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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2012.2142</article-id>
<article-id pub-id-type="publisher-id">or-29-02-0529</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Whole-cell vaccine coated with recombinant calreticulin enhances activation of dendritic cells and induces tumour-specific immune responses</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>WU</surname><given-names>HONGYAN</given-names></name><xref rid="af1-or-29-02-0529" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>HAN</surname><given-names>YU</given-names></name><xref rid="af2-or-29-02-0529" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>QIN</surname><given-names>YE</given-names></name><xref rid="af2-or-29-02-0529" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>CAO</surname><given-names>CHUNYU</given-names></name><xref rid="af2-or-29-02-0529" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>XIA</surname><given-names>YAN</given-names></name><xref rid="af2-or-29-02-0529" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>CHANGBAI</given-names></name><xref rid="af2-or-29-02-0529" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>YANLIN</given-names></name><xref rid="af1-or-29-02-0529" ref-type="aff">1</xref><xref rid="af2-or-29-02-0529" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-or-29-02-0529"/></contrib></contrib-group>
<aff id="af1-or-29-02-0529">
<label>1</label>Department of Oncology, Zhongnan Hospital, Wuhan University, Wuhan, Hubei 430071, P.R. China</aff>
<aff id="af2-or-29-02-0529">
<label>2</label>Institute of Molecular Biology, Three Gorges University Medical College, Yichang, Hubei 443002, P.R. China</aff>
<author-notes>
<corresp id="c1-or-29-02-0529"><italic>Correspondence to:</italic> Professor Yanlin Wang, Department of Oncology, Zhongnan Hospital, Wuhan University, 185 Donghu Road, Wuhan, Hubei 430071, P.R. China, E-mail: <email>fzswangyl@ctgu.edu.cn</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>2</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>15</day>
<month>11</month>
<year>2012</year></pub-date>
<volume>29</volume>
<issue>2</issue>
<fpage>529</fpage>
<lpage>534</lpage>
<history>
<date date-type="received">
<day>22</day>
<month>08</month>
<year>2012</year></date>
<date date-type="accepted">
<day>17</day>
<month>10</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>It has been reported that calreticulin (CRT) plays an important role in mediating immunogenic tumour cell death. In the process of tumour cell apoptosis induced by specific stimuli, CRT is quickly transferred from the endoplasmic reticulum to the cell membrane. As a specific ligand, CRT on the surface of apoptotic tumour cells could mediate the recognition and clearance of apoptotic tumour cells by professional and non-professional phagocytes. In our previous studies, we used B16-F1 mouse melanoma cells coated with mCRT-vGPCR (a recombinant fusion protein of mouse CRT and virus G-protein-coupled receptor) as a whole-cell tumour vaccine to immunise experimental animals and found that this whole-cell vaccine could strongly inhibit the growth of homologous tumours. In this study, we further evaluated immune responses induced by this mCRT-vGPCR-coated whole-cell vaccine both <italic>in vivo</italic> and <italic>in vitro</italic>. An <italic>in vitro</italic> phagocytosis assay showed that the mCRT-vGPCR on the cell surface greatly enhanced the engulfment of B16-F1 cells by dendritic cells (DCs). The specific antitumour immune response was observed when the mCRT-vGPCR-coated B16-F1 cells were used as a whole-cell tumour vaccine to immune mice, which included significantly enhanced cytotoxic T lymphocyte (CTL) activities and increased the number of IFN-&#x003B3;-producing T cells. These results indicate that the mCRT-vGPCR-coated whole-cell vaccine can induce specific antitumour immunity though the activation of DCs. These results may provide an experimental basis for the development of new tumour vaccines.</p></abstract>
