The JI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Matsumoto, G.
Right arrow Articles by Penninger, J. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Matsumoto, G.
Right arrow Articles by Penninger, J. M.
The Journal of Immunology, 1998, 160: 5781-5789.
Copyright © 1998 by The American Association of Immunologists

Cooperation Between CD44 and LFA-1/CD11a Adhesion Receptors in Lymphokine-Activated Killer Cell Cytotoxicity

Goichi Matsumoto{dagger}, Mai P. Nghiem*, Naohito Nozaki{dagger}, Rudolf Schmits* and Josef M. Penninger1,*

* Amgen Institute, and Ontario Cancer Institute, Department of Medical Biophysics and Immunology, University of Toronto, Toronto, Ontario, Canada; and {dagger} Department of Oral Biochemistry, Kanagawa Dental College, Kanagawa, Japan


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-2-activated NK cells exhibit cytotoxic activity against a wide variety of tumor cells in a non-MHC-restricted fashion and in the absence of prior sensitization. The molecular mechanisms that regulate the cytotoxicity and attachment of activated killer cells to tumor target cells are not known. We provide genetic evidence in CD44-/- and LFA-1-/- mice that the cell adhesion receptors LFA-1 and CD44 regulate the cytotoxic activity of IL-2-activated NK cells against a variety of different tumor cells. This defect in cytotoxicity was significantly enhanced in mice that carried a double mutation of both CD44 and LFA-1. In vitro differentiation, TNF-{alpha} and IFN-{gamma} production, and expression of the cytolytic effector molecules perforin and Fas-L were comparable among IL-2-activated NK cells from LFA-1-/-, CD44-/-, CD44-/-LFA-1-/-, and control mice. However, CD44-/-, LFA-1-/-, and CD44-/-LFA-1-/- IL-2-activated NK cells showed impaired binding and conjugate formation with target cells. We also show that hyaluronic acid is the principal ligand on tumor cells for CD44-mediated cytotoxicity of IL-2-activated NK cells. These results provide the first genetic evidence of the role of adhesion receptors in IL-2-activated NK killing. These data also indicate that distinct adhesion receptors cooperate to mediate binding between effector and target cells required for the initiation of "natural" cytotoxicity.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Natural killer cells provide resistance against infections, control malignant transformation, modulate immune responses, and regulate differentiation of hematopoietic cells (1, 2, 3). Whereas resting NK cells can destroy only a limited spectrum of tumor cells, activation with lymphokines such as IL-2 renders NK cells capable of exerting broad antitumor cytotoxicity (3, 4, 5, 6). These IL-2-activated NK cells are a phenotypically defined (NK1.1+CD122+CD16+CD3-CD8-sIg-) subpopulation of lymphocytes that exhibit cytotoxicity against a wide variety of tumor cells. This cytotoxic activity is independent of MHC restriction and occurs in the absence of prior sensitization (3, 4, 5, 6).

Many molecules that are crucial for the attachment and cytotoxic function of peptide/MHC-restricted CTLs have been identified (7, 8, 9, 10). CTL-mediated cytotoxicity can be divided into several stages: 1) recognition of and attachment to target cells by the effector cell; 2) interaction of the Ag-specific TCR with peptide/MHC complexes expressed on the target cell; and 3) induction of target cell apoptosis via perforin release or Fas-L/Fas interactions (7, 8, 9, 10). By contrast, adhesion molecules and specific target cell recognition structures that contribute to non-MHC-restricted cytolysis by NK cells remain largely unknown (1, 11).

In this study, we investigated the role of the adhesion receptors CD44 and LFA-1 in cytotoxic activity of IL-2-activated NK cells, using LFA-1-/- (12), CD44-/- (13), and CD44-/-LFA-1-/- gene-deficient mice. We report that both CD44 and LFA-1 have a crucial role in the cytotoxic activity of IL-2-activated NK cells. The cytotoxic machinery of mutant IL-2-activated NK cells appeared functional but the adhesion between activated killer cells and tumor targets was significantly impaired in the absence of CD44 and LFA-1 expression. Moreover, we provide evidence that hyaluronic acid (HA)2 expressed on tumor cells is the main ligand for CD44. These results provide the first genetic evidence that adhesion receptors have a crucial role in the binding and cytotoxic activity of non-MHC-restricted NK cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Mice

LFA-1 gene-deficient (12) and CD44 (13) gene-deficient mice have been described. CD44-/-LFA-1-/- double mutant mice were generated by the intercrossing of CD44-/- and LFA-1-/- mice. Mutant mice were back-crossed into a C57BL/6 background for at least six generations. Mice were screened for CD44 and LFA-1 deficiency using flow cytometry and PCR typing (12, 13). In all experiments, CD44+/+LFA-1+/+ and CD44+/-LFA-1+/- littermates were used as controls. All mice used were 6 to 8 wk old and maintained at the Ontario Cancer Institute in accordance with institutional guidelines.

Generation of IL-2-activated NK-effector cells

Spleens were isolated from CD44-/-, LFA-1-/-, and CD44-/-LFA-1-/- and littermate control mice. Splenocytes (2 x 106 cells/ml) were cultured in 1000 U/ml recombinant human IL-2 (Shionogi Chemical Institute, Osaka, Japan) in flat-bottom six-well plates (Costar, Cambridge, MA) in Iscove’s modified Dulbecco’s medium (IMDM; 10% FCS, 10-5 M ß-mercaptoethanol). After 4 days of culture, IL-2-activated NK cells were harvested from the cultures as described (14).

Cytotoxicity assay

Murine lymphoma YAC1 (H2a), EL4 (H2b), RMA (H2b), MHC-class I-deficient RMA-S (H2b), and fibrosarcoma MC57L (H2b) cell lines were used as target cells and maintained in culture with 10% heat-inactivated FCS in RPMI 1640 medium. All cell lines were obtained from American Type Culture Collection (Rockville, MD). Target cell lysis was assessed by 51Cr release. Briefly, 1 x 106 target cells were loaded with 51Cr for 1 h, washed, and plated in triplicate into round-bottom 96-well tissue culture plates (1 x 104 target cells/well). Target cells were incubated with lymphokine-activated NK cell-effector cells at the indicated effector/target (E/T) ratios in a total volume of 200 µl of IMDM (10% FCS) for 4 h at 37°C. IL-2-activated NK cytotoxicity was determined by the release of 51Cr into the supernatant using a gamma counter. Spontaneous lysis was defined as 51Cr release by target cells incubated in the absence of IL-2-activated NK cells. Total 51Cr release by target cells was determined after cell lysis with HCl. The percentage of specific lysis was based on the following equation: % specific lysis = [(experimental release - spontaneous release)/(total release - spontaneous release)] x 100.

