Dendritic cell (DC)-based immunotherapy has great promise for cancer treatment. We have recently demonstrated that dectin-1-activated DCs trigger potent antitumor Th9 cells in vivo. Dectin-1-activated DC-induced antitumor responses rely on the induced Th9/IL-9. These findings offer new strategies for the development of more effective DC vaccines in tumor immunotherapy.
KEYWORDSAntitumor immunity; Dectin-1; dentritic cells; Th9; Vaccine Dendritic cell (DC)-based immunotherapy is a promising approach for the treatment of cancer. DC-based immunotherapies have been tested in cancer patients for more than a decade and the recent approval of the first DC-based vaccine (Provenge, sipuleucel-T) for the treatment of prostate cancer by the Food and Drug Administration further stimulated the interests of using DC-based vaccines to fight cancer. 1 Though these previous clinical studies proved that DC-based cancer vaccines are safe and non-toxic, their clinical benefits for patients were rare. In cancer, some immunosuppressive mechanisms in the tumor microenvironment impair DC functions and block the development of antitumor immunity, which may be the reason for their low clinical benefits in cancer therapy. Therefore, strategies to generate more effective DCs for cancer therapy will be crucial for increasing the antitumor benefits of DC-based immunotherapy.DCs exert the antitumor effects through the induction of effector T cells, which include CD4 C T helper (Th) cells and CD8 C cytotoxic T lymphocytes (CTLs). There is an increasing list of Th cell subsets, and among these, Th1, Th2, Th9, and Th17 cells are involved in antitumor immunity. Generally, Th1 cells are traditional antitumor Th cells, whereas Th2/17 cells may also play a role in antitumor immunity. We and others have shown that IL-9-producing Th9 cells mediate potent antitumor effects, much better than other Th cells. 2,3 We demonstrated that Th9 and IL-9 could not directly kill the tumor cells, but rather through the stimulation of tumorspecific CTL responses in vivo. 3,4 Considering the potent antitumor capacity of Th9/IL-9, we were curious as to whether we could generate some types of DCs that preferably induced Th9/IL-9 and we speculated that these kinds of DCs will potently improve the antitumor clinical benefits of DC-based cancer immunotherapy. Dectin-1 is a major b-glucan receptor on DCs, macrophages, and neutrophils. 5,6 We recently used dectin-1 agonist curdlan or Scleroglucan to activate mouse bone marrow (BM)-derived immature DCs (CurDCs or SclDCs) and used these DCs to prime naive CD4 C T cells under Th9-polarizing conditions. 7 We found that dectin-1-activated DCs potently promoted the development of Th9 cells, with upregulated expression of IL-9-and Th9-related transcription factor IRF4, but not other Th cell-related cytokines and transcription factors. Importantly, in the in vivo tests, dectin-1-activated DCs but not regular BMDCs stimulated the powerful production of Th9 cells and IL-9. Since Th9 cells are potent antitumor effector cells, ...