<kwd-group>
<kwd>calreticulin</kwd>
<kwd>whole-cell tumour vaccine</kwd>
<kwd>dendritic cell</kwd>
<kwd>tumour-specific immune response</kwd>
<kwd>immunogenic cell death</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Cancer affects a significant proportion of the population worldwide. Although numerous immune effector cells and molecules are involved in the recognition and destruction of cancer cells by a process known as cancer immunosurveillance, the cancer cells can escape such monitoring through the production of poorly immunogenic tumour cell variants and the subversion of the immune system. Therefore, a method that can induce the immunogenic transformation of tumour cells and restore the body&#x02019;s immune response against tumour cells could represent an effective pathway for tumour prevention and therapy (<xref rid="b1-or-29-02-0529" ref-type="bibr">1</xref>).</p>
<p>Whole-cell tumour vaccines have theoretical advantages over epitope-specific vaccines in that the former can present multiple and unknown tumour antigens to the immune system. However, since most types of tumour cells are poorly immunogenic in practise (<xref rid="b2-or-29-02-0529" ref-type="bibr">2</xref>), improving the immunogenicity of the tumour vaccine is important for tumour-vaccine mediated immunotherapy.</p>
<p>Calreticulin (CRT) is a 46-kDa Ca<sup>2&#x0002B;</sup>-binding protein that is mainly located in the endoplasmic reticulum (ER). Previous studies have indicated that CRT is a multifunctional protein involved in a wide variety of cellular processes, including cell adhesion (<xref rid="b3-or-29-02-0529" ref-type="bibr">3</xref>), the folding of newly synthesised glycoproteins (<xref rid="b4-or-29-02-0529" ref-type="bibr">4</xref>&#x02013;<xref rid="b6-or-29-02-0529" ref-type="bibr">6</xref>), gene expression (<xref rid="b4-or-29-02-0529" ref-type="bibr">4</xref>), Ca<sup>2&#x0002B;</sup> homeostasis (<xref rid="b7-or-29-02-0529" ref-type="bibr">7</xref>) and lectin-like chaperone activity (<xref rid="b6-or-29-02-0529" ref-type="bibr">6</xref>). In addition to the ER, CRT has been found to be localised in various subcellular compartments, such as the cytosol, nucleus and cell surface membrane.</p>
<p>The CRT on the cell surface has multiple functions, including the modulation of cell adhesion and migration (<xref rid="b8-or-29-02-0529" ref-type="bibr">8</xref>&#x02013;<xref rid="b11-or-29-02-0529" ref-type="bibr">11</xref>), and recent studies have found that the CRT on the cell surface also plays an important role in mediating the phagocytosis of apoptotic tumour cells by professional and non-professional phagocytes. During the process of tumour cell apoptosis, CRT is rapidly translocated from the ER to the cell surface and serves as an &#x02018;eat me&#x02019; signal that can be recognised by the phagocytes within hours after the initiation of immunogenic cell death; at the same time, the tumour cells undergoing apoptosis down-regulate the expression of &#x02018;do not eat me&#x02019; signals such as surface CD47 to facilitate the recognition and engulfment of the tumour cells by phagocytes and then to induce antitumour immune response (<xref rid="b12-or-29-02-0529" ref-type="bibr">12</xref>). It has been reported that tumour cells killed by UVC, &#x003B3; irradiation (<xref rid="b13-or-29-02-0529" ref-type="bibr">13</xref>) and some chemotherapeutics (<xref rid="b14-or-29-02-0529" ref-type="bibr">14</xref>&#x02013;<xref rid="b17-or-29-02-0529" ref-type="bibr">17</xref>) could induce this type of tumour-specific immune response.</p>