Immunocytometry

Freshly isolated splenocytes and IL-2-activated NK cells from CD44-/-, LFA-1-/-, CD44-/-LFA-1-/-, and control mice were resuspended in immunofluorescence staining buffer (PBS, 4% FCS, 0.1% NaN3) and incubated with appropriate Abs (30 min, 4°C). To block unspecific binding via Fc{gamma}Rs, samples were preincubated with a nonconjugated CD16/32 mAb (15 min, 4°C). The following anti-mouse mAbs were used: anti-NK1.1 (PE conjugated, clone NKR-PC1), anti-TCR{alpha}ß (FITC conjugated, clone H57-597), anti-CD122 (FITC conjugated, clone TM-b1), anti-CD8{alpha} (PE conjugated, clone 53-6.7), anti-CD16/32 (biotin conjugated, clone 2.4G2), anti-B220 (biotin conjugated, clone RA3-6B2), anti-Thy1.2 (biotin conjugated, clone 53-2.1), anti-CD44 (biotin conjugated, clone IM7), anti-LFA-1/CD11a (biotin conjugated, clone M17/4), anti-CD69 (biotin conjugated, clone H1.2F3), anti-ICAM1 (FITC conjugated, clone 3E2), anti-ICAM2 (FITC conjugated, clone 3C4), anti-Fas (PE conjugated, clone Jo2) (all from PharMingen, San Diego, CA), and anti-HA (biotin conjugated; Seikagaku Kogyo, Tokyo, Japan). Biotinylated Abs were visualized using streptavidin-RED670 (Life Sciences, Arlington Heights, IL). All Abs were used at optimal concentrations determined in pilot studies. All staining combinations were as indicated in the figure legends. Cells were analyzed using a FACScalibur and CELLQuest software (Becton Dickinson, Mountain View, CA).

Conjugate formation

IL-2-activated NK-effector cells were labeled with fluorescein diacetate (green fluorescence) and target cells labeled with hydroethidine (red fluorescence) for 1 h at 37°C and washed twice in PBS to remove unbound fluorochromes (15). Labeled target cells (5 x 105/ml) and IL-2-activated NK cells (2 x 106/ml) were then mixed together in a total volume of 200 µl and centrifuged for 10 min at 500 rpm. Pellets were incubated for 10 min at 37°C and resuspended in ice-cold PBS to stop conjugate formation. Binding between target and effector cells was determined using a microscope equipped with a UV light source (Zeiss) to visualize and document fluorochrome-labeled conjugates. The percentage of binding was calculated based on the following equation: % of conjugates formed = [(number of IL-2-activated NK cells bound to target cells)/(total number of IL-2-activated NK cells)] x 100. A minimum of 200 IL-2-activated NK-target cell conjugates were counted for each sample. The variability of conjugate formation was ±5% among different experiments.

Purification of NK1.1+ cells

Freshly isolated splenocytes or IL-2-activated splenocytes (1000 U of rIL-2, 4 day cultures, see above) were treated with magnetic beads (Advanced Magnetics, Cambridge, MA) coupled with goat anti-mouse-IgG (Cappel Organon, West Chester, PA) to remove surface Ig (sIg)-positive B cells. To purify NK cells, sIg-negative cells were incubated with anti-CD4 mAb (rat IgG, clone GK1.5) and anti-CD8 (rat IgG, clone 53.6.7) Abs followed by incubation with magnetic beads coupled to goat anti-rat IgG (Cappel Organon). Residual cells were then incubated with PE anti-NK1.1 and FITC anti-TCR{alpha}ß (PharMingen), and NK1.1+TCR{alpha}ß - cells were sorted using a FACStarPlus (Becton Dickinson). The purity of sorted NK1.1+ cells was >98%.

Western blotting

Freshly isolated splenic and IL-2-activated NK1.1+TCR{alpha}ß- cells were lysed in 10 mM EDTA, 1% SDS, 60% (v/v) glycerol, 0.5% bromphenol blue, and protease inhibitors. In all, 10 µg of protein were separated by 10% PAGE, transferred to PVDF membranes (Millipore, Bedford, MA), and filters incubated in immunoblotting diluent solution (10% skim milk; 0.1% Tween-20 in PBS) at room temperature for 1 h to block nonspecific Ab binding. Filters were incubated with a polyclonal anti-Fas-L IgG Ab (C-178; Santa Cruz Biotechnology, Santa Cruz, CA) at a dilution of 1:1000 at room temperature for 1 h and washed three times in PBS/0.1% Tween-20. As a control, membranes were probed with a polyclonal anti-actin antiserum (Sigma). Membranes were then incubated with a secondary Ab (1:3000) at room temperature for 1 h and washed three times in PBS/0.1% Tween-20. Immune complexes were detected by enhanced chemiluminescence according to the manufacturer’s protocol (Amersham, Arlington Heights, IL).

TNF-{alpha} and IFN-{gamma} production

IL-2-activated NK cells were generated from splenocytes as described above. After a 4-day culture, purified NK1.1+TCR- (1 x 106/ml) cells were reseeded into 24-well tissue culture plates (IMDM; 10% FCS, 10-5 M ß-ME) and restimulated with 1000 U/ml of rIL-2 for 24 h. The amounts of IFN-{gamma} and TNF-{alpha} in the culture supernatants were determined by ELISA (Genzyme, Cambridge, MA).

Northern blotting

Total RNA was isolated from freshly isolated splenocytes and 4-day activated IL-2-activated NK cells using Trizol (Life Technologies, Grand Island, NY). Twenty micrograms of total RNA were subjected to electrophoresis on 1% agarose-formaldehyde gels, transferred to nylon membranes, and hybridized with probes to perforin, Fas-ligand, and ß-actin. Hybridized membranes were exposed and imaged. Perforin and Fas-L mRNA levels were compared with ß-actin mRNA using a PhosphorImager (Molecular Dynamics, Sunnyvale, CA).

Hyaluronidase treatment

To enzymatically remove HA bound to the cell membrane, target cells were treated with 20 µg of hyaluronidase (Sigma) for 60 min at 37°C. Cells were then washed twice and used as targets in cytotoxicity assays. Hyaluronase treatment did not affect target cell viability, 51Cr loading, spontaneous 51Cr release, or expression of other surface markers (not shown).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CD44 and LFA-1 control IL-2-activated NK cell cytotoxicity

To determine the role of the adhesion receptors LFA-1 and CD44 in IL-2-activated NK cell activity, IL-2-activated NK cells were generated from CD44-/-, LFA-1-/-, and littermate control mice. IL-2-activated NK cytotoxicity against all tested tumor cell lines, YAC1, EL4, RMA-S (Fig. 1GoA), RMA, and MC57L (not shown) was significantly reduced in the absence of CD44 or LFA-1. A genetic double mutation of both CD44 and LFA-1 (CD44-/-LFA-1-/-) further reduced IL-2-activated NK cell cytotoxicity (Fig. 1GoB), indicating that CD44 and LFA-1 cooperate in IL-2-activated NK function. It should be noted that CD44-/-, LFA-1-/-, and CD44-/-LFA-1-/- mice display normal lymphocyte development and normal numbers of leukocyte subpopulations (12, 13, 16). These results indicate that CD44 and LFA-1 adhesion receptors are required for IL-2-activated NK cell activity.



