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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.2017.5346</article-id>
<article-id pub-id-type="publisher-id">or-37-02-0684</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title><italic>Spirulina</italic> lipopolysaccharides inhibit tumor growth in a Toll-like receptor 4-dependent manner by altering the cytokine milieu from interleukin-17/interleukin-23 to interferon-&#x03B3;</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Okuyama</surname><given-names>Hiromi</given-names></name>
<xref rid="af1-or-37-02-0684" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Tominaga</surname><given-names>Akira</given-names></name>
<xref rid="af2-or-37-02-0684" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Fukuoka</surname><given-names>Satoshi</given-names></name>
<xref rid="af3-or-37-02-0684" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Taguchi</surname><given-names>Takahiro</given-names></name>
<xref rid="af2-or-37-02-0684" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Kusumoto</surname><given-names>Yutaka</given-names></name>
<xref rid="af1-or-37-02-0684" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Ono</surname><given-names>Shiro</given-names></name>
<xref rid="af1-or-37-02-0684" ref-type="aff">1</xref>
<xref rid="c1-or-37-02-0684" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-37-02-0684"><label>1</label>Laboratory of Immunology, Faculty of Pharmacy, Osaka Ohtani University, Tondabayashi, Osaka 584-8540, Japan</aff>
<aff id="af2-or-37-02-0684"><label>2</label>Laboratory of Human Health and Medical Science, Graduate School of Kuroshio Science, and Department of Molecular Biology and Cellular Biology, Kochi Medical School, Kochi University, Nankoku, Kochi 783-8505, Japan</aff>
<aff id="af3-or-37-02-0684"><label>3</label>Health Technology Research Center, National Institute of Advanced Industrial Science and Technology (AIST), Takamatsu, Kagawa 761-0395, Japan</aff>
<author-notes>
<corresp id="c1-or-37-02-0684"><italic>Correspondence to</italic>: Dr Shiro Ono, Laboratory of Immunology, Faculty of Pharmacy, Osaka Ohtani University, 3-11-1 Nishikiori-kita, Tondabayashi, Osaka 584-8540, Japan, E-mail: <email>onos@osaka-ohtani.ac.jp</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>01</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>02</day><month>01</month><year>2017</year></pub-date>
<volume>37</volume>
<issue>2</issue>
<fpage>684</fpage>
<lpage>694</lpage>
<history>
<date date-type="received"><day>01</day><month>08</month><year>2016</year></date>
<date date-type="accepted"><day>14</day><month>12</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Okuyama et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Th17 cells and the cytokine they produce, interleukin (IL)-17, play an important role in tumor progression in humans and in mice. IL-6 and IL-23 are critical cytokines for the differentiation and propagation of Th17 cells, respectively. Bacterial lipopolysaccharides (LPS) are known to stimulate immune cells to produce such inflammatory cytokines. Contrary to <italic>Escherichia coli (E. coli)</italic> LPS, LPS from <italic>Spirulina</italic> has low toxicity and barely induces <italic>in vivo</italic> production of IL-6 and IL-23 in mice. We examined the antitumor effects of <italic>Spirulina</italic> LPS compared to <italic>E. coli</italic> LPS in an MH134 hepatoma model. Administration of <italic>Spirulina</italic> LPS suppressed tumor growth in C3H/HeN mice, but not in Toll-like receptor 4 (TLR4)-mutant C3H/HeJ mice, by reducing serum levels of IL-17 and IL-23, while increasing interferon (IFN)-&#x03B3; levels. The antitumor activity and IFN-&#x03B3; production were mediated by T cells. Moreover, <italic>in vitro</italic> experiments showed that <italic>Spirulina</italic> LPS impaired the antigen-presenting function that supports the generation of IL-17-producing cells in a toll-like receptor (TLR)4-dependent manner. Of note, injection of anti-IL-17 antibody in tumor-bearing C3H/HeN mice in the absence of <italic>Spirulina</italic> LPS markedly suppressed tumor growth and augmented IFN-&#x03B3; responses. Thus, our results support the notion that IFN-&#x03B3; and IL-17/IL-23 mutually regulate Th17 and Th1 responses in tumor-bearing hosts, and <italic>Spirulina</italic> LPS modulates the balance of the IFN-&#x03B3;-IL-17/IL-23 axis towards IFN-&#x03B3; production, which leads to tumor inhibition. Furthermore, <italic>Spirulina</italic> LPS effectively inhibited the spontaneous development of mammary tumors. This study has important implications for the exploitation of TLR-based immunomodulators for cancer immunotherapy.</p>
</abstract>
<kwd-group>
<kwd>IL-17</kwd>
<kwd>IFN-&#x03B3;</kwd>
<kwd>tumor immunity</kwd>
<kwd>TLR4</kwd>
<kwd><italic>Spirulina</italic> LPS</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Although the immune system generally recognizes abnormal proteins on tumor cells as tumor antigens, spontaneous immune responses are too weak to suppress tumor growth. To overcome this problem, a variety of adjuvants, including toll-like receptor (TLR) ligands, are investigated to potentiate antitumor immunity. The bacillus Calmette-Gu&#x00E9;rin (BCG), historically known for its effective adjuvant properties, is often used in the treatment of cancer patients (<xref rid="b1-or-37-02-0684" ref-type="bibr">1</xref>).</p>
<p>The innate immune system recognizes pathogen-associated molecular patterns expressed on microorganisms through corresponding TLRs, and the activation of innate immunity by TLRs produces proinflammatory cytokines such as interleukin (IL)-6 and IL-12, leading to the subsequent induction of adaptive immune responses (<xref rid="b2-or-37-02-0684" ref-type="bibr">2</xref>,<xref rid="b3-or-37-02-0684" ref-type="bibr">3</xref>). IL-12 is produced by macrophages (M&#x03A6;) and dendritic cells (DC) and dictates the differentiation of CD4 Th1 cells, which produce interferon (IFN)-&#x03B3; and activate natural killer (NK) cells and cytotoxic CD8 T cells (<xref rid="b4-or-37-02-0684" ref-type="bibr">4</xref>). IFN-&#x03B3; plays an important role in the prevention of primary tumor development and intracellular pathogen invasion (<xref rid="b5-or-37-02-0684" ref-type="bibr">5</xref>&#x2013;<xref rid="b7-or-37-02-0684" ref-type="bibr">7</xref>). Among the different TLR ligands, lipopolysaccharide (LPS) from gram-negative bacteria exhibits antitumor activity in addition to marked toxicity (<xref rid="b8-or-37-02-0684" ref-type="bibr">8</xref>). The study of the bioactivity of LPS from various species revealed that LPS prepared from <italic>Bordetella pertussis</italic> and a synthetic analog of the LPS lipid A subunit are less toxic than <italic>E. coli</italic> LPS, and display antitumor effects (<xref rid="b9-or-37-02-0684" ref-type="bibr">9</xref>,<xref rid="b10-or-37-02-0684" ref-type="bibr">10</xref>).</p>