<p>Since the CRT translocation from the ER to the cell surface is not an inherent feature of apoptosis in tumour cells but is only an event induced by specific stimuli in some tumour cell lines, a method that can easily coat CRT onto the surface of any tumour cell would aid in providing a potent research tool for antitumour immunotherapy. In our previous studies, we used a B16-F1 mouse melanoma cell line coated with mCRT-vGPCR as a whole-cell tumour vaccine to immunise experimental animals and found that this whole-cell vaccine could induce a strong antitumour effect against the homologous tumour (<xref rid="b18-or-29-02-0529" ref-type="bibr">18</xref>). In this study, we further evaluated the immune responses induced by this mCRT-vGPCR-coated whole-cell vaccine both <italic>in vivo</italic> and <italic>in vitro.</italic></p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Mice and cell line</title>
<p>Female C57BL mice 5&#x02013;6 weeks of age were purchased from the animal centre of Wuhan University. The animals were housed under specific pathogen-free conditions and the experiments were conducted in accordance with the ethical guidelines for the care and use of laboratory animals at Wuhan University. The mouse melanoma cell line B16-F1 was purchased from the Cell Bank of China (Wuhan). The cells were maintained at 37&#x000B0;C in 5&#x00025; CO<sub>2</sub> and RPMI-1640 medium, which contains 10&#x00025; heat-inactivated foetal bovine serum, 100 &#x003BC;g/ml streptomycin and 100 U/ml penicillin. The B16-F1 cell line with the mCRT-vGPCR high expression was constructed as previously reported (<xref rid="b18-or-29-02-0529" ref-type="bibr">18</xref>).</p></sec>
<sec>
<title>Materials</title>
<p>Lipofectamine 2000&#x02122; transfection reagent and TRIzol reagent were obtained from Invitrogen (San Diego, CA, USA). Rabbit anti-human CRT polyclonal antibody was purchased from Stressgen (Victoria, BC, Canada). Rhodamine-labeled goat anti-rabbit IgG antibodies, mouse IFN-&#x003B3; ELISPOT kit and anti-mouse CD11c PE were purchase from eBioscience (San Diego, CA, USA). Recombinant murine IL-4 and GM-CSF were purchased from Peprotech (Rocky Hill, NJ, USA). CytoTox 96<sup>&#x000AE;</sup> Non-Radioactive Cytotoxicity assay was purchased from Promega (Madison, WI, USA). The RPMI-1640 cell culture medium and the other chemicals were from Sigma (St. Louis, MO, USA). BENS (Bis-ethyl-norspermine) was kindly provided by Professor Robert A. Casero at Johns Hopkins University. All primer synthesis and DNA sequencing were performed by Sangon Biologic Engineering Technology &amp; Services Co. (Shanghai, China).</p></sec>
<sec>
<title>Detection of mCRT-vGPCR mRNA by RT-PCR</title>
<p>When the mCRT-vGPCR-containing or empty plasmids were transfected into the B16-F1 cells, the total RNA was extracted from the stably transfected cells using the TRIzol reagent and then used to amplify mCRT-vGPCR or vGPCR mRNA by RT-PCR. The following were the PCR primers used in this experiment: for mCRT-vGPCR, upstream 5&#x02032;-GATGGATGGAGAGTGGGAACC-3&#x02032;; downstream 5&#x02032;-TCGATCTAGACTACCGCGATCGGTGCTTGCAAAA-3&#x02032;. For vGPCR, upstream 5&#x02032;-ATATCTCGAGATGGCGGCCGAGGATTTCCTAACC-3&#x02032;; downstream 5&#x02032;-TCGATCTAGACTACCGCGATCGGTGCTTGCAAAA-3&#x02032;. For GAPDH (the internal control), upstream 5&#x02032;-CAAGGTCATCCATGACAACTTTG-3&#x02032;; downstream 5&#x02032;-GTCCACCACCCTGTTGCTGTAG-3&#x02032;. The two primers for mCRT-vGPCR were located within the CRT and vGPCR portions, respectively. The length of the PCR product was 728 bp for mCRT-vGPCR, 241 bp for vGPCR and 496 bp for GAPDH. The PCR products were separated on a 1.5&#x00025; (w/v) agarose gel, and the DNA was visualised by ethidium bromide staining.</p></sec>
