|
|
||||||||



* Cancer Sciences Division, University of Southampton and
School of Chemistry, University of Southampton, Southampton, United Kingdom;
Department of Rheumatology, Laboratory of Molecular Immunology and Inflammation, Ghent University Hospital, Ghent, Belgium; and
Laboratory of Medicinal Chemistry, Faculty of Pharmaceutical Sciences, Ghent University, Belgium
| Abstract |
|---|
|
|
|---|
-galactosylceramide promotes CD8+ cytotoxic T cell responses, a property that has been used to enhance the efficacy of antitumor vaccines. Using chimeric mice, we now show that the adjuvant properties of iNKT cells require that CD40 triggering and Ag presentation to CD8+ T cells occur on the same APCs. We demonstrate that injection of
-galactosylceramide triggers CD70 expression on splenic T cell zone dendritic cells and that this is dependent on CD40 signaling. Importantly, we show that blocking the interaction between CD70 and CD27, its costimulatory receptor on T cells, abrogates the ability of iNKT cells to promote a CD8+ T cell response and abolishes the efficacy of
-GalCer as an adjuvant for antitumor vaccines. These results define a key role for CD70 in linking the innate response of iNKT cells to the activation of CD8+ T cells. | Introduction |
|---|
|
|
|---|
β TCR and NK cell receptors and recognize glycolipids presented by CD1d molecules. Most mouse iNKT cells express the V
4-Ja18 TCR rearrangement, whereas the equivalent population in humans express the V
24-J
18 TCR rearrangement (1). Activation of iNKT cells can lead to beneficial immune responses, including antitumor responses, protection from a variety of infectious agents, prevention of autoimmunity, and maintenance of self-tolerance (1).
Stimulation of iNKT cells has been shown to have profound effects on the priming of conventional T cells. Thus, injection of
-galactosylceramide (
GalCer), a strong agonist for iNKT cells, triggers a powerful CD8+ cytotoxic T cell response to a coadministered protein Ag (2, 3, 4). Consequently, iNKT cell agonists have been shown to act as adjuvants for antitumor T cell vaccines (5, 6). The precise mechanism responsible for the adjuvant effects of iNKT cell agonists is not fully understood. Injection of
GalCer leads to dendritic cell (DC) maturation as evident by increased expression of the costimulatory proteins CD80 and CD86 as well as enhanced production of TNF-
, IFN-
, and IL-12 (2, 3, 4). Analysis of mice that are made deficient in the production of these cytokines or are unable to respond to IFN-
, along with studies involving in vivo administration of recombinant TNF-
and IFN-
, demonstrate that these cytokines do not mediate the adjuvant effects of
GalCer on conventional CD8+ T cells (2, 4). In contrast, T cell immunity following administration of
GalCer was abrogated in CD40 ligand (CD40L) or CD40-deficient mice (2, 4). Two hours following activation, iNKT cells up-regulate CD40L and thus acquire the capability to activate DCs via CD40 (4). DCs obtained from
GalCer-injected normal, but not CD40-deficient, mice were able to initiate T cell immunity after transfer into naive mice (4). Thus, taken together the available evidence indicates that maturation of DCs by iNKT cells via the CD40L-CD40 interaction is critical for promoting priming of conventional T cells. The maturation signals triggered by ligation of CD40 on DCs in the context of iNKT cell-mediated induction of adaptive immunity are unknown. Previous work has shown that presentation of peptide-MHC I complexes by DCs to CD8+ T cells was unaffected by the absence of CD40 (4). In addition, CD40 signaling was dispensable for the
GalCer-mediated increase in CD80 and CD86 on DCs (4). Up-regulation of CD80 and CD86 on DCs after injection of
GalCer was shown to be dependent on TNF-
and IFN-
. However, administration of TNF-
and IFN-
together with a protein Ag did not lead to T cell priming, despite the ability of these cytokines to increase CD80 and CD86 expression on DCs (4). Together these data indicate that increased expression of CD80 and CD86 per se is not responsible for the adjuvant properties of
GalCer on conventional T cells. In this study, we address the mechanism responsible for the enhanced CD8+ T response following activation of iNKT cells in vivo.
