Introduction
As a consequence of immune tolerance, primary liver cancer patients usually do not have a good response to tumor cells (1). Exogenous immunization aims to disrupt such intolerance and enhance the immune response (1). However, the therapeutic outcomes of most existing immunotherapeutic approaches on hepatocellular carcinoma (HCC) usually are not satisfactory, mainly due to poor immunogenicity, the phenomenon of immune suppression and the interference of regulatory T cells (2–5).
As a novel approach of antitumor immunotherapy, epitope peptide vaccine has been developed rapidly in recent years. Compared with other vaccines, peptide vaccine has significant advantages such as simple composition, targeted immune response and exemption of pathological epitopes (6,7). However, its smaller molecular weight and simple structure often lead to a decreased immunogenicity and an unsatisfactory immune response, especially the humoral immune response (7,8). To resolve this problem, the multiple antigenic polypeptide (MAP) design has been suggested in recent years, which simulates the natural epitope structure well and eliminates the carrier protein (9). Theoretically, the MAP design can arouse humoral immunity in vivo, inducing highly specific polyclonal antibodies.
Besides the structural design, it is also essential to choose an ideal tumor associate antigen (TAA) as the therapeutic target for epitope peptide vaccines. As a promising TAA in immunotherapeutic areas, heparanase (HPSE) has been investigated in recent years (10). The HPSE precursor protein has a molecular weight of ~65 kDa. It is a heterodimer consisting of two subunits, with a molecular weight of 50 and 8 kDa. The former weight represents its mature activated form (10). HPSE is currently the only endoglycosidase identified that can specifically degrade the heparan sulfate (HS) side chain of heparan sulfate proteoglycans (HSPG) in the ECM or at BM, resulting in the destruction of ECM or BM, release of multiple types of cytokines such as bFGF and VEGF and facilitation of malignant angiogenesis and tumor growth (11–13). HPSE is overexpressed in most tumors, including in HCC, and plays a key role in cancer growth and metastasis (14). While HPSE is expressed at a relatively low level in mammalian lymphoid organs, leukocytes and platelets, it is hardly expressed in other normal tissues. Therefore, HPSE may be regarded as an important TAA as well as a target molecule in antitumor treatment (15,16). Certain HPSE inhibitors such as antisense nucleic acid, siRNA and antibodies against its 50 kDa large subunits may effectively suppress the growth and metastasis of malignant tumors (17–22). However, evident defects of these inhibitors, such as heterology, being easily degradable, having a short aging time and poor maneuverability in clinical treatment were also identified (17,19).
Based on human HPSE protein structure and its predicted B-cell epitopes via bioinformatics, we designed and synthesized the MAP vaccine, and validated that it induced specific anti-MAP polyclonal antibodies in vivo (23,24). In this study, to investigate the immunotherapeutic effect on human HCC growth, specific antibodies induced by the self-synthesized MAP were administered to tumor-bearing BALB/c nude mice through passive immunity. Our results suggest that the synthesized HPSE B-cell epitope-based MAP vaccine effectively limited HCC growth in vivo, by virtue of its anti-MAP polyclonal antibodies. Our study provides theoretical evidence for additional studies on the MAP vaccine composed of HPSE B-cell epitopes in the treatment of HCC.
Materials and methods
Experimental animals and cells
Four-week-old pathogen-free male BALB/c nude mice (weighing 20±2 g, SPF grade, certificate no. SCXK20130198) were purchased from the Shanghai SLAC Laboratory Animal Co., Ltd. (Shanghai, China). White-hair-black-eye (WHBY) rabbits, derived from Japanese big-ear white rabbits, were provided by Animal Experimental Center of Zhejiang Chinese Medical University (Hangzhou, China). Animals were kept at the Animal Research Center of Zhejiang Chinese Medical University and provided with water and food ad libitum. The animal experiments were approved by the Ethics Committee of the Zhejiang Chinese Medical University. Invasive manipulations were performed under sodium pentobarbital anesthesia, and all efforts were made to minimize suffering. The HCC cell line HCC97-H (HPSE-positive) was purchased from the Liver Cancer Institute of Zhongshan Hospital (Shanghai, China), maintained at our laboratory under conditions of 37°C and 5% CO2, and was routinely cultured in Dulbecco’s modified Eagle’s medium (DMEM) supplemented with penicillin (100 U/ml), streptomycin (100 μg/ml) and 10% fetal bovine serum (FBS).
