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The Journal of Immunology, 1999, 162: 7102-7109.
Copyright © 1999 by The American Association of Immunologists

New Immunosuppressive Drug PNU156804 Blocks IL-2-Dependent Proliferation and NF-{kappa}B and AP-1 Activation1

Alessandra Mortellaro*, Simona Songia*, Paola Gnocchi{dagger}, Mario Ferrari{dagger}, Chiara Fornasiero{dagger}, Roberto D’Alessio{dagger}, Anna Isetta{dagger}, Francesco Colotta{dagger} and Josée Golay2,*

* Department of Immunology and Cell Biology, Istituto Ricerche Farmacologiche Mario Negri, Milan, Italy; and {dagger} Department of Pharmacology, Pharmacia and Upjohn Research Center, Nerviano, Italy


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We had previously shown that the drug undecylprodigiosin (UP) blocks human lymphocyte proliferation in vitro. We have now investigated the mechanism of action of a new analogue of UP, PNU156804, which shows a more favorable activity profile than UP in mice. We demonstrate here that the biological effect of PNU156804 in vitro is indistinguishable from UP: PNU156804 blocks human T cell proliferation in mid-late G1, as determined by cell cycle analysis, expression of cyclins, and cyclin-dependent kinases and retinoblastoma phosphorylation. In addition, we show that PNU156804 does not block significantly the induction of either IL-2 or IL-2R {alpha}- and {gamma}-chains but inhibits IL-2-dependent T cell proliferation. We have investigated several molecular pathways that are known to be activated by IL-2 in T cells. We show that PNU156804 does not inhibit c-myc and bcl-2 mRNA induction. On the other hand, PNU156804 efficiently inhibits the activation of the NF-{kappa}B and AP-1 transcription factors. PNU156804 inhibition of NF-{kappa}B activation is due to the inhibition of the degradation of I{kappa}B-{alpha} and I{kappa}B-ß. PNU156804 action is restricted to some signaling pathways; it does not affect NF-{kappa}B activation by PMA in T cells but blocks that induced by CD40 cross-linking in B lymphocytes. We conclude that the prodigiosin family of immunosuppressants is a new family of molecules that show a novel target specificity clearly distinct from that of other immunosuppressive drugs such as cyclosporin A, FK506, and rapamycin.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cyclosporin A (CsA)3 has proved an extremely useful and potent immunosuppressive drug in organ transplantation and is also employed to treat some autoimmune diseases (1, 2, 3). However its deleterious side effects, in particular renal toxicity, have encouraged the search for new immunosuppressive compounds (3, 4). Drugs showing a different mechanism of action than CsA are likely to be good candidates for combined therapy with CsA. In particular, drugs affecting IL-2-dependent signaling should be of particular interest, not only for their potential clinical use but also to define the role of the different molecular cascades triggered by IL-2 in T cell proliferation. We have previously described the biological activity of a new immunosuppressive drug, undecylprodigiosin (UP), on human T and B lymphocytes in vitro (5). This compound was encouraging since it efficiently inhibited the polyclonal proliferation of primary human T and B lymphocytes induced by a variety of Ca2+-dependent and Ca2+-independent mitogens. It also completely blocked the proliferation and immortalization of B cells by EBV. At a concentration fully active on primary lymphocytes (50 ng/ml), UP did not affect significantly the proliferation of transformed leukemic cell lines in vitro. Finally, the effect of UP on the induction of protooncogenes and cell cycle genes had shown that UP had a different mechanism of action than CsA, FK506, or rapamycin, making it a good candidate drug for combined immunotherapy with these agents (5). UP, however, has never been developed as an immunosuppressant because it was found to produce too severe side effects in vivo (Ref. 5 and Isetta et al., unpublished observations). This led to the screening for UP analogues with more favorable activities in vivo. The analogue PNU156804 showed promising activity as an immunosuppressant in mice. In particular PNU156804 gave a 2- to 3-fold more favorable ratio of effective vs lethal dose in a DTH model in vivo. Also it showed toxic effects in vitro on resting lymphocytes or cell lines at 30-fold higher doses than UP (Isetta et al., manuscript in preparation). This compound was therefore selected for further studies. We have investigated the biological effect and mechanism of action of PNU156804 on primary human lymphocytes in vitro. We demonstrate that prodigiosins are a new class of immunosuppressive molecules that efficiently inhibit IL-2-dependent T cell proliferation and show novel molecular targets.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cells and cell cultures

