PMID- 15596409 OWN - NLM STAT- MEDLINE DCOM- 20050215 LR - 20061115 IS - 1521-6616 (Print) IS - 1521-6616 (Linking) VI - 114 IP - 1 DP - 2005 Jan TI - Impaired function of circulating dendritic cells in patients with pancreatic cancer. PG - 52-60 AB - PURPOSE AND EXPERIMENTAL DESIGN: Dendritic cells (DCs) are important for immune surveillance and play a central role in protection against infection and malignancy. DCs comprise two subsets: DC1 (myeloid DC) and DC2 (lymphoid DC). The aim of this study is to determine whether the number and/or function of circulating DCs were decreased in patients with pancreatic cancer and to evaluate the effects of these changes in patients with locally advanced pancreatic cancer before and after chemoradiotherapy (CRT). We examined the circulating DC number and function using the peripheral blood from 29 patients with pancreatic cancer and 20 healthy control subjects. In patients who underwent CRT (n = 20), blood samples were taken before and after CRT. DCs were tested for the ability to stimulate allogeneic T lymphocytes in mixed leukocyte reaction (MLR). CD4/8, NK activity, PHA, and TGF-beta1 were also measured. RESULTS: The number and allostimulatory activity of circulating DC1s in patients were significantly lower than those in controls. In the patients who underwent CRT, the allostimulatory activity of DC1s at post-CRT was significantly increased as compared to those at pre-CRT. The level of TGF-beta1 was also significantly decreased at post-CRT as compared to pre-CRT. There were no changes in CD4/8, NK activity and proliferative response of T lymphocytes at the peri-CRT period. CONCLUSION: These data indicate that the number and function of circulating DCs were impaired in patients with pancreatic cancer. Chemoradiotherapy, however, improved DC function, which might be related to decreased immunosuppressive cytokine levels. FAU - Yanagimoto, Hiroaki AU - Yanagimoto H AD - Department of Surgery, Kansai Medical University, Osaka, Japan. yanagimh@takii.kmu.ac.jp FAU - Takai, Soichiro AU - Takai S FAU - Satoi, Sohei AU - Satoi S FAU - Toyokawa, Hideyoshi AU - Toyokawa H FAU - Takahashi, Kanji AU - Takahashi K FAU - Terakawa, Naoyoshi AU - Terakawa N FAU - Kwon, A-Hon AU - Kwon AH FAU - Kamiyama, Yasuo AU - Kamiyama Y LA - eng PT - Journal Article PL - United States TA - Clin Immunol JT - Clinical immunology (Orlando, Fla.) JID - 100883537 RN - 0 (Antineoplastic Agents) RN - 0 (HLA-DR Antigens) RN - 0 (TGFB1 protein, human) RN - 0 (Transforming Growth Factor beta) RN - 0 (Transforming Growth Factor beta1) RN - 187348-17-0 (Interleukin-12) SB - IM MH - Aged MH - Antineoplastic Agents/therapeutic use MH - Cell Count MH - Combined Modality Therapy MH - Dendritic Cells/*physiology MH - Female MH - HLA-DR Antigens/biosynthesis MH - Humans MH - Interleukin-12/biosynthesis MH - Lymphocyte Subsets MH - Male MH - Middle Aged MH - Pancreatic Neoplasms/*immunology/therapy MH - Transforming Growth Factor beta/blood MH - Transforming Growth Factor beta1 EDAT- 2004/12/15 09:00 MHDA- 2005/02/16 09:00 CRDT- 2004/12/15 09:00 PHST- 2004/05/15 00:00 [received] PHST- 2004/09/22 00:00 [accepted] PHST- 2004/12/15 09:00 [pubmed] PHST- 2005/02/16 09:00 [medline] PHST- 2004/12/15 09:00 [entrez] AID - S1521-6616(04)00293-1 [pii] AID - 10.1016/j.clim.2004.09.007 [doi] PST - ppublish SO - Clin Immunol. 2005 Jan;114(1):52-60. doi: 10.1016/j.clim.2004.09.007.