<p>Recent studies have revealed that IL-23/IL-17 signaling plays an important role in tumorigenesis and metastasis in humans and in mice (<xref rid="b11-or-37-02-0684" ref-type="bibr">11</xref>&#x2013;<xref rid="b16-or-37-02-0684" ref-type="bibr">16</xref>). IL-17 is primarily produced by T cells and acts on tumor cells and tumor-associated stromal cells to induce angiogenesis and the production of IL-6, IL-8, and matrix metalloproteinases. IL-23 is produced by M&#x03D5;/DC and facilitates the expansion and survival of IL-17-producing CD4 T (Th17) cells and therefore, the production of IL-17 (<xref rid="b17-or-37-02-0684" ref-type="bibr">17</xref>,<xref rid="b18-or-37-02-0684" ref-type="bibr">18</xref>). Moreover, it has become evident that a combination of IL-6 and transforming growth factor (TGF)-&#x03B2; induces Th17 differentiation from naive T cells (<xref rid="b19-or-37-02-0684" ref-type="bibr">19</xref>,<xref rid="b20-or-37-02-0684" ref-type="bibr">20</xref>). Since M&#x03D5;/DC produces both antitumor (IL-12) and tumor-promoting (IL-6/IL-23) cytokines upon stimulation with TLR ligands (<xref rid="b21-or-37-02-0684" ref-type="bibr">21</xref>,<xref rid="b22-or-37-02-0684" ref-type="bibr">22</xref>), the regulation of this balance is critical for TLR-based cancer immunotherapy (<xref rid="b17-or-37-02-0684" ref-type="bibr">17</xref>,<xref rid="b18-or-37-02-0684" ref-type="bibr">18</xref>). Moreover, IL-17 stimulates tumor cells and tumor-surrounding cells to induce IL-6 expression, which in turn leads to the activation of signal transducer and activator of transcription 3 (STAT3) (<xref rid="b16-or-37-02-0684" ref-type="bibr">16</xref>,<xref rid="b23-or-37-02-0684" ref-type="bibr">23</xref>). STAT3 is linked to numerous oncogenic signaling pathways and is constitutively activated both in tumor cells and in immune cells under tumor microenvironment-like conditions. Thus, ideal candidate molecules for tumor immunotherapy are TLR-based immunomodulators that do not induce or partially induce IL-6/IL-23.</p>
<p>While exploring TLR4 responsiveness of the material extracted from algae and cyanobacteria (<xref rid="b24-or-37-02-0684" ref-type="bibr">24</xref>), we found that LPS phenol-water extracts from <italic>Spirulina (Arthrospira)</italic> were able to induce IL-12. Noteworthy, <italic>Spirulina</italic> LPS showed a much lower <italic>in vitro</italic> induction of IL-6 and IL-23 by M&#x03D5;/DC than <italic>E. coli</italic> LPS. <italic>Spirulina</italic> is a gram-negative, oxygenic, photosynthetic, filamentous cyanobacterium (blue-green alga), and since the Aztec civilization in Mexico, it has been widely used as a nutritional and therapeutic supplement (<xref rid="b25-or-37-02-0684" ref-type="bibr">25</xref>). <italic>Spirulina</italic> LPS is reported to be less toxic compared to LPS from <italic>Salmonella abortus</italic> (<xref rid="b26-or-37-02-0684" ref-type="bibr">26</xref>), but its effects on cytokine production or antitumor activities have not been studied extensively. Thus, it would be very interesting to study how <italic>Spirulina</italic> LPS affects tumor growth and <italic>in vivo</italic> production of inflammatory cytokines.</p>
<p>Although most experiments examined the <italic>in vitro</italic> production of IL-17-associated inflammatory cytokines thus far, the expression patterns of these cytokines in tumor host tissue remain to be established. We report here that <italic>Spirulina</italic> LPS did not induce or only partially induced IL-6 and IL-23 and efficiently suppressed the growth of hepatocellular carcinoma MH134 in a TLR4-dependent manner, by reducing the serum levels of IL-17 and IL-23, while increasing those of IFN-&#x03B3;. Interestingly, anti-IL-17 monoclonal antibodies (mAb) clearly suppressed tumor growth as efficiently as <italic>Spirulina</italic> LPS. Furthermore, <italic>Spirulina</italic> LPS was quite effective in inhibiting spontaneous development of mammary tumors in an oncogene transgenic mouse model.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Mice and tumor cells</title>
<p>Female C3H/HeN and C3H/HeJ mice were purchased from CLEA Japan Inc. (Tokyo, Japan). DO11.10 transgenic mice for &#x03B1;&#x03B2; T-cell receptor (TCR) recognizing ovalbumin (OVA) in the context of I-A<sup>d</sup> and transgenic mice carrying an activated rat HER-2/<italic>neu</italic> oncogene driven by a mouse mammary tumor virus promoter (HER-2/<italic>neu</italic> mice) were obtained from Jackson Laboratory (Bar Harbor, ME, USA) and Charles River Laboratories (Cambridge, MA, USA), respectively. All mice were maintained in a pathogen-free environment, and experiments were performed following the ethical guidelines of Kochi Medical School and Osaka Ohtani University. The mouse tumor MH134 (hepatocellular carcinoma; kindly provided by Dr T. Kudo, Tohoku University, Sendai, Japan) and YAC-1 (T-cell lymphoma) cell lines were maintained in RPMI-1640 medium (Sigma-Aldrich, St. Louis, MO, USA) with 10&#x0025; heat-inactivated fetal calf serum (FCS, HyClone Laboratories, Logan, UT, USA), 5&#x00D7;10<sup>&#x2212;5</sup> M 2-mercaptoethanol (2-ME), and 50 &#x00B5;g/ml gentamicin (Sigma-Aldrich).</p>
</sec>
<sec>
<title>Reagents</title>
<p>LPS from <italic>Escherichia coli (E. coli)</italic> 0111:B4 was purchased from Difco (Detroit, MI, USA). Anti-IFN-&#x03B3; mAb (R4-6A2, rat IgG1; no. MM701), anti-IL-17 mAb (50104, rat IgG2a; no. MAB421), anti-CD8 mAb (53&#x2013;6.7, rat IgG2a; no. 100735), and rat IgG were obtained from Endogen (Rockford, IL, USA), R&#x0026;D Systems (Minneapolis, MN, USA), BioLegend (San Diego, CA, USA), and Sigma-Aldrich, respectively. Anti-CD4 mAb (GK1.5, rat IgG2b) was kindly provided by Dr F.W. Fitch (University of Chicago, Chicago, IL, USA).</p>
</sec>
<sec>
<title>Preparation of LPS from Spirulina pacifica</title>
<p><italic>S. pacifica</italic> was a generous gift from Dr Genrald Cysewski (Cyanotech Corporation, Kailua-Kona, Hawaii, USA) and Mr. Nobuyuki Miyaji (Toyo Koso Kagaku Co., Ltd., Chiba, Japan). <italic>S. pacifica</italic> has been selected from a strain of edible <italic>S. platensis</italic> in 1984 and its enzyme expression profile differs from that of the parental strain. LPS was prepared from <italic>S. pacifica</italic> freeze-dried cells as previously described (<xref rid="b27-or-37-02-0684" ref-type="bibr">27</xref>). Briefly, cells were washed with acetone, suspended in distilled water, and then extracted by addition of 90&#x0025; phenol-water and vigorous agitation at 68&#x00B0;C. The crude preparation was dialyzed to remove phenol and residual freeze-dried cells. The sample was dissolved in water, and the insoluble material was eliminated by centrifugation, followed by ultracentrifugation at 100,000 &#x00D7; g. The molecular mass of the LPS sample was estimated between approximately 1,000 and 20,000 Da by electrophoresis and mass spectral analysis.</p>
</sec>
<sec>
<title>Tumor growth in vivo</title>