Human primary T lymphocytes were obtained from buffy coats of normal volunteers. Briefly, mononuclear cells were separated on a Ficoll-Hypaque gradient (Seromed, Berlin, Germany), and lymphocytes were separated from monocytes by centrifugation onto 50% isoosmotic Percoll (Pharmacia Fine Chemicals, Uppsala, Sweden). If necessary, residual monocytes were removed by 1-h adherence onto tissue culture petri dishes (Falcon, Oxnard, England) in complete medium. The resulting lymphocyte population contained 1–2% CD14+ monocytes, 6–10% CD20+ B lymphocytes, and >80% CD3+ T lymphocytes, as determined by indirect immunofluorescence with appropriate mAbs on the FACS. Resting B lymphocytes were purified from fresh human tonsils, obtained from routine tonsillectomies, as described previously (6). Cells were cultured in RPMI 1640 medium (Seromed), supplemented with 10% FCS (HyClone, Steril System, Logan, UT), glutamine (Life Technologies, Paisley, Scotland), and 50 g/ml gentamicin (Life Technologies).

Reagents

PHA (Murex Diagnostics, Dartford, England) was used at 1 µg/ml. Killed Staphylococcus aureus Cowan I (SAC) strain bacteria (Calbiochem) were used at 0.005%. PMA was obtained from Sigma and used at 3 ng/ml. UP and PNU156804 were obtained by a fully synthetic process (D’Alessio et al., manuscript in preparation). Purified anti-CD40 Ab (clone 626.1) was a kind gift of Dr. D. Vercelli (DIBIT, Hospital San Raffaele, Milan, Italy).

Cell stimulations, proliferation, and cytotoxicity assays

Primary lymphocytes were plated at 1–2 x 106/ml in flasks (for RNA and protein extractions) or in quadruplicate in 96-well plates (Falcon). At 48 h, 0.5 µCi [3H]thymidine was added in each well (Amersham, Arlington Heights, IL), and the cells were harvested in a Titertek cell harvester (Skatron, Lyerbyen, Norway) 12–16 h later. For IL-2-dependent T cell proliferation, T lymphocytes were stimulated for 72 h with 1 µg/ml PHA to induce expression of the IL-2R. Cells were then washed and replated in medium containing 1% FCS. After 24 h, recombinant human IL-2 (rhIL-2; Serono, Rome, Italy) was added at 200 U/ml. PNU156804 or UP were added at the indicated concentrations 10 min before IL-2. Nuclear extracts were prepared 30 min or 4 h after addition of IL-2. Thymidine incorporation was measured at 48–60 h.

To measure cell death, T lymphocytes were stimulated as above for 48 h. Cells were then stained with FITC-labeled annexin V and propidium iodide (PI) according to the manufacturer’s instructions (Boehringer Mannheim, Mannheim, Germany) and analyzed on a FACScan apparatus (Becton Dickinson, Mountain View, CA).

Cell cycle analysis

Monoparametric cell cycle analysis on ethanol-fixed cells using PI was performed as described previously (7). Analysis was done on at least 104 cells using a FACStarPlus (Becton Dickinson). The Baisch method was used to assess the cell cycle phase distribution (7).

RNA extraction and Northern blots

RNA was extracted by standard guanidium isothiocyanate and cesium chloride gradient purification. Twenty micrograms total RNA was run in 1% formaldehyde-agarose gels and blotted onto GeneScreen Plus membranes according to the manufacturer’s instructions. All probes were labeled with 32P by standard nick-translation. The cDNA probes have been described previously (5). The cdk2 and cdk4 plasmids used as probes were obtained from the American Type Culture Collection (ATCC, Manassas, VA).