View larger version (22K):
[in this window]
[in a new window]
 
FIGURE 1. A, IL-2-activated NK cytotoxicity in CD44+/+LFA-1+/+, CD44-/-LFA-1+/+, and CD44+/+LFA-1-/- mice. The indicated tumor cells were labeled with 51Cr and used in triplicate as targets in 4-h 51Cr release assays. MHC class I-deficient RMA-S cells were used to show that the observed killing activity was independent of MHC expression. Percentages (%) of specific lysis (mean of triplicates ± SD) are shown for wild-type (solid circles), CD44-/-LFA-1+/+ (open circles), and CD44+/+ LFA-1-/- (solid squares) IL-2-activated NK cells. Similar results were obtained using MC57L and RMA cells as targets (not shown). The differences between specific lysis by CD44+/+LFA-1+/+ IL-2-activated NK cells compared with CD44-/-LFA-1+/+ and CD44+/+LFA-1-/- cells were statistically significant (Student’s t test; p < 0.05) for YAC1 and EL4 lysis at all indicated E/T ratios and for RMA-S lysis at E/T ratios of 30:1 and 60:1. One result representative of seven independent experiments is shown. B, Cooperativeness between CD44 and LFA-1 in IL-2-activated NK cell cytotoxicity. IL-2-activated NK cytotoxic activity in CD44+/+LFA-1+/+, CD44-/-LFA-1+/+, CD44+/+LFA-1-/-, and CD44-/-LFA-1-/- mice was measured as in A. IL-2-activated NK cell genotypes are indicated. Percentages of specific lysis (mean of triplicates ± SD) were compared with lysis by CD44+/+LFA-1+/+ killer cells (100%). Results from only a 30:1 E/T ratio are shown. Similar results were obtained at other E/T ratios and by using other target cells (not shown). The differences between specific lysis by CD44-/-LFA-1+/+ and CD44+/+LFA-1-/- cells compared with lysis by CD44-/-LFA-1-/- IL-2-activated NK cells were statistically significant (Student’s t test; p < 0.01). One result representative of six independent experiments is shown.

 
Normal differentiation of IL-2-activated NK cells from CD44-/- and LFA-1-/- mice

To determine whether the impairment in IL-2-activated NK cell function from CD44-/-, LFA-1-/-, and CD44-/-LFA-1-/- mice was due to defective in vitro differentiation of naive killer cells into IL-2-activated NK cells, freshly isolated splenocytes and 4-day-activated killer cell cultures were stained for the expression of activation and differentiation markers. Since NK1.1+TCR{alpha}ß- cells are the principal cytotoxic effector cells of IL-2-activated splenocyte cultures, the relative numbers and expression levels of NK1.1+ cells were analyzed in freshly isolated and IL-2-activated spleen cells (Table IGo, Fig. 2GoA). In freshly isolated NK1.1+TCR{alpha}ß- cells, there was no apparent difference in the expression of CD16/32, B220, Thy1.2, and CD69 surface molecules (Fig. 2GoB). Moreover, after 4 days of activation, the absolute and relative numbers of IL-2-activated NK cells (Table IGo, Fig. 2GoA) and the expression and induction of all tested surface markers (Fig. 2GoB) on purified IL-2-activated NK1.1+TCR{alpha}ß- cells were comparable among CD44-/-, LFA-1-/-, CD44-/-LFA-1-/-, and control littermate mice. These results imply that IL-2-activated NK cell differentiation and activation are normal in the absence of CD44 and LFA-1 expression.


View this table:
[in this window]
[in a new window]
 
Table I. Numbers of IL-2-activated NK1.1+TCR{alpha}ß- cells1

 


View larger version (29K):
[in this window]
[in a new window]
 
FIGURE 2. A, NK1.1+ and TCR{alpha}ß+ cell populations in freshly isolated splenocytes (left panels) and IL-2-activated splenocytes (1000 U/ml IL-2 for 4 days) (right panels) in CD44+/+LFA-1+/+, CD44-/-LFA-1+/+, CD44+/+LFA-1-/-, and CD44-/-LFA-1-/- mice. Cells were stained with anti-TCR{alpha}ß (FITC, x-axis) and anti-NK1.1 (PE, y-axis) Abs as described in Materials and Methods. Numbers indicate relative percentages of cells within each quadrant. One result representative of three experiments is shown. B, Expression of surface molecules on purified NK1.1+TCR{alpha}ß- cells from freshly isolated splenocytes (thin dashed lines and purified NK1.1+TCR{alpha}ß- cells from lymphokine-activated (1000 U/ml IL-2 for 4 days) cell cultures (bold solid lines) from CD44+/+LFA-1+/+, CD44-/- LFA-1+/+, CD44+/+LFA-1-/-, and CD44-/-LFA-1-/- mice. Splenocytes and IL-2-activated NK cells were triple stained with anti-NK1.1 (PE); anti-TCR{alpha}ß (FITC); and biotinylated Abs reactive against CD44, CD11a (LFA-1), CD16/32, B220, Thy1.2, and CD69. Histograms show expression of CD44, CD11a, CD16/32, B220, Thy1.2, and CD69 on live gated NK1.1+TCR{alpha}ß- cells. Further staining experiments showed that NK1.1+TCR{alpha}ß- cells were CD8-CD4-TCR{gamma}{delta}-CD3-sIg- (not shown). The genotypes of cells are indicated on the x-axis and expression of different surface molecules is shown on the y-axis. Control Ab staining using isotype-matched biotin-labeled control Abs corresponded to CD44 and CD11a staining patterns in CD44-/-LFA-1+/+ (first upper panel: rows 2 and 4) and CD44+/+LFA-1-/- mice (second upper panel: rows 3 and 4), respectively (not shown). One result representative of three independent experiments is shown.

