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The Journal of Immunology, 1998, 161: 814-820.
Copyright © 1998 by The American Association of Immunologists

HLA Class II Expression in Uninducible Hepatocarcinoma Cells After Transfection of AIR-1 Gene Product CIITA: Acquisition of Antigen Processing and Presentation Capacity1

Silvia Sartoris*, Maria Teresa Valle{dagger}, Andrea De Lerma Barbaro{ddagger}, Giovanna Tosi{ddagger}, Tiziana Cestari*, Antonella D’Agostino{ddagger}, Anna Maria Megiovanni{dagger}, Fabrizio Manca{dagger} and Roberto S. Accolla2{ddagger}

* Institute of Immunology and Infectious Diseases, University of Verona, Verona, Italy; {dagger} Servizio/Cattedra di Immunologia, Ospedale S. Martino, Universitá di Genova, Genoa, Italy; {ddagger} Unit of Cellular and Molecular Genetics, Advanced Biotechnology Center, Genoa, Italy; and § Department of Clinical and Biological Sciences, University of Pavia, Varese, Italy


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The AIR-1-encoded CIITA transcriptional activator is crucial for both constitutive and IFN-{gamma}-induced MHC class II gene transcription. We show here that the MHC class II negative phenotype of the human hepatocarcinoma cell lines Alexander and HepG2 remains unmodified after treatment with IFN-{gamma}, although MHC class I expression is up-modulated. This correlates with absence of CIITA mature transcripts. Transfection of an expressible CIITA cDNA in Alexander cells resulted in a very high cell surface expression of all three human class II subsets, HLA-DR, -DP and -DQ, indicating that normally observed induction of CIITA expression by IFN-{gamma} is probably blocked, in the hepatocarcinoma cell lines, at the level of CIITA transcription and not at the level of IFN-{gamma} receptor binding and signal transduction mechanisms. To assess whether MHC class II expression on CIITA-transfected Alexander cells could have functional relevance, we tested their capacity to present antigenic peptides to an HLA-DR-restricted T cell line specific for a peptide of Mycobacterium tuberculosis Ag85 protein. It was found that the transfected cells could not only present the exogenously supplemented peptide but also process Ag85 protein to generate the specific epitope recognized by the HLA-DR-restricted T cell line. Similar results were obtained with CIITA-transfected CFPAC-1 pancreatic adenocarcinoma cells, which differed from Alexander cells in that they were inducible by IFN-{gamma}. These results suggest new strategies to act on CIITA for increasing the potential of a tumor cell to present putative tumor Ags to the immune system.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Major histocompatibility complex class II Ags are highly polymorphic cell surface glycoproteins that play a fundamental role in the correct functioning of the immune system. In fact they serve as receptors for antigenic peptides, which only under this form can be correctly presented to the clonotypically distributed specific receptor of regulatory T cells and can trigger the cascade of events leading to both cellular and humoral immune effector functions (1). Both qualitative and quantitative alterations in the expression of the MHC class II molecules dramatically affect the onset and maintenance of the immune response (2), and may be the basis of a wide variety of disease states, such as autoimmunity and immunodeficiency (3, 4). MHC class II molecules, designated HLA-DR, -DQ, and -DP in human and I-A and I-E in mouse, show a restricted tissue distribution being expressed in few cell types, such as B cells, macrophages, thymic epithelial cells, and dendritic cells. Furthermore MHC class II expression can be constitutive, as in B cells, or inducible, as in macrophages, endothelial cell, and in some tumors, by a variety of exogenous stimuli, among which the cytokine IFN-{gamma} certainly constitutes an important member (5, 6).

Most regulation of expression of MHC class II molecules is under the control of transcriptional mechanisms that are both cell type and development specific (7, 8, 9). In this context, a pivotal role is played by the CIITA transcriptional activator (10) encoded by the AIR-1 locus (11). Defects impairing AIR-1 locus function result in failure to transcribe all class II gene subsets, as in the B cell mutant RJ2.2.5 (12), as well as in some B cell lines derived from patients affected by bare lymphocyte syndrome (4).