<sec>
<title>Detection of mCRT-vGPCR fusion protein by western blotting</title>
<p>The stably transfected cell lines were washed with PBS and lysed using Cymal-5 solution. The proteins in the lysate were separated by 10&#x00025; SDS-PAGE and transferred onto a PVDF membrane. The membrane was blocked with fat-free milk solution (5&#x00025;, w/v) overnight and then incubated with the rabbit anti-CRT polyclonal antibody (1:1000) at 4&#x000B0;C for 12 h. After washing 3 times, the membrane was incubated with an HRP-conjugated anti-rabbit IgG antibody (1:4000) at room temperature for 1 h and developed using ECL.</p></sec>
<sec>
<title>Detection of mCRT-vGPCR expression by cell immunofluorescence (CIF)</title>
<p>The stably transfected cells were seeded in 24-well plates and cultured for 12 h. After washing with PBS, the cells were fixed with 2&#x00025; (m/v) paraformaldehyde (PFA) and incubated with 10&#x00025; (v/v) goat serum to block non-specific interactions. The cells were then incubated with a rabbit anti-CRT polyclonal antibody (1:200) at 4&#x000B0;C overnight. After washing 3 times with PBS, the cells were incubated with a rhodamine-conjugated goat anti-rabbit IgG polyclonal antibody (1:500) at room temperature for 1 h (in the dark). After washing 3 times with PBS, the cells were incubated with 300 nM 4,6-diamidino-2-phenylindole (DAPI) for 10 min at room temperature (in the dark) to stain the nuclei. The samples were analysed using fluorescence microscopy (Nikon TE2000, Japan) with NIS-Elements BR 3.1 software (Nikon, Japan) to identify the mCRT-vGPCR fusion protein.</p></sec>
<sec>
<title>In vitro phagocytosis assay</title>
<p>Bone marrow (BM) cells were collected from the tibias and femurs of the C57BL mice using culture medium. Following centrifugation, the BM cells were resuspended in red-cell lysis solution (0.15 M NH<sub>4</sub>Cl, 0.01 M KHCO<sub>3</sub>, and 1 mM EDTA) for 1 min to remove the red blood cells. The BM cells were collected by centrifugation and cultured in a medium supplemented with 10 ng/ml recombinant mouse GM-CSF and 5 ng/ml recombinant mouse IL-4 in 6-well plates (1&#x000D7;10<sup>6</sup> cells/well). After 7 days, the non-adherent and loosely adherent cells were harvested as the dendritic cells (DCs) and used as the effector cells for the phagocytosis assay. The stably transfected B16-F1 cells incubated with BENS for 48 h were labelled with the green dye CFDA-SE (1 &#x003BC;M) for 20 min and used as the target cells. The effector and target cells were co-cultured at 37&#x000B0;C for 2 h at a 1:1 E/T (effector/target) ratio. After 3 washes, anti-mouse CD11c PE was added to the cell mixture for 30 min at room temperature (in the dark) to label the effector cells. The cells were washed with PBS and analysed by flow cytometry (FCM). The phagocytotic efficiency was represented by the cell ratio of the double-positive cell number over total cell number.</p></sec>
<sec>
<title>Whole-cell vaccine immunisation</title>
<p>The 7- to 8-week-old female C57BL mice were randomly divided into four groups: i) B16-mCRT-vGPCR (n&#x0003D;10); ii) B16-vGPCR (n&#x0003D;10); iii) B16 (n&#x0003D;10), and iv) PBS (n&#x0003D;10). In groups 1&#x02013;3, the B16-F1 cells were treated by 10 &#x003BC;M BENS for 48 h to induce cell apoptosis and then used as the whole-cell vaccine, subcutaneously inoculated into the back of each mouse. Instead of B16-F1 cells, PBS was used to immune the mice in group 4. The whole-cell vaccine or PBS was injected 3 times at Days 0, 10 and 20, and the mice were sacrificed 10 days after the last injection. The spleens from the vaccinated mice were collected for analysis.</p></sec>