Preparation of HPSE B-cell epitope-based MAP vaccine
The MAP vaccine composed of the B-cell epitope of HPSE was synthesized, purified, and identified as described previously (23,24). Briefly, according to the amino acid sequence of human HPSE, peptide ‘HCTNTDNPRYKEGDL’ (279–293) of HPSE was selected as the dominant B-cell epitope by DNAStar software and BcePred online predication tool. The MAP vaccine was constructed by fusing 8 copies of epitope peptide ‘HCTNTDNPRYKEGDL’ to 5 copies of lysine (K) by the Chinese Peptide Co. (Hangzhou, China). The schematic drawing of the self-designed MAP structure is provided in Fig. 1. The synthesized MAP was purified using reverse-phase high-performance liquid chromatography (HPLC) on a Vydac C18 column. The purity of the MAP was confirmed by analytic HPLC.
Harvest of specific anti-MAP antiserum
WHBY rabbits were immunized with the MAP vaccine, and its antiserum was isolated and identified according to the procedure we described previously (24). Briefly, eight-branched self-designed MAP was used to actively immunize WHBY rabbit intravenously four times, with an interval of 2 weeks. Freund’s complete adjuvant was used in the prime immunization, while Freund’s incomplete adjuvant (both from Sigma-Aldrich, St. Louis, MO, USA) and Th linear peptide (Chinese Peptide Co.) were used to boost the immunization. Serum samples were taken before the first immunization and 10 days after each manipulation, 5 times in total. For each sample, a standardized indirect ELISA assay was performed to mensurate the titers of polyclonal anti-MAP antibodies. After the entire immunizing procedure, WHBY rabbits were sacrificed and abundant antisera were harvested. The polyclonal antibodies against MAP vaccine contained in the antiserum were purified by caprylic acid/ammonium sulfate (CA-AS) precipitation, which is a classical, efficient and low-cost purification method for humoral antibodies (25). The concentration of the specific anti-MAP antibodies was determined by the Coomassie Brilliant Blue (Boster Biotechnology, China) assay as mentioned in our previous studies (24).
Binding affinity test
The ELISA assay was carried out to evaluate the affinity between the synthesized MAP and commercialized HPSE antibody (Takara Bio, Inc., Tokyo, Japan). Briefly, 96-well ELISA plates were coated with MAP at the concentration of 2 μg/100 μl and 4 μg/100 μl, respectively and maintained overnight at 4°C. After blocking using FBS, 0.05 μg/100 μl/well of the commercialized HPSE antibodies were added, while unimmunized rabbit serum with a dilution of 1:5,000 was used as a negative control. The results were indicated by the mean OD value of triple wells.
Western blot assay and protein electrophoresis
To identify the specificity of the anti-MAP antibodies, western blot analysis and protein electrophoresis were performed according to the manufacturer’s instructions (KangChen Bio-Tech Inc., Shanghai, China). Specific immunoreactive bands became evident when the specific antibodies contained in the antiserum reacted with the HPSE of HCC97-H cells. Briefly, HCC97-H cells (4×107) were lysed and proteins were extracted offhandedly. An SDS-PAGE was produced. The commercialized rabbit anti-human HPSE antibody (InSight Biopharmaceuticals Ltd., Rehovot, Israel) with a dilution of 1:200, or the purified rabbit anti-MAP antiserum with a dilution of 1:3,000 served as the primary antibody. The unimmunized rabbit serum was used as a negative control. Immunoreactive bands were demonstrated using chemiluminescence.