Expression of CIITA is also required for IFN-{gamma}-inducible MHC class II expression, as demonstrated by the analysis of IFN-{gamma}-inducible normal cells (13) and cell lines (14, 15, 16). Moreover, transfection of CIITA cDNA under the control of a ubiquitous promoter in MHC class II-inducible cells results in a constitutive class II expression (14, 16), confirming and extending previous observations on the dominance of the constitutive class II-positive over the inducible phenotype in somatic cell hybrids (17, 18). Interestingly, terminal differentiation of B cells in plasma cells is accompanied by loss of MHC class II gene expression. This event is mediated by dominant suppressor factors activated and/or expressed in plasma cells that suppress the MHC class II gene transcription (19, 20). It has been recently shown that the developmental extinction of class II expression in plasma cells is accompanied by the lack of expression of the AIR-1 gene product, as assessed by the absence of CIITA mRNA in human and mouse plasmacytoma cell lines, as well as in (B cell x plasma cell) class II-negative somatic cell hybrids. Stable transfection of a constitutively expressible CIITA cDNA under the control of a ubiquitous promoter restored expression of human class II genes in both the plasmacytoma cell model (21), and in the (B cell x plasma cell) somatic cell hybrids (22), demonstrating that the AIR-1 locus is indeed the real target of the active suppression that results in the loss of class II gene expression in plasma cells.

Taken together, these observations demonstrate that the AIR-1 gene-encoded CIITA is a major physiologic regulator of the expression of MHC class II genes.

Tumor cells derived from nonlymphoid tissues sometimes express de novo MHC class II genes or are induced to do so by stimulation with IFN-{gamma}. Although the genetic mechanisms underlying these events are still elusive, it has been shown that in certain tumors de novo expression of MHC class II genes can result in enhanced elimination of the cancer cell by the immune system. It is believed that in these cases tumor cells can serve as APCs for tumor-associated Ags and thus facilitate tumor rejection (23, 24).

Hepatocarcinomas, as their normal cell counterpart (25), do not express class II genes, with few exceptions (26, 27). Moreover, although in some circumstances normal human hepatocytes can be induced to express class II genes both in vivo, as in hepatitis B virus (HBV) infection and in active cirrhosis (28, 29), and in vitro, by IFN-{gamma} (28), most hepatocarcinoma tumors are refractory to induction (26), behaving as constitutive MHC class II-negative cells. The hepatocarcinoma cell lines Alexander and HepG2 are included in this group. We therefore decided to analyze the pattern of expression of CIITA in Alexander and HepG2 and founded that it was not expressed in both cell lines. We then explored the genetic and immunologic effects of stable transfection of an expressible CIITA cDNA and particularly the effects on MHC class II gene expression and the possible functional relevance of this expression.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell lines and cell surface phenotyping

Alexander and HepG2 are human hepatocarcinoma cell lines (26, 28). CFPAC-1 is a cell line derived from human pancreatic adenocarcinoma (6). Raji is an MHC class II-positive human B cell lymphoma. They were propagated in RPMI 1640 medium supplemented with 10% FCS and glutamine. Parental cells and transfectants (see below) were analyzed by indirect immunofluorescence and cytofluorometry on an Epics Profile apparatus (Coulter, Hialeah, FL), with a series of mAbs specific for the various subsets of human MHC class II Ags. Relevant to this work were the following reagents: D1–12, specific for human DR Ags; B7/21, specific for human DP Ags; BT 3/4, XIII 358.4 and XIV 466.2, specific for DQ1, DQ2, and DQ3 molecules, respectively, and recognizing the distinct DQ heterodimers present in Raji (DQ1/DQ2), and the possible products of the alleles present in Alexander (DQ1), HepG2 (DQ1/DQ3), and CFPAC-1 (DQ1) cells.

IFN-{gamma} treatment

Cells were incubated in the presence of recombinant human IFN-{gamma}, kindly donated by Dr. V. Cantone, Roussel Pharma, Milan, Italy. The concentration of 1000 U/ml in RPMI 1640 medium supplemented with 10% FCS was used. After 72 h incubation, cells were washed and analyzed for the expression of cell surface Ags by cytofluorometric techniques. The dose of IFN-{gamma} and the incubation time were chosen on the basis of preliminary experiments showing maximum induction of HLA Ags in control cell lines including the pancreatic adenocarcinoma CFPAC-1 (6).