<p>Tumor growth was measured 3 times per week after intradermal (i.d.) injection of 1&#x00D7;10<sup>6</sup> MH134 cells in the back of C3H/HeN or C3H/HeJ mice. The tumor volume was calculated using the following formula: Volume (mm<sup>3</sup>) = width<sup>2</sup> &#x00D7; length/2. In some experimental settings, <italic>Spirulina</italic> LPS or <italic>E. coli</italic> LPS in saline solution was injected intraperitoneally (i.p.) every week starting 6 days after tumor inoculation. To deplete the T-cell subsets, mice injected with MH134 tumor cells on day 0 were injected i.p. with rat IgG, anti-CD4, or anti-CD8 mAb (150 &#x00B5;g/mouse on days, &#x2212;1, 0, &#x002B;3) as previously described (<xref rid="b28-or-37-02-0684" ref-type="bibr">28</xref>). T-cell depletion was confirmed to be &#x003E;95&#x0025; by fluorescence-activated cell sorting (FACS).</p>
</sec>
<sec>
<title>Surgical tumor resection and rechallenge</title>
<p>MH134 tumors were surgically removed 3 weeks after tumor inoculation. Mice were re-challenged i.d. with 1.5&#x00D7;10<sup>6</sup> MH134 cells of the same tumor as previously described (<xref rid="b29-or-37-02-0684" ref-type="bibr">29</xref>).</p>
</sec>
<sec>
<title>Immunohistochemistry</title>
<p>MH134 tumors taken from C3H/HeN mice treated with saline solution or <italic>Spirulina</italic> LPS 22 days after tumor implantation were embedded in O.C.T. compound (Sakura Finetec USA, Inc., Torrance, CA, USA) and frozen. Frozen tumors were sectioned and stained with anti-CD4 (RM4-5, rat IgG2a, no. 100520, BioLegend) or anti-CD8 (53&#x2013;6.7) antibodies using simple stain mouse MAX-PO [F(ab)&#x0027;<sub>2</sub> goat anti-rat Ig and peroxidase coupled to the amino acid polymer] and 3,3&#x2032;-diaminobenzidine according to the manufacturer&#x0027;s protocol (Nichirei-Biosciences Inc., Tokyo, Japan).</p>
</sec>
<sec>
<title>Preparation of lymphoid cells</title>
<p>M&#x03D5;/DC or CD4 T cell fractions were prepared from whole spleen cells by positive selection using a MACS cell separation system (Miltenyi Biotec, Auburn, CA, USA) according to manufacturer&#x0027;s instructions. Anti-CD4 and a mixture of anti-CD11b and anti-CD11c microbeads were used for the fractionation of CD4 T cells and M&#x03D5;/DC, respectively. The purity was usually demonstrated to be &#x003E;90&#x0025; by FACS.</p>
</sec>
<sec>
<title>Culture of splenocytes from tumor-bearing mice</title>
<p>Whole splenocytes (5&#x00D7;10<sup>6</sup>/well) depleted of red blood cells were cultured in 10&#x0025; FCS RPMI-1640 medium in 24-well culture plates (Becton Dickinson Labware, Franklin Lakes, NJ, USA) at 37&#x00B0;C in a 5&#x0025; CO<sub>2</sub> humidified atmosphere. After 4 days of culture, supernatants were collected to assess cytokine levels by ELISA.</p>
</sec>
<sec>
<title>In vitro IL-17 production</title>
<p>Whole spleen cells (8&#x00D7;10<sup>5</sup>/well) from OVA-specific TCR transgenic (DO11.10) mice were cultured in flat-bottomed 96-well plates (Costar Corning, NY, USA) in 10&#x0025; FCS RPMI-1640 medium for 5 days. In some experiments, 2.8&#x00D7;10<sup>5</sup> CD4 T cells, prepared from C3H/HeJ mice that had been immunized i.p. with 150 &#x00B5;g OVA and 5 mg Alum approximately 2 months earlier, were cultured with 1.2&#x00D7;10<sup>5</sup> splenic M&#x03D5;/DC cells from C3H/HeN or C3H/HeJ mice in the presence of 20 &#x00B5;g/ml OVA for 5 days. <italic>Spirulina</italic> or <italic>E. coli</italic> LPS was added at the initiation of the culture to evaluate its effect on IL-17 production. The levels of IL-17 in the culture supernatants were evaluated by ELISA.</p>
</sec>
<sec>
<title>B cell proliferation</title>
<p>Whole spleen cells (8&#x00D7;10<sup>5</sup>/well) were cultured in flat-bottomed 96-well plates in 10&#x0025; FCS RPMI-1640 medium in the presence or absence of graded doses of <italic>Spirulina</italic> LPS or <italic>E. coli</italic> LPS. Five days later, the cultured cells were collected and stained with FITC-conjugated anti-B220 mAb (RA3-6B2, rat IgG2a, no. 553088, BD Biosciences, San Jose, CA, USA). B220<sup>&#x002B;</sup> cells were counted as B cells using a FACSCalibur instrument (Becton Dickinson, San Jose, CA, USA).</p>
</sec>
<sec>
<title>NK assay</title>
<p>Briefly, 2.5&#x00D7;10<sup>6</sup> target cells were labeled with 25 &#x00B5;Ci of <sup>51</sup>Cr sodium chromate for 60 min at 37&#x00B0;C in 10&#x0025; FCS RPMI-1640 medium. After washing, <sup>51</sup>Cr-labeled target cells (1&#x00D7;10<sup>4</sup>) and effector cells were mixed in flat-bottomed 96-well plates at the indicated effector/target (E/T) ratio. After 4 h of incubation, the radioactivity in the cell-free supernatants was measured using a 1470 Automatic Gamma Counter (PerkinElmer, Waltham, MA, USA). Percentage-specific lysis for <sup>51</sup>Cr release was calculated according to the following formula: &#x0025; specific lysis = [(experimental - spontaneous) release] / [(maximal - spontaneous) release] &#x00D7;100.</p>
</sec>
<sec>
<title>ELISA for cytokine measurement</title>
<p>Cytokine levels in serum or culture supernatants were quantified by sandwich ELISA. The following pairs of capture and biotinylated detection rat anti-mouse mAbs were used: R4-6A2 (no. 551216) and XMG1.2 (no. 554410) for IFN-&#x03B3;, TC11-18H10 (no. 555068) and TC11-8H4 (no. 555067) for IL-17, 9A5 (no. 554658) and C17.8 (no. 554476) for IL-12(p35/40), MP5-20F3 (no. 554400) and MP5-32C11 (no. 554402) for IL-6, and A75-2 (no. 555052) and A75-3 (no. 555053) for TGF-&#x03B2;1 (all were purchased from BD Biosciences). For IL-23(p19/40), rat anti-mouse IL-23p19 (G23-8, no. 14-7232-85, eBioscience, San Diego, CA, USA) and biotinylated anti-IL-12p40 (C17.8, BD Biosciences) were used. The ELISA assays were performed according to the manufacturer&#x0027;s instructions.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Differences in mean values between groups were calculated using an unpaired two-tailed Student&#x0027;s t-test, Mann-Whitney U test, or Fischer&#x0027;s exact test. P-values of the Student&#x0027;s t tests are shown unless otherwise indicated.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>TLR4-dependent suppression of tumor growth by Spirulina LPS is mediated by CD4 and CD8 T cells</title>
<p>To examine the antitumor activities of <italic>Spirulina</italic> LPS in comparison with that of <italic>E. coli</italic> LPS, we inoculated hepatocellular carcinoma MH134 cells i.d. into syngeneic C3H/HeN and TLR4 mutant C3H/HeJ mice (<xref rid="b30-or-37-02-0684" ref-type="bibr">30</xref>), followed by i.p. administration of different doses of <italic>Spirulina</italic> LPS or <italic>E. coli</italic> LPS 6 days later. The injection with different doses of <italic>Spirulina</italic> LPS suppressed the tumor growth in C3H/HeN but not in C3H/HeJ mice, to the same degree as <italic>E. coli</italic> LPS treatment (<xref rid="f1-or-37-02-0684" ref-type="fig">Fig. 1A</xref>). This suggests that <italic>Spirulina</italic> LPS as well as <italic>E. coli</italic> LPS reduced tumor growth in a TLR4-dependent manner.</p>
<p>In order to assess the involvement of T cells in the <italic>Spirulina</italic> LPS-induced antitumor effect, we administered anti-CD4 and/or anti-CD8 mAbs to deplete the T-cell subsets before <italic>Spirulina</italic> LPS injection. While injection of both anti-CD4 and anti-CD8 mAbs completely abolished the antitumor activity of <italic>Spirulina</italic> LPS, anti-CD4 or anti-CD8 mAb alone did not result in a strong effect (<xref rid="f1-or-37-02-0684" ref-type="fig">Fig. 1B</xref>). In accordance with the results of the <italic>in vivo</italic> T-cell depletion, immunohistochemical examinations revealed the enhancement of infiltration of both CD4 and CD8 T cells in the tumor masses upon administration of <italic>Spirulina</italic> LPS (<xref rid="f1-or-37-02-0684" ref-type="fig">Fig. 1C</xref>). These results suggest that CD4 and CD8 T cells are both involved in the antitumor effect induced by <italic>Spirulina</italic> LPS.</p>
</sec>
<sec>
<title>Spirulina and E. coli LPS differ in their ability to activate NK cells and induce secondary immune responses</title>
<p>To examine whether <italic>Spirulina</italic> LPS induces immunity against MH134 tumors, we reinoculated MH134 cells into C3H/HeN mice that had been implanted with an MH134 tumor and were treated with saline, <italic>E. coli</italic>, or <italic>Spirulina</italic> LPS, followed by surgical resection of primary tumors 5 days before the re-challenge. The growth rate of the reimplanted tumors reduced even in saline-treated mice, compared with that in untreated mice implanted with only new tumor cells without the first inoculum of MH134 tumor cells (<xref rid="f2-or-37-02-0684" ref-type="fig">Fig. 2A</xref>), implicating the induction of antitumor immunity without LPS administration when the primary tumor was removed. <italic>Spirulina</italic> LPS induced a stronger resistance to reimplanted MH134 tumors than saline (<xref rid="f2-or-37-02-0684" ref-type="fig">Fig. 2A</xref>). In contrast, the tumor growth rate in <italic>E. coli</italic> LPS-treated mice was comparable to that in saline-treated mice (<xref rid="f2-or-37-02-0684" ref-type="fig">Fig. 2A</xref>). These results suggest that while <italic>Spirulina</italic> LPS facilitated the generation of immunity against MH134 tumors, <italic>E. coli</italic> LPS did not enhance secondary antitumor immune response. Since <italic>E. coli</italic> LPS was effective in the prevention of primary tumor growth as shown in <xref rid="f1-or-37-02-0684" ref-type="fig">Fig. 1A</xref> and is known to exhibit antitumor activity partly through activation of NK cells, we evaluated the ability of <italic>E. coli</italic> and <italic>Spirulina</italic> LPS to activate NK cells. Indeed, spleen cells from C3H/HeN mice injected with <italic>E. coli</italic> LPS showed remarkable toxicity towards NK-sensitive YAC-1 cells and a weak but significant toxicity towards MH134 cells, whereas <italic>Spirulina</italic> LPS failed to activate NK cells (<xref rid="f2-or-37-02-0684" ref-type="fig">Fig. 2B</xref>). NK activation was not induced in C3H/HeJ mice, not even when <italic>E. coli</italic> LPS was administered (<xref rid="f2-or-37-02-0684" ref-type="fig">Fig. 2B</xref>). Thus, this result may explain why <italic>E. coli</italic> LPS elicited antitumor effects against the primary tumor, regardless of its failure to enhance adaptive immunity to tumors.</p>
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<title>Administration of Spirulina LPS to a tumor-bearing host downregulates serum levels of IL-17 and IL-23 but increases IFN-&#x03B3; production by T cells through the TLR4 pathway</title>
<p>IFN-&#x03B3; plays a crucial role in the prevention of tumor development (<xref rid="b6-or-37-02-0684" ref-type="bibr">6</xref>), whereas IL-17 and IL-23 are considered to promote tumor growth by inducing inflammation and by regulating the expansion/survival of Th17 cells, respectively (<xref rid="b11-or-37-02-0684" ref-type="bibr">11</xref>,<xref rid="b14-or-37-02-0684" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-or-37-02-0684" ref-type="bibr">16</xref>). We measured serum levels of IFN-&#x03B3;, IL-17, and IL-23 in tumor-bearing C3H/HeN and C3H/HeJ mice treated with saline, <italic>E. coli</italic>, or <italic>Spirulina</italic> LPS. <italic>E. coli</italic> and <italic>Spirulina</italic> LPS (100 &#x00B5;g) markedly increased serum IFN-&#x03B3; levels in C3H/HeN mice with a peak response at days 7 and 14 after tumor inoculation, respectively (<xref rid="f3-or-37-02-0684" ref-type="fig">Fig. 3A</xref>). A low dose of <italic>Spirulina</italic> LPS (20 &#x00B5;g) induced slight but significant IFN-&#x03B3; production from days 7 to 14. However, the serum levels of IFN-&#x03B3; were not elevated in C3H/HeJ mice at any time, not even after injection of either LPS. The treatment with anti-CD4 mAb or a combination of anti-CD4 and anti-CD8 mAbs abrogated the increase in serum IFN-&#x03B3; in C3H/HeN mice receiving <italic>Spirulina</italic> LPS, whereas anti-CD8 mAb alone slightly diminished the activity of <italic>Spirulina</italic> LPS to induce IFN-&#x03B3; (<xref rid="f3-or-37-02-0684" ref-type="fig">Fig. 3D</xref>). On the other hand, serum levels of IL-17 and IL-23 in saline-treated C3H/HeN mice gradually increased during tumor progression and reached a maximum on day 21 (<xref rid="f3-or-37-02-0684" ref-type="fig">Fig. 3B and C</xref>). However, serum levels of IL-6 only showed an approximately 2-fold increase in saline-treated tumor-bearing mice even on day 21 as compared to non-treated mice (data not shown). Noteworthy, <italic>Spirulina</italic> LPS significantly reduced IL-17 and IL-23 levels, while <italic>E. coli</italic> LPS hardly suppressed IL-17 production on day 21 (<xref rid="f3-or-37-02-0684" ref-type="fig">Fig. 3B and C</xref>). On the contrary, <italic>E. coli</italic> LPS enhanced serum levels of IL-23 in tumor-bearing C3H/HeN mice on day 7 and 14. Taken together, these results support the notion that <italic>Spirulina</italic> LPS induces antitumor immune responses through the induction of IFN-&#x03B3; mostly by CD4 T cells and suppressed serum levels of IL-17 and IL-23, whereas <italic>E. coli</italic> LPS exerts its antitumor effect primarily through activation of NK cells.</p>
<p>We have previously shown that antigen-presenting cells (APCs)-expressing tumor Ag and tumor-reactive T cells are both stimulated <italic>in vivo</italic> in tumor-bearing mice, and that <italic>in vitro</italic> culture of spleen cells from tumor-bearing mice at early stages leads to cytokine production without exogenous addition of tumor Ag as a result of the collaboration between antitumor T cells and APCs (<xref rid="b29-or-37-02-0684" ref-type="bibr">29</xref>,<xref rid="b31-or-37-02-0684" ref-type="bibr">31</xref>). We tested whether <italic>in vivo</italic> treatment with <italic>E. coli</italic> or <italic>Spirulina</italic> LPS affects the <italic>in vitro</italic> production of IFN-&#x03B3; by culturing spleen cells from MH134 tumor-bearing mice. <italic>Spirulina</italic> LPS clearly enhanced IFN-&#x03B3; production in spleen cells of tumor-bearing C3H/HeN mice, whereas <italic>E. coli</italic> LPS was unable to upregulate IFN-&#x03B3; production (<xref rid="f3-or-37-02-0684" ref-type="fig">Fig. 3D</xref>). These results implicate that <italic>Spirulina</italic> LPS enhances IFN-&#x03B3; production through the generation of memory T cells.</p>
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<title>Spirulina LPS inhibits IL-17 production in an IFN-&#x03B3;-independent manner through interaction with APCs expressing TLR4</title>
<p>Since <italic>Spirulina</italic> LPS reduced serum IL-17 levels in tumor-bearing mice while increasing IFN-&#x03B3; levels and because IFN-&#x03B3; negatively regulates the generation of Th17 cells (<xref rid="b32-or-37-02-0684" ref-type="bibr">32</xref>,<xref rid="b33-or-37-02-0684" ref-type="bibr">33</xref>), we investigated whether IL-17 downregulation by <italic>Spirulina</italic> LPS occurs via inhibition of the induction of IL-17-producing cells by facilitating IFN-&#x03B3; production, or alternatively by directly downregulating IL-17-producing cells. To address this question, spleen cells from OVA-specific TCR transgenic DO11.10 mice were stimulated by OVA with or without <italic>E. coli</italic> or <italic>Spirulina</italic> LPS and in the presence or absence of anti-IFN-&#x03B3; mAb. <italic>Spirulina</italic> LPS significantly suppressed IL-17 production by DO11.10 spleen cells in a dose-dependent manner, regardless of the presence of anti-IFN-&#x03B3; mAb. However, <italic>E. coli</italic> LPS augmented IL-17 production (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4A</xref>), possibly because of its ability to induce IL-6 (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5A</xref>). In addition, it is noteworthy that anti-IFN-&#x03B3; mAb enhanced IL-17 production by DO11.10 spleen cells in response to OVA without the addition of either LPS (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4A</xref>), indicating that IFN-&#x03B3; regulates IL-17-producing cells. Thus, <italic>Spirulina</italic> LPS suppresses the <italic>in vivo</italic> production of IL-17 with or without involvement of IFN-&#x03B3;. Moreover, although <italic>Spirulina</italic> LPS inhibited IL-17 production when CD4 T cells from OVA-primed C3H/HeJ mice were co-cultured with C3H/HeN APCs in the presence of OVA, it failed to suppress IL-17 production when OVA-primed C3H/HeJ CD4 T cells were stimulated with OVA in the context of C3H/HeJ APCs (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4B</xref>). These results suggest that <italic>Spirulina</italic> LPS acted on APCs to inhibit the generation of Th17 cells in a TLR4-dependent manner.</p>
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<title>Anti-IL-17 mAb administration inhibits tumor development upon elevated IFN-&#x03B3; production</title>
<p>Thus far, our results are consistent with the notion that the antitumor effect of <italic>Spirulina</italic> LPS is caused by the downregulation of IL-17 production. To examine whether neutralization of IL-17 by anti-IL-17 mAb would result in a reduction of tumor growth in mice in the absence of <italic>Spirulina</italic> LPS, we injected anti-IL-17 or anti-IFN-&#x03B3; mAb into C3H/HeN mice 1 day before and 4 days after MH134 tumor implantation, and monitored tumor development. As expected, anti-IL-17 mAb markedly suppressed tumor growth compared to control rat IgG antibodies, whereas anti-IFN-&#x03B3; mAb slightly enhanced tumor development (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4C</xref>). Importantly, mice receiving anti-IL-17 mAb exhibited high levels of serum IFN-&#x03B3; (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4D</xref>). In addition, <italic>in vitro</italic> culture of spleen cells from tumor-bearing mice treated with anti-IL-17 mAb resulted in the production of large amounts of IFN-&#x03B3; (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4D</xref>). These results indicate that IL-17 provides an environment suitable for tumor growth partly by inhibiting the generation of IFN-&#x03B3;-producing T cells.</p>
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<title>Spirulina LPS reduces or abrogates IL-6 and IL-23 production in vivo, but augments T cell-dependent IL-12 induction</title>
<p>It was recently reported that IL-17 is mainly produced by Th17 cells, and that both IL-6 and TGF-&#x03B2; are indispensable for the generation of Th17 cells (<xref rid="b20-or-37-02-0684" ref-type="bibr">20</xref>). To test the ability of <italic>Spirulina</italic> LPS to induce IL-6 and TGF-&#x03B2;, normal C3H/HeN and C3H/HeJ mice were injected i.p. with <italic>E. coli</italic> or <italic>Spirulina</italic> LPS and serum cytokine levels were measured 4 h later. C3H/HeN mice produced high levels of IL-6 in response to <italic>E. coli</italic> LPS, but showed only a small response upon stimulation with <italic>Spirulina</italic> LPS (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5A</xref>). Contrary to IL-6, the substantial TGF-&#x03B2; levels present in serum of untreated groups of both strains were not significantly elevated when stimulated with <italic>E. coli</italic> LPS (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5A</xref>). However, <italic>Spirulina</italic> LPS slightly reduced TGF-&#x03B2; levels, but only in C3H/HeN mice (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5A</xref>). Noteworthy, <italic>E. coli</italic> LPS elicited a considerable increase in IL-23 levels, only in C3H/HeN mice, while <italic>Spirulina</italic> LPS showed almost no induction of IL-23 even in C3H/HeN mice (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5A</xref>). Thus, <italic>Spirulina</italic> LPS seems to be inferior to <italic>E. coli</italic> LPS in terms of stimulating immune cells. The possibility that <italic>Spirulina</italic> LPS has a general defect in the stimulation of immune system was excluded, because both <italic>E. coli</italic> and <italic>Spirulina</italic> LPS induced B cell proliferation in a dose-dependent manner (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5B</xref>).</p>
<p>Since IL-12 and IFN-&#x03B3; are known to play a crucial role in the differentiation of IFN-&#x03B3;-producing Th1 cells (<xref rid="b4-or-37-02-0684" ref-type="bibr">4</xref>), we measured the serum levels of IL-12 in tumor-bearing mice that were treated with saline, <italic>E. coli</italic>, or <italic>Spirulina</italic> LPS. <italic>Spirulina</italic> LPS augmented IL-12 production more than <italic>E. coli</italic> LPS. In contrast to a transient increase of IL-12 by <italic>E. coli</italic> LPS, the enhanced IL-12 production by <italic>Spirulina</italic> LPS was still observed after 14 days (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5C</xref>). Of note, these high IL-12 serum levels on day 14 decreased when C3H/HeN mice were injected with anti-CD4, but not anti-CD8 mAb (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5D</xref>), implicating CD4 T cell-dependent IL-12 production. Taken together, these findings support the notion that <italic>Spirulina</italic> LPS facilitates the priming of CD4 T cells with tumor cells and the subsequent CD4 T cell-dependent activation of APCs, leading to IL-12 production, which in turn induces IFN-&#x03B3;-producing T cells.</p>
