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. 2012 Nov;61(11):1989-2002.
doi: 10.1007/s00262-012-1258-9. Epub 2012 Apr 19.

Shikonin induces immunogenic cell death in tumor cells and enhances dendritic cell-based cancer vaccine

Affiliations

Shikonin induces immunogenic cell death in tumor cells and enhances dendritic cell-based cancer vaccine

Hui-Ming Chen et al. Cancer Immunol Immunother. 2012 Nov.

Abstract

Immunogenic cell death is characterized by damage-associated molecular patterns, which can enhance the maturation and antigen uptake of dendritic cells. Shikonin, an anti-inflammatory and antitumor phytochemical, was exploited here as an adjuvant for dendritic cell-based cancer vaccines via induction of immunogenic cell death. Shikonin can effectively activate both receptor- and mitochondria-mediated apoptosis and increase the expression of all five tested damage-associated molecular patterns in the resultant tumor cell lysates. The combination treatment with damage-associated molecular patterns and LPS activates dendritic cells to a high maturation status and enhances the priming of Th1/Th17 effector cells. Shikonin-tumor cell lysate-loaded mature dendritic cells exhibit a high level of CD86 and MHC class II and activate Th1 cells. The shikonin-tumor cell lysate-loaded dendritic cell vaccines result in a strong induction of cytotoxic activity of splenocytes against target tumor cells, a retardation in tumor growth, and an increase in the survival of test mice. The much enhanced immunogenicity and efficacy of the current cancer vaccine formulation, that is, the use of shikonin-treated tumor cells as cell lysates for the pulse of dendritic cells in culture, may suggest a new ex vivo approach for developing individualized, dendritic cells-based anticancer vaccines.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Both receptor- and mitochondria-mediated apoptotic signalings are involved in the cytotoxic effect of shikonin. B16 tumor cells were treated with test compounds at 5 μM for indicated time points (a), or at various doses for 24 h (b). Cell viability was determined by MTT assay. c Expression of caspase 8, caspase 9, Bax and XIAP. Results are representative of three independent experiments. d Expression of active Bax 6A7 and Bcl-2 at the mitochondrial fraction and the expression of cytochrome c at the cytosolic fraction
Fig. 2
Fig. 2
Increased expression of DAMPs and tumor-associated antigens (TAAs) in shikonin- and doxorubicin-treated B16 cells. B16 cells were treated for 24 h with the indicated compounds. Tumor cell lysates were obtained and assayed as described in “Materials and methods”. a Expression of gp100, glypican-3 and survivin. b Expression patterns for DAMPs in TCLs. c Expression of surface exposure of CRT, HSP70, and GRP78 on test B16 tumor cells treated with DMSO (black open histogram), SK (gray-filled histogram), DX (black heavy line open histogram), TX (black-dashed line open histogram) and MG (black-doted line open histogram). The results shown are representative of three independent experiments
Fig. 3
Fig. 3
Treatment with TCL in combination with LPS activates DCs to full maturation and enhances the development of TCL-loaded DC-activated Th1/Th17. a Expression of cell surface markers (CD40, CD80, and CD86) on untreated DCs (gray-filled histogram), TCL-loaded DCs (black line open histogram), LPS-stimulated DCs (black-dashed line open histogram), and TCL-loaded plus LPS-stimulated DCs (gray line open histogram) were analyzed by flow cytometry and are presented as overlay histogram plot. An isotype-matched control mAb was used as control in all experiments (data not shown). b Expression of IL-12p70, TGFβ, and IL-6 in conditioned media from the co-culture of DCs and T cells was analyzed by ELISA. The effect of indicated DCs on the development of Th1/Th17 cells was evaluated by determining the levels of transcription factors RORγt (c) and Tbet (d) and of intracellular cytokines IL-17 (e) and IFNγ (f). * P < 0.05, between two indicated test groups. The results are representative of three independent experiments
Fig. 4
Fig. 4
SK-TCL-loaded mature DCs exhibit high levels of CD86 and MHC class II and activate Th1 cells. a Flow cytometric analysis of MHC class II and CD86 expression on test DCs. b IL-12p70 expression in conditioned media of indicated TCL-loaded plus LPS-stimulated DC-T co-cultures. The expressions of IL-17A (c), IFNγ (d) and IL-10 (e) in conditioned media of indicated TCL-loaded plus LPS-stimulated DC-T co-cultures. Results are representative of three independent experiments. * P < 0.05, when compared with the control vehicle-TCL
Fig. 5
Fig. 5
Therapeutic immunity of tumor lysate-loaded DC vaccines against B16 melanoma. a The vaccination scheme employed in this study. Mice were challenged s.c. with 1 × 105 B16 cells and vaccinated with different preparations of tumor cell lysate-loaded DCs. b CTL activities in splenocytes on target tumor cells after vaccination with DCs loaded with SK-TCL, MG-TCL, DX-TCL, or vehicle-TCL (control). PBS-treated mice did not receive any DC vaccines. The mice in the mature DC group were subjected to vaccination with unloaded mature DCs. Tumor growth (c) and survival rates (d) in treated mice. * P < 0.05, when compared with the control vehicle-TCL. e Typical examples of tumor appearance (in size and morphology) in mice on day 31
Fig. 6
Fig. 6
Hypothetical model depicting key molecular mechanisms through which shikonin may induce immunogenic cell death

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