Alpha-Fetoprotein- and CD40Ligand-Expressing Dendritic Cells for Immunotherapy of Hepatocellular Carcinoma

Dendritic cells (DC) as professional antigen presenting cells are able to prime T-cells against the tumor-associated antigen α-fetoprotein (AFP) for immunotherapy of hepatocellular carcinoma (HCC). However, a strong immunosuppressive tumor environment limits their efficacy in patients. The co-stimul...

Full description

Bibliographic Details
Main Authors: Annabelle Vogt, Farsaneh Sadeghlar, Tiyasha H. Ayub, Carlo Schneider, Christian Möhring, Taotao Zhou, Robert Mahn, Alexandra Bartels, Michael Praktiknjo, Miroslaw T. Kornek, Marieta Toma, Ingo G. H. Schmidt-Wolf, Vittorio Branchi, Hanno Matthaei, Jörg C. Kalff, Christian P. Strassburg, Maria A. Gonzalez-Carmona
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/13/3375
_version_ 1797528053181579264
author Annabelle Vogt
Farsaneh Sadeghlar
Tiyasha H. Ayub
Carlo Schneider
Christian Möhring
Taotao Zhou
Robert Mahn
Alexandra Bartels
Michael Praktiknjo
Miroslaw T. Kornek
Marieta Toma
Ingo G. H. Schmidt-Wolf
Vittorio Branchi
Hanno Matthaei
Jörg C. Kalff
Christian P. Strassburg
Maria A. Gonzalez-Carmona
author_facet Annabelle Vogt
Farsaneh Sadeghlar
Tiyasha H. Ayub
Carlo Schneider
Christian Möhring
Taotao Zhou
Robert Mahn
Alexandra Bartels
Michael Praktiknjo
Miroslaw T. Kornek
Marieta Toma
Ingo G. H. Schmidt-Wolf
Vittorio Branchi
Hanno Matthaei
Jörg C. Kalff
Christian P. Strassburg
Maria A. Gonzalez-Carmona
author_sort Annabelle Vogt
collection DOAJ
description Dendritic cells (DC) as professional antigen presenting cells are able to prime T-cells against the tumor-associated antigen α-fetoprotein (AFP) for immunotherapy of hepatocellular carcinoma (HCC). However, a strong immunosuppressive tumor environment limits their efficacy in patients. The co-stimulation with CD40Ligand (CD40L) is critical in the maturation of DC and T-cell priming. In this study, the impact of intratumoral (i.t.) CD40L-expressing DC to improve vaccination with murine (m)AFP-transduced DC (Ad-mAFP-DC) was analyzed in subcutaneous (s.c.) and orthotopic murine HCC. Murine DC were adenovirally transduced with Ad-mAFP or Ad-CD40L. Hepa129-mAFP-cells were injected into the right flank or the liver of C3H-mice to induce subcutaneous (s.c.) and orthotopic HCC. For treatments, 10<sup>6</sup> Ad-mAFP-transduced DC were inoculated s.c. followed by 10<sup>6</sup> CD40L-expressing DC injected intratumorally (i.t.). S.c. inoculation with Ad-mAFP-transduced DC, as vaccine, induced a delay of tumor-growth of AFP-positive HCC compared to controls. When s.c.-inoculation of Ad-mAFP-DC was combined with i.t.-application of Ad-CD40L-DC synergistic antitumoral effects were observed and complete remissions and long-term survival in 62% of tumor-bearing animals were achieved. Analysis of the tumor environment at different time points revealed that s.c.-vaccination with Ad-mAFP-DC seems to stimulate tumor-specific effector cells, allowing an earlier recruitment of effector T-cells and a Th1 shift within the tumors. After i.t. co-stimulation with Ad-CD40L-DC, production of Th1-cytokines was strongly increased and accompanied by a robust tumor infiltration of mature DC, activated CD4<sup>+</sup>-, CD8<sup>+</sup>-T-cells as well as reduction of regulatory T-cells. Moreover, Ad-CD40L-DC induced tumor cell apoptosis. Intratumoral co-stimulation with CD40L-expressing DC significantly improves vaccination with Ad-mAFP-DC in pre-established HCC in vivo. Combined therapy caused an early and strong Th1-shift in the tumor environment as well as higher tumor apoptosis, leading to synergistic tumor regression of HCC. Thus, CD40L co-stimulation represents a promising tool for improving DC-based immunotherapy of HCC.
first_indexed 2024-03-10T09:52:40Z
format Article
id doaj.art-401131db7af3463584c2c76e33319524
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-10T09:52:40Z
publishDate 2021-07-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-401131db7af3463584c2c76e333195242023-11-22T02:36:53ZengMDPI AGCancers2072-66942021-07-011313337510.3390/cancers13133375Alpha-Fetoprotein- and CD40Ligand-Expressing Dendritic Cells for Immunotherapy of Hepatocellular CarcinomaAnnabelle Vogt0Farsaneh Sadeghlar1Tiyasha H. Ayub2Carlo Schneider3Christian Möhring4Taotao Zhou5Robert Mahn6Alexandra Bartels7Michael Praktiknjo8Miroslaw T. Kornek9Marieta Toma10Ingo G. H. Schmidt-Wolf11Vittorio Branchi12Hanno Matthaei13Jörg C. Kalff14Christian P. Strassburg15Maria A. Gonzalez-Carmona16Department of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Pathology, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Integrated Oncology (CIO), University of Bonn, 53127 Bonn, GermanyDepartment of Visceral Surgery, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Visceral Surgery, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Visceral Surgery, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDepartment of Internal Medicine I, University Hospital of Bonn, 53127 Bonn, GermanyDendritic cells (DC) as