PMID- 26275446 OWN - NLM STAT- MEDLINE DCOM- 20160202 LR - 20201226 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 64 IP - 11 DP - 2015 Nov TI - Protamine-stabilized RNA as an ex vivo stimulant of primary human dendritic cell subsets. PG - 1461-73 LID - 10.1007/s00262-015-1746-9 [doi] AB - Dendritic cells (DCs) are key in connecting innate and adaptive immunity. Their potential in inducing specific immune responses has made them interesting targets for immunotherapeutic approaches. Our research group was the first to exploit the naturally occurring myeloid DCs (mDCs) and plasmacytoid DCs (pDCs) in therapeutic vaccination trials against melanoma. To develop primary DC subsets as an optimal vaccine, the identification of a clinically applicable adjuvant activating both subsets is required. Although the expression of pathogen recognition receptors differs distinctly between the DC subsets, both pDCs and mDCs can respond to single-stranded RNA (ssRNA) via Toll-like receptors 7 and 8, respectively. Since ssRNA is easily degraded by RNases, we stabilized anionic RNA by complexing it with the positively charged protein protamine. This leads to the formation of protamine-RNA complexes with varying features depending on ionic content. We subsequently investigated the immunostimulatory effect of complexes that formed various salt concentrations on purified DC subsets. Both mDCs and pDCs upregulated maturation markers and produced pro-inflammatory cytokines in a dose-dependent way to the protamine-RNA complexes. This was dependent on endosomal acidification and correlated partly with the uptake of protamine-RNA complexes. Furthermore, both DC subsets induced T cell proliferation and IFN gamma secretion in a beneficial ratio to IL-10. These results indicate that protamine-RNA complexes can be used to stimulate human mDC and pDC ex vivo for use in immunotherapeutic settings. FAU - Skold, Annette E AU - Skold AE AUID- ORCID: 0000-0002-5309-8860 AD - Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands. AD - Department of Oncology-Pathology, Karolinska University Hospital Solna, Karolinska Institutet, Stockholm, Sweden. FAU - van Beek, Jasper J P AU - van Beek JJ AD - Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Sittig, Simone P AU - Sittig SP AD - Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Bakdash, Ghaith AU - Bakdash G AD - Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Tel, Jurjen AU - Tel J AD - Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - Schreibelt, Gerty AU - Schreibelt G AD - Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands. FAU - de Vries, I Jolanda M AU - de Vries IJ AD - Department of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands. Jolanda.deVries@radboudumc.nl. AD - Department of Medical Oncology, Radboud University Medical Centre, Geert Grooteplein 26, Route 278, 6525 GA, Nijmegen, The Netherlands. Jolanda.deVries@radboudumc.nl. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150815 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - 0 (Adjuvants, Immunologic) RN - 0 (Cytokines) RN - 0 (Protamines) RN - 0 (Toll-Like Receptors) RN - 451W47IQ8X (Sodium Chloride) RN - 63231-63-0 (RNA) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adjuvants, Immunologic/*pharmacology MH - Cells, Cultured MH - Cytokines/metabolism MH - Dendritic Cells/classification/*immunology MH - Dose-Response Relationship, Drug MH - Endosomes/physiology MH - Humans MH - Interferon-gamma/biosynthesis MH - Lymphocyte Activation MH - Protamines/*pharmacology MH - RNA/*pharmacology MH - RNA Stability MH - Sodium Chloride/pharmacology MH - Toll-Like Receptors/physiology PMC - PMC4612318 OTO - NOTNLM OT - Adjuvants OT - GMP OT - Immunotherapy OT - TLR OT - mDC OT - pDC COIS- The authors declare no conflicts of interest. EDAT- 2015/08/16 06:00 MHDA- 2016/02/03 06:00 PMCR- 2015/08/15 CRDT- 2015/08/16 06:00 PHST- 2014/10/31 00:00 [received] PHST- 2015/07/21 00:00 [accepted] PHST- 2015/08/16 06:00 [entrez] PHST- 2015/08/16 06:00 [pubmed] PHST- 2016/02/03 06:00 [medline] PHST- 2015/08/15 00:00 [pmc-release] AID - 10.1007/s00262-015-1746-9 [pii] AID - 1746 [pii] AID - 10.1007/s00262-015-1746-9 [doi] PST - ppublish SO - Cancer Immunol Immunother. 2015 Nov;64(11):1461-73. doi: 10.1007/s00262-015-1746-9. Epub 2015 Aug 15.