL response. These results suggest that a rationale combination of GOLF chemotherapy with cytokine-based immunotherapy could generate a chemotherapy-modulated Ag-specific T-lymphocyte response in cancer patients able to destroy the residual disease survived to the cytotoxic drugs.




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