Viscum album neutralizes tumor-induced immunosuppression in a human in vitro cell model

PLoS One. 2017 Jul 18;12(7):e0181553. doi: 10.1371/journal.pone.0181553. eCollection 2017.

Abstract

Tumor cells have the capacity to secrete immunosuppressive substances in order to diminish dendritic cell (DC) activity and thereby escape from immune responses. The impact of mistletoe (Viscum album) extracts (VAE), which are frequently used as an additive anti-cancer therapy to stimulate the immune response, is still unknown. Using a human cellular system, the impact of two different VAE (VAEA + VAEI) on the maturation of human dendritic cells and on T cell function has been investigated using flow cytometry, automated fluorescence microscopy and cytokine bead array assays. Furthermore, we examined whether VAEI was able to counteract tumor-induced immunosuppression within this cellular system using a renal cancer cell model. The role of mistletoe lectin (ML) was analyzed using ML-specific antibodies and ML-depleted VAEI. VAEI and VAEA augmented the maturation of dendritic cells. VAEI abrogated tumor-induced immunosuppression of dendritic cells and both processes were partially mediated by ML since ML-depleted VAEI and ML-specific antibodies almost neutralized the rehabilitative effects of VAEI on DC maturation. Using these settings, co-culture experiments with purified CD4+ T cells had no influence on T cell proliferation and activation but did have an impact on IFN-γ secretion. The study provides a potential mode-of-action of VAE as an additive cancer therapy based on immunomodulatory effects. However, the impact on the in vivo situation has to be evaluated in further studies.

MeSH terms

  • Adult
  • CD4-Positive T-Lymphocytes / drug effects
  • CD4-Positive T-Lymphocytes / immunology
  • CD4-Positive T-Lymphocytes / metabolism
  • Cell Line, Tumor
  • Dendritic Cells / drug effects
  • Dendritic Cells / immunology
  • Humans
  • Immune Tolerance / drug effects*
  • Interferon-gamma / metabolism
  • Lectins / metabolism
  • Plant Extracts / pharmacology*
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology
  • Viscum album / chemistry*

Substances

  • Lectins
  • Plant Extracts
  • Interferon-gamma

Grants and funding

CG and CS have been financed by the Software AG foundation and DAMUSDONATA e.V.. The study was kindly financially supported by the Iscador AG, ABNOBA GmbH and the Verein zur Förderung der Naturheilkunde am Universitätsklinikum Freiburg e.V. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.