To improve the success of in vitro maturation of monocytes to effective dendritic cells, Han and Hanlon et al. found that the presence of activated (P-selectin-presenting) platelets rapidly matured murine monocytes to a CD11c+, MHC-II+, CD80/86+ phenotype with faster and (for apoptotic cell antigen) improved cross-presenting capability compared to cytokine-matured, bone marrow-derived DCs. Human monocytes were similarly activated. Plate-bound P-selectin and agonist PSGL-1 antibody also induced monocyte differentiation, and platelet-monocyte interaction stimulated multiple signaling pathways leading to NFκB translocation and calcium influx, explaining the long hidden mechanism behind ECP.
Contributed by Ed Fritsch
ABSTRACT: Dendritic cells (DCs) are adept at cross-presentation and initiation of antigen-specific immunity. Clinically, however, DCs produced by in vitro differentiation of monocytes in the presence of exogenous cytokines have been met with limited success. We hypothesized that DCs produced in a physiological manner may be more effective and found that platelets activate a cross-presentation program in peripheral blood monocytes with rapid (18 hours) maturation into physiological DCs (phDCs). Differentiation of monocytes into phDCs was concomitant with the formation of an "adhesion synapse," a biophysical junction enriched with platelet P-selectin and monocyte P-selectin glycoprotein ligand 1, followed by intracellular calcium fluxing and nuclear localization of nuclear factor kappaB. phDCs were more efficient than cytokine-derived DCs in generating tumor-specific T cell immunity. Our findings demonstrate that platelets mediate a cytokine-independent, physiologic maturation of DC and suggest a novel strategy for DC-based immunotherapies.