Generation of stable transfectants expressing exogenous CIITA

The full-length human CIITA cDNA (10), kindly donated by Dr. B. Mach (Geneva, Switzerland), was subcloned into the eukaryotic expression vector pREP-10, containing the hygromycin B resistance gene (Invitrogen, San Diego, CA). The resulting construct, designated pREP-10/CIITA, linearized by ClaI restriction enzyme digestion, was stably introduced into Alexander and CFPAC-1 cell lines by liposome-mediated transfection using the Transfection Reagent kit (DOTAP, Boehringer Mannheim Italia, Milan, Italy). To isolate stable transfectants, selection for hygromycin resistance was applied after 24 to 48 h, using 250 µg/ml of hygromycin.

DNA and RNA analysis

Genomic DNA was analyzed by Southern blotting after digestion with BamHI restriction endonuclease. The CIITA probe used was a 5'-end 3-kb BamHI fragment from the full length CIITA cDNA. The presence of CIITA cytoplasmic RNA, as well as In chain, DMA- and DMB-specific transcripts, was assessed by RT-PCR using the Perkin-Elmer GeneAmp RNA PCR kit (Perkin-Elmer Italia, Monza, Italy), according to the manufacturer’s recommendations. Primers specific for CIITA, ß-actin, In chain, and DMB mRNA and RT-PCR conditions were as described by Chang et al. (16, 30). Primers specific for DMA were as follows: sense 5'-GTGCAAGTAGCCAAAACCA-3', antisense 5'TACCACACAGGTGTAAGTGT-3'.

Ag processing and presentation to T cells

Alexander cells, CFPAC-1 cells, and their corresponding CIITA transfectants were detached with trypsin-EDTA, irradiated at 6000 rad with a 137Cs source (Gammacell, Nordion, Inc., Kanata, Canada) and dispensed at different concentrations in a flat-bottom microtiter plate. PBMC from two individuals, each sharing the same HLA-DR alleles with Alexander and CFPAC-1 cells, respectively, were used as positive controls for Ag presentation to T cells. PBMC were irradiated at 3000 rad and dispensed in microtiter plate. After overnight incubation, wells containing PBMC were gently washed with prewarmed medium to remove nonadherent cells. Both adherent monocytes (AM) and malignant cells were pulsed with 5 µg/ml of purified protein derivative (PPD)3 (Statens Seruminstitute, Copenhagen, Denmark), 5 µg/ml Ag85, a highly purified mycobacterial secretory protein (31), or with 1 µg/ml of a peptide of Ag85, designated pep11 (aa 91–108, GCQTYKWETLLTSELPQW), for 4 h. CD4+ T cells (2 x 104 from an established line specific for pep11 and restricted by the HLA-DR*15 allele) were then added in 100 L medium to the wells, as described (32, 33). After 2 days, the cultures were pulsed with 0.5 Ci [3H]thymidine (5 Ci/mmol specific activity, Amersham, Buckinghamshire, U.K.) and then harvested 12 h later with a Filtermate 196 apparatus. The dried filters were counted in a Matrix 96 counter (Packard Instrument, Downers Grove, IL). Results are given as kcpm (cpm x 103).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IFN-{gamma} treatment does not rescue HLA class II Ag expression in two human class II-negative hepatocarcinoma cell lines

The human hepatocarcinoma cell lines Alexander and HepG2 were analyzed for MHC class II surface expression by indirect immunofluorescence and FACS analysis, before and after treatment with IFN-{gamma}. Table IGo shows the mean values of fluorescence obtained for class II HLA-DR, -DP, and -DQ and class I HLA-A, -B, and -C Ag expression in Alexander and HepG2 hepatocarcinoma cells, compared with the CFPAC-1 human pancreas adenocarcinoma cell line. See Figure 2Go below for the HLA class II histogram profiles of Alexander and CFPAC-1 cells. IFN-{gamma} treatment did not result in appreciable HLA class II induction in both Alexander and HepG2 cell lines, as compared with the significant induction of expression in the CFPAC-1 cell line. On the other hand, treatment with the cytokine resulted in substantial increase of HLA class I Ag expression both in Alexander cells (twofold) and in HepG2 cells (fourfold) (see Table IGo). These data indicate that lack of MHC class II induction in the two hepatocarcinoma cell lines is not due to an intrinsic defect at the level of the IFN-{gamma} receptor binding or of signal transduction pathways.


