Ho‐Keun Kwon

The beneficial effects of probiotics have been described in many diseases, but the mechanism by which they modulate the immune system is poorly understood. In this study, we identified a mixture of probiotics that up-regulates CD4(+)Foxp3(+) regulatory T cells (Tregs). Administration of the probiotics mixture induced both T-cell and B-cell hyporesponsiveness and down-regulated T helper (Th) 1, Th2, and Th17 cytokines without apoptosis induction. It also induced generation of CD4(+)Foxp3(+) Tregs from the CD4(+)CD25(-) population and increased the suppressor activity of naturally occurring CD4(+)CD25(+) Tregs. Conversion of T cells into Foxp3(+) Tregs is directly mediated by regulatory dendritic cells (rDCs) that express high levels of IL-10, TGF-beta, COX-2, and indoleamine 2,3-dioxygenase. Administration of probiotics had therapeutical effects in experimental inflammatory bowel disease, atopic dermatitis, and rheumatoid arthritis. The therapeutical effect of the probiotics is associated with enrichment of CD4(+)Foxp3(+) Tregs in the inflamed regions. Collectively, the administration of probiotics that enhance the generation of rDCs and Tregs represents an applicable treatment of inflammatory immune disorders.

T lymphocyte activation by antigen conditions adaptive immune responses and immunopathologies, but we know little about its variation in humans and its genetic or environmental roots. We analyzed gene expression in CD4(+) T cells during unbiased activation or in T helper 17 (T(H)17) conditions from 348 healthy participants representing European, Asian, and African ancestries. We observed interindividual variability, most marked for cytokine transcripts, with clear biases on the basis of ancestry, and following patterns more complex than simple T(H)1/2/17 partitions. We identified 39 genetic loci specifically associated in cis with activated gene expression. We further fine-mapped and validated a single-base variant that modulates YY1 binding and the activity of an enhancer element controlling the autoimmune-associated IL2RA gene, affecting its activity in activated but not regulatory T cells. Thus, interindividual variability affects the fundamental immunologic process of T helper activation, with important connections to autoimmune disease.

BACKGROUND: Cinnamomum cassia bark is the outer skin of an evergreen tall tree belonging to the family Lauraceae containing several active components such as essential oils (cinnamic aldehyde and cinnamyl aldehyde), tannin, mucus and carbohydrate. They have various biological functions including anti-oxidant, anti-microbial, anti-inflammation, anti-diabetic and anti-tumor activity. Previously, we have reported that anti-cancer effect of cinnamon extracts is associated with modulation of angiogenesis and effector function of CD8+ T cells. In this study, we further identified that anti-tumor effect of cinnamon extracts is also link with enhanced pro-apoptotic activity by inhibiting the activities NFkappaB and AP1 in mouse melanoma model. METHODS: Water soluble cinnamon extract was obtained and quality of cinnamon extract was evaluated by HPLC (High Performance Liquid Chromatography) analysis. In this study, we tested anti-tumor activity and elucidated action mechanism of cinnamon extract using various types of tumor cell lines including lymphoma, melanoma, cervix cancer and colorectal cancer in vitro and in vivo mouse melanoma model. RESULTS: Cinnamon extract strongly inhibited tumor cell proliferation in vitro and induced active cell death of tumor cells by up-regulating pro-apoptotic molecules while inhibiting NFkappaB and AP1 activity and their target genes such as Bcl-2, BcL-xL and survivin. Oral administration of cinnamon extract in melanoma transplantation model significantly inhibited tumor growth with the same mechanism of action observed in vitro. CONCLUSION: Our study suggests that anti-tumor effect of cinnamon extracts is directly linked with enhanced pro-apoptotic activity and inhibition of NFkappaB and AP1 activities and their target genes in vitro and in vivo mouse melanoma model. Hence, further elucidation of active components of cinnamon extract could lead to development of potent anti-tumor agent or complementary and alternative medicine for the treatment of diverse cancers.