 
Normal expression of perforin, Fas-L, and TNF-{alpha} in IL-2-activated NK cells

It has been reported that perforin and Fas-L play a critical role in IL-2-activated NK cell-mediated cytotoxicity against multiple target cells (17). Moreover, it has been shown that IL-2-activated NK cell-derived TNF-{alpha} contributes to the cytotoxic effect (17, 18). We tested whether the defect in CD44-/-, LFA-1-/-, and CD44-/- LFA-1-/- IL-2-activated NK cell cytotoxicity was due to a lack of perforin and Fas-L expression or impaired production of TNF-{alpha}. As shown in Figure 3GoA, freshly isolated splenocytes expressed only small amounts of perforin and Fas-L mRNA. After activation with IL-2 for 4 days, perforin and Fas-L mRNA expression were induced in CD44-/-, LFA-1-/-, CD44-/-LFA-1-/-, and control cells. However, there was no apparent difference in the expression levels of perforin and Fas-L among the experimental groups. Whereas purified NK1.1+TCR{alpha}ß- cells from freshly isolated splenocytes expressed low levels of Fas-L protein, expression of Fas-L protein was increased in NK1.1+TCR{alpha}ß- cells purified from IL-2-activated CD44-/-, LFA-1-/-, CD44-/-LFA-1-/-, and control splenocyte cultures (Fig. 3GoB). Furthermore, production of TNF-{alpha} and IFN-{gamma} was comparable among IL-2-activated NK1.1+TCR{alpha}ß- cells from CD44-/-, LFA-1-/-, CD44-/- LFA-1-/-, and control mice (Fig. 4Go). These results imply that the lack of CD44 and LFA-1 expression does not affect the induction of the cytotoxic effector molecules perforin and Fas-L or the production of the pro-inflammatory cytokines TNF-{alpha} and IFN-{gamma}.



View larger version (41K):
[in this window]
[in a new window]
 
FIGURE 3. A, Northern hybridization. Total RNA was isolated from freshly isolated splenocytes (fresh splenocytes, lanes 14) and IL-2-activated cells (IL-2-activated NK cells, lanes 58). A total of 20 µg of total RNA was probed for perforin (2.9-kb band; upper panel), Fas-L (2-kb band; middle panel), and control ß-actin (lower panel) mRNA expression. Mouse genotypes and the positions of 18S and 28S rRNA are indicated. One result representative of three independent experiments is shown. B, Western blot analysis of Fas-L protein expression in purified NK1.1+TCR{alpha}ß- cells. NK1.1+TCR{alpha}ß- cells were purified from freshly harvested splenocytes (fresh NK1.1+, lanes 1-4) and IL-2-activated cell cultures (IL-2-activated NK1.1+, lanes 5-8) from CD44+/-LFA-1+/-, CD44-/-LFA-1+/-, CD44+/-LFA-1-/-, and CD44-/-LFA-1-/- mice as described in Materials and Methods. Purity of NK1.1+TCR{alpha}ß- was >98% (no shown). Cells were lysed and proteins (10 µg/lane) separated on SDS-PAGE gels and Western blotted using anti-Fas-L and anti-Actin Abs. One result representative of three independent experiments is shown.

 


View larger version (35K):
[in this window]
[in a new window]
 
FIGURE 4. Production of TNF-{alpha} and IFN-{gamma} by IL-2-activated NK1.1+ cells. Supernatants from IL-2-activated NK1.1+TCR{alpha}ß- NK cells from CD44+/+LFA-1+/+, CD44-/-LFA-1+/+, CD44+/+LFA-1-/-, and CD44-/-LFA-1-/- mice were assayed for the presence of TNF-{alpha} and IFN-{gamma} by ELISA. NK1.1+TCR{alpha}ß- cells were purified as described in Materials and Methods. Purity was >98%. One result representative of three independent experiments is shown.

 
CD44 and LFA-1 adhesion receptors regulate IL-2-activated NK cell binding to target cells

Our results implied that the absence of CD44 and LFA-1 does not impair the differentiation of naive NK cells into IL-2-activated NK cells and that the effector machinery required for IL-2-activated NK cytotoxicity was normal in CD44-/-, LFA-1-/-, and CD44-/- LFA-1-/- mice. To test whether the reduction of CD44-/-, LFA-1-/-, and CD44-/-LFA-1-/- IL-2-activated NK cytotoxicity was due to impaired binding to target cells, we visualized IL-2-activated NK-target cell interactions in a direct binding assay (Fig. 5Go, A and B). Conjugate formation between IL-2-activated NK and target cells, i.e., number of cells adhering to the target cells (Fig. 5GoB) and the total number of conjugates (not shown), was significantly impaired in the absence of CD44 and LFA-1. The reduction in IL-2-activated NK-target cell binding was even more pronounced in IL-2-activated NK cells that lack both CD44 and LFA-1 molecules (Fig. 5GoB). It should be noted that conjugate formation was tested after 10 min of incubation at 37°C. Thus, our experiments do not reveal whether the lack of CD44 and LFA-1 surface expression alters conjugate stability. These data show that CD44 and LFA-1 regulate adhesion between "natural" cytotoxic effector and tumor cells.



View larger version (47K):
[in this window]
[in a new window]
 
FIGURE 5. A, Conjugate formation between IL-2-activated NK cells and YAC1 target cells. IL-2-activated NK cells from CD44+/-LFA-1+/- (upper panel) and CD44-/-LFA-1-/- (lower panel) mice were labeled with fluorescein diacetate (green), and YAC1 cells were labeled with hydroethidine (red). Note frequent effector-target cell interactions using CD44+/-LFA-1+/- cells and impaired effector-target cell binding using IL-2-activated NK cells from CD44-/-LFA-1-/- mice. A similar defect in effector-target cell binding was observed using IL-2-activated NK cells from CD44-/-LFA-1+/- and CD44+/- LFA-1-/- mice (not shown). Binding of IL-2-activated NK cells to tumor cells was as described in Materials and Methods. One result representative of three independent experiments is shown. B, Conjugate formation between YAC1, EL4, and RMA-S target and IL-2-activated NK cells from CD44+/+LFA-1+/+, CD44-/-LFA-1+/+, CD44+/+ LFA-1-/-, and CD44-/-LFA-1-/- mice. Relative percentages (%) of conjugate formation (mean of triplicates ± SD) of mutant IL-2-activated NK cells compared with conjugate formation by CD44+/+LFA-1+/+ IL-2-activated NK cells (100%) are shown. Similar results were obtained using RMA and MC57L cells as targets. Binding of IL-2-activated NK cells to tumor cells was determined as described in Materials and Methods. The differences between conjugate formation by CD44+/+LFA-1+/+ IL-2-activated NK cells compared with CD44-/-LFA-1+/+, CD44+/+LFA-1-/-, and CD44-/-LFA-1-/- cells were statistically significant (Student’s t test; p < 0.001). One result representative of five independent experiments is shown.

 
HA is the main ligand for CD44

The principal ligands for LFA-1 are ICAM-1 and ICAM-2 (19), whereas HA is a main ligand for CD44 (20). To examine whether target cells expressed the ligands for LFA-1 and CD44, the expression of ICAM-1, ICAM-2, and HA on target cells was determined by flow cytometry. As shown in Figure 6Go, YAC1, EL4, and RMA-S expressed high levels of ICAM-1 and ICAM-2 on the cell surface. In addition, all of these cell lines expressed detectable levels of HA on the cell surface (Fig. 6Go).



View larger version (27K):
[in this window]
[in a new window]
 
FIGURE 6. Cell surface expression of ICAM-1, ICAM-2, HA, and Fas on YAC1, EL4, and RMA-S target cells. Cells were harvested, washed, and stained with mAbs as described in Materials and Methods. Bold solid lines represent specific staining with mAbs. Thin lines represent staining with isotype-matched control Abs. The y-axis shows different tumor cells lines and the x-axis indicates log10 staining intensity of anti-ICAM-1, anti-ICAM-2, anti-HA, and anti-Fas expression. One result representative of three independent experiments is shown.

 
The role of LFA-1/ICAM in the binding between cytotoxic effector cells and their targets has been previously established using blocking Abs (21, 22). To determine the ligand on tumor target cells that regulates CD44 binding, we treated YAC1 cells with the enzyme hyaluronidase, which specifically cleaves HA. After hyaluronidase treatment, there was no detectable expression of HA on the cell surface (not shown). Hyaluronidase-treated and nontreated YAC1 cells were used as targets for IL-2-activated NK cells isolated from wild-type, CD44-/-, LFA-1-/-, and CD44-/- LFA-1-/- mice. As shown in Figure 7Go, hyaluronidase treatment of YAC1 cells reduced cytotoxicity of wild-type and LFA-1-/- IL-2-activated NK cells, whereas the same treatment did not impair the activity of CD44-/- and CD44-/-LFA-1-/- killer cells. Similar results were obtained using RMA, RMA-S, EL4, or MC57L cells as targets (not shown). These data indicate that HA expressed on the surface of tumor target cells is the main ligand for CD44 and that CD44-HA interactions play a crucial role in the cytotoxic activity of IL-2-activated NK cells.



View larger version (19K):
[in this window]
[in a new window]
 
FIGURE 7. Hyaluronidase treatment of YAC1 target cells reduces the cytotoxic activity of CD44+/+ LFA-1+/+ and CD44+/+LFA-1-/-, but not cyto toxicity of CD44-/-LFA-1+/+ or CD44-/- LFA-1-/- IL-2-activated NK cells. Percentages (%) of specific lysis (mean of triplicates ± SD) are indicated for hyaluronidase-treated (open circles), and nontreated (solid circles) target cells. Similar results were obtained using hyaluronidase-treated RMA cells. Target cells were treated with 20 µg/ml of hyaluronidase for 60 min at 37°C before the cytotoxicity assay, as described in Materials and Methods. The differences between the lysis of hyaluronidase-treated and nontreated target cells by CD44+/+ LFA-1+/+ and CD44+/+LFA-1-/- IL-2-activated NK cells were statistically significant at all E/T ratios tested (Student’s t test; p < 0.05). One result representative of five independent experiments is shown.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present study was designed to provide genetic evidence of the role of cell adhesion receptors in the cytotoxic antitumor activity of activated NK cells. Our data show that the expression of CD44 and LFA-1 adhesion receptors on IL-2-activated NK cells is crucial for nonspecific cytotoxicity. Both CD44 and LFA-1 molecules regulate conjugate formation between IL-2-activated NK cells and target cells and cooperate in the adhesion to target cells. The absence of CD44 and LFA-1 had no apparent effect on the differentiation of IL-2-activated NK cells and the expression of the cytotoxic effector molecules perforin, Fas-L, IFN-{gamma}, and TNF-{alpha}. These results provide the first genetic proof that the adhesion receptors CD44 and LFA-1 have a critical role in "natural" cytotoxicity.

IL-2-activated NK cells are defined by MHC-independent cytotoxicity against a variety of tumor cells, including target cells that are resistant to killing by resting NK cells (3, 4, 5, 6, 23, 24, 25). Recently, it has been shown that various effector molecules, such as TNF-{alpha}, perforin, and the Fas-L/Fas death receptor system, are involved in IL-2-activated NK cell cytotoxicity (17, 26). In particular, the production and release of perforin appears to be the principal cytotoxic mechanism utilized by NK cells (7, 17). Our experiments indicate that CD44 and LFA-1 do not have any apparent role in the differentiation of IL-2-activated NK cells and the induction of cytotoxic effector molecules such as perforin, Fas-L, and TNF-{alpha}, but CD44 and LFA-1 control adhesion of activated killer cells to target cells. CD44- and LFA-1-mediated adhesion appears to be a crucial prerequisite for the attachment of specific surface receptors, which then can initiate cytolysis. Although our data indicate that CD44 and LFA-1 initiate attachment of killer cells to their targets, these results do not preclude the possibility that the expression of yet unknown specific surface receptors is impaired in the absence of CD44 or LFA-1.

The leukocyte integrin LFA-1 (CD11a/CD18) was initially defined by mAbs that inhibit CTL-mediated cytotoxicity in the absence of complement (27). Blocking studies using mAbs have shown that LFA-1 is involved not only in CTL-mediated cytotoxicity (21, 22), but also in a wide variety of other leukocyte functions. Thus, anti-LFA-1 Abs can inhibit T cell proliferation (27), NK-mediated cytotoxicity (28, 29), or adhesion of CTLs (30), suggesting that LFA-1 has an important role in lymphocyte function. However, LFA-1 gene-deficient mice displayed normal CTL responses against systemic choriomeningitis virus and vesicular somatitis virus infections (12), suggesting that the consequences of anti-LFA-1 mAbs may reflect nonspecific effects of Ab treatment, such as capping of other surface molecules. Moreover, in two different genetic mouse models of LFA-1 deficiency, it has been reported that LFA-1 expression is either important (12) or irrelevant (16) for cytotoxicity by freshly isolated splenic NK cells. The differences in cytotoxic activity of freshly isolated splenic NK cells between these two LFA-1 gene-targeted mouse strains are not known. Both strains are LFA-1 null mutations as determined by LFA-1 protein expression (12, 16). Hypothetically, distinct background genes present in both mutant mouse models might account for the observed discrepancies, that is, adhesion molecules expressed at different levels in distinct mouse backgrounds could contribute to NK cytotoxicity. Importantly, all mouse strains used in the experiments reported in this paper and the experiments reported by Schmits et al. (12) were back-crossed into a C57Bl/6 background for at least six generations. Alternatively, differences in NK activities between these two strains could be due to distinct in vivo activation protocols, since LFA-1 gene-deficient mice have a defect in cell migration in vivo (12, 16). Our data clearly show that LFA-1 has a crucial role in lymphokine-activated killer cell cytotoxicity and adhesion of IL-2-activated NK cells to their target cells.

The cell surface glycoprotein CD44 is an adhesion molecule for extracellular matrix proteins. CD44 has been implicated in lymphocyte recirculation, cell migration, cell-cell interactions, and tumor metastasis (31, 32). Moreover, several anti-CD44 mAbs have been characterized that either enhance or inhibit T and NK cell functions (33, 34). Little is known about the role of CD44 in IL-2-activated NK cytotoxicity. To address the role of CD44 in IL-2-activated NK cells function, we determined the cytotoxic activity of IL-2-activated NK cells from CD44-/- mice against various tumor cells. Our results showing that IL-2-activated NK cell cytotoxicity is reduced in the absence of CD44 expression provide the first genetic evidence that CD44 has a role in NK function.

Despite the crucial role of CD44 in various experimental systems, CD44 gene-deficient mice are apparently normal in all aspects of morphogenesis and leukocyte development (13). Moreover, no functional defects in lymphocyte proliferation, delayed-type hypersensitivity responses, or cytotoxic T cell effector functions after primary and secondary viral challenge have been identified in CD44-/- mice. However, CD44 is important for granuloma formation and the mobilization of granulocyte/macrophage-CFU from the bone marrow (13). Using the same gene-deficient mice, our study shows that CD44 has a role in IL-2-activated NK cytotoxicity. Since CD44 is expressed on all hematopoietic and most nonhematopoietic cells, it appears that different cytotoxic effectors have different requirements for CD44 expression.

Although a number of extracellular ligands, such as fibronectin, collagen types I and IV, chondroitin sulfate, and serglycin, have been described for CD44, its interaction with HA is the most thoroughly documented (20, 35, 36, 37, 38, 39). For instance, the adhesion of B cells to stromal cells can be blocked by hyaluronidase treatment (39, 40) and HA-binding CTLs have higher cytotoxic activity compared with a non-HA-binding CTL population (41). Nevertheless, many normal or transformed hematopoietic cells that express CD44 do not bind HA (42, 43), and the molecular interactions that govern CD44-dependent binding between effector and target cells in cell-mediated lysis are almost unknown. To determine whether the defect in CD44-/- IL-2-activated NK cell activity was due to a reduction of CD44-HA binding, we measured IL-2-activated NK cytotoxicity against hyaluronidase-treated target cells. The cytotoxic activity of wild-type and LFA-1-/- IL-2-activated NK cells was significantly reduced after hyaluronidase treatment. By contrast, hyaluronidase treatment of target cells did not alter the cytotoxic activity of IL-2-activated NK cells isolated from CD44-/- and CD44-/-LFA-1-/- mice. These results suggest that CD44 expressed on IL-2-activated NK cells acts as an HA receptor and that CD44-HA interactions are important for the conjugate formation between activated killer cells and tumor cells. However, our data do not preclude the possibility that CD44 can bind to other extracellular matrix proteins associated with the membrane of tumor cells.

The receptors that control the cytotoxic activity and attachment of non-MHC-restricted lymphokine-activated NK cells to tumor cells are not known. We provide genetic evidence in CD44-/-, LFA-1-/-, and CD44-/-LFA-1-/- mice that the cell adhesion receptors LFA-1 and CD44 regulate the cytotoxic activity of IL-2-activated NK cells against a variety of different tumor cell lines. Differentiation and the expression of the cytolytic machinery were normal in the absence of CD44 and LFA-1. However, CD44 and LFA-1 regulated the binding of activated killer cells to their targets. The defect in killer cytotoxicity and adhesion was enhanced in mice that carried a double mutation of both CD44 and LFA-1. HA was identified as the principal ligand on tumor cells for CD44-mediated adhesion of IL-2-activated NK cells. These data provide the first genetic evidence of the role of CD44 and LFA-1 in adhesion and cytotoxicity of lymphokine-activated killer cells.


    Acknowledgments
 
We thank G. Duncan, K. Bachmaier, H. Nishina, Y. Kong, I. Kozieradzki, T. Sasaki, L. Zhang, and A. Hakem for critical comments.


    Footnotes
 
1 Address correspondence and reprint requests to Dr. Josef M. Penninger, Amgen Institute, and Ontario Cancer Institute, Department of Medical Biophysics and Immunology, University of Toronto, 620 University Avenue, Suite 706, M5G 2C1, Toronto, Ontario, Canada. E-mail: Back