HPSE activity suppression test
To evaluate the enzymatic activity of HPSE, the specific anti-MAP polyclonal antibodies contained in the rabbit antiserum were cultured together with HCC97-H cells in vitro. The HPSE activity was determined by detecting the amount of remaining HS substrate after digestion of the enzyme-substrate reaction. HPSE activity was calculated by measuring the absorbance at 450 nm, which indicates the content of HS not being degraded by HPSE. The test was conducted as indicated in the user manual of the HPSE activity kit (Takara Bio, Inc.). Briefly, 1.0 U/well of HPSE Standard was added to a 96-well plate and incubated at a final concentration of 0 μg/ml (blank control), 50 and 100 μg/ml of anti-MAP antibodies, or 100 μg/ml of unimmunized rabbit IgG as a negative control in the nutrient medium for 1 h at 37°C. Subsequently, HCC97-H cells (7×104/well) were cultured in a 24-well plate for 48 h, then treated with MAP-induced specific antibodies at the final concentration of 0 μg/ml (blank control), 50 and 100 μg/ml, respectively, or 100 μg/ml of unimmunized rabbit IgG as a negative control in culture medium for 1 h at 37°C. The supernatant of the nutrient medium was scraped out to measure the HPSE activity to evaluate the inhibitive effect of the anti-MAP antibodies on the HPSE enzymatic activity of HCC97-H cells.
Establishment of tumor-bearing murine model
The human HCC97-H cells (1×107/mouse) at logarithmic growth period were inoculated into the right flank of 10 BALB/c nude mice. Approximately six weeks later, the HCC97-H cells in five mice developed into solid tumors of ~1 cm3, which were entirely gouged out subsequently and were immediately immersed into normal saline. Connective tissues were wrinkled and the lumps were sheared into ~2 mm3 sections. The sections were subcutaneously implanted into the dorsal skin in 30 BALB/c nude mice, which were randomly divided into the small-dose immunizing (SDI) group, large-dose immunizing (LDI) group, and the control group, with 10 mice in each group. Four weeks later (before the beginning of passive immunization), B ultrasonography equipped with a water bag was performed to measure the implanted tumor sizes, ensuring there were no significant differences in size among the three groups. The mean tumor volume was measured and calculated according to the formula: v=ab2/2 (‘a’ is the maximum diameter of the tumor, and ‘b’ is the vertical diameter of the maximum diameter).
Passive immunization
After the HCC-bearing murine models were established (measured by B ultrasonography), MAP vaccine-derived polyclonal antibodies at the volume of 0.2 ml were administered to the mice through the caudal vein on the SDI and LDI groups with the antibody dose of 5 and 10 mg/kg, respectively, twice in total with an interval of two weeks. For the control group, 0.2 ml unimmunized rabbit serum with a dilution of 1:100 was intravenously administered. B ultrasonography was implemented three weeks later to measure the HCC tumor volume, using the formula mentioned above. Six weeks after the passive immunization, HCC-bearing nude mice were sacrificed. The hypodermic xenograft was entirely gouged out, and its size was measured using a vernier caliper.
Immunohistochemical evaluation
At the end of the experiment, HCC-bearing nude mice were sacrificed. Histological sections of the hepatoma were manufactured and immunohistochemically evaluated for VEGF, bFGF and CD34 according to the manufacturer’s instructions (Biotech Co., Ltd., Shanghai, China). Staining intensity of VEGF and bFGF was semiquantitatively evaluated according to a previously described method (24). Briefly, the determination of immunohistochemical results was blindly assessed by two senior pathologists. It was carried out firstly under low power lens (x100) to select the ‘densely stained area’, then 500 tumor cells were counted within five visual fields at a magnification of ×200. The scoring standards of immunohistochemical staining were based on the coloring of the cancer cells and on the percentage of positive cells. Scoring for color was: no staining, 0; light yellow, 1; brown, 2; and dark brown, 3. Scoring for percentage was: negative, 0; the percentage of positive cells ≤10%, 1; 11–50%, 2; and ≥51%, 3. The intensity of VEGF or bFGF expression was denoted by the product of cancer cell staining intensity and positive cell percentage: 0–2, −; 3–4, +; 5–7, ++; and 8–9, +++.
