The Journal of Experimental Medicine
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Published online
doi:10.1084/jem.20082173
The Journal of Experimental Medicine, Vol. 206, No. 6, 1327-1337
The Rockefeller University Press, 0022-1007 $30.00
© Kuang et al.
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ARTICLE

Activated monocytes in peritumoral stroma of hepatocellular carcinoma foster immune privilege and disease progression through PD-L1

Dong-Ming Kuang1, Qiyi Zhao1, Chen Peng1, Jing Xu1, Jing-Ping Zhang1, Changyou Wu2, and Limin Zheng1,3

1 State Key Laboratory of Biocontrol, 2 Department of Immunology, and 3 State Key Laboratory of Oncology in Southern China, Sun Yat-Sen University, Guangzhou 510 275, China

CORRESPONDENCE Limin Zheng: zhenglm{at}mail.sysu.edu.cn

Macrophages (M{varphi}) are prominent components of solid tumors and exhibit distinct phenotypes in different microenvironments. We have recently found that tumors can alter the normal developmental process of M{varphi} to trigger transient activation of monocytes in peritumoral stroma. We showed that a fraction of monocytes/M{varphi} in peritumoral stroma, but not in cancer nests, expresses surface PD-L1 (also termed B7-H1) molecules in tumors from patients with hepatocellular carcinoma (HCC). Monocytes activated by tumors strongly express PD-L1 proteins with kinetics similar to their activation status, and significant correlations were found between the levels of PD-L1+ and HLA-DRhigh on tumor-infiltrating monocytes. Autocrine tumor necrosis factor {alpha} and interleukin 10 released from activated monocytes stimulated monocyte expression of PD-L1. The PD-L1+ monocytes effectively suppressed tumor-specific T cell immunity and contributed to the growth of human tumors in vivo; the effect could be reversed by blocking PD-L1 on those monocytes. Moreover, we found that PD-L1 expression on tumor-infiltrating monocytes increased with disease progression, and the intensity of the protein was associated with high mortality and reduced survival in the HCC patients. Thus, expression of PD-L1 on activated monocytes/M{varphi} may represent a novel mechanism that links the proinflammatory response to immune tolerance in the tumor milieu.


Abbreviations used: DFS, disease-free survival; HCC, hepatocellular carcinoma; MFI, mean fluorescence intensity; M{varphi}, macrophages; NOD/SCID, nonobese diabetic/severe combined immunodeficiency; OS, overall survival; rh, recombinant human; TSN, tumor culture supernatant.

© 2009 Kuang 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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