Cancer immunotherapy aims at inducing immune responses against tumour-associated antigens that mediate the eradication of tumour cells. For successful vaccination against antigens expressed by the tumour, the immune system has to be provided with sufficient amounts of these antigens in connection with strong immunostimulatory signals such as toll-like receptor (TLR) ligands. Tumour cells represent a convenient source of relevant tumour-associated antigens but can have suppressive properties. In this study, we explored how different forms of tumour cell material influence the activation of dendritic cells (DC), which play a crucial role in the induction of anti-tumour immune responses. We show that freeze-and-thaw-disrupted tumour cells inhibit DC activation in response to TLR stimulation, a phenomenon that is only partially seen with non-disrupted control cells. This suppression of DC stimulation is independent of tumour cell-and speciesspecific factors. We tested the hypothesis that phosphatidylserine on cells with disrupted membrane integrity mediates inhibition of TLR-induced DC activation. Our experimental evidence indicates that phosphatidylserine is not involved in the inhibition of TLR-mediated DC activation by freeze-and-thaw-disrupted cells. The inhibitory activity associated with disrupted tumour cells could explain why such preparations are less effective tumour vaccines than apoptotic tumour cells.
IntroductionTumour cells represent an easily available source of tumourassociated antigens (TAA) for various immunotherapeutic approaches [1,2]. The use of tumour cells instead of recombinant proteins theoretically allows the immune response to be directed against several TAA expressed by a particular tumour without the need to identify them prior to therapy. In addition, the targeting of several TAA simultaneously should decrease the risk of immune evasion by tumour cells via down-regulation of TAA expression. However, tumour cells use a multitude of other strategies to evade the immune system [3], which could pose a problem when using them as the source of antigen. For example, it was shown that immunoregulatory factors such as tumour growth factor b (TGF-b) and interleukin 10 (IL-10) are expressed or induced by some tumours and are associated with disease progression [4,5]. The latter has been attributed to their ability to suppress the immunostimulatory activity of antigen presenting à These authors contributed equally to this study.
2740cells (APC), such as DC [6][7][8]. To avoid outgrowth and to abrogate the active immunoregulatory influence of live tumour cells, many immunotherapeutic strategies use apoptotic or necrotic tumour cell material as the source of TAA [9][10][11][12]. However, factors induced or exposed in apoptotic or necrotic cells may also affect the activation of APC and phagocytes that encounter such material [13,14]. Whether an apoptotic cell exerts immunogenic rather than immunosuppressive influence has been attributed to various factors such as release of heat shock proteins or ...