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<title>Spirulina LPS attenuates the spontaneous development of mammary tumors</title>
<p>We finally examined whether <italic>Spirulina</italic> LPS is also effective in suppressing the spontaneous development of mammary tumors in female transgenic mice carrying the activated HER-2/<italic>neu</italic> oncogene. HER-2/<italic>neu</italic> transgenic mice display apparent hyperplasia in the mammary glands at 10 weeks of age and develop palpable mammary tumors around 24 weeks (<xref rid="b28-or-37-02-0684" ref-type="bibr">28</xref>). Female HER-2/<italic>neu</italic> mice were injected with <italic>Spirulina</italic> LPS or PBS once per week between 120 and 240 days after birth. <italic>Spirulina</italic> LPS delayed the appearance of tumors and significantly reduced both tumor incidence and growth (<xref rid="f6-or-37-02-0684" ref-type="fig">Fig. 6</xref>).</p>
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<sec sec-type="discussion">
<title>Discussion</title>
<p>The IL-12/IFN-&#x03B3; pathway is crucial for antitumor immunity by inducing IFN-&#x03B3;-producing CD4 and CD8 T cells (<xref rid="b4-or-37-02-0684" ref-type="bibr">4</xref>,<xref rid="b6-or-37-02-0684" ref-type="bibr">6</xref>,<xref rid="b7-or-37-02-0684" ref-type="bibr">7</xref>,<xref rid="b34-or-37-02-0684" ref-type="bibr">34</xref>). In this context, various adjuvants including microbial products are explored to potentiate antitumor immunity. On the other hand, IL-23/IL-17 signaling plays an important role in tumorigenesis and metastasis in humans and mice by inducing angiogenesis and IL-6, IL-8, and matrix metalloproteinase expression (<xref rid="b11-or-37-02-0684" ref-type="bibr">11</xref>&#x2013;<xref rid="b17-or-37-02-0684" ref-type="bibr">17</xref>). Since most adjuvants induce IL-6, which is indispensable for Th17 differentiation, adjuvants that do not induce or slightly induce IL-6 are desired for tumor immunotherapy. The present study demonstrates that <italic>Spirulina</italic> LPS is a very poor inducer of IL-6 and IL-23 and that it elicits strong antitumor immunity by suppressing IL-17 induction while enhancing IFN-&#x03B3; production through the TLR4 pathway.</p>
<p>In a tumor-based mouse model, <italic>Spirulina</italic> LPS treatment enhanced serum levels of IFN-&#x03B3; at early stages of tumor development and decreased serum IL-17 and IL-23 levels at later stages (<xref rid="f3-or-37-02-0684" ref-type="fig">Fig. 3</xref>). <italic>Spirulina</italic> LPS also induced IL-12 production in a CD4 T cell-dependent manner, probably through CD4 T cell-APC interaction (<xref rid="f5-or-37-02-0684" ref-type="fig">Fig. 5C and D</xref>), and induced IFN-&#x03B3; production primarily by CD4 T cells. Based on previous reports on the inhibition of Th17 differentiation by IFN-&#x03B3; (<xref rid="b32-or-37-02-0684" ref-type="bibr">32</xref>,<xref rid="b33-or-37-02-0684" ref-type="bibr">33</xref>), these results can be interpreted as follows: <italic>Spirulina</italic> LPS facilitates the differentiation of tumor-primed CD4 T cells to Th1 cells. Subsequently, Th1-derived IFN-&#x03B3; prevents Th17 differentiation and promotes CD8 T-cell activation. In addition, <italic>Spirulina</italic> LPS might also suppress IL-17 production through IFN-&#x03B3;-independent pathways as shown in our <italic>in vitro</italic> experiments (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4A</xref>).</p>
<p>Alternatively, it is possible that although IL-17 elevation during tumor progression could prevent the generation of IFN-&#x03B3;-producing T cells, <italic>Spirulina</italic> LPS might restore the generation of Th1 cells by reducing IL-17 production (<xref rid="f3-or-37-02-0684" ref-type="fig">Fig. 3</xref>). Recent experiments have revealed IL-17-mediated inhibition of Th1 differentiation (<xref rid="b35-or-37-02-0684" ref-type="bibr">35</xref>). It is also conceivable that <italic>Spirulina</italic> LPS inhibits tumor growth by reducing IL-17-induced angiogenesis, as previously reported (<xref rid="b11-or-37-02-0684" ref-type="bibr">11</xref>&#x2013;<xref rid="b13-or-37-02-0684" ref-type="bibr">13</xref>,<xref rid="b36-or-37-02-0684" ref-type="bibr">36</xref>). Of note, administration of anti-IL-17 mAb into tumor-bearing mice induced marked tumor regression accompanying IFN-&#x03B3; production (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4C and D</xref>), consistent with a recent report showing tumor growth inhibition by IL-17 neutralization (<xref rid="b15-or-37-02-0684" ref-type="bibr">15</xref>). Regardless of the pathway, <italic>Spirulina</italic> LPS inhibits tumor growth by skewing the balance between IFN-&#x03B3; and IL-17 responses toward IFN-&#x03B3; production.</p>
<p>In this study, <italic>Spirulina</italic> LPS was shown to inhibit the <italic>in vitro</italic> generation of IL-17-producing cells through its action on APCs in a TLR4-dependent manner (<xref rid="f4-or-37-02-0684" ref-type="fig">Fig. 4A and B</xref>). There are reports demonstrating that CD86, but not CD80, on APCs plays an important role in the regulation of IL-17 production by T cells (<xref rid="b37-or-37-02-0684" ref-type="bibr">37</xref>), and that IL-27 produced by M&#x03D5;/DC negatively regulates the development of Th17 cells (<xref rid="b38-or-37-02-0684" ref-type="bibr">38</xref>). Thus, <italic>Spirulina</italic> LPS-mediated TLR4 signaling may induce a change in APC status by modulating the expression patterns of co-stimulatory molecules and cytokines, leading to the attenuation of Th17 cell development. However, the precise mechanisms by which <italic>Spirulina</italic> LPS suppresses IL-17 and IL-23 remain to be elucidated.</p>
<p>In contrast to the tumor-promoting effects of the IL-17/IL-23 signaling axis, demonstrated in IL-17- or IL-23-deficient mice, several groups have described that Th17 cells or IL-17 promote tumor inhibition by increasing the generation of tumor-specific cytotoxic CD8 T cells (<xref rid="b39-or-37-02-0684" ref-type="bibr">39</xref>,<xref rid="b40-or-37-02-0684" ref-type="bibr">40</xref>). Thus, whether Th17 cells or IL-17 induce tumor progression or antitumor immunity might be dependent on the varied main effector cells in the distinct tumor-host relationship (<xref rid="b41-or-37-02-0684" ref-type="bibr">41</xref>). Namely, Th17 cells/IL-17 could activate CD8 T cells, while inhibiting Th1 type of CD4 T cells. Otherwise, the strength of tumor immunogenicity or frequency of tumor-specific effector T cells might cause a discrepancy in the function of Th17 cells/IL-17, because adoptive transfer of tumor-reactive Th17 cells obtained from TCR transgenic mice or from <italic>in vitro</italic> stimulation with tumor inhibits tumor development (<xref rid="b39-or-37-02-0684" ref-type="bibr">39</xref>,<xref rid="b40-or-37-02-0684" ref-type="bibr">40</xref>). In either case, IL-17-induced angiogenesis seems to be required to some extent for effector T cells to migrate into tumor tissue. Even in an IL-17-deficient host, IL-17 secreted by tumor cells may contribute to T-cell infiltration. Despite these possible explanations, the paradox in the function of Th17 cells/IL-17 is still unresolved.</p>
