Published online June 23, 2008
doi:10.1084/jem.20072016
The Journal of Experimental Medicine, Vol. 205, No. 7, 1687-1700
The Rockefeller University Press, 0022-1007 $30.00
© 2008 Willimsky et al.
Immunogenicity of premalignant lesions is the primary cause of general cytotoxic T lymphocyte unresponsiveness
Gerald Willimsky1,4,
Melinda Czéh1,
Christoph Loddenkemper2,3,
Johanna Gellermann5,
Karin Schmidt1,
Peter Wust5,
Harald Stein2, and
Thomas Blankenstein1,4
1 Institute of Immunology, 2 Institute of Pathology, and 3 Research Center ImmunoSciences, Charité Campus Benjamin Franklin, 12200 Berlin, Germany
4 Max-Delbrück-Center for Molecular Medicine, 13122 Berlin, Germany
5 Clinic for Radiation Medicine, Charité Campus Berlin Buch, 13125 Berlin, Germany
CORRESPONDENCE Thomas Blankenstein: tblanke{at}mdc-berlin.de
Cancer is sporadic in nature, characterized by an initial clonal oncogenic event and usually a long latency. When and how it subverts the immune system is unknown. We show, in a model of sporadic immunogenic cancer, that tumor-specific tolerance closely coincides with the first tumor antigen recognition by B cells. During the subsequent latency period until tumors progress, the mice acquire general cytotoxic T lymphocyte (CTL) unresponsiveness, which is associated with high transforming growth factor (TGF) β1 levels and expansion of immature myeloid cells (iMCs). In mice with large nonimmunogenic tumors, iMCs expand but TGF-β1 serum levels are normal, and unrelated CTL responses are undiminished. We conclude that (a) tolerance to the tumor antigen occurs at the premalignant stage, (b) tumor latency is unlikely caused by CTL control, and (c) a persistent immunogenic tumor antigen causes general CTL unresponsiveness but tumor burden and iMCs per se do not.
Abbreviations used: iMC, immature myeloid cell; LTB, large tumor bearing; MRI, magnetic resonance imaging; PML, premalignant lesion; Tag, T-antigen; TIL, tumor-infiltrating lymphocyte.
© 2008 Willimsky et al. This article is distributed under the terms of an Attribution–Noncommercial–Share Alike–No Mirror Sites license for the first six months after the publication date (see http://www.jem.org/misc/terms.shtml). After six months it is available under a Creative Commons License (Attribution–Noncommercial–Share Alike 3.0 Unported license, as described at http://creativecommons.org/licenses/by-nc-sa/3.0/).

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