CD70 is a member of the TNF family and the ligand for the T cell costimulatory receptor CD27 (7, 8, 9). In previous studies, we have shown that the CD70-CD27 interaction is required for CD8+ T cell priming when agonistic CD40 mAb or the TLR3 ligand poly(I:C) are used as adjuvants and also during CD4+ Th cell-dependent CD8+ T cell responses (10, 11, 12). In this study, we demonstrate that expression of CD70 is induced on DCs within the T cell areas of the spleen following activation of iNKT cells in vivo. We provide evidence that CD70 expression is essential for mediating the adjuvant effects of
GalCer on conventional CD8+ T cells.
| Materials and Methods |
|---|
|
|
|---|
Anti-CD70 (TAN1.6), a nondepleting mAb that blocks the CD70-CD27 interaction, anti-A31 lymphoma Id control mAb (Mc39-16, rat IgG2a), anti-CD40L mAb (MR1, hamster IgG), and anti-BCL1 lymphoma Id control mAb (AT65, hamster IgG) were described previously (10, 11, 12, 13). Biotin anti-CD70 (FR70) was purchased from BD Pharmingen.
GalCer was synthesized using published procedures (14, 15, 16). OCH, a derivative of
GalCer that has a truncation of two hydrocarbons in the fatty acyl chain and of nine hydrocarbons in the sphingosine chain (17), was a gift from Prof. Stephan Gadola (University of Southampton, Southampton, U.K.). OVA was obtained from Sigma-Aldrich and OVA peptide 257–264 (OVAp) with the sequence SIINFEKL was obtained from Peptide Protein Research. PE H-2Kb/OVA 257–264 tetramer was purchased from Beckman Coulter. Allophycocyanin-conjugated CD1d tetramer (ProImmune) was loaded with
GalCer according to the manufacturers protocol. Briefly, 1 mg/ml stock solution of
GalCer in DMSO was diluted 5-fold with PBS/0.5% Tween 20, sonicated for 30 min at room temperature, added to the tetramer at a 12 M excess of the lipid, and incubated at room temperature overnight in the dark.
Mice and in vivo experiments
BALB/c, C57BL/6 (B6), OT-I, bm1, and CD40–/– mice were bred and maintained in a pathogen-free environment and were used at 8–12 wk of age. To generate bone marrow chimeras, 6-wk-old wild-type (WT) B6 recipients were irradiated with 10 Gy from a 137Cs source and reconstituted with 2 x 106 WT (control), bm1, CD40–/–, or a 1:1 mixture of bm1/CD40–/– bone marrow cells. Chimeric mice were maintained on neomycin-containing water for 3 days before and 2 wk after irradiation. Six to 8 wk after injection of bone marrow cells, the efficiency of reconstitution was confirmed by flow cytometry analysis of PBL labeled with combinations of PE anti-CD4/FITC anti-CD8 or PE anti-CD19/FITC anti-CD40 mAbs. OVA-specific T cell responses were primed in WT or chimeric B6 mice by i.v. administration (day 0) of OVA (0.5 mg) in combination with 2 µg of
GalCer or OCH. In some experiments, mice were injected i.v. with OVAp (30 nmol) with or without
GalCer (2 µg). For measurement of OT-I T cell responses, CD8+ OT-I T cells were purified by negative selection and 7 x 105 cells were injected i.v. into chimeric mice. OVA-specific CD8+ T lymphocytes were identified as CD8+H-2Kb/OVA257–264 tetramer+ cells. Anti-J558L T cell responses were generated in BALB/c mice by injecting irradiated (75 Gy) J558L cells (2 x 107 cells i.v.) with or without
GalCer. Depletion of CD8+ T cells was achieved by injecting a depleting anti-CD8 mAb (YTS 169.4.2.1; 1 mg) i.p. on days –3, –1, and 0 and was maintained by three additional weekly administrations of 1 mg of the Ab. Abs to CD40L, CD70, or Id (control Ig) were administered i.p. at the dose of 0.5 mg on days 0 and 1. For the tumor protection assays, 2 x 106 live E.G7 or 5 x 106 J558L cells were inoculated s.c. 7 days after priming. Tumor growth was regularly monitored and the experiments were terminated when tumor size exceeded 150 mm2. Animal experiments were conducted in accordance with the U.K. Home Office guidelines and approved by the University of Southampton Ethical Committee.