Western blots

Western blots were performed essentially as described (5). Cytoplasmic extracts were loaded and run in 8–12% SDS/polyacrylamide gels. The gels were electroblotted onto nitrocellulose filters (Schleicher & Schuell, Dassel, Germany) for 3–5 h at 35 V, according to standard procedures. The blots were incubated first in blocking solution (PBS containing 5% nonfat milk powder) overnight, then with rabbit antiserum or mouse monoclonal according to the manufacturer’s instructions. All specific Abs used for Western blots were from Santa Cruz (Santa Cruz, CA). Secondary Abs conjugated to HRP were from Amersham and used at 1/1000. Between each incubation, the blots were washed three times for 10 min in PBS containing 0.5% NP40. Detection was performed using the ECL chemiluminescence system (Amersham).

EMSA

Cells were lysed in buffer A (50 mM KCl, 0.1% NP40, 25 mM HEPES (pH 7.8), 1 mM PMSF, 10 µg/ml leupeptin, 20 µg/ml aprotinin, and 100 µM DTT) for 5 min at 4°C and centrifuged 5 min at 2500 rpm at 4°C. The nuclear pellets were lysed in buffer B (500 mM KCl, 25 mM HEPES (pH 7.8), 10% glycerol, and 100 µM DTT) containing protease inhibitors with gentle shaking for 20 min at 4°C. The lysates were then centrifuged at 12,000 rpm for 5 min at 4°C. The nuclear extracts were dialyzed for 2 h at 4°C against buffer C (50 mM KCl, 25 mM HEPES (pH 7.8), 10% glycerol, 1 mM PMSF, and 100 µM DTT).

Double-stranded oligonucleotides carrying a binding site for NF-{kappa}B (from the HIV-1 promoter) and for AP-1 (from the IL-8 promoter) were as follows: NF-{kappa}B, dGGTCCAGAGGGGACTTTCCGAGAGGC; AP-1, dGTGTGATGACTCAGGTTTCC.

The oligonucleotides were labeled with [32P]dCTP and klenow enzyme. For binding, 2–5 µg nuclear extract was bound to 0.2 ng probe in binding buffer (40 mM Tris-HCl (pH 7.5), 120 mM KCl, 8% Ficoll 400, 4 mM EDTA, 2 mM DTT, and 2 µg poly(dIdC)) for 30 min. In supershift experiments, 2 µl specific Abs was added.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PNU156804 inhibits human T and B cell proliferation

UP, the first identified member of the prodigiosin family, showed too severe side effects upon prolonged treatment in vivo (5) for development as an immunosuppressant. Screening for prodigiosin analogues with a more favorable activity led to the identification of PNU156804, whose structure is shown in Fig. 1Go together with that of UP. PNU156804 has a benzylic substitution in place of methylic substitution on the oxydrylic group. To determine the activity and mechanism of action of PNU156804 on human T lymphocytes, we first determined its capacity to inhibit mitogen-induced T cell or B cell proliferation in comparison with UP. As shown in Fig. 2GoA, PNU156804 inhibited by up to 90% the proliferation of human T cells stimulated by PHA. The optimal inhibitory dose was 200–300 ng/ml, compared with 50 ng/ml for UP. Thus a 4- to 6-fold higher concentration of PNU156804 than UP is required. Of note is that the dose-response curve of PNU156804 is less sharp than than of UP. PNU156804 also inhibited the MLR response of T cells, with a similar dose-response curve (Fig. 2GoB), showing that inhibition is efficient also in a more physiological model of T cell response and is not specific for PHA. Similarly, PNU156804 efficiently inhibited SAC-induced tonsillar B cell proliferation (Fig. 2GoC), as well as EBV-induced B cell proliferation and immortalization (data not shown). Again the dose response curves were similar to those obtained in PHA stimulated T cells.



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FIGURE 1. Structure of the prodigiosin analogue PNU156804. The structure of the synthetic compound PNU156804 is shown in comparison with that of UP.

 


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FIGURE 2. PNU156804 blocks lymphocyte proliferation. Human primary T or B lymphocytes were stimulated with PHA (A), heterologous T lymphocytes (MLR; B), or SAC (C), in the presence or absence of increasing concentrations of UP or PNU156804. [3H]Thymidine incorporation was measured at 48–66 h.

 
We verified that the drug PNU156804 did not induce cell death by microscopic examination at different times and by quantification of cell death with a standard method that detects extracellular phosphatidyl serine with fluorescein-labeled annexin V and FACS analysis. As shown in Table IGo, PNU156804 at a fully active concentration (300 ng/ml) did not induce a significant increase in either apoptotic or necrotic cells above that induced by PHA alone. Less than 4% more dead cells could be detected in presence of PNU156804 relative to its absence, even when higher concentrations of PNU156804 were used (600 ng/ml). On the other hand, incubation of the cells overnight with staurosporine as a control led to a 3- to 4-fold increase in both apoptotic and necrotic cells.


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Table I. Measurement of cell death in the presence of PNU1568041

 
PNU156804 inhibits T cell proliferation in mid-late G1

To determine the cell cycle phase of inhibition by PNU156804, we also analyzed the DNA content of human T lymphocytes stimulated with PHA in the presence or absence of PNU156804. As shown in Fig. 3Go, entry of the cells in the S/G2/M phases of the cell cycle, induced by PHA at 48 h, was completely blocked by PNU156804. These data show that PNU156804 inhibits T cell activation before entry into S phase.



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FIGURE 3. PNU156804 blocks entry of T cells in S phase. Human primary T lymphocytes were stimulated with PHA alone or in presence of 300 ng/ml PNU156804. Cells were collected at the indicated times and analyzed for cell cycle after PI staining.

 
To analyze in more detail the cell cycle block and to determine whether the PNU156804 showed the same mechanism of action as UP (5), we further analyzed expression of some selected cell cycle-regulated genes. In particular we investigated the effect of PNU156804 on cyclin D2, cyclin E, cdk2, and cdk4 mRNA induction. Like UP, PNU156804 inhibited cyclin E, cdk2, and cdk4 expression but not cyclin D2 (Fig. 4GoA). Inhibition of cdk2, cdk4, and cyclin E was confirmed at the protein level in Western blots (Fig. 4GoB, and data not shown). Finally, we demonstrated that, similarly to UP, PNU156804 inhibited the hyperphosphorylation of retinoblastoma protein (Rb), observable as a series of bands of higher apparent m.w. (p112–114) in Western blots (Fig. 4GoB). Finally, PNU156804, like UP, did not inhibit the down-regulation of p27 protein (Fig. 4GoB).



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FIGURE 4. Pattern of cell cycle genes inhibited by PNU156804. Human T lymphocytes were stimulated with PHA in the presence or absence of 300 ng/ml PNU156804. At the indicated times, either RNA or proteins were extracted and analyzed by Northern blot (A) or Western blot (B), using the indicated probes or Abs, respectively. ND, not done.

 
All together, the data presented demonstrate that PNU156804 efficiently inhibits human T cell proliferation with little toxicity, that it blocks T cells in mid-late G1, and that it shows a similar mechanism of action as UP at least as far as cell cycle genes are concerned.