2 Abbreviations used in this paper: HA, hyaluronic acid; sIg, surface Ig. Back

Received for publication July 29, 1997. Accepted for publication February 12, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Leibson, P. J.. 1997. Signal transduction during natural killer cell activation: inside the mind of a killer. Immunity 6:656.
  2. Trichieri, G.. 1989. Biology of natural killer cells. Adv. Immunol. 47:187.[Medline]
  3. Bancroft, G. J.. 1993. The role of natural killer cells in innate resistance to infection. Curr. Opin. Immunol. 5:503.[Medline]
  4. Das, B., M. O. Mondragon, S.-Z. Tao, A. J. Norin. 1997. Preferential interaction of a novel tumor surface protein (p38.5) with natural killer cells. J. Exp. Med. 185:1735.[Abstract/Free Full Text]
  5. Grimm, E. A., R. J. Robb, J. A. Roth, L. M. Neckers, L. B. Rachman, D. J. Wilson, S. A. Rosenberg. 1983. Lymphokine-activated killer cell phenomenon. III. Evidence that IL-2 is sufficient for direct activation of peripheral lymphocytes into lymphokine-activated killer cells. J. Exp. Med. 158:1356.[Abstract/Free Full Text]
  6. Rosenstein, Y., I. Yron, Y. Kaufman, S. A. Rosenberg. 1984. Lymphokine-activated killer cells: lysis of fresh syngenic natural killer-resistant murine tumor cells by lymphocytes cultured in interleukin 2. Cancer Res. 44:1946.[Abstract/Free Full Text]
  7. Kagi, D., F. Vignaux, B. Lederman, K. Burki, V. Depraetera, S. Nagata, H. Hengartner, P. Golstein. 1994. Fas and perforin pathway as major mechanisms of T cell-mediated cytotoxicity. Science 265:528.[Abstract/Free Full Text]
  8. Singer, S. J.. 1992. Intercellular communication and cell-cell adhesion. Science 255:1671.[Abstract/Free Full Text]
  9. Zinkernagel, R. M., M. F. Bachmann, T. M. Kundig, S. Oehen, H. Pircher, H. Hengartner. 1996. On immunological memory. Annu. Rev. Immunol. 14:333.[Medline]
  10. Dustin, M. L., T. A. Springer. 1989. T-cell receptor crosslinking transiently stimulates adhesiveness through LFA-1. Nature 341:619.[Medline]
  11. Gumperz, J. E., P. Parham. 1995. The enigma of the natural killer cell. Nature 378:245.[Medline]
  12. Schmits, R., T. M. Kunding, D. M. Baker, G. S. Shumaker, J. J. L. Simard, G. Duncan, A. Wakeman, A. Shahnian, A. van der Heiden, M. F. Bachmann, P. S. Ohashi, T. W. Mak. 1996. LFA-1-deficient mice show normal CTL responses to virus but fail to reject immunogenic tumor. J. Exp. Med. 183:1415.[Abstract/Free Full Text]
  13. Schmits, R., J. Filmus, N. Gerwin, G. Senaldi, F. Kiefer, T. Kundig, A. Wakeham, A. Shahinian, C. Catzavelos, J. Rak, C. Furlonger, A. Zakarian, J. J. L. Simard, P. S. Ohashi, C. J. Paige, J. C. Gutierrez-Ramos, T. W. Mak. 1997. CD44 regulates hematopoietic progenitor distribution, granuloma formation and tumorigenicity. Blood 90:2217.[Abstract/Free Full Text]
  14. Vujanovic, N. L., R. B. Herberman, A. A. Maghazachi, J. C. Hiserodt. 1988. Lymphokine-activated killer cells in rats. III. A simple method for the purification of large granular lymphocytes and their rapid expansion and conversion into lymphokine-activated killer cells. J. Exp. Med. 167:15.[Abstract/Free Full Text]
  15. Becker, J. C., R. Dummer, A. A. Hartmann, G. Burg, R. E. Schmidt. 1991. Shedding of ICAM-1 from human melanoma cell lines induced by IFN-{gamma} and tumor necrosis factor-{alpha}. J. Immunol. 147:4398.[Abstract]
  16. Shier, P., G. Otulakowski, K. Nugo, J. Pankos, E. Chourmouzis, L. Christjansen, C. Y. Lau, W. P. Fung-Leung. 1996. Impaired immune responses toward alloantigens and tumor cells but normal thymic selection in mice deficient in the ß2 integrin leukocyte function-associated antigen-1. J. Immunol. 157:5375.[Abstract]
  17. Lee, R. K., J. Spielman, D. Y. Zaho, K. J. Oslen, E. R. Padock. 1996. Perforin, Fas ligand, and tumor necrosis factor are the major cytotoxic molecules used by lymphokine-activated killer cells. J. Immunol. 157:1919.[Abstract]
  18. Zeng, L., G. Fisher, R. E. Miller, J. Peschon, D. H. Lynch, M. J. Lenard. 1995. Induction of apoptosis in mature T cells by tumor necrosis factor. Nature 377:348.[Medline]
  19. Saunton, D. E., M. L. Dustin, T. A. Springer. 1989. Functional cloning of ICAM-2, a cell adhesion ligand for LFA-1 homologous to ICAM-1. Nature 339:61.[Medline]
  20. Aruffo, A., I. Stamenkovic, M. Melnic, C. B. Underhill, B. Seed. 1990. CD44 is the principal cell surface receptor for hyaluronate. Cell 61:1303.[Medline]
  21. Vanky, F., P. Wang, M. Patarroyo, E. Klein. 1990. Expression of the adhesion molecule ICAM-1 and major histocompatibility complex class I antigens on human tumor cells is required for their interaction with autologous lymphocytes in vitro. Cancer Immunol. Immunother. 31:19.[Medline]
  22. Krensky, A. M., S. J. Mentzer, C. Clayberger, D. C. Anderson, F. C. Schmalstieg, S. J. Burkoff, T. A. Springer. 1985. Heritable lymphocyte function-associated antigen-1 deficiency: abnormalities of cytotoxicity and proliferation associated with abnormal expression of LFA-1. J. Immunol. 135:3102.[Abstract]
  23. Grimm, E. A., A. Mazumder, H. Z. Zang, S. A. Rosenberg. 1982. Lymphokine-activated killer cell phenomenon: lysis of natural killer-resistant fresh solid tumor cells by interleukin 2-activated autologous human peripheral blood lymphocytes. J. Exp. Med. 155:1823.[Abstract/Free Full Text]
  24. Rosenberg, S. A., M. T. Lotze. 1986. Cancer immunotherapy using interleukin-2 and interleukin-2-activated lymphocytes. Annu. Rev. Immunol. 4:681.[Medline]
  25. Phillips, J. H., L. L. Lanier. 1986. Dissection of the lymphokine-activated killer phenomenon: relative contribution of peripheral blood natural killer cells and T lymphocytes to cytolysis. J. Exp. Med. 164:814.[Abstract/Free Full Text]
  26. Liu, C. C., C. M. Walsh, N. Eto, R. Clark, J. D. Young. 1995. Morphological and functional characterization of perforin-deficient lymphokine-activated killer cells. J. Immunol. 155:602.[Abstract]
  27. Krensky, A. M., F. Sanchez-Madrid, E. Robbins, J. A. Nagy, T. A. Springer, S. J. Burakoff. 1983. The functional significance, distribution, and structure of LFA-1, LFA-2, and LFA-3: cell surface antigen associated with CTL-target interactions. J. Immunol. 131:611.[Abstract]
  28. Hildreth, J. E. K., F. M. Gotch, P. D. K. Hildreth, A. J. McMichael. 1983. A human lymphocyte-associated antigen involved in cell-mediated lympholysis. Eur. J. Immunol. 13:202.[Medline]
  29. Chen, B. P., M. Malkovsky, J. A. Hank, P. M. Sondel. 1987. Nonrestricted cytotoxicity mediated interleukin 2-expressed leukocytes is inhibited by anti-LFA-1 monoclonal antibodies (MoAb) but potentiated by anti-CD3 MoAb. Cell. Immunol. 110:282.[Medline]
  30. Krensky, A. M., E. Robbins, T. A. Springer, S. J. Burrakoff. 1984. LFA-1, LFA-2, and LFA-3 antigens are involved in CTL-target conjugation. J. Immunol. 132:2180.[Abstract]
  31. Lesley, J., R. Hyman, P. W. Kincade. 1993. CD44 and its interaction with ECM. Adv. Immunol. 54:271.[Medline]
  32. Hynes, B. F., M. J. Telen, L. P. Hele, S. M. Denning. 1989. CD44: a molecule involved in leukocyte adherence and T cell activation. Immunol. Today 10:423.[Medline]
  33. Seth, A., L. Gote, M. Nagarkatti, P. S. Nagarkatti. 1991. T-cell-receptor-independent activation of cytolytic activity of cytotoxic T lymphocytes mediated through CD44 and gp90MEL-14. Proc. Natl. Acad. Sci. USA 88:7877.[Abstract/Free Full Text]
  34. Galandrini, R., R. D. Maria, M. Piccoli, A. Santoni. 1994. CD44 triggering enhances human NK cell cytotoxic function. J. Immunol. 153:4339.
  35. Underhil, C.. 1992. CD44: the hyaluronan receptor. J. Cell Sci. 103:293.[Medline]
  36. Wayner, E. A., W. G. Carter. 1987. Identification of multiple cell adhesion receptors for collagen and fibronectin in human fibrosarcoma cells possessing unique {alpha} and common ß subunits. J. Cell Biol. 105:1873.[Abstract/Free Full Text]
  37. Naujokas, M. F., M. Morin, M. S. Anderson, M. Peterson, J. Miller. 1993. The chondroitin sulfate form of invariant chain can enhance stimulation of T cell responses through interaction with CD44. Cell 74:257.[Medline]
  38. Toyama-Sorimachi, N., H. Sorimachi, Y. Tobita, F. Kitamura, H. Yagita, K. Suzuki, M. Miyasaka. 1995. A novel ligand for CD44 is serglysin, a hematopoietic cell lineage-specific proteoglycan. J. Biol. Chem. 270:7437.[Abstract/Free Full Text]
  39. Miyake, K., C. B. Underhill, J. Lasely, P. W. Kincade. 1990. Hyaluronate can function as a cell adhesion molecule and CD44 participates in hyaluronate recognition. J. Exp. Med. 172:69.[Abstract/Free Full Text]
  40. Murakami, S., K. Miyake, C. H. June, P. W. Kincade, R. J. Hodes. 1990. IL-5 induced a Pgp-1 (CD44) bright B cell subpopulation that is highly enriched in proliferative and Ig secretory activity and binds to hyaluronate. J. Immunol. 145:3618.[Abstract]
  41. Lesley, J., N. Howes, A. Perschl, R. Hyman. 1992. Hyaluronan binding function of CD44 is transiently activated on T cells during an in vivo immune response. J. Exp. Med. 180:383.[Abstract/Free Full Text]
  42. Lasley, J., R. Hyman. 1992. CD44 can be activated to function as an hyaluronic acid receptor in normal murine T cells. Eur. J. Immunol. 22:2719.[Medline]
  43. Lasley, J., Q. He, K. Miyake, A. Hamann, R. Hyman, P. W. Kincade. 1992. Requirements for hyaluronic acid binding by CD44: a role for the cytoplasmic domain and activation by antibody. J. Exp. Med. 175:257.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
J. Virol.Home page
P. Banerjee, G. Feuer, and E. Barker
Human T-Cell Leukemia Virus Type 1 (HTLV-1) p12I Down-Modulates ICAM-1 and -2 and Reduces Adherence of Natural Killer Cells, Thereby Protecting HTLV-1-Infected Primary CD4+ T Cells from Autologous Natural Killer Cell-Mediated Cytotoxicity despite the Reduction of Major Histocompatibility Complex Class I Molecules on Infected Cells
J. Virol., September 15, 2007; 81(18): 9707 - 9717.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
J. Back, A. Chalifour, L. Scarpellino, and W. Held
Stable masking by H-2Dd cis ligand limits Ly49A relocalization to the site of NK cell/target cell contact
PNAS, March 6, 2007; 104(10): 3978 - 3983.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
E. N. M. Nolte-'t Hoen, C. R. Almeida, N. R. Cohen, S. Nedvetzki, H. Yarwood, and D. M. Davis
Increased surveillance of cells in mitosis by human NK cells suggests a novel strategy for limiting tumor growth and viral replication
Blood, January 15, 2007; 109(2): 670 - 673.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
G. Suck, D. R. Branch, P. Aravena, M. Mathieson, S. Helke, and A. Keating
Constitutively polarized granules prime KHYG-1 NK cells
Int. Immunol., September 1, 2006; 18(9): 1347 - 1354.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
L. V. Fostel, J. Dluzniewska, Y. Shimizu, B. J. Burbach, and E. J. Peterson
ADAP is dispensable for NK cell development and function
Int. Immunol., August 1, 2006; 18(8): 1305 - 1314.
[Abstract] [Full Text] [PDF]