Detection of iNKT cells
PBL were incubated with
GalCer-loaded allophycocyanin-conjugated CD1d tetramer, FITC anti-CD3, and PerCP anti-B220 to exclude B220+ B cells capable of nonspecific binding to the CD1d tetramer.
Confocal microscopy
Ten-micrometer frozen sections were fixed in acetone, blocked with 5% normal goat serum, and incubated with rat anti-CD19 (in-house), rat anti-interdigitating DC Ag (MIDC-8; Serotec), followed by Alexa Fluor 488-conjugated goat anti-rat Ab (Molecular Probes). Sections were washed with PBS and incubated with purified rat IgG (in-house, 10 µg/ml, 1 h) before incubating with biotinylated rat anti-CD70 (FR70) overnight at 4°C. Tyramide signal amplification was used to enhance the CD70 staining (TSA kit no.22; Invitrogen Life Technologies) followed by streptavidin-conjugated Alexa Fluor 546 (Molecular Probes). In some experiments, CD70 was detected using the anti-CD70 mAb TAN 1.6 and Alexa Fluor 488-conjugated goat anti-rat polyclonal Ab. This protocol gave identical results to staining with the biotin-labeled anti-CD70 mAb FR70 (data not shown). Sections were counterstained with TOPRO-3 (Molecular Probes) and mounted in Vectashield (Vector Laboratories). Negative controls included omission of primary Abs, replacement of anti-CD70 with an irrelevant rat mAb (anti-Id), and, for colocalization, sections were labeled with MIDC-8 followed by biotinylated rat anti-F4/80 in place of anti-CD70 (data not shown). Images were collected sequentially on a Leica TCS SP2 confocal laser scanning microscope using argon (488 nm), Green helium/neon (543 nm) and RedHeNe (633 nm) lasers and a pinhole equivalent to 1 Airy disc. Image files (TIFF) were transferred to Adobe Photoshop CS2 and contrast stretched to use the whole gray scale.
| Results |
|---|
|
|
|---|
We initially confirmed that
GalCer-mediated priming of Ag-specific CD8+ T cells was dependent on the CD40L-CD40 interaction (2, 4). Thus, injection of
GalCer along with soluble OVA resulted in the priming of OVA-specific CD8+ T cells, whereas injection of OVA alone failed to prime OVA-specific T cells (Fig. 1A). Furthermore, administration of a CD40L mAb (MR-1) that blocks the CD40L-CD40 interaction abolished the T cell response (Fig. 1A). To further probe the role of CD40 in iNKT cell-mediated priming of CD8+ T cells, we examined whether CD40 triggering by activated iNKT cells and Ag presentation to CD8+ T cells occur on the same APCs. Groups of lethally irradiated mice were reconstituted with bone marrow from CD40–/–, bm1, or WT mice. A separate group of mice was reconstituted with a 1:1 mixture of bone marrow cells from CD40–/– and bm1 mice. APCs from bm1 mice (Kbm1), unlike those from WT C57BL/6 mice (Kb), cannot present OVA peptides to CD8+ T cells (18). Thus, in the mixed CD40–/–/bm1 chimera there are two types of APCs:
50% of the APCs are capable of being activated via CD40, but these cells lack the ability to present Ag to CD8+ T cells and the remaining APCs are capable of presenting Ag, but cannot be activated via CD40. CD8+ OT-I TCR-transgenic T cells (19) were then adoptively transferred into mice before they were challenged with OVA and
GalCer as an adjuvant and the CD8+/OT-I T cell response was measured on day 7. The ability of
GalCer to promote priming of OVA-specific CD8+ T cells was inhibited substantially in mice reconstituted with the mixture of CD40–/–/bm1 bone marrow (Fig. 1B). These results demonstrate that the adjuvant effects of
GalCer require that CD40 signaling and Ag presentation to CD8+ T cells occur on the same APCs and are indicative of a role for a CD40-induced membrane protein(s) in promoting CD8+ T cell responses.