CD34 immunostaining was used to represent mean vessel density (MVD), which was present in the endothelial cells of microvessels and could be stained as brown or brownish yellow. In this study, MVD was evaluated according to Weider’s methodology (26): a high vascular density area was selected under low-power objective (x100), and the number of vascular stained by CD34 were counted in three visual fields under high-power microscope (x400), and the average value was regarded as the MVD value of the tumor.
ELISA assay of serum VEGF and bFGF
Blood samples were taken from the murine orbits prior to euthanasia. Serum VEGF and bFGF concentrations were assessed by ELISA assay, according to the manufacturer’s instructions (Cusabio, Wuhan, China). Briefly, 100 μl standard, blank or sample was plated in triplicate per well in a 96-well plate and incubated for 2 h at 37°C. Biotin-antibody working solution, horseradish peroxidase (HRP)-avidin working solution and 3,3′,5,5′-tetramethylbenzidine (TMB) were subsequently added. Substrate was added to each well in turn and incubated in different environmental conditions. Stop solution was then added to each well when the first four wells containing the highest concentration of standards developed an obvious blue color. The optical density of each ELISA well was indicated by a microplate reader set to 450 nm. Accordingly, the VEGF or bFGF value was calculated on the basis of the ‘standard curve’ drawn by the professional soft ‘CurveExert 1.4’.
Statistical analysis
Experimental results were presented as mean ± standard deviation (SD). Data were analyzed by the Student’s t-test or one-way ANOVA analysis. Statistical significance was defined as P<0.05. All statistical analyses were performed by SPSS 11.5 software (SPSS Inc., Chicago, IL, USA).
Results
HPSE B-cell epitope-based MAP immunization induced high titers of MAP-specific IgG antibodies
The synthesized MAP composed of HPSE B-cell epitopes was already identified in our previous studies, and the purity of the MAP polypeptides was >95% determined by purification through HPLC (23,24). To evaluate humoral immune responses induced by MAP based on HPSE B-cell epitopes, WHBY rabbits were vaccinated with 200 μg of self-synthesized MAP plus Freund’s adjuvant and Th linear peptide as mentioned in Materials and methods, and MAP-specific IgG antibodies were detected in rabbit serum samples by standard indirect ELISA. The synthesized MAP induced strong MAP-specific IgG antibody responses, with the titer of 1:103 1 week following the first immunization, then the titer reached ~1:104 prior to boost, and reached the highest peak over 1:105 2 weeks following the boost immunization (Fig. 2). By contrast, only the background level of antibody responses was detected in the rabbit serum immunized with Th linear peptide alone.
The synthesized MAP had high-binding affinity with commercialized HPSE antibody
Binding affinity between commercialized HPSE antibody and the synthesized MAP polypeptides was assessed by indirect ELISA assay. The coated HPSE B-cell epitope-based MAP of different concentrations reacted with the commercialized HPSE antibody (1:5,000 dilution) or the unimmunized rabbit serum (negative control, 1:5,000 dilution), respectively. The results showed that the synthesized MAP had high-binding affinity with the commercialized HPSE antibody, compared with the negative control (Fig. 3).
Anti-MAP antibodies bound with 65- and 50-kDa HPSE protein
Protein extracted from HCC97-H cells was utilized to react with the anti-MAP polyclonal antibodies. The commercialized polyclonal rabbit anti-human HPSE antibody and the unimmunized rabbit serum were used as a positive and negative control, respectively. Electrophoresis and chemiluminescence showed a clear band of ~50 kDa and a visible band of 65 kDa in the column of the positive control. In the anti-MAP antiserum column, 65- and 50-kDa bands were markedly exhibited (Fig 4). Nevertheless, no band was observed in both the corresponding locations in the negative control column. According to the instructions of the commercialized antibody, protein of the 65- and 50-kDa was most probably the precursor of HPSE protein of HCC97-H cells and its large subunit, respectively.
Anti-MAP polyclonal antibodies elicited potent inhibitory effect on HPSE activity
When the HPSE standards were incubated with anti-MAP antibodies at a concentration of 100 μg/ml, HPSE activity decreased by 56.3%, compared with the blank control group or the negative control group (P<0.01). After the standards were treated with a final concentration of 50 μg/ml anti-MAP antibodies, a decrease of 17.8% on HPSE enzymatic activity was detected (P<0.05). No impact on the HPSE activity was observed under the treatment with a final anti-MAP antibody concentration of 0 μg/ml (blank control), compared with the negative control (P>0.05) (Fig. 5A).
To assess the impact on HPSE secreted by malignant HCC97-H cells, anti-MAP antibodies contained in the immunized rabbit antiserum were cultured with the HCC97-H cell line. After being incubated with anti-MAP antibodies at a final concentration of 100 and 50 μg/ml, the HPSE activity of the culture supernatant decreased by 42.9 and 11.6%, respectively, compared with the blank control or the negative control (P<0.01). The supernatant HPSE activity was not significantly altered following culture with the anti-MAP antibody of 0 μg/ml (blank control), compared with the negative control (P>0.05) (Fig. 5B).
Xenograft volume four weeks post-HCC implanting
The HCC-implanting operation was performed successfully and no mouse died during and after the surgery. B ultrasonography equipped with a water bag was implemented at the end of the 4th week after the surgical process. A representative ultrasonic image is provided in Fig. 6A. According to the outcomes of B ultrasonic measurement and the formula mentioned in Materials and methods, the mean tumor volumes of the SDI, LDI and control groups were 45.3±6.8, 46.7±4.2 and 44.9±5.1 mm3, respectively, and there was no statistical difference among the three groups (P>0.05) (Fig. 6B).
HPSE B-cell epitope-based MAP-limited HCC growth in mice
After the tumor-bearing models were validated by B ultrasonography, MAP vaccine-derived polyclonal antibodies were injected to the mice in the SDI and LDI groups with different doses. For the control group, diluted unimmunized rabbit serum was administered. All the mice survived until the end of the experiment. Three weeks after passive immunization, B ultrasonography showed the mean tumor volume of the SDI, LDI and control groups to be 967±88, 592±126 and 1,460±233 mm3, respectively. Significant differences between two groups were observed (P<0.05) (Fig. 7A). Six weeks after passive immunization, the mean tumor volume of the SDI, LDI and control groups were 2,270±415, 1,175±291 and 3,188±566 mm3, respectively, as determined by vernier caliper. The mean tumor volume in the SDI or LDI group was significantly reduced, as compared with the control group (P<0.01) (Fig. 7B).
Immunohistochemical evaluation of VEGF, bFGF and CD34
All tumor-bearing mice survived until the end of the experiment (six weeks after the first passive immunization). Histological HCC sections were manufactured, and immunohistochemical stainings of VEGF, bFGF and CD34 were performed. According to the scoring standard mentioned above, the expression of VEGF or bFGF in the SDI, LDI and control groups was ++, + and +++, respectively (Table I). The mean value of MVD (represented by CD34 immunostaining) in the SDI, LDI and control groups was 21.64±5.79/field, 13.48±4.31/field and 29.67±5.83/field, respectively. There were significant differences among the groups (P<0.05) (Table I). Representative immunohistochemical images are shown in Fig. 8.
The anti-MAP antibody reduced serum concentrations of VEGF and bFGF
Serum VEGF and bFGF levels were evaluated by ELISA, which assisted the in vivo malignant cascades of HCC and were released mostly by HPSE enzymolysis (10,12). The mean VEGF concentrations in the SDI, LDI and control groups were 113.85±19.48, 58.81±20.26 and 161.90±27.41 pg/ml, respectively (Fig. 9A), while the bFGF levels in the corresponding groups were 91.80±23.59, 35.47±13.32 and 172.83±47.32 pg/ml, respectively (Fig. 9B). The mean concentration of VEGF or bFGF in the SDI or LDI group was much lower than that in the control group (P<0.01). The serum level of VEGF or bFGF in the LDI group was also markedly lower than that in the SDI group (P<0.01), which showed a certain dose-dependent effect.
