PMID- 21303373 OWN - NLM STAT- MEDLINE DCOM- 20110919 LR - 20110708 IS - 1537-2995 (Electronic) IS - 0041-1132 (Linking) VI - 51 IP - 7 DP - 2011 Jul TI - Nonleukemic myeloid dendritic cells obtained from autologous stem cell products elicit antileukemia responses in patients with acute myeloid leukemia. PG - 1546-55 LID - 10.1111/j.1537-2995.2010.03042.x [doi] AB - BACKGROUND: Dendritic cell (DC)-based immunotherapeutic protocols are being developed to treat acute myeloid leukemia (AML). So far, DCs for clinical use are obtained from leukemic blasts or from monocytes, after 6 to 10 days of ex vivo culture. However, DC precursors are easily driven to DCs in short-term culture. We tested if DC precursors contained in peripheral blood stem cell (PBSC) products obtained from AML patients can be used to induce antileukemia responses. STUDY DESIGN AND METHODS: PBSCs obtained from 30 consecutive AML patients were tested. Myeloid DCs (MDCs) were purified by immunomagnetic selection and screened for cytogenetic and/or molecular abnormalities by fluorescence in situ hybridization (FISH) or polymerase chain reaction (PCR) assays. MDCs were matured and pulsed with autologous blast lysates and tested for stimulatory capability against AML cells. RESULTS: A median of 0.62 x 10(6) MDCs (range, 0.04-3.25)/mL were quantified in PBSC products. Isolated MDC expressed Class I and II HLA but CD86, CD54, and CCR5 partially. By FISH or PCR assay, these MDCs lacked cytogenetic or molecular abnormalities detected in leukemia cells at diagnosis. MDCs achieved a maturated stage (mature-MDCs) after 24-hour ex vivo culture with tumor necrosis factor-alpha and autologous blast lysates. These mature-MDCs were capable of stimulating autologous peripheral blood effectors to exert cytotoxicity against autologous leukemia cells and HL-60 cell line. CONCLUSION: We conclude that PBSCs obtained for autologous stem cell transplantation can constitute a novel source of MDCs to design feasible vaccination trials. CI - (c) 2011 American Association of Blood Banks. FAU - Serrano-Lopez, Juana AU - Serrano-Lopez J AD - Department of Hematology and Laboratory for Cellular Therapy, Instituto Maimonides Investigacion Biomedica, Cordoba, Spain. FAU - Sanchez-Garcia, Joaquin AU - Sanchez-Garcia J FAU - Serrano, Josefina AU - Serrano J FAU - Alvarez-Rivas, Miguel A AU - Alvarez-Rivas MA FAU - Garcia-Castellano, Jose M AU - Garcia-Castellano JM FAU - Roman-Gomez, Jose AU - Roman-Gomez J FAU - de la Rosa, Olga AU - de la Rosa O FAU - Herrera-Arroyo, Concepcion AU - Herrera-Arroyo C FAU - Torres-Gomez, Antonio AU - Torres-Gomez A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110208 PL - United States TA - Transfusion JT - Transfusion JID - 0417360 SB - IM MH - Cell Culture Techniques MH - Dendritic Cells/*immunology/*transplantation MH - Feasibility Studies MH - Graft vs Leukemia Effect/*immunology MH - Humans MH - Immunomagnetic Separation MH - Immunotherapy MH - Leukemia, Myeloid, Acute/immunology/*therapy MH - Peripheral Blood Stem Cell Transplantation MH - Time Factors MH - Transplantation, Autologous MH - Tumor Cells, Cultured EDAT- 2011/02/10 06:00 MHDA- 2011/09/20 06:00 CRDT- 2011/02/10 06:00 PHST- 2011/02/10 06:00 [entrez] PHST- 2011/02/10 06:00 [pubmed] PHST- 2011/09/20 06:00 [medline] AID - 10.1111/j.1537-2995.2010.03042.x [doi] PST - ppublish SO - Transfusion. 2011 Jul;51(7):1546-55. doi: 10.1111/j.1537-2995.2010.03042.x. Epub 2011 Feb 8.