|
GalCer injection triggers CD70 expression on DCs in the T cell areas of the spleen
To assess the requirement of CD70 in iNKT cell-driven responses of CD8+ T cells, we first examined whether activation of iNKT cells in vivo leads to induction of CD70 expression. Expression of CD70 was absent in the spleens of naive mice. However, 20 and 48 h following i.v. injection of
GalCer, specific staining with anti-CD70 mAb was observed on a subset of cells within the T cell areas of the spleen (Fig. 2, A–C). Expression of CD70 was completely abolished if mice were also administered an anti-CD40L mAb that blocks the interaction of CD40L with CD40 (Fig. 2D). These data suggested that i.v. injection of
GalCer results in CD70 expression on DCs within the T cell areas of the spleen. This was confirmed by costaining spleen sections with MIDC-8 (20, 21), a mAb that reacts specifically with T cell zone DCs (Fig. 2, E–H). We did not observe any significant staining with anti-CD70 mAb of other cells within the spleen after injection of
GalCer. We also noticed that after injection of
GalCer there was a significant increase in MIDC-8+ cells in the T cell areas of the spleen (Fig. 2, E–G). This is likely to represent an increase in DC numbers caused by mobilization of T cell zone DC precursors (22, 23). Our data, therefore, demonstrate that activation of iNKT cells in vivo leads to a remarkable increase in CD70-expressing DCs in the T cell areas of the spleen.
|
Since expression of CD70 is induced on DCs following injection of
GalCer, we examined whether CD70 is required for mediating the adjuvant effects of
GalCer on CD8+ T cells. As shown in Fig. 3, blocking the interaction between CD70 and CD27 in vivo with a nondepleting mAb (10, 11, 12) abolished the ability of
GalCer to promote priming of OVA-specific CD8+ T cells. The effect of the anti-CD70 mAb was observed both in peripheral blood as well as in the spleen (Fig. 3, A and B). A similar decrease in CD8+ T cell priming was observed when OCH, an alternative iNKT cell ligand that is less effective in sustaining TCR stimulation than
GalCer (17, 24), was used as an adjuvant (Fig. 3, A and B). Injection of the H-2K (Kb)-restricted immunodominant OVAp (SIINFEKL) with
GalCer also resulted in priming of OVA-specific CD8+ T cells and this was dependent on CD70 (Fig. 3C). To address when CD70 mediated its effects, we injected the anti-CD70 mAb immediately, 25 h, 40 h, or 65 h after administration of OVA and
GalCer and measured the CD8+ T cell response on day 7. Injection of the anti-CD70 mAb 65 h after administration of Ag and
GalCer caused little if any inhibition of CD8+ T cell priming, whereas all other treatments resulted in significant inhibition (Fig. 3D). These data show that the CD70-CD27 interaction is required during the first 2 days after injection of Ag and
GalCer.
|
GalCer in an antitumor vaccine setting, we used two different vaccination models. In the first model, we immunized mice with OVA in the presence of
GalCer and administered anti-CD70 mAb to assess the role of CD70 in the generation of a T cell response against OVA-expressing tumors. Seven days after immunization, we challenged the mice with E.G7 cells, a T cell lymphoma that expresses OVA (25). Immunization with OVA in the presence of
GalCer triggered antitumor immunity, resulting in a significant delay in tumor growth. Administration of the anti-CD70 mAb concurrently with the vaccine abolished this protective effect, consistent with its ability to block the generation of an OVA-specific CD8+ T cell response (Fig. 4A). In the second model, we immunized mice with irradiated J588L cells, a plasmacytoma that expresses the P1A cancer rejection Ag that is recognized by CD8+ T cells (26, 27). Immunization with irradiated J588L cells and
GalCer, but not irradiated tumor cells alone, generated long-term protective immunity against a challenge with live tumor cells and this protection was dependent on CD8+ T cells (Fig. 4B). When mice were immunized with irradiated J588L cells and
GalCer and were given anti-CD70 mAb with the vaccine, the protective effect of
GalCer was completely abolished (Fig. 4, C and D). These data demonstrate the essential role of CD70 in the generation of antitumor T cell responses following administration of vaccines that incorporate
GalCer as an adjuvant.
|
We determined whether CD70 played a role in the expansion of iNKT cells following their activation in vivo. Injection of
GalCer or OCH resulted in
60 and 12-fold expansion of peripheral blood iNKT cells, respectively, and this expansion was not affected by administration of the neutralizing anti-CD70 mAb (Fig. 5). Similarly, neutralization of CD70 did not affect the expansion of iNKT cells within the spleen (data not shown). Taken together, these data demonstrate that iNKT cell expansion proceeds independently of the CD70-CD27 interaction.
