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From the Dipartimento di Medicina Sperimentale e
Patologia,*
and Istituto di III Clinica
Chirurgica,
Cattedra di Chirurgia Generale
(Prof. Francesco P. Campana), Università "La Sapienza", Roma;
the Dipartimento di Scienze Mediche,
Università del Piemonte Orientale "A. Avogadro", Novara; the
Istituto per la Ricerca sul Cancro (IRCC),§
Università di Torino, Torino; and the Istituto di Ricerche
Farmacologiche Mario Negri,¶
Milano, Italy
Tissue distribution of dendritic cells was investigated in eight
cases of papillary carcinoma of the thyroid using immunohistochemistry.
Most dendritic cells had an immature phenotype (CD1a++,
CD11c+, CD40+, CD86-, HLA-DR-) and were
located at the invasion edge of the tumor. This pattern of distribution
was profoundly different from that of CD68+ macrophages, which
were evenly distributed throughout the tumor. The ability of tumor
cells to release chemotactic factors active on dendritic cells was
investigated in primary cultures of the same cases of papillary
carcinoma, and was compared to that of the corresponding normal
thyroid cells obtained from the tumor-free contralateral lobe.
Chemotactic activity of culture supernatants was tested against
dendritic cells in a chemotaxis chamber. It was found that papillary
carcinoma cells were active in releasing chemotactic activity,
that hepatocyte growth factor (HGF; 100 ng/ml) or interleukin (IL)-1ß
(103 U/ml) induced a fourfold increase in the amount of
chemotactic activity released, and that normal thyroid cells
obtained from the same patients were as effective as tumor cells.
Characterization of chemokines at RNA level revealed that unstimulated
cells contain large amounts of IL-8 and monocyte chemotactic
protein (MCP)-1 RNAs, and that stimulation with HGF or
IL-1ß induced RNAs for regulated upon activation normal T expressed
and secreted (RANTES), macrophage inflammatory protein
(MIP)-3
, interferon-
-inducible protein 10 (IP-10),
and, to a lesser extent, MIP-1
and MIP-1ß. The
possibility that HGF/Met interaction has a biological role in
vivo was investigated in serial sections of six tumors
immunostained for CD1a+, Met protein, and HGF. It was
found that all six tumors were intensely and diffusely positive for Met
protein, that HGF staining was present in tumor cells of the
advancing edge, and that HGF+/Met+ tumor cell nests were
infiltrated by CD1a+ dendritic cells. The foregoing observations are
consistent with the possibility that HGF stimulation of Met+ tumor
cells is one of the molecular mechanisms involved in the recruitment of
dendritic cells.
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