Role of Dendritic Cells in a Mouse Model of Lung Carcinoma Rosalinda Sorrentino and Aldo Pinto Department of Pharmacy (DIFARMA), University of Salerno, Fisciano, 84084, Italy Carcinogen, Genetic alterations, etc. Lung cancer is one of the leading causes of death worldwide. Epithelial Cells T cell Macrophage Dendritic Cell Lung Injury/Chronic Inflammation Chemotherapy: Doxorubicin , Oxaliplatinum, Cisplatinum, Paclitaxel, Mitomycin C, etc. Gefitinib, Crizotinib …..however, low survival percentage is still counted….. Aim: Can we pharmacologically manipulate DCs to counter Tumor Cell Growth??? Melief CJ. Nature 2005; 437, 41-42 IMMUNOEDITING STUDIES: TO EVALUATE THE ROLE OF DCS ON TUMOR OUTGROWTH 1. Tumor Cell Implantation LLC1 (2x105 cells) B16-F10 (1x105 cells) Day 13 6-8 weeks old Day 17 10 Days later Sacrifice i.p. Treatment with TLR ligands i.v. Injection •H&E and immunohistochemical Analyses •ELISAs on BAL and Lung Homogenates 2. Adoptive Transfer of Bone Marrow/Spleen/Lung-Derived Cells •Flow Cytometry Analyses •Sorting Cells 7-Day Cell Culture Naive Mice i.v. A) BMDCs or Spleen-derived cells B) TLR ligand Treatment O/N Tumor-implanted Mice Lung-derived DCs Tumor-implanted Mice Day 13 Day 10 Day 17 Sacrifice Naive Mice Sacrifice 24-72hours later Day 10 i.v. IMMUNOEDITING STUDIES: TO EVALUATE THE ROLE OF Week 1 i.t. NMU 50µg/mouse 6-12 weeks old Week 2 i.t. NMU 10µg/mouse DCS ON TUMOR ESTABLISHMENT/PROGRESSION Sacrifice at: 3-7-30 days Week 3 i.t. NMU 10µg/mouse Chronic Inflammation/Lung Cancer establishment Lung Cancer Progression Healthy *** 0.20 0.15 ** 0.10 0.05 0.00 3 Days 7 Days 30 Days Tumor Mice Naive 11 10 9 8 7 6 5 4 3 2 1 0 CD123-APC ** *** 0 3 6 9 12 15 18 21 24 27 30 33 Time (Days) **** % B220+BDCA-2+CD123+ cells % CD11c+B220+PDCA-1+ cells Tumor lesions (Ratio Tumor Area/Total Lung Area) B220-PE LK 17.5 15.0 12.5 10.0 7.5 5.0 2.5 0.0 Healthy Cancerous Th1 polarization A. IFN I IFNAR mDCs pDCs NK cells IL-12p70 CTL response Stimulus IFN I B. PLASMACELL IFNAR B cell pDCs IL-6R IL-6 Stimulus CD27 CD70 CD80 or CD86 or PDL1 C. pDCs IDO IMMUNOCOMPLEXES T Reg-cell Immune-suppression CTLA-4 or PD-1 Stimulus KYNURENINES YY YYY Y T cell Death pDCs Th2 response Tumor Progression Th1 response Tc response Tumor Regression