professional antigen presenting cells are able to prime T-cells against the tumor-associated antigen α-fetoprotein (AFP) for immunotherapy of hepatocellular carcinoma (HCC). However, a strong immunosuppressive tumor environment limits their efficacy in patients. The co-stimulation with CD40Ligand (CD40L) is critical in the maturation of DC and T-cell priming. In this study, the impact of intratumoral (i.t.) CD40L-expressing DC to improve vaccination with murine (m)AFP-transduced DC (Ad-mAFP-DC) was analyzed in subcutaneous (s.c.) and orthotopic murine HCC. Murine DC were adenovirally transduced with Ad-mAFP or Ad-CD40L. Hepa129-mAFP-cells were injected into the right flank or the liver of C3H-mice to induce subcutaneous (s.c.) and orthotopic HCC. For treatments, 10<sup>6</sup> Ad-mAFP-transduced DC were inoculated s.c. followed by 10<sup>6</sup> CD40L-expressing DC injected intratumorally (i.t.). S.c. inoculation with Ad-mAFP-transduced DC, as vaccine, induced a delay of tumor-growth of AFP-positive HCC compared to controls. When s.c.-inoculation of Ad-mAFP-DC was combined with i.t.-application of Ad-CD40L-DC synergistic antitumoral effects were observed and complete remissions and long-term survival in 62% of tumor-bearing animals were achieved. Analysis of the tumor environment at different time points revealed that s.c.-vaccination with Ad-mAFP-DC seems to stimulate tumor-specific effector cells, allowing an earlier recruitment of effector T-cells and a Th1 shift within the tumors. After i.t. co-stimulation with Ad-CD40L-DC, production of Th1-cytokines was strongly increased and accompanied by a robust tumor infiltration of mature DC, activated CD4<sup>+</sup>-, CD8<sup>+</sup>-T-cells as well as reduction of regulatory T-cells. Moreover, Ad-CD40L-DC induced tumor cell apoptosis. Intratumoral co-stimulation with CD40L-expressing DC significantly improves vaccination with Ad-mAFP-DC in pre-established HCC in vivo. Combined therapy caused an early and strong Th1-shift in the tumor environment as well as higher tumor apoptosis, leading to synergistic tumor regression of HCC. Thus, CD40L co-stimulation represents a promising tool for improving DC-based immunotherapy of HCC.https://www.mdpi.com/2072-6694/13/13/3375alpha-fetoproteinCD40Liganddendritic cellshepatocellular carcinomasubcutaneous and orthotopic murine HCC
spellingShingle Annabelle Vogt
Farsaneh Sadeghlar
Tiyasha H. Ayub
Carlo Schneider
Christian Möhring
Taotao Zhou
Robert Mahn
Alexandra Bartels
Michael Praktiknjo
Miroslaw T. Kornek
Marieta Toma
Ingo G. H. Schmidt-Wolf
Vittorio Branchi
Hanno Matthaei
Jörg C. Kalff
Christian P. Strassburg
Maria A. Gonzalez-Carmona
Alpha-Fetoprotein- and CD40Ligand-Expressing Dendritic Cells for Immunotherapy of Hepatocellular Carcinoma
Cancers
alpha-fetoprotein
CD40Ligand
dendritic cells
hepatocellular carcinoma
subcutaneous and orthotopic murine HCC
title Alpha-Fetoprotein- and CD40Ligand-Expressing Dendritic Cells for Immunotherapy of Hepatocellular Carcinoma
title_full Alpha-Fetoprotein- and CD40Ligand-Expressing Dendritic Cells for Immunotherapy of Hepatocellular Carcinoma
title_fullStr Alpha-Fetoprotein- and CD40Ligand-Expressing Dendritic Cells for Immunotherapy of Hepatocellular Carcinoma
title_full_unstemmed Alpha-Fetoprotein- and CD40Ligand-Expressing Dendritic Cells for Immunotherapy of Hepatocellular Carcinoma
title_short Alpha-Fetoprotein- and CD40Ligand-Expressing Dendritic Cells for Immunotherapy of Hepatocellular Carcinoma
title_sort alpha fetoprotein and cd40ligand expressing dendritic cells for immunotherapy of hepatocellular carcinoma
topic alpha-fetoprotein
CD40Ligand
dendritic cells
hepatocellular carcinoma
subcutaneous and orthotopic murine HCC
url https://www.mdpi.com/2072-6694/13/13/3375
work_keys_str_mv AT annabellevogt alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT farsanehsadeghlar alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT tiyashahayub alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT carloschneider alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT christianmohring alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT taotaozhou alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT robertmahn alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT alexandrabartels alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT michaelpraktiknjo alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT miroslawtkornek alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT marietatoma alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT ingoghschmidtwolf alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT vittoriobranchi alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT hannomatthaei alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT jorgckalff alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT christianpstrassburg alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma
AT mariaagonzalezcarmona alphafetoproteinandcd40ligandexpressingdendriticcellsforimmunotherapyofhepatocellularcarcinoma