|
| Discussion |
|---|
|
|
|---|
GalCer to stimulate conventional T cell responses to a coadministered protein Ag has been attributed to the induction of CD40L expression on iNKT cells and the subsequent activation of DCs via CD40 (2, 4). Activation of DCs by iNKT cells triggers an increase in the expression of the costimulatory proteins CD80 and CD86 as well as enhanced secretion of TNF-
, IFN-
, and IL-12, but none of these changes is sufficient for the expansion of conventional CD8+ T cells. In this study, we provide evidence for a novel mechanism for enhanced CD8+ T cell immunity following activation of iNKT cells. We show that injection of
GalCer triggers CD70 expression on DCs in the T cell areas of the spleen (Fig. 2). CD70 was absent on DCs in unstimulated mice and its induction by
GalCer was entirely dependent on CD40 signaling (Fig. 2). Importantly, we found that the ability of
GalCer to promote CD8+ T cell responses is highly dependent on CD70 (Fig. 3). Accordingly, neutralization of CD70 in vivo abolishes the adjuvant effect of
GalCer and negates the antitumor immunity generated by vaccination with a model tumor Ag or apoptotic tumor cells (Fig. 4).
That CD70 is required during the first 2 days after injection of
GalCer (Fig. 3C) is consistent with the pattern of CD70 expression on DCs (Fig. 2) and the reported temporal association between DCs and CD8+ T cells in secondary lymphoid tissue (28). Naive CD8+ T cells interact with Ag-loaded activated DCs in three distinct phases. Phase 1 consists of brief contacts and lasts for up to 8 h. In phase 2, CD8+ T cells and Ag-bearing activated DCs engage in more stable interaction that lasts for
12 h. On the second day (phase 3), T cells resume their motile behavior, making only transient contacts with DCs. The functional significance of the three different interaction phases is not fully understood. Establishment of stable T cell-DC interactions appears to coincide with the ability of T cells to differentiate into cytokine-secreting cells, whereas T cell proliferation ensues during phase 3 (28). In our study, CD70 was detected on DCs at 20 and 48 h after injection of
GalCer (Fig. 2), and administration of the neutralizing anti-CD70 mAb as late as 40 h after immunization still resulted in significant inhibition of CD8+ T cell responses (Fig. 3C). It should be noted, however, that the magnitude of inhibition achieved by neutralizing CD70 at 40 h was not as high as that seen following Ab administration at earlier time points (Fig. 3C). This, therefore, suggests that appropriate expansion of polyclonal CD8+ T cells requires CD70 costimulation throughout the first 2 days after immunization with soluble protein and
GalCer.
In the spleen, there are two distinct DC subsets distinguished by expression of different markers and localization to a discrete anatomic location (21, 29, 30, 31, 32). T cell zone DCs express CD8
, DEC205, and the Ag recognized by mAb MIDC-8, whereas DCs that reside in the red pulp and marginal zone are CD8
– and express the Ag recognized by mAb 33D1. Recently, cross-presentation of soluble OVA to CD8+ T cells was shown to be dependent on the expression of the mannose receptor (MR), an endocytic receptor present on some CD8
+ DCs (33, 34). OVA endocytosed via the MR enters an early endocytic compartment distinct from lysosomes that facilitate cross-presentation of antigenic peptides to CD8+ T cells (33). CD8
+ DCs have also been shown to cross-present Ags to CD8+ T cells following capture of dying cells (35). In this study, we showed that iNKT cell-dependent priming of CD8+ T cells after immunization with soluble OVA and
GalCer requires CD40 signaling and peptide/MHC I presentation by the same APCs (Fig. 1B). Because in vivo cross-presentation is primarily a function of CD8
+ DCs (32, 33, 35, 36, 37), our data suggest that iNKT cells trigger direct activation or "licensing" of this DC subset by inducing the expression of CD70, thus providing the critical costimulatory signal required for CD8+ T cell expansion.
