Mobilization of dendritic cells in cancer patients treated with granulocyte colony-stimulating factor and chemotherapy

Br J Haematol. 2002 Oct;119(1):204-11. doi: 10.1046/j.1365-2141.2002.03717.x.

Abstract

The number of dendritic cells (DC) circulating in the peripheral blood of cancer patients were monitored at multiple time points during chemotherapy and granulocyte colony-stimulating factor (G-CSF) support. DC were identified via the lack of expression of standard lineage markers and high expression of HLA-DR (LN-/DR+). The expression of DC-associated markers, including CD83, CD11c, IL-3Ralpha (CDw123) and CD86, within this LN-/DR+ population was also monitored. Maximal mobilization occurred during recovery on d 12, with a mean 32-fold increase in LN-/DR+ numbers. The most striking increase was observed in the LN-/DR+/CD83+ cell population: 12 d after commencement of treatment, the proportion of these cells had increased by approximately 120-fold when compared with baseline. Peripheral blood mononuclear cell (PBMC) and CD34+ cell numbers also peaked 12 d into the treatment regimen in most patients. These data suggest that it should be possible to acquire substantial numbers of DC from leukapheresis products collected from cancer patients undergoing a standard treatment regimen of chemotherapy and G-CSF. This strategy may be a feasible, low-risk means of acquiring cells for DC-based vaccine studies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, CD34
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Dendritic Cells / drug effects*
  • Docetaxel
  • Epirubicin / administration & dosage
  • Flow Cytometry
  • Granulocyte Colony-Stimulating Factor / therapeutic use*
  • Hematopoietic Stem Cells / drug effects
  • Humans
  • Leukapheresis / methods
  • Leukocyte Count
  • Leukocytes, Mononuclear / drug effects
  • Neoplasms / blood
  • Neoplasms / drug therapy*
  • Neoplasms / pathology
  • Paclitaxel / administration & dosage
  • Paclitaxel / analogs & derivatives*
  • Taxoids*
  • Tumor Cells, Cultured

Substances

  • Antigens, CD34
  • Taxoids
  • Granulocyte Colony-Stimulating Factor
  • Docetaxel
  • Epirubicin
  • Paclitaxel