<p>IL-17 is also produced by certain tumors and IL-17 receptors have been detected in virtually all cells (<xref rid="b12-or-37-02-0684" ref-type="bibr">12</xref>). It has been reported that IL-17 stimulates tumor cells to proliferate and upregulates the expression of various cytokines, chemokines, and their receptors, leading to angiogenesis (<xref rid="b16-or-37-02-0684" ref-type="bibr">16</xref>,<xref rid="b42-or-37-02-0684" ref-type="bibr">42</xref>&#x2013;<xref rid="b44-or-37-02-0684" ref-type="bibr">44</xref>). However, we did not detect expression of IL-17 and IL-17 receptor in MH134 tumor cells (data not shown), indicating the importance of IL-17 responses in host-derived cells in MH134 tumor growth. Moreover, although TLR4 was expressed on MH134 tumor cells, <italic>E. coli</italic> and <italic>Spirulina</italic> LPS had virtually no effect on the <italic>in vitro</italic> growth of tumor cells (data not shown). Interestingly, we found that MH134 tumor cells expressed IFN-&#x03B3; receptors and that cellular <italic>in vitro</italic> growth was inhibited by exogenous addition of IFN-&#x03B3; (data not shown). Thus, <italic>in vivo</italic> induction of IFN-&#x03B3; by <italic>E. coli</italic> and <italic>Spirulina</italic> LPS may partly contribute to the antitumor effects by virtue of the IFN-&#x03B3; direct action on the tumor.</p>
<p><italic>E. coli</italic> LPS induced antitumor effects against a primary tumor, but failed to enhance secondary immune responses in the same tumor after reimplantation (<xref rid="f2-or-37-02-0684" ref-type="fig">Fig. 2A</xref>). <italic>E. coli</italic> LPS induced high levels of IL-6 and IL-23, favoring the development of Th17 cells, and it considerably activated NK function (<xref rid="f2-or-37-02-0684" ref-type="fig">Fig. 2B</xref>). Thus, it is conceivable that <italic>E. coli</italic> LPS inhibits primary tumor growth via activation of NK cells, but prevents the generation of T cell-mediated antitumor immunity through IL-17 induction.</p>
<p>The effects of <italic>E. coli</italic> and <italic>Spirulina</italic> LPS involve TLR4 pathways, but <italic>Spirulina</italic> LPS was different from <italic>E. coli</italic> LPS in terms of cytokine induction. The structure of LPS of all gram-negative bacteria consists of a polysaccharide attached to a lipid component, lipid A, which is assumed to be responsible for the induction of cytokines. Although lipid A molecules from different bacteria were initially thought to be similar, recent evidence suggests structural and functional differences among LPS from different species (<xref rid="b25-or-37-02-0684" ref-type="bibr">25</xref>,<xref rid="b45-or-37-02-0684" ref-type="bibr">45</xref>). Differences in the three-dimensional conformation of lipid A have been proposed to determine the strength of fitness to TLR4-CD14-MD2 complex, leading to the activation of intracellular signaling for cytokines (<xref rid="b46-or-37-02-0684" ref-type="bibr">46</xref>,<xref rid="b47-or-37-02-0684" ref-type="bibr">47</xref>). LPS fractions from <italic>E. coli</italic> and <italic>Salmonella</italic> spp. are more potent cytokine inducers than those from <italic>Bordetella pertussis</italic> and <italic>Bacteroides fragilis</italic> (<xref rid="b48-or-37-02-0684" ref-type="bibr">48</xref>,<xref rid="b49-or-37-02-0684" ref-type="bibr">49</xref>), while lipid A analog and LPS from <italic>Rhodobacter</italic> spp. have antagonistic properties against cytokine stimulation (<xref rid="b47-or-37-02-0684" ref-type="bibr">47</xref>,<xref rid="b50-or-37-02-0684" ref-type="bibr">50</xref>). Although the structure of <italic>Spirulina</italic> LPS remains to be analyzed, the molecular conformation of <italic>E. coli</italic> LPS seems to be different from that of <italic>Spirulina</italic> LPS based on its ability to downregulate IL-17 with minimum induction of IL-6 and IL-23. Moreover, <italic>Spirulina</italic> LPS failed to induce endotoxin shock in contrast to <italic>E. coli</italic> LPS (20&#x0025; and 100&#x0025; survival in mice given 25 &#x00B5;g of <italic>E. coli</italic> and <italic>Spirulina</italic> LPS, respectively, 36 h after administration).</p>
<p>Experiments using different <italic>Spirulina</italic> preparations free of LPS have demonstrated antitumor activity. A calcium-chelating, sulfated polysaccharide from <italic>S. platensis</italic> suppressed metastasis of murine melanoma (<xref rid="b51-or-37-02-0684" ref-type="bibr">51</xref>). Oral administration of hot water extract of <italic>Spirulina</italic> is reported to suppress tumor growth through IFN-&#x03B3;-mediated activation of NK cells but not CD8 T cells (<xref rid="b52-or-37-02-0684" ref-type="bibr">52</xref>). However, it was not clear whether IL-17 and IL-23 production were involved in the experimental system of that specific study. In contrast to those <italic>Spirulina</italic> preparations, we used a <italic>Spirulina</italic> LPS fraction extracted with phenol-water. Differences in the components of the <italic>Spirulina</italic> extracts may cause distinct bioactivities.</p>
<p>In conclusion, <italic>Spirulina</italic> LPS suppressed tumor growth by downregulating serum IL-17/IL-23 with concomitant induction of IFN-&#x03B3; through TLR4. Furthermore, <italic>Spirulina</italic> LPS showed limited or no induction of IL-6 and IL-23 and altered the cytokine milieu in the tumor-bearing host from the Th17 to the Th1 type. Thus, we confirmed the importance of a balance between IFN-&#x03B3; and IL-17/IL-23 levels in the regulation of tumor growth. It is noteworthy that <italic>Spirulina</italic> LPS was able to suppress spontaneous development of mammary tumors. Our results provide novel insights into the exploitation of TLR-based immunomodulators for cancer immunotherapy.</p>
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<ack>
<title>Acknowledgements</title>
<p>This study was supported by The Osaka Foundation of Promotion for Clinical Immunology (S.O. and Y K.) and JSPS Grant-in-Aid for Scientific Research #21550168 (S.F.). We would like to thank Dr G. Cysewski (Cyanotech Corporation, Hawaii) and Mr. N. Miyaji (Toyo Koso Kagaku Co., Ltd., Japan) for providing <italic>Spirulina pacifica</italic>.</p>
</ack>
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<floats-group>
<fig id="f1-or-37-02-0684" position="float">
<label>Figure 1.</label>