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Table I. Cell surface expression of MHC Ags in Alexander and HepG2 human hepatocarcinoma and CFPAC-1 pancreatic adenocarcinoma cell lines

 


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FIGURE 2. Flow cytofluorometric analysis of the cell lines listed on the left of the figure. Raji, MHC class II positive human B cell lymphoma; Alex, Alexander human hepatocarcinoma; CFPAC-1, human pancreatic adenocarcinoma; Alex/IFN-{gamma} and CFPAC-1/IFN-{gamma}, Alexander and CFPAC-1 cells,respectively, treated with 1000 U/ml of recombinant human IFN-{gamma}; Alex/CIITA and CFPAC-1/CIITA, Alexander and CFPAC-1 cells, respectively, transfected with CIITA. Cells were incubated with mAbs specific for the human MHC class II Ags listed in the top of the histograms, followed by staining with the rabbit anti-mouse FITC. The FITC series of histograms represent the control staining of the various cell populations after incubation with irrelevant, isotype-matched, first Ab followed by the rabbit anti-mouse FITC. Values are expressed in the abscissa as arbitrary units (a.u.) of log fluorescence.

 
Assessment of CIITA-specific transcripts and analysis of CIITA-encoding AIR-1 locus in Alexander and CFPAC-1 cells

We investigated whether lack of MHC class II cell surface Ags in hepatocarcinoma cell lines could correlate with the absence of specific mature transcripts for the various class II genes. Indeed, analysis of cytoplasmic mRNA demonstrated the absence of specific messages for all the class II subsets (data not shown). We then analyzed whether lack of class II gene transcription correlated with absence of expression of the AIR-1 gene product CIITA. Figure 1Go shows the results of RT-PCR performed on cytoplasmic RNA of Alexander cells, either untreated (Alex lane) or after treatment with IFN- (Alex/IFN-{gamma} lane). It can be seen that, in both conditions, no CIITA-specific mRNA was detected in Alexander cells. Similar results were obtained in HepG2 cells (data not shown). As expected, CIITA-specific transcripts were instead expressed in the CFPAC-1 pancreatic adenocarcinoma cells after treatment with IFN-{gamma} (lane CFPAC-1/IFN-{gamma}) but not in untreated cells.



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FIGURE 1. Analysis of CIITA-specific transcripts as detected by RT-PCR using CIITA-specific primers. RT-PCR was conducted by using total cytoplasmic RNA prepared from the various cell lines listed in the top of the figure. Raji, human B cell lymphoma; Alex, Alexander human hepatocarcinoma; CFPAC-1, human pancreatic adenocarcinoma. Cells treated with 1000 U/ml of recombinant human IFN-{gamma} (/IFN-{gamma}) or transfected with CIITA (/CIITA) are indicated. As control, specific transcripts of the the housekeeping gene ß-actin amplified from the same RNA preparations of the various cells are shown.

 
To rule out the possibility that lack of CIITA expression was due to extensive alteration of the AIR-1 gene, analysis of Alexander genomic DNA was conducted. The BamHI restriction enzyme digestion pattern of Alexander genomic DNA did not show any difference when compared either with that of the IFN-{gamma}-inducible CFPAC-1 cells or to that of the constitutive CIITA-expressing Raji cells. Under the above experimental conditions, the probe hybridized with two major fragments of human genomic DNA of about 15 and 9 kb, respectively, and a minor band of 5.6 kb (data not shown).