PNU156804 blocks IL-2-dependent T cell proliferation

G0-G1 phase progression in T cells is accompanied by induction of IL-2 and the IL-2R, and signaling by IL-2 drives entry into S phase (8, 9). In these cells, the IL-2R is mostly regulated by induction of the {alpha}-chain during activation, allowing high affinity binding (9). We therefore investigated the effect of PNU156804 on IL-2 and IL-2R {alpha}-chain expression. IL-2R{alpha} mRNA was strongly induced by PHA and was not inhibited by PNU156804 (Fig. 5Go). At the protein level, induction of IL-2R{alpha} by PHA was slightly lower but was not abolished in the presence of PNU156804 (Table IIGo). IL-2 expression was not affected at either the protein (Table IIGo) or RNA level (data not shown), as previously observed for UP (5). Since expression of the IL-2R {gamma}-chain also increases during T cell activation (9), we also investigated its regulation in the presence of the drug. As shown in Fig. 5Go, {gamma}-chain mRNA induction was unaffected by PNU156804. All together, these data suggest that PNU156804 inhibits T cell proliferation mostly downstream from IL-2 and IL-2R expression, in agreement with a block in mid-late G1. To test directly whether PNU156804 inhibits IL-2-dependent T cell proliferation, peripheral T lymphocytes were preactivated with PHA for 72 h to induce IL-2R expression (10). The cells were then washed and starved for 24 h in the absence of IL-2. rhIL-2 was then added to the cells in the presence or absence of PNU156804. As shown in Fig. 6GoA, preactivated starved T cells required exogenously added IL-2 to proliferate, and this proliferation was inhibited efficiently by PNU156804. Furthermore the dose-response curve for inhibition of IL-2-dependent proliferation (Fig. 6GoB) was superimposable to that obtained on primary T cells (Fig. 2Go, A and B).



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FIGURE 5. Induction of IL-2R{alpha} and {gamma} mRNA is not blocked by PNU156804. Human T lymphocytes were stimulated with PHA in the presence or absence of 300 ng/ml PNU156804. RNA extracted at the indicated times was analyzed for IL-2R{alpha} and {gamma} expression by Northern blot.

 

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Table II. Effect of PNU156804 on the induction of IL-2 and IL-2R{alpha} proteins

 


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FIGURE 6. PNU156804 inhibits IL-2-dependent T cell proliferation. Human T cells preactivated with PHA for 72 h were starved for 24 h in 1% FCS in the absence of IL-2. They were then stimulated with 200 U/ml rhIL-2 in the presence or absence of PNU156804 at 300 ng/ml (A) or different doses (B). [3H]Thymidine incorporation was measured at the indicated times (A) or at 48 h (B).

 
We conclude that PNU156804 inhibits events taking place downstream from the interaction of IL-2 with its receptor.

PNU156804 specifically inhibits activation of NF-{kappa}B and AP-1

Several signaling cascades are known to be triggered by IL-2 that lead to the expression of different sets of genes and transcription factors thought to be important for the proliferative and antiapoptotic response of T cells (8, 9, 11, 12, 13). To determine in more detail the mechanism of action of PNU156804 and determine which signaling pathway is affected by the drug, we have set out to determine the effect of PNU156804 on the pathways triggered by IL-2, which are thought to be important for the proliferative response of the cells, in particular the induction of c-myc, bcl-2, AP-1, and NF-{kappa}B, using the IL-2-dependent system. As shown in Fig. 7GoA, c-myc mRNA is strongly induced at 3 h after addition of IL-2, and this induction is not affected by PNU156804. Similarly, bcl-2 expression is clearly up-regulated with a peak around 8–12 h after stimulation with IL-2, and this stimulation is not inhibited by PNU156804 (Fig. 7GoB). Thus, PNU156804 does not affect the signaling pathways that lead to c-myc and bcl-2 induction in response to IL-2.



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FIGURE 7. PNU156804 does not inhibit the IL-2-induced expression of c-myc and bcl-2. Preactivated primary T cells were stimulated with rhIL-2 in the presence or absence of 300 ng/ml PNU156804. RNA was extracted at 0, 3, or 8 h following stimulation and analyzed for c-myc (A) or bcl-2 (B) expression by Northern blotting.

