PMID- 23300824 OWN - NLM STAT- MEDLINE DCOM- 20130624 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 12 DP - 2012 TI - TNF-alpha and tumor lysate promote the maturation of dendritic cells for immunotherapy for advanced malignant bone and soft tissue tumors. PG - e52926 LID - 10.1371/journal.pone.0052926 [doi] LID - e52926 AB - BACKGROUND: Dendritic cells (DCs) play a pivotal role in the immune system. There are many reports concerning DC-based immunotherapy. The differentiation and maturation of DCs is a critical part of DC-based immunotherapy. We investigated the differentiation and maturation of DCs in response to various stimuli. METHODS: Thirty-one patients with malignant bone and soft tissue tumors were enrolled in this study. All the patients had metastatic tumors and/or recurrent tumors. Peripheral blood mononuclear cells (PBMCs) were suspended in media containing interleukin-4 (IL-4) and granulocyte-macrophage colony stimulating factor (GM-CSF). These cells were then treated with or without 1) tumor lysate (TL), 2) TL + TNF-alpha, 3) OK-432. The generated DCs were mixed and injected in the inguinal or axillary region. Treatment courses were performed every week and repeated 6 times. A portion of the cells were analyzed by flow cytometry to determine the degree of differentiation and maturation of the DCs. Serum IFN-gamma and serum IL-12 were measured in order to determine the immune response following the DC-based immunotherapy. RESULTS: Approximately 50% of PBMCs differentiated into DCs. Maturation of the lysate-pulsed DCs was slightly increased. Maturation of the TL/TNF-alpha-pulsed DCs was increased, commensurate with OK-432-pulsed DCs. Serum IFN-gamma and serum IL-12 showed significant elevation at one and three months after DC-based immunotherapy. CONCLUSIONS: Although TL-pulsed DCs exhibit tumor specific immunity, TL-pulsed cells showed low levels of maturation. Conversely, the TL/TNF-alpha-pulsed DCs showed remarkable maturation. The combination of IL-4/GM-CSF/TL/TNF-alpha resulted in the greatest differentiation and maturation for DC-based immunotherapy for patients with bone and soft tissue tumors. FAU - Miwa, Shinji AU - Miwa S AD - Department of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, Japan. FAU - Nishida, Hideji AU - Nishida H FAU - Tanzawa, Yoshikazu AU - Tanzawa Y FAU - Takata, Munetomo AU - Takata M FAU - Takeuchi, Akihiko AU - Takeuchi A FAU - Yamamoto, Norio AU - Yamamoto N FAU - Shirai, Toshiharu AU - Shirai T FAU - Hayashi, Katsuhiro AU - Hayashi K FAU - Kimura, Hiroaki AU - Kimura H FAU - Igarashi, Kentaro AU - Igarashi K FAU - Mizukoshi, Eishiro AU - Mizukoshi E FAU - Nakamoto, Yasunari AU - Nakamoto Y FAU - Kaneko, Shuichi AU - Kaneko S FAU - Tsuchiya, Hiroyuki AU - Tsuchiya H LA - eng PT - Journal Article DEP - 20121221 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Tumor Necrosis Factor-alpha) RN - 187348-17-0 (Interleukin-12) RN - 207137-56-2 (Interleukin-4) RN - 39325-01-4 (Picibanil) RN - 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) SB - IM EIN - PLoS One. 2013;8(10). doi:10.1371/annotation/7c0f14e6-cfba-4f5f-b93d-1a149eaeec96 MH - Adolescent MH - Adult MH - Aged MH - Bone Neoplasms/drug therapy/immunology/*therapy MH - Cell Differentiation MH - Child MH - Dendritic Cells/*drug effects/immunology MH - Female MH - Granulocyte-Macrophage Colony-Stimulating Factor/pharmacology/therapeutic use MH - Humans MH - Immunotherapy/*methods MH - Interleukin-12/pharmacology/therapeutic use MH - Interleukin-4/pharmacology/therapeutic use MH - Male MH - Middle Aged MH - Picibanil/pharmacology/therapeutic use MH - Soft Tissue Neoplasms/drug therapy/immunology/*therapy MH - Tumor Necrosis Factor-alpha/pharmacology/*therapeutic use PMC - PMC3533902 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/01/10 06:00 MHDA- 2013/06/26 06:00 PMCR- 2012/12/21 CRDT- 2013/01/10 06:00 PHST- 2012/05/14 00:00 [received] PHST- 2012/11/22 00:00 [accepted] PHST- 2013/01/10 06:00 [entrez] PHST- 2013/01/10 06:00 [pubmed] PHST- 2013/06/26 06:00 [medline] PHST- 2012/12/21 00:00 [pmc-release] AID - PONE-D-12-13753 [pii] AID - 10.1371/journal.pone.0052926 [doi] PST - ppublish SO - PLoS One. 2012;7(12):e52926. doi: 10.1371/journal.pone.0052926. Epub 2012 Dec 21.