Discussion
Although there have been advances in preventive and therapeutic approaches, HCC remains one of the major causes of mortality worldwide. Over-growth, invasion and metastasis remain the major bewilderments in curing HCC patients, thus effective therapy to combat hepatoma is yet to be established (27,28). To identify a complementary approach in the HCC therapeutic area of study, immunotherapy has been under investigation during the past few years. It utilizes the immune system to recognize and cope with tumor cells and has shown encouraging results in certain human clinical trials (4). The fundamental purpose of such therapy is to manufacture vaccines that elicit potent anti-growth or anti-metastatic immune responses without side effects.
The central issue in the development of HCC immunotherapeutic strategies is the identification of relevant TAA capable of mediating antitumor effects via a competent immune system. Investigators have advocated that the ideal TAA should be: i) unique, distinctly different than in normal cells, ii) constitutively expressed during the cell cycle and, iii) the constitutive expression is essential for cell survival (29). Currently, a number of TAA have been identified and described (30). The appearance of antigen-loss or antigen-alteration mutations in tumor cells in response to immune pressure has also been highlighted and well described (31,32). To circumvent this issue, a class of TAA termed Universal Tumor Antigens (UTAs) has been suggested that is hypothesized to induce antitumor immunity against a wide range of tumor types, and to have critical functional roles in tumor growth and development (33). Previous studies have been performed to determine promising UTAs prior to the identification of HPSE (34).
Unlike other TAA, HPSE is found to be highly expressed in most mammalian malignant tumors, and its expression has been associated with tumor growth, metastasis and angiogenesis (11). Some tumor cells can downregulate or mutate the TAA expression to evade immune surveillance (35). However, due to the crucial role of HPSE in tumor progression, the downregulation or mutation of its expression as a means of immune escape may itself have deleterious effects on the proliferation and metastasis of tumor cells. Tregs usually accumulate at the tumor site, where they suppress the function of effective lymphocytes and inhibit tumor growth (36). Notably, Tregs against HPSE were not found in patients with certain malignancies (37). HPSE-targeted immunotherapy is thus expected to be prolonged and more efficient owing to the absence of suppressive cells. Additionally, HPSE has been the sole endoglycosidase capable of vitiating the ECM and BM, by splitting the HS chain of glycosaminoglycan (10–16). As a consequence, activation of HPSE plays a key role in growth and invasion that enables tumor cells to break through the ECM and BE barriers, releasing multiple types of cytokine and causing the formation of new malignant vessels and the over-growth of tumors (10–16,38). Some studies have demonstrated that certain HPSE inhibitors, such as polysaccharides, siRNA, and polypeptide antibodies, had the potency of suppressing tumor growth, invasion, metastasis and angiogenesis (13,17–24). Based on the above results, HPSE may be regarded as a promising and crucial target for antitumor immunological studies.
The first group of immunogenic nonapeptide epitopes of the HPSE amino acid sequence was previously identified by Sommerfeldt et al (16) approximately 10 years ago (26). In previous studies, we screened and identified that peptide fragment 279–293 was a dominant B-cell epitope of HPSE, and accordingly synthesized the MAP vaccine adopting the 8-branched design (23,24). In this study, we evaluated its immunological effects on hindering HCC growth in tumor-bearing nude mice.
The establishment of tumor-bearing murine models was a crucial process in this study. B ultrasonography was therefore carried out to ensure there were no significant differences in xenograft size among the three groups prior to administration, and the ultrasonic outcomes presented a fine uniformity in the tumor load in the SDI, LDI and control groups. To assess the anti-growth potency of the self-synthesized MAP composed of B-cell epitopes of HPSE, we administrered the tumor-bearing nude mice with the purified antiserum containing the anti-MAP polyclonal antibodies. As early as in 1981, this passive immunizing method applied on immunodeficient genetically engineered mice was approved as practical and safe by Katz et al (39), as long as the volume of heterogenic antiserum used in the immunization was ≤0.2 ml.