De novo expression of class II, In chain and DMB genes and up-regulation of DMA gene in Alexander cells transfected with an expressible CIITA cDNA

Introduction of a CIITA cDNA clone under the control of a ubiquitous promoter in Alexander cells generated transfectants expressing CIITA-specific transcripts. The CIITA expression pattern of a representative transfectant is shown in Figure 1Go (Alex/CIITA lane) as compared with a similarly raised CIITA transfectant of CFPAC-1 pancreatic adenocarcinoma cells. In this latter case, no difference was observed between IFN-{gamma}-induced and CIITA-transfected cells in the amounts of CIITA-specific transcripts. As shown in Figure 2Go, both CIITA-transfected cell lines, Alexander and CFPAC-1, expressed de novo at the cell surface all three class II subsets HLA-DR, -DP, and -DQ, at levels comparable with the MHC class II-positive human B cell Raji.

The expression status of In chain, DMA and DMB genes whose products are associated to class II molecules during distinct phases of class II intracellular transport and whose expression may be influenced by CIITA were also analyzed (see Fig. 1Go). Alexander hepatocarcinoma cells did not express appreciable amounts of either In chain or DMB mRNA, whereas they expressed low amounts of DMA transcripts. This pattern was unchanged after IFN-{gamma} treatment. On the other hand, uninduced CFPAC-1 cells expressed substantial amounts of In chain and DMA transcripts and low but appreciable amounts of DMB mRNA. After IFN-{gamma} treatment, In chain, but not DMA or DMB, specific mRNA was increased. Transfection of CIITA in Alexander cells resulted in a de novo expression of high amounts of In and DMB mRNAs and in substantial increase in the DMA-specific transcripts. Transfection of CIITA in CFPAC-1 cells resulted in In chain mRNA increase comparable with that obtained after IFN-{gamma} treatment, in further increase of DMA-specific mRNA, and in a strong increase of DMB transcripts, especially when compared with the CIITA-constitutive Raji B cell line.

These results demonstrate that the lack of MHC class II gene expression in human hepatocarcinoma cell Alexander, both in unstimulated and IFN-{gamma}-stimulated conditions, is due to the impossibility to transcribe the AIR-1 gene and by consequence to express the corresponding CIITA trans-activator. They also demonstrate that although In chain, DMB, and, to a lesser extent, DMA genes can be up up-regulated by CIITA, their expression is not necessarily dependent on the presence of the trans-activator as shown in CFPAC-1 cells.

Ag processing and presentation capacity of CIITA transfectants

To assess whether de novo expression of MHC class II genes on CIITA-transfected cells had functional relevance, we tested their capacity to present mycobacterial Ags to DR-restricted PPD-specific CD4+ T cell lines. These lines both respond to a specific epitope included in a peptide (pep11) spanning the region between aa 91 to 108 of Ag85. The first T cell line is restricted by the HLA-DR*15 allele (present in Alexander cells); the second cell line is restricted by the HLA-DR*11 allele (present in CFPAC-1 cells).

As shown in Figure 3Go, the MHC class II-positive CIITA-transfected Alexander cells pulsed with pep11 (ALEX-CIITA, Fig. 3GoA) stimulated the pep11-specific T cell line, indicating Ag-presenting competence. This ability was dependent on the newly acquired MHC class II expression since the T cell line did not proliferate in response to the untransfected, MHC class II-negative Alexander cells pulsed with pep11 (ALEX, Fig. 3GoA). In addition, T cells were stimulated by whole PPD (ALEX-CIITA, Fig. 3GoB) to a similar extent as by pep11, suggesting also an Ag-processing function of the CIITA-transfected cells. However, since PPD is a poorly defined mixture of mycobacterial Ags, it may include degraded antigenic fragments that could be presented by the restriction element independently of processing. To confirm the Ag-processing capacity of CIITA-transfected Alexander cells, we performed additional experiments by using the protein Ag Ag85, a 30- to 32-kDa mycobacterial protein purified over ion-exchange and gel filtration columns to exclude contamination by low m.w. fragments (31). Figure 3Go shows that, also in this case (ALEX-CIITA, Fig. 3GoC), pep11-specific T cells can proliferate to similar extent as when pep11 or PPD were used.



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FIGURE 3. HLA-DR-restricted, peptide-specific T cell proliferation in response to Ag presentation by untransfected and CIITA-transfected Alexander cells (A, B, and C), or untransfected and CIITA-transfected CFPAC-1 cells (D, E, and F). CD4+ T cell lines specific for the peptide 11 (pep11) of the mycobacterial secretory protein Ag85 and restricted by HLA-DR*15 (Alexander) or HLA-DR*11 (CFPAC-1), respectively, were used. Values are expressed as mean cpm ± SD (bars) of triplicate [3H]thymidine incorporations in the ordinate as function of cell number of the various APCs used (abscissa) to present the relevant Ag. A, Proliferation levels of the HLA-DR*15-restricted T cell line when stimulated by adherent PBMC, CIITA-transfected Alexander cells (ALEX-CIITA), or untransfected Alexander cell (ALEX), pulsed with the pep11 peptide. B, Proliferation levels of the T cell line when stimulated by the same APCs as in A, after pulsing with PPD Ag. C, Proliferation levels of the T cell line when stimulated by the same APCs as in A, after pulsing with the highly purified protein Ag Ag85. D, Proliferation levels of the HLA-DR*11-restricted T cell line when stimulated by adherent PBMC, CIITA-transfected CFPAC-1 cells (CFPAC-CIITA), or untransfected CFPAC-1 cells (CFPAC), pulsed with the pep11 peptide. E, Proliferation levels of the T cell line when stimulated by the same APCs as in D, after pulsing with PPD Ag. F, Proliferation levels of the T cell line when stimulated by the same APCs as in D, after pulsing with the highly purified protein Ag Ag85.

 
These results show that the CIITA-transfected MHC class II-positive hepatocarcinoma not only can present the offered peptide but also can internalize and process the native protein to generate HLA-DR*15-restricted immunogenic peptides. Similar, although not superimposable, results were obtained when the CIITA-transfected CFPAC-1 pancreatic adenocarcinoma cells were used as APC (Fig. 3Go, D, E and F). Both the exogenously provided peptide (Fig. 3GoD) and the whole purified protein (Fig. 3GoF) were able to stimulate the proliferation of the T cell line although to lesser extent as compared with CIITA-transfected Alexander cells, indicating also in this case acquisition of Ag-processing and presentation competence. It must be stressed that the CFPAC-1 cells used in this experiments displayed a class II-positive phenotype in only 70% of the population.

It must be noted that the Ag-processing and presentation capacity of CIITA-transfected Alexander and CFPAC-1 cells resulted, at plateau, in a reduced efficiency of T cell stimulation when compared with professional APCs.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The rationale of this work was twofold, first to investigate whether the constitutive MHC class II-negative phenotype of human hepatocarcinoma cells could be modified into a class II-positive phenotype by introduction of an expressible human CIITA-specific cDNA, and second, if this were the case, whether de novo expression of human class II genes in the tumor cells could correlate with acquisition of immune-related functions such as Ag processing and presentation to T cells.

As far as the first point is concerned, the results presented in this work clearly demonstrate that two distinct human hepatocarcinoma cell lines, Alexander and HepG2, do not express human class II genes because they do not express the class II trans-acting activator CIITA encoded by the AIR-1 locus. Moreover, stimulation with IFN-{gamma}, the most potent inducer of MHC class II gene expression through the activation of CIITA expression, as shown previously (13, 14, 16) and confirmed here on the pancreatic adenocarcinoma cell line CFPAC-1, was unable to rescue class II gene expression in the hepatocarcinoma cell lines. Again, this correlated with inability to express CIITA. This event was not due to defects in IFN-{gamma} receptor binding and/or cytoplasmic signal transduction pathways, since the treatment with the cytokine could substantially increase the expression of other cell surface molecules such as MHC class I molecules. Thus, it is likely that, in the hepatocarcinoma cells analyzed in this study, the impossibility to express CIITA and, by consequence, MHC class II genes is related to either a developmental block or to a tumor-induced defect affecting specifically the expression of the CIITA-encoding AIR-1 gene.

Whatever the mechanism, it must affect the transcription of the AIR-1 gene. Indeed, transfection of Alexander cells with a CIITA-specific cDNA under the control of a ubiquitously expressible promoter, resulted in expression of CIITA mRNA and in de novo expression of MHC class II genes and corresponding molecules at high levels. It will be therefore very important to pursue the analysis of the molecular mechanisms regulating the expression of the AIR-1 gene, the structure of the AIR-1 gene promoter region (34, 35), its accessibility to specific transcription factors and the mode of action in various cell types, and particularly in tumor cells. Indeed, recent findings have strongly suggested that two promoter sequences seem to control the constitutive AIR-1 gene expression in B cells and dendritic cells whereas a distinct promoter sequence is involved in the IFN-{gamma}-induced expression (34).

The fact that, upon CIITA transfection, MHC class II genes are strongly expressed further reinforces the notion that neither the chromatin accessibility nor the function of the transcription factors required for a correct expression of class II genes is defective in the hepatocarcinoma cells.

Recently it has been demonstrated that, besides the peculiar function as main switch for the expression of MHC class II genes, in several cellular systems CIITA trans-activator may induce or up-regulate other genes such as HLA-DMA, HLA-DMB, and Invariant chain (30, 36). Interestingly, all these gene products are strongly involved in Ag processing and presentation to T cells. Thus, classical professional APCs, such as B cells and macrophages, may be strongly dependent on expression of CIITA to exert their function. The hepatocarcinoma cells analyzed in this study did not express CIITA; thus they could not express MHC class II. In addition, the hepatocarcinoma cell line Alexander did not express In chain and DMB genes and expressed very low amounts of DMA transcripts. This expression pattern was not modified by treatment with IFN-{gamma}, but it was drastically changed by CIITA transfection. Indeed, both In chain and DMB genes were strongly induced, and DMA expression was up-regulated. However, expression of CIITA was not necessary to induce the expression of either In chain or DM genes. In fact, as demonstrated by the present study, a CIITA-negative but IFN-{gamma}-inducible tumor cell line of pancreatic origin, CFPAC-1, constitutively expressed substantial amounts not only of In chain but also of DMA and DMB transcripts, although transfection of CIITA could further increase the expression of all the three genes.

Taken together, these results give further support to the notion that CIITA is involved in the coregulation of a variety of genes whose products are important for a correct Ag presentation function. Nevertheless they also establish that the role played by CIITA in the regulatory mechanism of In chain and DM gene expression is certainly distinct and less fundamental than the one played in the regulation of MHC class II gene expression. Therefore, if MHC class II gene expression in tumor cells is required to present putative tumor-associated Ags to T cells and trigger antitumor immune responses (23, 24), suppression of CIITA could be an important mechanism for neoplastic cells to escape immune control.

Based on the above considerations, we therefore asked whether CIITA-transfected MHC class II-positive tumor cells could acquire immunologic competence. The results presented in this study clearly demonstrate that CIITA-mediated de novo expression of MHC class II genes and corresponding proteins in both an IFN-{gamma}-uninducible and an IFN-{gamma}-inducible tumor cell line is sufficient to impart Ag presentation capacity to DR-restricted, PPD peptide-specific T cell lines, not only when tumor cells are pulsed with the relevant peptide but also when they are pulsed with native protein. Thus, CIITA-transfected Alexander hepatocarcinoma and CFPAC-1 pancreatic adenocarcinoma cells can perform both Ag processing and presentation functions in absence of IFN-{gamma} induction.

This result is at variance with a recently published observation indicating that CIITA-mediated expression of class II genes in a class II-negative, but IFN-{gamma}-inducible, melanoma cell line is sufficient to impart peptide Ag presentation but not native protein Ag-processing capacity (37). Interestingly, in the above report, treatment with IFN-{gamma} of both CIITA-transfected and untransfected melanoma cells resulted in Ag presentation capacity when either the peptide or the native protein Ag were used, suggesting that in this tumor model activation of Ag-specific T cells requires additional CIITA-independent factors inducible by IFN-{gamma}. The reasons for the discrepancy between these results and our results are not known, but they may be due to the different cellular systems utilized in the two approaches. In fact, that CIITA alone can be sufficient to impart Ag presentation capacity was also recently reported by Armstrong and collaborators (38), who have transduced MHC class II-negative murine sarcoma cells with the trans-activator and shown that tumor cells express class II molecules and can process exogenous intact lysozyme and present peptides to Ag-specific T cell hybridomas. Distinct specialized mechanisms for Ag uptake are exhibited by different APCs. Non professional APCs probably perform Ag uptake through surface molecules other than the canonical ones described for professional APCs. These molecules can possibly vary among cell types and influence the Ag processing pathways, with different requirements of proteolytic enzymes and other factors (39).