Recently, Soares et al. (38) demonstrated preferential expression of CD70 on DEC205+ DCs upon coculture with activated CD4+ T cells and this was essential for driving CD4+ T cell proliferation and differentiation into IFN-
-producing effector cells (38). Consistent with this observation, administration of Ag targeted to DEC205+ DCs along with a combination of agonistic CD40 mAb and poly(I:C) as an adjuvant, resulted in the priming of CD4+ T cells in a CD70-dependent manner. Conversely, Ag targeting to the 33D1+ DC subset triggered CD4+ T cell priming independent of CD70. Furthermore, priming of CD4+ T cells by nontargeted Ag that was presented by both DC subsets was only partially dependent on CD70. In light of the recent findings by Soares et al. (38), we investigated whether the requirement for CD70 in the
GalCer-mediated priming of CD8+ T cells was affected by the type of the Ag-presenting DCs. We administered Ag in the form of the immunodominant OVAp SIINFEKL along with
GalCer and investigated the effect of CD70 blockade on the priming of OVA-specific CD8+ T cells. Unlike whole OVA, OVAp is not targeted to a particular APC and should therefore be presented by DEC205+ and 33D1+ DCs. Administration of the anti-CD70 mAb inhibited CD8+ T cell priming by OVAp and
GalCer to levels comparable to those seen when whole OVA was used as Ag. Thus, irrespective of whether Ag is presented only by DEC205+ DCs or is more widely presented, the adjuvant properties of
GalCer toward CD8+ T cells are critically reliant on CD70. It is possible that CD8
+DEC205+ DCs, which express higher levels of CD1d than CD8
– DCs (39), are the main APCs that prime CD8+ T cells following activation of iNKT cells. This notion is consistent with our data demonstrating that CD70 is expressed in T cell zone and not marginal zone or red pulp-associated DCs after
GalCer administration (Fig. 2).
By revealing the mechanism responsible for the adjuvant effect of iNKT cells toward CD8+ CTLs, it might be possible in the future to develop adjuvants that stimulate effective immunity without the inflammation associated with activation of the innate immune response.
| Acknowledgments |
|---|
| Disclosures |
|---|
|
|
|---|
| Footnotes |
|---|
1 This work was funded by grants from Cancer Research U.K., Tenovus, Wessex Medical Research, the Fund for Scientific Research Flanders, and the Research Council of Ghent University. ![]()
2 Address correspondence and reprint requests to Dr. Aymen Al-Shamkhani, Tenovus Research Laboratory, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, U.K. E-mail address: aymen{at}soton.ac.uk ![]()
3 Abbreviations used in this paper: iNKT, invariant NKT cell; DC, dendritic cell;
GalCer,
-galactosylceramide; CD40L, CD40 ligand; OVAp, OVA peptide; WT, wild type; MR, mannose receptor. ![]()
Received for publication September 17, 2007. Accepted for publication January 20, 2008.
| References |
|---|
|
|
|---|
-galactosylceramide rapidly induces the full maturation of dendritic cells in vivo and thereby acts as an adjuvant for combined CD4 and CD8 T cell immunity to a coadministered protein. J. Exp. Med. 198: 267-279.
-galactosyl ceramide, a potent immunostimulatory agent. J. Org. Chem. 67: 4559-4564. [Medline]
by an IL-12-independent but CD70-dependent mechanism in vivo. J. Exp. Med. 204: 1095-1106. This article has been cited by other articles:
![]() |
M. M. Venkataswamy, A. Baena, M. F. Goldberg, G. Bricard, J. S. Im, J. Chan, F. Reddington, G. S. Besra, W. R. Jacobs Jr., and S. A. Porcelli Incorporation of NKT Cell-Activating Glycolipids Enhances Immunogenicity and Vaccine Efficacy of Mycobacterium bovis Bacillus Calmette-Guerin J. Immunol., August 1, 2009; 183(3): 1644 - 1656. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. M. Keller, Y. Xiao, V. Peperzak, S. H. Naik, and J. Borst Costimulatory ligand CD70 allows induction of CD8+ T-cell immunity by immature dendritic cells in a vaccination setting Blood, May 21, 2009; 113(21): 5167 - 5175. [Abstract] [Full Text] [PDF] |
||||
![]() |
S.-i. Fujii, A. Goto, and K. Shimizu Antigen mRNA-transfected, allogeneic fibroblasts loaded with NKT-cell ligand confer antitumor immunity Blood, April 30, 2009; 113(18): 4262 - 4272. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Terabe and J. A. Berzofsky NKT Cells and Cancer: Two Subsets Form a New Immunoregulatory Axis Am. Assoc. Cancer Res. Educ. Book, April 18, 2009; 2009(1): 203 - 208. [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |