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TC-19


               Phenotype characterization to estimating the efficacy of monocytic cell-

               based immunotherapy after modulation by traditional Chinese medicine


                                                                              ,1
                           1
                                                              1,2
               Hsin-Ju Y u ,  Y u -Hsiang Hsu,  Chen-Fang Lin,  Ren-In You*
                                             1

               1  Department of Laboratory Medicine and Biotechnology, Tzu Chi University, College of
                 Medicine, Hualien, Taiwan.
               2  Division of General Surgery, Department of Surgery, Hualien Tzu Chi Hospital, Buddhist
                 Tzu Chi Medical Foundation, Hualien, Taiwan.
               * E-mail: yri100@gms.tcu.edu.tw

               Abstract
                  Traditional Chinese medicine targeting the immune network and combining various targeted
               therapy strategies has promoted the development of personalized medicine, providing a variety
               of collocation options in the treatment of chronic diseases, such as cancer or autoimmunity.
               Huang Lian Chieh Dwu are considered as potent immunomodulatory properities such as anti-
               inflammatory, antioxidant and against inflammatory cytokine storm. To simplify the evaluation
               of  immunomodulatory  effect  of  blood  cell  products,  the  indicators  that  provided  efficacy
               monitoring  are  worth  developing  and  interpreting.  Monocytes  from  peripheral  blood
               mononuclear cells (PBMC) were isolated in vitro using magnetic beads negative selection with
               autoMAC for preparing, tumor lysates or self-antigen peptides were incubated with various
               matrixes and further co-culture with T cells. The degree of T cell activation was examined using
               antigen-loaded MHC tetramer and T cell polarization was analyzed by intracellular staining.
               The level of cell survival and proliferation were evaluated by automated cell counters, PI and
               CFSE staining. We found that the appropriate ratio of monocytes to T cells affects the activation
               strength of T cell polarization. In addition, monocytes are stimulated by higher concentrations
               of tetracyclic isoquinoline compounds from Huang Lian Chieh Dwu, which  modulate their
               attractiveness to T cell and affect T cell polarization. Thus, dose-relationships combined Huang
               Lian Chieh Dwu with anti-cancer or anti-inflammatory drugs can indicate the type of immune
               response that is inflamed or suppressed. Efficacy of monocyte immunotherapies categorized by
               these parameters will facilitate easy screening and development of personalized treatments in
               anticipation of responsiveness or quality.

               Keywords: Huang Lian Chieh Dwu; Monocyte; Immunomodulatory
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