PMID- 19400555 OWN - NLM STAT- MEDLINE DCOM- 20090701 LR - 20181201 IS - 0018-2052 (Print) IS - 0018-2052 (Linking) VI - 58 IP - 1 DP - 2009 Mar TI - Induction of gamma delta T cells using zoledronate plus interleukin-2 in patients with metastatic cancer. PG - 37-44 AB - A loss of human leukocyte antigen (HLA) expression in clinical tumors is one of their escape mechanisms from immune attack by HLA-restricted effector cells. In this study, the induction of HLA-unrestricted effector cells, gamma delta T cells, using zoledronate (ZOL) and interleukin (IL)-2 in vitro was investigated in patients with metastatic cancer. Peripheral blood mononuclear cells (PBMCs) from 10 cancer patients (8 colorectal and 2 esophageal) with multiple metastases and ascites lymphocytes from 3 cancer patients (1 gastric and 2 colorectal) were stimulated with varied concentrations of ZOL plus 100 U/ml IL-2 for 48 hr followed by culturing with IL-2 alone for 12 days. Lymphocyte proliferative responses were determined using 3H-TdR uptakes and interferon (IFN)-gamma production was evaluated using enzyme-linked immunosorbent assay. Surface phenotyping was performed using flow cytometry. Cytotoxic activity of effector cells was determined using 51Cr-releasing assay. It was found that proliferative responses of PBMCs were significantly stimulated with ZOL plus IL-2 when compared with IL-2 alone, showing 200 to 500-fold expansions for 2 weeks, although ZOL alone induced no response. The optimal concentration of ZOL was 1-5 microM. Ascites lymphocytes could also be stimulated with ZOL plus IL-2. The proliferative responses were remarkable in patients whose PBMCs could produce high levels of IFN-gamma during an initial 48-hr stimulation using ZOL plus IL-2. Removal of an adherent cell fraction before the induction augmented the proliferative responses in patients who otherwise had low-grade proliferative responses. Generated cells comprising approximately 90 or 20% in PBMCs from healthy donors or cancer patients, respectively, expressed gamma delta-type T-cell receptor. Gamma delta T cells showed high cytotoxic activity against CD166-positive TE12 and TE13 cancer cells but not against CD166-negative MKN45 cells. The cytotoxic activity against TE13 cells was augmented when target cells were pre-treated overnight with ZOL. These results suggest that ZOL in the presence of IL-2 can efficiently stimulate the proliferation of gamma delta T cells, which have cytotoxic properties against cancer cells. The use of zoledronate-activated killer (ZAK) cells should be encouraged in possible adoptive immunotherapy trials for patients with incurable cancer. FAU - Nagamine, Ichiro AU - Nagamine I AD - Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8553, Japan. FAU - Yamaguchi, Yoshiyuki AU - Yamaguchi Y FAU - Ohara, Masahiro AU - Ohara M FAU - Ikeda, Takuhiro AU - Ikeda T FAU - Okada, Morihito AU - Okada M LA - eng PT - Journal Article PL - Japan TA - Hiroshima J Med Sci JT - Hiroshima journal of medical sciences JID - 0421060 RN - 0 (Antineoplastic Agents) RN - 0 (Diphosphonates) RN - 0 (Imidazoles) RN - 0 (Interleukin-2) RN - 0 (Receptors, Antigen, T-Cell, gamma-delta) RN - 6XC1PAD3KF (Zoledronic Acid) SB - IM MH - Antineoplastic Agents/administration & dosage MH - Case-Control Studies MH - Cell Line, Tumor MH - Cell Membrane/metabolism MH - Cell Proliferation MH - Colorectal Neoplasms/*drug therapy/*immunology/metabolism MH - Diphosphonates/*administration & dosage MH - Esophageal Neoplasms/*drug therapy/*immunology/metabolism MH - Humans MH - Imidazoles/*administration & dosage MH - Immunotherapy, Adoptive/methods MH - Interleukin-2/*administration & dosage MH - Leukocytes, Mononuclear/metabolism MH - Lymphocyte Activation MH - Neoplasm Metastasis MH - Receptors, Antigen, T-Cell, gamma-delta/*metabolism MH - T-Lymphocytes/*drug effects/*metabolism MH - Zoledronic Acid EDAT- 2009/04/30 09:00 MHDA- 2009/07/02 09:00 CRDT- 2009/04/30 09:00 PHST- 2009/04/30 09:00 [entrez] PHST- 2009/04/30 09:00 [pubmed] PHST- 2009/07/02 09:00 [medline] PST - ppublish SO - Hiroshima J Med Sci. 2009 Mar;58(1):37-44.