<sec>
<title>Determination of specific cytotoxic T lymphocyte (CTL) activity</title>
<p>The splenocytes from the immunised mice were suspended in complete RPMI-1640 medium with 10&#x00025; fetal calf serum and used as the effector cells to assay their specific cytotoxic T lymphocyte (CTL) activity. B16-F1 cells were used as the target cells in this experiment. The effector cells (5&#x000D7;10<sup>4</sup>&#x02013;2&#x000D7;10<sup>5</sup> cells/well) were stimulated with IL-2 before use and incubated with the target cells (1&#x000D7;10<sup>4</sup> cells/well) at E:T ratios of 20:1, 10:1, and 5:1 in a total volume of 200 &#x003BC;l RPMI-1640 medium. The released lactate dehydrogenase (LDH) was measured according to the manufacturer&#x02019;s instructions after 4 h of incubation at 37&#x000B0;C in 5&#x00025; CO<sub>2</sub>. The percentage of specific killing was calculated as follows: specific killing &#x00025; &#x0003D; (experimental release &#x02212; spontaneous release)/(total release &#x02212; spontaneous release).</p></sec>
<sec>
<title>Enzyme-linked immunospot (ELISPOT) assay</title>
<p>The number of splenocytes that could produce interferon-&#x003B3; (IFN-&#x003B3;) was quantified by the cytokine-specific enzyme-linked immunospot (ELISPOT) assay. Plates (96 wells) were coated with 100 &#x003BC;g of anti-mouse IFN-&#x003B3; McAb overnight at 4&#x000B0;C, washed with PBS and blocked for 1 h with 5&#x00025; BSA. The splenocytes were seeded into each well (2&#x000D7;10<sup>5</sup> cells/well) and cultured for 24 h in RPMI-1640 alone (negative control) or with the apoptotic B16-F1 cells induced by BENS or 10 &#x003BC;g/ml concanavalin A (positive control). After washing with PBS, followed by PBS-0.05&#x00025; Tween-20, the biotinylated rabbit anti-IFN-&#x003B3; antibody was added and incubated for 1 h at room temperature. The plates were washed in PBS-0.05&#x00025; Tween-20, and then avidin-HRP solution was added and incubated for 45 min at room temperature. After rewashing, the cells were treated with 100 &#x003BC;l of freshly prepared AEC substrate solution and incubated at room temperature in the dark to monitor the development of spots. The reaction was stopped by washing 3 times with 200 &#x003BC;l/well distilled water. The plate was air-dried, and the spots were counted using an automated ELISPOT plate reader.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Student&#x02019;s t-tests were used for the comparison of the results between the different groups. The tests were performed using SPSS software. P&lt;0.05 was considered to indicate statistically significant differences.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Expression of mCRT-vGPCR in B16-F1 cells</title>
<p>When the mCRT-vGPCR-containing or empty plasmids were transfected into the B16-F1 cells, a high level of mCRT-vGPCR mRNA was observed only in the mCRT-vGPCR-transfected cell line by RT-PCR (<xref rid="f1-or-29-02-0529" ref-type="fig">Fig. 1</xref>). As the two primers used for mCRT-vGPCR in the PCR reactions were located in the mCRT and vGPCR regions, respectively, only the mRNA from the fusion gene could be used as the template for the PCR. Using western blot analysis with an anti-CRT antibody, the mCRT-vGPCR fusion protein was also detected only in the mCRT-vGPCR- transfected cells. As shown in <xref rid="f2-or-29-02-0529" ref-type="fig">Fig. 2</xref>, the mCRT-vGPCR fusion protein has a higher molecular weight (110 kDa) than the native CRT protein (55 kDa).</p>
<p>A CIF analysis was used to further determine whether the mCRT-vGPCR fusion protein could be localised to the cell surface. The two B16-F1 cell lines positively transfected with pcDNA3.1(&#x0002B;)-mCRT-vGPCR showed significant membrane expression of mCRT-vGPCR (<xref rid="f3-or-29-02-0529" ref-type="fig">Fig. 3</xref>), indicating that the mCRT-vGPCR fusion protein was efficiently expressed on the cell surface of the B16-F1 tumour cells.</p></sec>
<sec>
<title>mCRT-vGPCR on the cell surface enhances the phagocytosis of B16-F1 cells by DCs in vitro</title>
<p>In view of the established role of CRT as an &#x02018;eat me&#x02019; signal, we further investigated the possible effect of mCRT-vGPCR on the phagocytosis of BENS-treated B16-mCRT-vGPCR cells by DCs, which are among the most efficient antigen-presenting cells. The labelled-DCs from C57BL mice (the effector cells) and transfected B16-F1 cells (the target cells) were co-cultured for 2 h in a 1:1 effector/target ratio, and FCM was used for the analysis. The results showed that, compared to the B16-F1 cells transfected with the empty vector, &gt;5-fold higher phagocytotic efficiency was observed when the B16-F1 cells transfected with pcDNA3.1(&#x0002B;)-mCRT-vGPCR were used as the target cells, indicating that the mCRT-vGPCR on the cell surface enhanced the phagocytosis of the tumour cells by the DCs (<xref rid="f4-or-29-02-0529" ref-type="fig">Fig. 4</xref>).</p></sec>
<sec>
<title>The mCRT-vGPCR-coated whole-cell vaccine significantly induces specific CTL activity in mice</title>
<p>The splenocytes from the immunised mice were used as the expanded effector (E) cells, and the B16-F1 cells were used as the target (T) cells in this experiment. The effector cells were stimulated by the BENS-treated B16-F1 cells <italic>in vitro</italic> before use and then incubated with the target cells at E:T ratios of 20:1, 10:1, and 5:1 for 4 h. The specific CTL activities were determined using the LDH assay. The results showed that the CTL activities were enhanced in the mice immunised with the BENS-treated B16-mCRT-vGPCR cells compared to the other groups (P&lt;0.01) (<xref rid="f5-or-29-02-0529" ref-type="fig">Fig. 5</xref>).</p></sec>
<sec>
<title>Cytokine secretion assay</title>
<p>To examine whether Th1 or Th2 responses occurred in each immunised group, the IFN-&#x003B3;-producing cells in the splenocytes from the immunised-mice groups were examined using the ELISPOT technique. The results showed that the immunisation with the BENS-treated B16-mCRT-vGPCR cell vaccine elicited a significantly higher number of IFN-&#x003B3;-producing cells in the splenocytes (<xref rid="f6-or-29-02-0529" ref-type="fig">Fig. 6</xref>). Since IFN-&#x003B3; is an indicator of the Th1-based response, our data suggested that the mCRT-vGPCR- coated cell vaccine mainly induced Th1-based immune responses.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Whole-cell tumour vaccines have been investigated for more than 20 years in both preclinical models and clinical trials in humans (<xref rid="b19-or-29-02-0529" ref-type="bibr">19</xref>&#x02013;<xref rid="b21-or-29-02-0529" ref-type="bibr">21</xref>). The advantage of whole-cell vaccinations over other types of immunotherapy that target specific antigens is that multiple and unknown tumour antigens may be targeted by both the innate and adaptive immune systems. However, the whole-cell vaccines have not resulted in significant long-term therapeutic benefits (<xref rid="b22-or-29-02-0529" ref-type="bibr">22</xref>,<xref rid="b23-or-29-02-0529" ref-type="bibr">23</xref>). One possible explanation is that only a small proportion of the molecules expressed on the cell surface are specific for cancer cells, whereas the vast majority of cell surface components are derived from housekeeping genes, carbohydrates, lipids and other molecules that are ubiquitously expressed by normal cells (<xref rid="b24-or-29-02-0529" ref-type="bibr">24</xref>). As a result, the immune response induced by whole-tumour cell vaccine is insufficient to eliminate the cancer cells <italic>in vivo</italic>. Therefore, further improvements are necessary to increase the immunogenicity of cancer cell-based vaccines.</p>
<p>Recent studies have identified a new CRT-mediated mechanism for tumour cell immunogenic death (<xref rid="b12-or-29-02-0529" ref-type="bibr">12</xref>,<xref rid="b13-or-29-02-0529" ref-type="bibr">13</xref>,<xref rid="b25-or-29-02-0529" ref-type="bibr">25</xref>). CRT is an ER resident chaperone protein with multiple physiological functions and can rapidly translocate to the cell surface of tumour cells during the apoptosis induced by specific stimuli, such as anthracycline treatment. When these apoptotic tumour cells with CRT coated on the surface were used as the vaccines to immune mice, the specific antitumour immune response was induced.</p>
<p>As the translocation of CRT from the ER to the cell surface is not an inherent feature of apoptosis in tumour cells, a method that can easily coat CRT onto the surface of tumour cells would provide a potent research tool for antitumour immunotherapy. In our previous studies, an mCRT-vGPCR recombinant gene was constructed and stably transfected into mouse melanoma B16-F1 cells. vGPCR is a membrane protein that contains seven transmembrane domains, with the N-terminus protruding extracellularly (<xref rid="b26-or-29-02-0529" ref-type="bibr">26</xref>). Therefore, the mCRT-vGPCR fusion protein was efficiently expressed on the cell surface via the ability of vGPCR to localise to the membrane. When this B16-F1 cell line coated with mCRT-vGPCR as a whole-cell vaccine to immunise the mice, we found that this whole-cell vaccine could strongly inhibit the growth of homologous tumour. In this study, we further evaluated the immune responses induced by this mCRT-vGPCR-coated whole-cell vaccine both <italic>in vivo</italic> and <italic>in vitro</italic>.</p>
<p>DCs play important roles in processing and presenting antigens, thus the recognition and phagocytosis of a tumour cell vaccine by DCs is a key event in whole-cell tumour vaccine-mediated immunotherapy. In this study, we found that, similar to the native CRT, the mCRT-vGPCR on the tumour cell surface could also mediate the phagocytosis of the tumour cells by DCs. Compared with the B16-F1 cells transfected with the empty vector, more than 5-fold higher phagocytotic efficiency was observed when the B16-F1 cells transfected with pcDNA3.1(&#x0002B;)- mCRT-vGPCR were used as the target cells.</p>
<p>Subsequently, these mCRT-vGPCR-coated B16-F1 cells were treated by polyamine analogue BENS to induce cell apoptosis and then used as the whole-cell vaccine to immunise C57BL mice. We chose BENS as an apoptosis-inducing agent as it has no effect on the subcellular localisation of CRT (<xref rid="b27-or-29-02-0529" ref-type="bibr">27</xref>). The results indicated that the mCRT-vGPCR-coated whole-cell vaccine could significantly induce specific CTL activity and IFN-&#x003B3; secretion of the splenocytes, both of which are important indicators of the specific immune responses stimulated by the vaccine in the model animals.</p>
<p>In conclusion, the mCRT-vGPCR-coated whole-cell vaccine can induce specific antitumour immunity and these results may provide an experimental basis for the development of new tumour vaccines.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by a grant from the National Natural Science Foundation of China (no. 30973445), the Fundamental Research Funds for the Central Universities, the Research Foundation of Outstanding Young Innovative Team Projects of Hubei Provence (T201203).</p></ack>