Delivery tracking: Goldnanoparticles (AuNPs) were functionalized with a red fluorescent protein (RFP, pink shapes in picture) as model antigen and an oligonucleotide (CpG) that stimulates the immune response. These functionalized AuNPs were used as cancer vaccines in a tumor model, where they enabled efficient delivery of an antigen to target sites, tracking of the vaccines using noninvasive clinical imaging, and cancer prevention and therapy. Vaccination with the aid of adjuvants is a highly effective therapeutic option for the prevention of various diseases.1 However, development of vaccines against existing cancers and chronic viral diseases, such as hepatitis C and HIV, has proved difficult owing in large part to an inability to induce concerted and potent humoral and cellular immunity.2 With the aim of overcoming this problem, much effort has gone into developing novel technologies for therapeutic cancer vaccines that enable long-lasting induction of strong, antigen-specific CD8+ T cells, as well as induction of antibody responses to existing tumors.3 A key consideration in developing such technology is how to achieve efficient antigen delivery to antigen-presenting cells (APCs) with subsequent activation and maturation of cells that maximize cross-presentation for inducing cytotoxic CD8+ T cell responses.4 In that sense, vaccine delivery to a local lymph node (LN) might be an appropriate strategy, because the node would contain a high population of APCs (e.g., resident dendritic cells, plasmacytoid dendritic cells, and macrophages) along with immune cells responsible for both humoral and cellular immunity.5 To that end, nanoparticles of natural or synthetic origin have emerged as potential candidates for antigen delivery,6 since they can be efficiently delivered to LNs through lymphatic vessels in a size-dependent manner.5b, 7 Importantly, smaller nanoparticles (ca. 25 nm in diameter) could lead to significantly larger accumulation in a local LN than larger nanoparticles of approximately 100 nm in size.5b There are four key considerations when designing a nanoparticulate vaccine for targeting LNs: 1) for efficient delivery, the particle diameter should be below 50 nm; 2) the antigens and/or adjuvants should be versatile and easily accommodated to the nanoparticles; 3) after internalization, the vaccine must properly activate APCs to facilitate induction of humoral and cellular immunity; and 4) it is beneficial if the vaccine is traceable in a noninvasive manner to predict efficacy. For the following reasons, gold nanoparticles (AuNPs) may be one of the most suitable nanoparticles for the purpose. First, it is easy to control the size of AuNPs, which can range from approximately 1 nm to several hundred nm. Second, a variety of molecular species, including proteins,8 peptides,9 and oligonucleotides,10 can be easily attached to the surface of AuNPs using simple chemistry. Third, AuNPs are biocompatible and nontoxic.8b,8d Fourth, AuNPs can be tracked using computed tomography (CT) imaging, which is readily available at nearly all hospitals.10, 11 With these considerations in mind, herein we, for the first time, report AuNP-based cancer vaccines that enable efficient delivery of an antigen to target LNs, tracking of the vaccines using noninvasive clinical imaging, and effective cancer prevention and therapy. Scheme 1 shows a schematic illustration of the preparation of an AuNP-based vaccine. To optimize delivery to target LNs, we synthesized AuNPs with diameters of approximately 7 nm. Red fluorescent protein (RFP) was chosen as a model antigen and was engineered to have two additional cysteines at its C terminus; this modification facilitated conjugation to the surface of AuNPs through formation of an AuS bond. Finally, a thiol-modified CpG 1668 oligodeoxynucleotide (ODN; CpG 1668 is an ODN that contains CpG motifs) with a spacer consisting of ten adenine nucleotides (A10) was also conjugated to the RFP/AuNP, because CpG 1668 is known to strongly stimulate immune responses through activation of toll-like receptor 9 (TLR-9). We observed that the modified CpG ODN could produce a level of immune stimulation similar to that of an original CpG 1668 ODN (Figure S1 in the Supporting Information). After each conjugation step, the size of the resultant RFP/AuNP ((14±3) nm) and the CpG/RFP/AuNP ((23±7) nm) was increased compared to the bare AuNP ((7±2) nm; Figure S2e in the Supporting Information). Furthermore, there was a slight shift in the characteristic absorbance spectrum of the particle with increasing size (Figure S2f in the Supporting Information). Protein assays showed the antigen concentration to be approximately 1.5 μg RFP/pmol AuNP (ca. 54 RFPs per AuNP) on RFP/AuNPs and approximately 1 μg RFP/pmol AuNP (ca. 36 RFPs per AuNP) on CpG/RFP/AuNPs. Schematic representation of the preparation of an RFP/AuNP and an CpG/RFP/AuNP. Moreover, ODN assays using Quant-iT™OliGreen ssDNA reagent revealed that approximately 318 ng CpG ODN/pmol AuNP (ca. 32 ODNs per AuNP) was immobilized on the CpG/RFP/AuNPs. Together, these data confirm the successful conjugation of RFP and CpG ODN to the surface of AuNPs. Furthermore, the stability test of conjugated RFP on AuNPs under physiologically relevant reducing environments (20 μM of glutathione) suggested that more than 80 % of initial RFP antigen on AuNPs could be delivered to the target LN (Figure S3 in the Supporting Information). We initially examined how efficiently our AuNP-based cancer vaccines could be delivered to local LNs. RFP/AuNPs or CpG/RFP/AuNPs dispersed in saline were injected into the right rear footpads of mice, after which the location of the AuNPs was monitored with CT imaging for up to seven days. Two days after injection, we observed a bright signal at the boundary of the popliteal LN, which is the node nearest the injected footpad, thus indicating that the AuNP vaccines were efficiently delivered to the target LN (Figure 1 a). The delivered AuNPs were still present at the node seven days after injection (Figure S4d in the Supporting Information); moreover, the accumulated AuNP vaccine was clearly visible as a dark band within collected popliteal LNs (n=3; Figure 3 b). We then used inductively coupled plasma–atomic emission spectroscopy (ICP–AES with a detection limit of 0.02 μg L−1) to measure the AuNP concentrations within the popliteal and neighboring superficial lingual LNs at various times after injection of the RFP/AuNPs. A substantial fraction of the nanoparticles ((64.1±16.6) % of the initial dose) was detected in the popliteal LN, and a small portion was also found in the neighboring superficial lingual LNs (Figure S5 in the Supporting Information). That the portion in the lingual LNs increased somewhat over time suggests the AuNPs traveled from the popliteal node to the secondary superficial lingual nodes; this movement may be advantageous for augmenting the potential encounter between the nanoparticle vaccines and APCs. Critical issues in that regard are where nanoparticle vaccines are delivered within the target LN and what types of APCs take up the antigen-carrying nanoparticles. Histological examination of silver-stained tissues showed that both RFP/AuNPs and CpG/RFP/AuNPs were initially delivered to the subcapsular sinus region of the popliteal LN through an afferent lymphatic pathway (Figure 1 c and Figure S6 in the Supporting Information), and then they moved to the paracortex (T cell zone) region; this finding correlates well with the CT imaging data. a) CT images obtained before (Pre) and 48 h after injection of RFP/AuNPs or CpG/RFP/AuNPs into the right rear footpad (yellow arrow). We observed the right popliteal LN (golden arrow) after injection. b) Optical images of the dissected popliteal lymph nodes taken 48 h after injection of RFP/AuNP and CpG/RFP/AuNP vaccines. c) Silver-stained sections of the right popliteal LN confirm the presence of RFP/AuNPs and CpG/RFP/AuNPs. d) Graph showing AuNP (Au) levels in total DCs and the others cells within the right popliteal LN (*P<0.05, **P<0.005 between two groups) after injection with RFP/AuNPs (red bars) or CpG/RFP/AuNPs (yellow). We also examined whether the delivered AuNP-based vaccines were taken up by APCs in the target LN. Two days after footpad injection of RFP/AuNPs or CpG/RFP/AuNPs, we isolated total lymphocytes from popliteal LNs and then used ICP–AES to measure the AuNP fractions within the dendritic cells (DCs; i.e., plasmacytoid and classical DCs) and other cell populations (Figure 1 d). We found that the DCs contained a significantly larger fraction of the delivered Au than the other lymphocytes, despite the fact that DCs account for only a small fraction of lymphocytes present in the LN (ca. 1 % constitution).12 This selective and significant