Published online 25 October 2004 doi:10.1084/jem.20040327
Rockefeller University Press, 0022-1007 $8.00
JEM, Volume 200, Number 9, 1157-1165
Inhibition of Phosphatidylserine Recognition Heightens the Immunogenicity of Irradiated Lymphoma Cells In Vivo
Attilio Bondanza1,
Valérie S. Zimmermann1,
Patrizia Rovere-Querini1,
Javier Turnay2,
Ingrid E. Dumitriu1,3,
Christian M. Stach3,
Reinhard E. Voll3,
Udo S. Gaipl3,
Wolf Bertling6,
Ernst Pöschl4,
Joachim R. Kalden3,
Angelo A. Manfredi1, and
Martin Herrmann3,5
1 Clinical Immunology Unit, Cancer Immunotherapy and Gene Therapy Program, H. San Raffaele Scientific Institute and Vita-Salute University, 20132 Milano, Italy
2 Departamento de Bioquimica y Biologia Molecular I, Facultad de Ciencias Quimicas, Universidad Complutense, 28040 Madrid, Spain
3 Department of Internal Medicine III, Institute for Clinical Immunology and Rheumatology
4 Department of Experimental Medicine I, Friedrich-Alexander University of Erlangen-Nuremberg
5 Responsif GmbH, 91054 Erlangen, Germany
6 November AG, 91056 Erlangen, Germany
Address correspondence to Angelo Manfredi, Clinical Immunology Unit, Cancer Immunotherapy and Gene Therapy Program, H. San Raffaele Institute, DIBIT 3A1, via Olgettina 58, 20132 Milano, Italy. Phone: 39-02-2643-4864; Fax: 39-02-2643-4786; email: manfredi.angelo{at}hsr.it
Strategies to enhance the immunogenicity of tumors are urgently needed. Although vaccination with irradiated dying lymphoma cells recruits a tumor-specific immune response, its efficiency as immunogen is poor. Annexin V (AxV) binds with high affinity to phosphatidylserine on the surface of apoptotic and necrotic cells and thereby impairs their uptake by macrophages. Here, we report that AxV preferentially targets irradiated lymphoma cells to CD8+ dendritic cells for in vivo clearance, elicits the release of proinflammatory cytokines and dramatically enhances the protection elicited against the tumor. The response was endowed with both memory, because protected animals rejected living lymphoma cells after 72 d, and specificity, because vaccinated animals failed to reject unrelated neoplasms. Finally, AxVcoupled irradiated cells induced the regression of growing tumors. These data indicate that endogenous adjuvants that bind to dying tumor cells can be exploited to target tumors for immune rejection.
Key Words: apoptosis phagocytosis cancer adjuvants dendritic cells
A. Bondanza and V.S. Zimmermann contributed equally to this paper.
Abbreviations used in this paper: AxV, annexin V; ITC, irradiated tumor cell; M
, macrophages; PS, phosphatidylserine.

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