PMID- 10641571 OWN - NLM STAT- MEDLINE DCOM- 20000204 LR - 20071114 IS - 1368-4736 (Print) IS - 1368-4736 (Linking) VI - 5 IP - 3 DP - 1999 Sep TI - Intradermal injection of granulocyte-macrophage colony-stimulating factor (GM-CSF) in patients with metastatic melanoma recruits dendritic cells. PG - 139-44 AB - Dendritic cells (DCs) are the main antigen-presenting cells in the skin. We hypothesized that intradermal (i.d.) injection of granulocyte-macrophage colony-stimulating factor (GM-CSF) would recruit DCs into melanoma skin metastases and enhance autologous melanoma antigen presentation to host T cells. Sixteen patients with cutaneous or subcutaneous melanoma metastases were treated with GM-CSF injected i.d. into a single dermal metastasis and into a normal skin site for 10 consecutive days at one of four dose levels (10, 20, 40, or 80 microg/injection). Pretreatment and post-treatment skin and tumor biopsies were stained for a panel of T-cell, B-cell, macrophage, and DC immunohistochemical markers. Positive cells were quantitated in a blinded fashion. There was a significant increase in the number of DCs (HLA-DR+, S100+, factor XIIIa+) and CD45R0+ T cells in the skin and in the tumors Injected with GM-CSF at all dose levels. Uninjected control tumors showed no increase in HLA-DR+ cells or T-cell infiltrate, but did show an Increase in S100+ and factor XIIIa+ cells, suggesting a non-DC population. ID GM-CSF administered in this manner recruited DCs into melanoma tumors and normal skin. Although no antitumor effects were seen, this represents a potential method of preparing skin sites for vaccine delivery. FAU - Nasi, M L AU - Nasi ML AD - Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. FAU - Lieberman, P AU - Lieberman P FAU - Busam, K J AU - Busam KJ FAU - Prieto, V AU - Prieto V FAU - Panageas, K S AU - Panageas KS FAU - Lewis, J J AU - Lewis JJ FAU - Houghton, A N AU - Houghton AN FAU - Chapman, P B AU - Chapman PB LA - eng GR - P01 CA 33049/CA/NCI NIH HHS/United States PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Cytokines Cell Mol Ther JT - Cytokines, cellular & molecular therapy JID - 9713367 RN - 0 (Antigens, Neoplasm) RN - 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) SB - IM MH - Antigen Presentation/immunology MH - Antigens, Neoplasm/immunology MH - Dendritic Cells/*immunology MH - Granulocyte-Macrophage Colony-Stimulating Factor/*immunology/therapeutic use MH - Humans MH - Immunity, Cellular MH - Immunohistochemistry MH - Injections, Intradermal MH - Melanoma/drug therapy/*immunology/secondary MH - Skin Neoplasms/drug therapy/*immunology/secondary EDAT- 2000/01/21 00:00 MHDA- 2000/01/21 00:01 CRDT- 2000/01/21 00:00 PHST- 2000/01/21 00:00 [pubmed] PHST- 2000/01/21 00:01 [medline] PHST- 2000/01/21 00:00 [entrez] PST - ppublish SO - Cytokines Cell Mol Ther. 1999 Sep;5(3):139-44.