Safety and efficacy of hepatitis B surface antigen-pulsed dendritic cells in human volunteers

被引:46
作者
Akbar, SMF [1 ]
Furukawa, S [1 ]
Onji, M [1 ]
Murata, Y [1 ]
Niya, T [1 ]
Kanno, S [1 ]
Murakami, H [1 ]
Horiike, N [1 ]
机构
[1] Ehime Univ, Sch Med, Dept Internal Med 3, Shigenobu, Ehime 790295, Japan
关键词
hepatitis B surface antigen; dendritic cells; anti-HBs; human volunteer;
D O I
10.1016/j.hepres.2004.03.003
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Hepatitis B surface antigen (HBsAg)-pulsed murine spleen dendritic cells (DCs) have shown tremendous therapeutic potentials in chronic hepatitis B virus (HBV) carriers however, there has been no study regarding the feasibility of using HBsAg-pulsed DCs in human. Five human healthy volunteers with no apparent concomitant diseases were enrolled in this study. DCs were enriched from peripheral blood of each volunteer in endotoxin-free and sterilized conditions. HBsAg-pulsed DCs were prepared by culturing DCs with a commercial-available human grade vaccine containing HBsAg. After assessing the expression of HLA DR and CD86 on HBsAg-pulsed DCs, 5 million HBsAg-pulsed DCs were injected intradermally, once, to each volunteer. The volunteers were serially observed for safety and efficacy of administration of HBsAg-pulsed DCs. No evidence of physical, biochemical, and immunological abnormalities were documented in any volunteer during the next 28 days following administration of HBsAg-pulsed DCs. A single administration of HBsAg-pulsed DCs resulted in upregulation of anti-HBs in two anti-HBs(+) volunteers. Moreover, anti-HBs were detected in two anti-HBs- volunteer, 2 weeks after administration of HBsAg-pulsed DCs. This study provides the scientific and ethical basis for using HBsAg-pulsed DCs for therapeutic and prophylactic purposes in patients with chronic hepatitis B and non-responders to hepatitis B vaccine, respectively. (C) 2004 Elsevier B.V. All rights reserved.
引用
收藏
页码:136 / 141
页数:6
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