<caption><p>T cell-mediated suppression of tumor growth by <italic>Spirulina</italic> LPS through TLR4. (A) MH134 tumor cells were injected i.d. into C3H/HeN and C3H/HeJ mice on day 0. <italic>Spirulina</italic> LPS, <italic>E. coli</italic> LPS, or saline was injected i.p. on days 6, 13, and 20. Data represent mean &#x00B1; standard error (SE) of 5 mice per group. &#x002A;P&#x003C;0.05 compared with saline. (B) The tumor-bearing C3H/HeN mice were treated with anti-CD4 and/or anti-CD8 or control rat IgG antibodies on days &#x2212;1, 0, and 3, followed by saline or <italic>Spirulina</italic> LPS (100 &#x00B5;g) i.p. injection on days 8, 13, and 20. Data represent mean &#x00B1; SE of 5 mice per group. &#x002A;P&#x003C;0.05 compared with saline. (C) MH134 tumors were taken from C3H/HeN mice treated with saline or <italic>Spirulina</italic> LPS (20 &#x00B5;g) 22 days after tumor implantation and tumor sections were stained with anti-CD4 or anti-CD8 antibody. Arrows show CD4 T or CD8 T lymphocytes (brown). Bar: 50 &#x00B5;m.</p></caption>
<graphic xlink:href="OR-37-02-0684-g00.tif"/>
</fig>
<fig id="f2-or-37-02-0684" position="float">
<label>Figure 2.</label>
<caption><p><italic>Spirulina</italic> LPS is incapable of activating NK cells but elicits immunity against reimplanted tumors. (A) MH134 tumors from <italic>E. coli</italic> or <italic>Spirulina</italic> LPS-treated C3H/HeN mice were surgically removed on day 22, and rechallenged with MH134 tumors on day 27. Tumor growth was measured. Data represent mean &#x00B1; SE of 3&#x2013;5 mice per group. &#x002A;P&#x003C;0.05 compared with saline. (B) Freshly prepared spleen cells from C3H/HeN or C3H/HeJ mice treated with PBS, <italic>E. coli</italic>, or <italic>Spirulina</italic> LPS were co-cultured with <sup>51</sup>Cr-labeled YAC-1 or MH134 cells. The cytolytic activity of NK cells against YAC-1 or MH134 target cells was assessed in a chromium release assay. &#x002A;P&#x003C;0.05 compared with PBS.</p></caption>
<graphic xlink:href="OR-37-02-0684-g01.tif"/>
</fig>
<fig id="f3-or-37-02-0684" position="float">
<label>Figure 3.</label>
<caption><p>Administration of <italic>Spirulina</italic> LPS to tumor-bearing mice decreases serum IL-17 and IL-23 levels, while increasing IFN-&#x03B3; levels through the TLR4 pathway. (A-C) Serum cytokine levels were measured in tumor-bearing C3H/HeN or C3H/HeJ mice treated with LPS as in <xref rid="f1-or-37-02-0684" ref-type="fig">Fig. 1A</xref>. Data represent mean &#x00B1; SE of 5 mice per group. &#x002A;P&#x003C;0.05 compared with saline. (D) Tumor-bearing C3H/HeN mice were treated with anti-CD4 and/or anti-CD8, or rat IgG antibodies (on days &#x2212;1, 0, and 3) and <italic>Spirulina</italic> LPS (on days 8, 13, and 20), and serum IFN-&#x03B3; levels were measured 14 days after tumor implantation <italic>(in vivo)</italic>. Data represent mean &#x00B1; SE of 5 mice per group. &#x002A;P&#x003C;0.05 compared with rat IgG. Spleen cells from MH134 tumor-bearing C3H/HeN mice treated with <italic>E. coli</italic> or <italic>Spirulina</italic> LPS were prepared on day 22 and cultured without exogenous addition of tumor cells for 4 days. The culture supernatant was assessed for IFN-&#x03B3; <italic>(in vitro)</italic>. &#x002A;P&#x003C;0.05 compared with saline.</p></caption>
<graphic xlink:href="OR-37-02-0684-g02.tif"/>
</fig>
<fig id="f4-or-37-02-0684" position="float">
<label>Figure 4.</label>
<caption><p><italic>Spirulina</italic> LPS inhibits IL-17 production through TLR4 on APCs, and neutralization of endogenous IL-17 in MH134-bearing mice results in tumor regression. (A) Spleen cells from OVA-specific TCR transgenic mice were cultured with OVA in the absence (left) or presence (right) of anti-IFN-&#x03B3; mAb for 5 days. Graded doses of <italic>E. coli</italic> or <italic>Spirulina</italic> LPS were further added into the culture to examine their effect on IL-17 production. Background IL-17 production without OVA was &#x003C;22 pg/ml. &#x002A;P&#x003C;0.05 compared with control. (B) CD4 T cells from OVA-primed C3H/HeJ mice and splenic APCs from C3H/HeN or C3H/HeJ mice were co-cultured with OVA in the absence or presence of <italic>Spirulina</italic> LPS for 5 days. The culture supernatant levels of IL-17 were measured. &#x002A;P&#x003C;0.05 compared with no <italic>Spirulina</italic> LPS. (C) Tumor-bearing C3H/HeN mice were injected with anti-IL-17, anti-IFN-&#x03B3;, or control rat IgG antibodies 1 day before and 4 days after tumor implantation. Data represent mean tumor growth &#x00B1; SE of 5 mice per group. &#x002A;P&#x003C;0.05 compared with no Ab. (D) In the same experiment as in C, serum IFN-&#x03B3; was measured <italic>(in vivo)</italic>. &#x002A;P&#x003C;0.05 compared with Rat IgG. Spleen cells from tumor-bearing mice treated with anti-IL-17 mAb or Rat IgG as in C were prepared 24 days after tumor implantation and cultured for 4 days to measure the production of IFN-&#x03B3; (<italic>in vitro</italic>). Data represent mean &#x00B1; SE. &#x002A;P&#x003C;0.05 compared with Rat IgG.</p></caption>
<graphic xlink:href="OR-37-02-0684-g03.tif"/>
</fig>
<fig id="f5-or-37-02-0684" position="float">
<label>Figure 5.</label>
<caption><p><italic>Spirulina</italic> LPS induces limited or does not induce the production of IL-6 and IL-23 <italic>in vivo</italic>, but augments T cell-dependent IL-12 induction. (A) C3H/HeN and C3H/HeJ mice were injected i.p. with <italic>E. coli</italic> LPS or <italic>Spirulina</italic> LPS (200 &#x00B5;g). Serum IL-6, TGF-&#x03B2;, or IL-23 levels were assessed 4 h later. Data represent mean &#x00B1; SE of 4&#x2013;5 mice per group. &#x002A;P&#x003C;0.05 compared with prior to injection (pre). (B) Whole spleen cells from DO11.10 mice were cultured in the presence of <italic>E. coli</italic> or <italic>Spirulina</italic> LPS without OVA for 5 days and B-cell proliferation was estimated. &#x002A;P&#x003C;0.05 compared with no LPS. (C) Serum IL-12 levels were measured in tumor-bearing C3H/HeN or C3H/HeJ mice treated as in <xref rid="f1-or-37-02-0684" ref-type="fig">Fig. 1A</xref>. Data represent mean &#x00B1; SE of 5 mice per group. &#x002A;P&#x003C;0.05 compared with saline. (D) Tumor-bearing C3H/HeN mice were treated with <italic>Spirulina</italic> LPS and with anti-CD4 and/or anti-CD8, or rat IgG antibodies as in <xref rid="f1-or-37-02-0684" ref-type="fig">Fig. 1B</xref>. Serum levels of IL-12 were measured on day 14. &#x002A;P&#x003C;0.05 compared with saline.</p></caption>
<graphic xlink:href="OR-37-02-0684-g04.tif"/>
</fig>
<fig id="f6-or-37-02-0684" position="float">
<label>Figure 6.</label>
<caption><p><italic>Spirulina</italic> LPS suppresses the spontaneous development of mammary tumors. HER-2/<italic>neu</italic> transgenic mice were injected i.p. with <italic>Spirulina</italic> LPS (80 &#x00B5;g) or PBS every week between 120 and 240 days after birth. A palpable node over 5&#x00D7;5 mm was considered a tumor. Data represent mean &#x00B1; SE of 8 mice per group. (A) Tumor incidence and (B) tumor size, expressed as summation of tumor area (width &#x00D7; length in mm<sup>2</sup>) of palpable nodes per mouse are depicted. &#x002A;P&#x003C;0.05 compared with PBS by Fischer&#x0027;s exact test (A), and Mann-Whitney U test (B).</p></caption>
<graphic xlink:href="OR-37-02-0684-g05.tif"/>
</fig>
</floats-group>
</article>