Summary Prostate cancer is the most common cancer in men in the United States, and second in cancer-induced mortality. It is likely that tumour-induced immunosuppression is one of the reasons for low treatment efficacy in patients with advanced prostate cancer. It has been recently demonstrated that prostate cancer tissue is almost devoid of dendritic cells (DC), the major antigen-presenting cells responsible for the induction of specific antitumour immune responses. In this study, we have tested the hypothesis that prostate cancer induces progressive suppression of the DC system. We found that co-incubation of human DC with three prostate cancer cell lines led to the high levels of premature apoptosis of DC, which were significantly higher than in DC cultures co-incubated with normal prostate cells or blood leucocytes. Stimulation of DC for 24 hours with CD40 ligand (CD154), IL-12 or IL-15 prior to their co-incubation with prostate cancer cells resulted in a significant increase in DC survival in the tumour microenvironment. Furthermore, activation of DC with these cytokines was also accompanied by increased expression of the anti-apoptotic protein Bcl-x L in DC, suggesting a possible mechanism involved in DC protection from apoptotic death. In summary, our data demonstrate that prostate cancer induces active elimination of DC in the tumour microenvironment. Stimulation of DC by CD154, IL-12 or IL-15 leads to an increased expression of the anti-apoptotic protein Bcl-x L and increased resistance of DC to prostate cancer-induced apoptosis. These results suggest a new mechanism of tumour escape from immune recognition and demonstrate the cytokinebased approaches which might significantly increase the efficacy of DC-based therapies for cancer. (2000) 83(4), 506-513 © 2000 Cancer Research Campaign doi: 10.1054/ bjoc.2000.1289, available online at http://www.idealibrary.com on immunologic response of the host and allowing tumour to progress (Shurin, 1999).When it was generally accepted that DC play a major role in the induction and development of specific immunologic responses, several clinical trials were initiated which used DC-based immunotherapies to treat cancer patients, including patients with prostatic carcinomas. For instance, Salgaller et al (1998) treated prostate cancer patients using DC pulsed with prostate membrane specific antigen (PMSA)-associated peptides. The results of this and similar clinical trials were quite optimistic. However, presence of patients with limited or no responses suggests that immunobiology of DC in in vivo tumour microenvironment might be different from our expectations and indicates the actual need for the improvement of modern DC-based immunotherapies. We hypothesized that one of the reasons for the limited efficacy of the immune responses in treated patients may be the prostate cancerinduced suppression and elimination of DC.Premature apoptosis of DC, induced by different tumour cell lines, has been described early (Esche et al, 1999). However, signal transduction pathways...