Investigate the immune suppressive mechanisms in Bladder tumor Date: 2010/5/14 10:00 a.m. Room: R132 Speaker: Yun-che Ho Advisor: Shu-fen Wu Abstract Transitional cell carcinoma (TCC) is tumor of the urinary system which is the most common type of bladder cancer. TCC arises from the transitional epithelium a tissue between flat squamous cell and tall columnar cell. According to our previous data, the percentage of NK cells in PBMC from TCC patients are significantly lower than age match control especially at the superficial stage, however, the percentage of CD4+CD25+ T cells are much higher in TCC patients. Base on the above data, we want to investigate whether the NK cytotoxic function and regulatory T cell function are modulated by transitional cell carcinoma. Last session, we estimated the surface marker and cytotoxic function in NK cell of human and showed that the expression of cell cytotoxic related molecules on NK cells were lower in TCC patient, and the IFN-gamma expressed in NK cells were also decreased in TCC patients. The cytotoxic function of NK cells from TCC patients was significant lower than normal control. The survival rate of NK cells from TCC patients after coculture with lymphoma cell line is also lower. Cocultured NK with Tregs at different ratio before cytotoxic assay slightly affect cytotoxic function and survival rate both TCC patient or normal control. This session, we want to investigate interaction between regulatory T cells and NK cytotoxic functions in vivo by mouse model through subcutaneously injection of MB-49, a bladder cancer cell line, in C57BL/6JNarl mice. The cytotoxicity and survival rate of mouse NK cells in mouse tumor model had similar phenotypes with NK cells in human uroepithelium tumor. Furthermore, we want to investigate whether deplete Treg can enhance antitumor ability by using cyclophosphamide (CTX); an anti-cancer drug can suppress Treg function in vivo. Only CD4+Foxp3+ cells were decrease in CTX treated mice while other immune cell populations especially NK cells and CD8+ cells did not affect by CTX treatment compared with control mice. Furthermore, the proliferation and survival rate of MB-49 treated with different dosage of CTX did not show difference in vitro, but, in vivo, the tumor volume in low dose CTX treatment was significantly decreased compared with untreated mice. Much more, the immunosuppressive ability of Treg cells of CTX treated mice was lower than untreated mice from day 5 to day 14. Conversely, the cytotoxic function of NK cells after culturing with IL-2 was increased in CTX treated mice and CTX treated mice repressed NK cells apoptosis much more than tumor bearing mice. According to our data, we found that Treg cells suppress the cytotoxic function and enhance apoptosis of NK cells in both human and mice. CTX, deplete Treg cells only without changing other immune cell populations decrease tumor size and immunosuppressive function of Treg significantly.