CIITA-transfected Alexander and CFPAC-1 cells express high amounts of all assessable HLA class II subsets, including DR, DP and DQ, since the cell surface concentration of these molecules is at least equal to, if not higher than, the one present in professional APCs. However, their T cell stimulation capacity was four- to fivefold lower than the one of peripheral blood adherent cells. This could not be attributed to suboptimal Ag concentration because both peptide and native Ag were used in high excess and specific T cell lines were equally stimulated by tumor cells pulsed either with peptide or with the native protein Ag. Moreover they could not be attributed to deficient expression of In chain or DM genes, whose products are important for the intracellular trafficking and the peptide loading function of class II molecules, respectively, since In chain and DM genes were highly expressed in the CIITA-transfected tumor cells. Thus it is likely that the transfected tumor cells were indeed at their maximum potential of Ag processing and presentation.

Optimal activation of T cells in response to Ags requires at least two signals from APC: the Ag-specific signal delivered by peptide/MHC class II complex and a second signal delivered by costimulatory molecules, such as B7-1 or B7-2, interacting with their specific receptors on T cells, CD28 and CTLA-4 (40). Furthermore, the T cell activation is greatly facilitated by accessory molecule interactions between the APC and the T cells such as ICAM-1/LFA-3 (41). Untransfected and CIITA-transfected Alexander and CFPAC-1 cells are negative for B7-1, B7-2, and ICAM-1 costimulatory molecules. This may partially explain their reduced presenting capacity with respect to professional APC.

In conclusion, the results presented in this report establish for the first time that the constitutive (IFN-{gamma} noninducible) MHC class II-negative phenotype, such as the one displayed by most hepatocarcinoma cell lines, is due to lack of expression of the CIITA trans-activator. This tumor model system can therefore be an interesting tool to study the regulation of expression of the CIITA-encoding AIR-1 gene. Moreover, expression of CIITA after transfection reverts the class II-negative in a class II-positive phenotype in the hepatocarcinoma cell line Alexander. The newly acquired phenotype is sufficient to impart Ag processing and presentation capacity to the tumor cells. Furthermore, this functional property was present also in CIITA-transfected CFPAC-1 pancreatic adenocarcinoma cells, which, at variance with Alexander cells, can express class II genes after IFN-{gamma} treatment. These results may allow us to hypothesize the use of CIITA as a potent, physiologic, and specific factor to increase the potential of tumor cell to be recognized by the immune system (38), or, alternatively, as target gene product to be down-modulated in those disease states characterized by excessive and unwanted Ag presentation to the immune system, as in some autoimmune diseases.


    Acknowledgments
 
We thank Dr. Antonio Amoroso and Dr. Sergio Curtoni, Center of Immunohistocompatibility of Turin, for HLA typing of Alexander and CFPAC-1 cells. R.S.A. thanks Dr. Lorenzo Moretta, IST, University of Genova, for advice and continuous support to his research.


    Footnotes
 
1 This work was supported by the following grants to R.S.A.: Istituto Superiore di Sanitá (ISS), First Project "Tuberculosis," and IX Research Project AIDS 9403–02; PNR National Research Project, Neurobiologic Systems; Ministero dell’Universitá e della Ricerca Scientifica e Technologica (MURST) 40%, Clinical-Experimental Aspects of the Immune Response; and Associazione Ricerche Malattie Oncologiche e Immunologiche (ARMIO). This work was also supported by the following grants to F.M.: ISS, First Project "Tuberculosis," and IX Research Project AIDS 9403–67. G.T. is a recipient of an ISS AIDS fellowship. Back

2 Address correspondence and reprint requests to Dr. Roberto S. Accolla, Unit of Cellular and Molecular Genetics, Advanced Biotechnology Center, Largo Rosanna Benzi, 10–16136 Genoa, Italy. E-mail address: Back

3 Abbreviations used in this paper: PPD, purified protein derivative; In, invariant. Back

Received for publication September 2, 1997. Accepted for publication March 20, 1998.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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