Abstract

PURPOSEThe aim of this study was to evaluate the influence of ovarian cancer cell lysates isolated from type I or type II ovarian cancer (OC) on the phenotype of monocyte-derived dendritic cells (Mo-DCs) and the cytokine profile. We also determined whether the Mo-DCs and tumor microenvironment, reflected by peritoneal fluid (PF) from type I or II ovarian cancer, could promote regulatory T cell (Tregs) differentiation from naive CD4+ lymphocytes in vitro.RESULTSOur results show a significant role of the ovarian cancer microenvironment reflected by PF from type I or II OC in the inhibition of the DC differentiation process. Interestingly, the percentage of cells co-expressing CD45 and CD14 antigens in the cultures stimulated with PF from both type I and type II OC was higher than in the control. Furthermore, the percentage of cells expressing CD1a, i.e., a marker of immature DCs, was significantly reduced in the cultures stimulated with PF from type I and type II OC. The results obtained show that ovarian cancer type II lysates induce differentiation of monocytes into macrophage-like cells with a CD1a+/HLA-DR+/CD83− phenotype and significantly higher CD86/HLA-DR expression. We show that ovarian cancer type II Mo-DCs are able to prevent an immune response by release of IL-10, whereas OC type I Mo-DCs can promote the generation of Tregs.CONCLUSIONS We demonstrate that each type of ovarian cancer can induce a unique phenotype of DCs and differentiation of Tregs, both associated with immune-suppressive function, which may be an obstacle while developing effective anticancer dendritic cell vaccination.

Highlights

  • Ovarian cancer (OC) is one of the most lethal gynecological malignancies with 239,000 new cases diagnosed worldwide only in 2012 and the number of deaths estimated at over 140,000 [1]

  • PURPOSE The aim of this study was to evaluate the influence of ovarian cancer cell lysates isolated from type I or type II ovarian cancer (OC) on the phenotype of monocyte-derived dendritic cells (Mo-DCs) and the cytokine profile

  • Our results show a significant role of the ovarian cancer microenvironment reflected by peritoneal fluid (PF) from type I or II OC in the inhibition of the DC differentiation process

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Summary

Introduction

Ovarian cancer (OC) is one of the most lethal gynecological malignancies with 239,000 new cases diagnosed worldwide only in 2012 and the number of deaths estimated at over 140,000 [1]. Type I tumors include lowgrade serous, mucinous, endometrioid, and clear cell carcinomas. They are less aggressive, with a low grade and better prognosis. Type II tumors include mainly high-grade serous and undifferentiated carcinomas. Ovarian cancer in this group is diagnosed at a high stage of the disease; they develop rapidly and are highly aggressive [4]. The interactions between the immune and tumor cells in the different types of OC patients remain unclarified. We hypothesized that different types of OC may influence the phenotype and function of monocyte-derived dendritic cells (Mo-DCs)

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