Home page
Infect. Immun.Home page
M. Guerau-de-Arellano, J. Alroy, D. Bullard, and B. T. Huber
Aggravated Lyme Carditis in CD11a-/- and CD11c-/- Mice
Infect. Immun., November 1, 2005; 73(11): 7637 - 7643.
[Abstract] [Full Text] [PDF]


Home page
J. Exp. Med.Home page
Y. T. Bryceson, M. E. March, D. F. Barber, H.-G. Ljunggren, and E. O. Long
Cytolytic granule polarization and degranulation controlled by different receptors in resting NK cells
J. Exp. Med., October 3, 2005; 202(7): 1001 - 1012.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
D. F. Barber, M. Faure, and E. O. Long
LFA-1 Contributes an Early Signal for NK Cell Cytotoxicity
J. Immunol., September 15, 2004; 173(6): 3653 - 3659.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
O. Stehling, V. Grau, and B. Steiniger
Monocyte cytotoxicity during acute kidney graft rejection in rats
Int. Immunol., January 1, 2004; 16(1): 101 - 110.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
R. J. McKallip, M. Fisher, Y. Do, A. K. Szakal, U. Gunthert, P. S. Nagarkatti, and M. Nagarkatti
Targeted Deletion of CD44v7 Exon Leads to Decreased Endothelial Cell Injury but Not Tumor Cell Killing Mediated by Interleukin-2-activated Cytolytic Lymphocytes
J. Biol. Chem., October 31, 2003; 278(44): 43818 - 43830.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
M. Emoto, M. Miyamoto, Y. Emoto, I. Yoshizawa, V. Brinkmann, N. van Rooijen, and S. H. E. Kaufmann
Highly Biased Type 1 Immune Responses in Mice Deficient in LFA-1 in Listeria monocytogenes Infection Are Caused by Elevated IL-12 Production by Granulocytes
J. Immunol., October 15, 2003; 171(8): 3970 - 3976.
[Abstract] [Full Text] [PDF]


Home page
J. Exp. Med.Home page
B. Riteau, D. F. Barber, and E. O. Long
Vav1 Phosphorylation Is Induced by {beta}2 Integrin Engagement on Natural Killer Cells Upstream of Actin Cytoskeleton and Lipid Raft Reorganization
J. Exp. Med., August 4, 2003; 198(3): 469 - 474.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
Y. Zhao, H. Ohdan, J. O. Manilay, and M. Sykes
NK Cell Tolerance in Mixed Allogeneic Chimeras
J. Immunol., June 1, 2003; 170(11): 5398 - 5405.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Cell Mol. Bio.Home page
K. Shingu, C. Kruschinski, A. Luhrmann, K. Grote, T. Tschernig, S. von Horsten, and R. Pabst
Intratracheal Macrophage-Activating Lipopeptide-2 Reduces Metastasis in the Rat Lung
Am. J. Respir. Cell Mol. Biol., March 1, 2003; 28(3): 316 - 321.
[Abstract] [Full Text] [PDF]