Immunomonitoring reveals interruption of anergy after vaccination in a case of type-2-papillary renal cell carcinoma

Immunotherapy. 2017 Mar;9(4):319-329. doi: 10.2217/imt-2016-0145.

Abstract

With the enormous and growing interest in the clinical application of immunotherapy, we are currently facing the need to accurately monitor the immune function of cancer patients. Here, we describe changes in the immune status of a patient with metastatic type-2-papillary renal cell carcinoma, before and after surgery and subsequent immunotherapy with a dendritic cell-tumor cell hybrid vaccine. Through the accurate assessment of monocyte-derived dendritic cells (Mo-DCs) function, we show that Mo-DCs were freed from tumor-induced maturation blockage by tumor resection surgery, while Mo-DCs-tumor induced suppression and anergy were only interrupted by the vaccination treatment. Our data suggest that the evaluation of Mo-DCs' function may provide a powerful and precise tool to monitor immune restoration in cancer patients.

Keywords: immunomonitoring; monocyte-derived dendritic cells; type-2-papillary renal cell carcinoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antigens, Neoplasm / immunology
  • Cancer Vaccines / immunology*
  • Carcinoma, Renal Cell / immunology
  • Carcinoma, Renal Cell / pathology
  • Carcinoma, Renal Cell / therapy*
  • Cell Differentiation
  • Cells, Cultured
  • Coculture Techniques
  • Cytokines / metabolism
  • Dendritic Cells / physiology*
  • Dendritic Cells / transplantation
  • Humans
  • Immunosuppression Therapy
  • Immunotherapy / methods*
  • Kidney Neoplasms / immunology
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / therapy*
  • Male
  • Monitoring, Immunologic*
  • T-Lymphocytes, Regulatory / immunology*
  • Tumor Escape / drug effects
  • Vaccination

Substances

  • Antigens, Neoplasm
  • Cancer Vaccines
  • Cytokines