 
We next set out to measure the activation of the transcription factors AP-1 and NF-{kappa}B. For this purpose, an EMSA was chosen that can directly measure the activation state of these factors in nuclear extracts. Oligonucleotides carrying a binding site specific for each transcription factor were used. As shown in Fig. 8GoA, both NF-{kappa}B and AP-1, which are also strongly induced 4 h after addition of IL-2, were inhibited by up to 90% by PNU156804. Competition assays with the cold AP-1 and NF-{kappa}B oligonucleotides confirmed that the retarded bands were specific (Fig. 8GoA).



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FIGURE 8. PNU156804 inhibits IL-2 but not PMA-induced NF-{kappa}B and AP-1 activation. A, PHA-preactivated human T cells were stimulated with 200 U/ml rhIL-2. PNU156804 was added 10 min before IL-2. B, Resting human T cells were stimulated with 20 ng/ml PMA. Nuclear extracts were prepared 4 h after addition of the stimulus and used in EMSA using the indicated probes. In some experiments, a 250-fold molar excess of cold specific oligonucleotide was added (cold competitor). C, BJAB cells were cultured in the presence or absence of anti-CD40 Ab (1 µg/ml) and PNU156804 (300 ng/ml) for 4 h. Nuclear extracts were prepared and tested in EMSA with the NF-{kappa}B probe.

 
NF-{kappa}B and AP-1 are known to be activated by many extracellular signals and several second messenger cascades (9, 13, 14, 15). Since PNU156804 blocks IL-2-driven G1-S proliferation, we investigated whether PNU156804 could also inhibit PMA-induced activation of NF-{kappa}B and AP-1 in resting T cells. As shown in Fig. 8GoB, PMA strongly activated both transcription factors, but PNU156804 did not inhibit this activation in any way. Similarly, PNU156804 showed no inhibitory effect on PHA-induced AP-1 or NF-{kappa}B activation (data not shown). We conclude that PNU156804 specifically inhibits IL-2- and not phorbol ester- or PHA-triggered activation of NF-{kappa}B and AP-1 in T cells.

To evaluate the specificity of inhibition by PNU156804 for IL-2 signaling, we also investigated the effect of the drug on a more physiological signal such as CD40 triggering of a B cell line. As shown in Fig. 8GoC, the results show that PNU156804 can inhibit CD40-triggered activation of NF-{kappa}B measured by EMSA. We conclude that PNU156804 blocks NF-{kappa}B induction by some (IL-2, CD40) but not all (PMA, PHA) signals.

PNU156804 inhibits NF-{kappa}B activation through inhibition of I{kappa}B degradation

To investigate in more detail by which mechanism PNU156804 inhibited NF-{kappa}B activation, we first conducted supershift experiments. As shown in Fig. 9GoA, anti-p50 Abs supershifted completely the IL-2-induced NF-{kappa}B complex, whereas anti-p65 Abs led only to a partial supershift. This indicates that the IL-2-induced NF-{kappa}B complexes contain p50/p65 heterodimers as well as p50 homodimers or p50 complexed with another c-rel family member.



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FIGURE 9. PNU156804 inhibits the IL-2-induced down-regulation of I{kappa}B-{alpha} and I{kappa}B-ß. Preactivated T lymphocytes were stimulated with rhIL-2 in the presence or absence of 300 ng/ml PNU156804. Nuclear extracts for band shift experiments (A) or cytoplasmic extracts for Western blots (B) were prepared. IL-2-stimulated NF-{kappa}B activity was analyzed in EMSA in the presence or absence of the indicated Abs (A). The presence of I{kappa}B-{alpha} and I{kappa}B-ß was analyzed by Western blotting (B).

 
NF-{kappa}B activation is usually regulated through phosphorylation of I{kappa}B, the NF-{kappa}B-associated inhibitor, with degradation of I{kappa}B followed by translocation of free NF-{kappa}B to the nucleus (15, 16). We therefore investigated the effect of PNU156804 on cytoplasmic I{kappa}B-{alpha} and I{kappa}B-ß expression. As shown in Fig. 9GoB, IL-2 induced a rapid degradation of I{kappa}B-{alpha} and I{kappa}B-ß, and this degradation was completely blocked by PNU156804. We conclude that PNU156804 inhibits NF-{kappa}B activation through inhibition of I{kappa}B degradation.