delivery of AuNP-based vaccine to DCs is promising, as DCs play a key role in antigen presentation and subsequent communication with immune cells to induce humoral and cellular immunity.4b, 5b, 13 Notably, the accumulation of our AuNP-based vaccine in DCs was closely related to the localization of DCs in the LNs. The first location to which DCs migrate within LNs is reportedly the subcapsular sinus of the afferent lymph-node hemisphere,14 which is also where our AuNP-based vaccines accumulate. Together, these results demonstrate that our AuNP-based vaccines can be successfully delivered to APCs (mostly DCs) in target LNs and that they can be tracked or monitored by using CT imaging. We next determined whether AuNP-based vaccines delivered to the popliteal LN could elicit antigen-specific immune responses. After immunizing groups of mice with RFP alone, RFP/AuNPs, or CpG/RFP/AuNPs, levels of RFP-specific immunoglobin G (IgG) were measured in serum using an enzyme-linked immunosorbent assay (ELISA). For comparison, a mixture of RFP and alum ((3359±630) nm in size) was used as an example of a conventional particle-based vaccine.15 High levels of RFP-specific IgG were observed in all mice treated with different nanoparticles (RFP/AuNPs, CpG/RFP/AuNPs, and Alum-RFP mixture; Figure 2 a), whereas levels of the specific antibody were three orders of magnitude lower following immunization with RFP alone. Antibody isotyping revealed that both AuNP-based vaccines primarily induced Th1-driven immune responses, whereas the Alum-RFP mixture stimulated a Th2-driven response (Figure S7a in the Supporting Information). This result is in good agreement with earlier reports5a, 16 and suggests that our AuNP-based vaccines are delivered directly to the target LNs; that is, they are not taken up by peripheral DCs at the injection site that then move to the target LN, as is the case with the Alum-RFP mixture. Interestingly, the RFP-specific IgG titers in the group immunized with RFP/AuNPs (adjuvant-free) were similar to those in the group immunized with CpG/RFP/AuNPs. Although the mechanism for immune stimulation by antigen-bearing AuNPs remains unclear, Puntes and co-workers reported that AuNPs conjugated to repetitive and homogenous antigens were able to stimulate immune responses in an in vitro setting, even without adjuvants.9 In a preliminary experiment, we observed that RFP/AuNPs could stimulate activation of an alternative complement (that is, cleavage of complement component C3 to C3a and C3b; Figure S8 in the Supporting Information). We therefore speculate that similar complement activation may be responsible for activation and maturation of APCs such as DCs in an in vivo setting. In vivo anticancer efficacy of AuNP-based cancer vaccines. a) RFP-specific IgG titers after immunization with PBS (control), Alum-RFP mixture, RFP/AuNPs, or CpG/RFP/AuNPs. b) T cell proliferation following antigen stimulation. T cells were isolated from mice immunized three times with PBS (control, white bars), RFP/AuNPs (red), or CpG/RFP/AuNPs (yellow). CPM=counts per minute. c, d) Changes in the size of the tumor consisting of RFP-expressing B16F10 cells (c), or wild-type B16F10 cells (d) after immunization with PBS (control, •), AuNPs (▾), RFP (▪), RFP/AuNPs (♦), CpG/RFP/AuNPs (▴). (*P<0.05 between two groups). We also assessed changes in the populations of naïve and regulatory T (Treg) cells in the popliteal LN after immunization with RFP/AuNPs or CpG/RFP/AuNPs (Figure S9 in the Supporting Information). We found that the naïve T cell population was substantially reduced, but there was little change in the Treg cell population, which suggests our AuNP-based vaccine may work through conversion of naïve to activated T cells. To investigate antigen-specific T cell proliferation, which is an important index for evaluating vaccination efficacy, we first immunized mice, then isolated T cells from the popliteal and superficial lingual LNs, and finally treated these cells with α-chymotrypsinized RFP. Both groups immunized with RFP/AuNPs and CpG/RFP/AuNPs exhibited antigen-specific T cell proliferation that was much higher than in the control (PBS) group; moreover, the magnitude of the increase was proportional to the dose of the antigen (Figure 2 b). These results indicate that RFP/AuNPs and CpG/RFP/AuNPs can not only convert naïve T cells to active ones, but they can also facilitate