To determine the binding domain of HPSE protein reacting with the anti-MAP polyclonal antibodies contained in the immunized rabbit serum, western blot analysis with electrophoresis was conducted after the antiserum was isolated and purified. As a result, two clear bands located at ~65 and 50 kDa were presented by chemiluminescence in the anti-MAP antiserum column, while no visible band was observed in the corresponding locations in the negative control column. The above findings indicate the specific antibodies induced by the synthesized MAP were probably bound with the dominant epitopes of the HPSE precursor protein and its large subunit monomer. It has been previously reported that HPSE polypeptide antibodies derived from the epitopes contained in the region of N-terminus of the 50-kDa large subunit may effectively block HPSE, reduce the amount of HPSE or slash the enzymatic activity (40). However, in this study and former studies (23,24), the HPSE activity of HCC97-H cells was evidently also decreased when reacted with anti-MAP polyclonal antibodies induced by the self-designed MAP composed of B-cell eipitopes (279–293 of the large subunit) of HPSE, which was not present in the N-terminus of the 50 kDa large subunit.
To verify the anti-growth potency of the synthesized MAP, the specific anti-MAP antibodies induced by the HPSE B-cell epitope-based vaccine were intravenously immunized to the murine models bearing HCC xenografts, while the unimmunized rabbit serum was administrered to the control group. Three or six weeks after passive immunization, size-monitoring results demonstrated that HCC volumes in the SDI and LDI groups were significantly smaller than that in the control group. There were also significant differences between the SDI and LDI groups, which suggested that the specific antibodies induced by the self-synthesized MAP vaccine could markedly and dose-dependently limit the over-growth of HCC in mice.
The enzymolysis of HPSE could split HS in HSPG, release and activate HS-linking cytokines such as bFGF and VEGF, which are fundamental positive regulators of angiogenesis, stimulating the proliferation of endothelial cells and enhancing vascular permeability (41). Findings of previous studies have reported that VEGF and bFGF were closely correlated with HCC growth, angiogenesis and probably prognosis (42,43). In this experiment, the content of VEGF and bFGF was semi-quantitatively assessed by calculating the percentage of positively immunostained tumor cells, and was quantitatively analyzed by ELISA. Immunohistochemistry demonstrated that the expression of VEGF or bFGF in the SDI and LDI groups was much lower than that in the control group, and VEGF and bFGF expressed significantly higher in the LDI than in the SDI group. ELISA results showed that the serous concentration of VEGF and bFGF in the LDI and SDI groups were significantly lower than that in the control group. The VEGF and bFGF levels in the LDI group were also significantly lower than that in the SDI group. To assess the impact of synthesized HPSE B-cell epitope-based MAP on the angiogenesis of HCC, we semi-quantitatively counted MVD in the immunochemical sections, which was deemed as the gold standard of angiogenesis and may be presented by CD34 immunostaining (44). The result showed that the MVD value in the LDI or SDI group was much smaller than that in the control group, and there was also a significant difference between the SDI and LDI groups. Based on the above findings, we hypothesize that the specific polyclonal antibodies induced by self-synthesized MAP composed of HPSE B-cell epitopes were able to inhibit the release and expression of VEGF and bFGF, reduce MVD, and therefore suppress the malignant angiogenesis and over-growth. Moreover, similar to the findings of Xu et al (45), we identified a certain positive correlation between VEGF/bFGF levels and MVD. In this correlation, the stronger the expression of VEGF or bFGF, the higher the MVD.
In conclusion, our experiment suggests that the self-designed MAP vaccine composed of B-cell epitopes of human HPSE is capable of limiting human HCC growth in mice, which is probably induced by suppressing HPSE activity and tumor-associated angiogenesis, by virtue of its specific anti-MAP polyclonal antibodies. This study provides theoretical evidence for further study of the synthesized HPSE MAP vaccine in treating HCC.