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<floats-group>
<fig id="f1-or-29-02-0529" position="float">
<label>Figure 1</label>
<caption>
<p>RT-PCR was used to determine the expression of mCRT-vGPCR at the mRNA level after pcDNA3.1(&#x0002B;)-mCRT-vGPCR was transfected into B16-F1 cells. Lane 1, DNA marker; lane 2, B16-F1 cells transfected with pcDNA3.1(&#x0002B;)-mCRT-vGPCR; lane 3, B16-F1 cells transfected with pcDNA3.1(&#x0002B;)-vGPCR; lane 4, B16-F1 cells transfected with pcDNA3.1(&#x0002B;); lane 5, B16-F1 control cells.</p></caption>
<graphic xlink:href="OR-29-02-0529-g00.gif"/></fig>
<fig id="f2-or-29-02-0529" position="float">
<label>Figure 2</label>
<caption>
<p>Western blotting was used to identify the expression of mCRT-vGPCR in B16-F1 cells. Lanes 1 and 2, B16-F1 cell lines transfected with pcDNA3.1(&#x0002B;)-mCRT-vGPCR; lane 3, mixed B16-F1 cells transfected with pcDNA3.1(&#x0002B;)-mCRT-vGPCR; lane 4, B16-F1 cell line transfected with pcDNA3.1(&#x0002B;)-vGPCR; lane 5, B16-F1 cell line transfected with pcDNA3.1(&#x0002B;); lane 6, B16-F1 control cells.</p></caption>
<graphic xlink:href="OR-29-02-0529-g01.gif"/></fig>
<fig id="f3-or-29-02-0529" position="float">
<label>Figure 3</label>
<caption>
<p>Immunofluorescence was used to identify the subcellular localisation of the mCRT-vGPCR fusion protein in B16-F1 cells. The red colour represents the CRT recognised by the rabbit anti-CRT antibody. The blue colour indicates the nuclei stained with DAPI. (A) B16-F1 cells transfected with pcDNA3.1(&#x0002B;)-mCRT-vGPCR; (B) B16-F1 control cells without primary antibody; (C) B16-F1 cells transfected with pcDNA3.1(&#x0002B;)-vGPCR; and (D) B16-F1 control cells.</p></caption>
<graphic xlink:href="OR-29-02-0529-g02.gif"/></fig>
<fig id="f4-or-29-02-0529" position="float">
<label>Figure 4</label>
<caption>
<p>The mCRT-vGPCR fusion protein on the cell surface enhanced the phagocytosis of B16-F1 cells by DCs <italic>in vitro</italic>. (A) Target cells labelled with green dye CFDA-SE; (a) B16-F1 control cells, (b) B16-F1 cells stained with CFDA-SE. (B) Labelled DCs with PE-coupled anti-CD11c polyclonal antibody; (a) DC-isotype, (b) DCs labelled with PE-coupled CD11c antibody. (C) mCRT-vGPCR on the cell surface enhanced the phagocytosis of B16-F1 cells by DCs <italic>in vitro</italic>; (a) B16-F1 cells were used as the target cells, (b) B16-F1 cells transfected with pCDNA3.1 were used as the target cells, (c) B16-F1 cells transfected with pCDNA3.1-vGPCR were used as the target cells, and (d) B16-F1 cells transfected with pcDNA3.1(&#x0002B;)-mCRT-vGPCR were used as the target cells.</p></caption>
<graphic xlink:href="OR-29-02-0529-g03.gif"/></fig>
<fig id="f5-or-29-02-0529" position="float">
<label>Figure 5</label>
<caption>
<p>Enhanced specific CTL activity in the splenocytes from the mice immunised with the BENS-treated B16-mCRT-vGPCR whole-cell vaccine. The splenocytes from the immunised mice were used as the effecter cells (E), and the B16-F1 cells were used as the target cells (T) at E:T ratios of 20:1, 10:1, and 5:1. The data are presented as X &#x000B1; SD (n&#x0003D;10). <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 compared with the PBS group.</p></caption>
<graphic xlink:href="OR-29-02-0529-g04.gif"/></fig>
<fig id="f6-or-29-02-0529" position="float">
<label>Figure 6</label>
<caption>
<p>The ELISPOT method was used to assay the IFN-&#x003B3;-producing cell number. The data represent the means of the spot-forming cell number per 2&#x000D7;10<sup>6</sup> splenocytes. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 compared with the PBS group.</p></caption>
<graphic xlink:href="OR-29-02-0529-g05.gif"/></fig></floats-group></article>