T cell proliferation in an antigen-specific manner after LN targeting. Our finding that both RFP/AuNPs and CpG/RFP/AuNPs elicited high levels of antigen-specific antibody production and T cell proliferation prompted us to test whether they could also prevent tumor formation in vivo. RFP-expressing B16F10 murine melanoma cells were used to prepare a mouse tumor model, and RFP expression and tumor growth were confirmed by fluorescence imaging (Figure S10 in the Supporting Information). For vaccination, we injected the footpads of C57Bl/6 mice three times at one week intervals with PBS, RFP, AuNPs, RFP/AuNPs, or CpG/RFP/AuNPs before inoculation of the RFP-expressing cancer cells. Both RFP/AuNPs and CpG/RFP/AuNPs effectively prevented tumor growth for up to four weeks after cancer inoculation, thereby significantly increasing survival rates, compared to mice injected with the control (Figure 2 c and Figure S7b in the Supporting Information). Vaccination with free RFP failed to inhibit tumor growth, and also AuNP-based vaccine did not prevent tumor formation from wild-type B16F10 cells, which do not express the RFP antigen (Figure 2 d). Thus our AuNP-based vaccines only exerted effects against tumors presenting a specific antigen. We then tested whether the AuNP-based vaccines would prevent cancer metastasis in a lung metastasis model. The extent of the lung metastasis was determined based on the RFP fluorescence signal. Also, we investigated tumor nodules in lung and lung weight. These experiments on in vivo prevention of metastasis showed that RFP/AuNPs and CpG/RFP/AuNPs successfully prevented lung metastasis by inducing a potent immune response driven by Th1 helper T cells (Figure S11 in the Supporting Information). When used in clinical settings, the practical aim of cancer vaccines is to effectively cure or at least inhibit the growth of existing tumors. To achieve that aim it is necessary to use a strong adjuvant in conjunction with a cancer-specific antigen so that robust humoral and cellular immunity is induced. CpG ODNs have been used previously as adjuvants for cancer vaccines3, 17 and are known to enhance B and T cell responses to cancer antigens through TLR9 activation.17b,17c, 18 However, we observed that there was little difference in the efficacy of RFP/AuNPs and CpG/RFP/AuNPs in earlier tumor prevention and metastasis models, despite lack of an adjuvant in the RFP/AuNP group. We had hypothesized that conjugation of a potent CpG ODN adjuvant to the AuNP surface (CpG/RFP/AuNP) would enable the vaccine to potentiate or facilitate cytotoxic T cell (CTL)-based cellular immunity more efficiently, thus leading to better therapeutic outcomes against existing tumors. To further test that hypothesis, we estimated the therapeutic efficacy of the AuNP-based vaccines on existing tumors in vivo. Once tumors had reached approximately 40 mm3 in size (on day ten after inoculation), we injected the footpads of the mice five times with PBS, RFP, AuNPs, RFP/AuNPs or CpG/RFP/AuNPs according to a predetermined schedule (arrows in Figure 3 a). In the groups treated with RFP/AuNPs and CpG/RFP/AuNPs, tumor growth was substantially slower than in the other groups. Furthermore, the antitumor efficacy of CpG/RFP/AuNPs was significantly greater than that of RFP/AuNPs (p<0.05). This difference in the antitumor activity is likely attributable to the lack of a CpG ODN adjuvant on the RFP/AuNPs. AuNP-based vaccines inhibit growth of solid tumors. a) Mice were subcutaneously inoculated with RFP-expressing B16F10 cells on day 0. The mice were immunized with five injections of PBS (control, •), AuNPs (▾), RFP (▪), RFP/AuNPs (♦), or CpG/RFP/AuNPs (▴) according to the schedule (arrows). b) Analysis confirming the adjuvant effect of AuNP-based vaccines through RFP-specific immune responses. Total lymphocytes were isolated from the mice that were immunized with PBS (white bars), RFP (black), RFP/AuNPs (red), or CpG/RFP/AuNPs (yellow), as described in the Supporting Information. After stimulation with PBS, Antigen, or PHA, interferon-γ (IFN-γ) production was measured by using an ELISA. c) RFP-specific CD8+ T cell activation. Mice were immunized as described in the Supporting Information. After isolation of total lymphocytes, these were stimulated with the indicated RFP antigen concentration. Double positive cells (CD8+ granzyme B+) were then identified, and the ratios of the CD8+ granzyme B+ cell fractions are shown (*P<0.05, **P<0.005 between two groups). To evaluate the effect of the CpG adjuvant on therapeutic efficacy against an existing tumor model in more detail, we investigated the lymphocytic expression of IFN-γ, which activates natural killer (NK) cells and is responsible for the Th1 response and antitumor properties of cancer vaccines, and the activation of antigen-specific CD8+ cytotoxic T cells. After three immunizations with PBS, RFP, RFP/AuNPs, or CpG/RFP/AuNPs, total lymphocytes were isolated from the popliteal LNs and stimulated with phytohemagglutinin (PHA; positive control), α-chymotrypsinized RFP (Antigen), and PBS (negative control). Then, expression of IFN-γ and its secretion from the stimulated lymphocytes were assessed using fluorescence-activated cell sorting (FACS) analysis (Figure S12 in the Supporting Information) and an ELISA (Figure 3 b), respectively. As expected, PHA stimulated high levels of IFN-γ secretion in all four immunization groups, whereas PBS elicited no increases in secretion above baseline. Among the three groups that were treated with the RFP antigen, we confirmed notable increases in IFN-γ secretion from lymphocytes in the groups that were immunized with RFP/AuNPs and CpG/RFP/AuNPs, whereas lymphocytes in the group immunized with RFP secreted only basal levels of IFN-γ. These results indicate that our AuNP-based vaccines strongly stimulate IFN-γ secretion by lymphocytes through antigen-specific pathways. Moreover, immunization with CpG/RFP/AuNPs led to greater IFN-γ expression and secretion than immunization with RFP/AuNP; we suggest this finding reflects the presence of the adjuvant in CpG/RFP/AuNPs. We next tested whether the AuNP-based vaccines would induce the proliferation and activation of antigen-specific CD8+ cytotoxic T cells (CTLs). Primary lymphocytes isolated from the popliteal LN after three immunizations with PBS, RFP, RFP/AuNPs, or CpG/RFP/AuNPs were stimulated with various concentrations of RFP antigen (0–50 μg mL−1). Then after 24 h we double stained the lymphocytes using anti-CD8 and anti-granzyme B (GZMB) antibodies for FACS analysis (Figure 3 c). GZMB is released by the cytoplasmic granules from CTLs and NK cells,19 and can induce apoptosis in cancer and virus-infected cells. The FACS data showed that the CD8+ CTL population increased significantly with increasing antigen concentration in both groups immunized with RFP/AuNPs and CpG/RFP/AuNPs, though the effect was more pronounced in the latter. By contrast, there was little change in the CD8+ CTL populations in the groups immunized with PBS and RFP. This result suggests that the greater antitumor efficacy of the CpG/RFP/AuNP vaccine may reflect the ability of CpG ODN adjuvant to efficiently stimulate the proliferation of CD8+ CTLs and production of anticancer and In vaccines against cancers and chronic viral should induce potent humoral immune responses as well as cytotoxic T cell that viral properties in of and antigen may be appropriate candidates for induction of such size to local LNs directly and with APCs to antigen-specific immune responses. Furthermore, of to nanoparticles can effectively lead to activation of DCs nanoparticulate vaccines and facilitate induction of T cell In this we showed that a AuNP-based antigen could as a vaccine for cancer prevention and AuNPs RFP as a model antigen and CpG ODN as a TLR9 reached target LNs, where they with thereby inducing antibody production through a Th1-driven pathway and CTL responses in an antigen-specific As a AuNP-based vaccines exhibited significant antitumor efficacy in RFP-expressing melanoma tumor AuNPs have several over other First, it is easy to control the size of AuNPs for different Second, a variety of antigens and adjuvants can be easily to and on thus AuNP-based vaccines could be used to other than Third, AuNP-based vaccines can be detected or tracked using noninvasive CT imaging, with on where or whether the vaccines have been which would to predict or evaluate therapeutic efficacy. Finally, there would be issues with AuNP-based vaccines compared to other as AuNPs are known to be biocompatible and these suggest AuNP-based antigen delivery may be a vaccine technology able to prevent and/or a variety of of to are as are but not or are available as by the The is not responsible for the or of by the than should be to the for the