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In this report, the activity of a new analogue of the prodigiosin family of immunosuppressive drugs (5, 17, 18), PNU156804, is described for the first time. In addition, the mechanism of action of PNU156804 on human primary T lymphocytes is investigated in detail. The major conclusions that can be drawn are the following. 1) PNU156804 efficiently inhibits the proliferation of primary human T and B lymphocytes triggered by mitogenic or antigenic stimuli (MLR). 2) The proliferation block takes place in mid to late G1 as shown by cell cycle analysis and the pattern of expression of cell cycle genes. 3) PNU156804 inhibits T cell proliferation downstream from the induction of IL-2 and the IL-2R and indeed blocks IL-2-dependent T cell proliferation. 4) PNU156804 does not inhibit the induction of the c-myc and bcl-2 genes in response to IL-2. 5) PNU156804 efficiently blocks the activation of the NF-{kappa}B and AP-1 transcription factors induced by IL-2. It has no effect on the activation of the same factors triggered by phorbol ester or PHA. However, it blocks NF-KB activation by CD40 on B cells, suggesting that the PNU156804 target is not restricted to IL-2 signaling. We conclude that PNU156804 targets a signaling pathway triggered by IL-2 that leads to activation of NF-{kappa}B and AP-1. Furthermore we hypothesize that the effect of PNU156804 on NF-{kappa}B and AP-1 activation is responsible for the block of T cell proliferation brought about by the drug. Finally, the data presented demonstrate that PNU156804 shows a different mechanism of action than other immunosuppressive drugs such as CsA, FK506, and rapamycin (3, 19, 20, 21). The effectiveness of PNU156804 action, its specificity for defined signaling pathways, and its diversity from other immunosuppressants, in particular CsA and FK506, make this drug and other members of the prodigiosin family good candidate drugs for combined immunotherapy. Furthermore, the mechanism of action of PNU156804 defined here makes this family of compounds interesting new tools to dissect the IL-2-signaling pathways that lead to T cell proliferation. A simplified scheme of the intracellular signaling cascades induced by IL-2 and based on this report and available published data is shown in Fig. 10Go (8, 9, 12, 14, 22, 23). The differences in the effects of PNU156804 and rapamycin on these cascades are also indicated.



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FIGURE 10. Schematic of the intracellular cascades triggered by IL-2 binding to its receptor. The molecular events that are inhibited (-) by either rapamycin or PNU156804 are indicated. STAM, signal transducing adaptor molecule (12); PKB, protein kinase B, also called Akt.

 
Previously we had investigated the biological effects of the first isolated member of the prodigiosin family, UP, on human T and B lymphocytes in vitro (5). Although UP showed a strong inhibitory activity on the proliferation of primary lymphocytes without affecting significantly the in vitro growth of leukemic cell lines, it showed too severe toxic side effects during prolonged in vivo treatment in mice to permit its development as a therapeutic agent. For this reason, a screening was performed to identify new analogues of UP with more favorable activities in vitro and in vivo in mice, and PNU156804 was identified as a suitable candidate since it has a lower ratio of toxic vs effective dose than UP. The effect and mechanism of action of PNU156804 were investigated in primary human T lymphocytes.

The first part of this report was directed at determining the activity of PNU156804 on human T and B lymphocytes, the point of the cell cycle where the cells became blocked, and at comparing the activity of PNU156804 with that of UP itself, as well as of other known immunosuppressive drugs such as rapamycin. PNU156804 was found to inhibit the proliferation of human T and B lymphocytes by 80–90% at 200–300 ng/ml. Thus, PNU156804 is as effective as UP but at doses 4–6 times higher. This is in agreement with in vivo data in mice. We have also determined that PNU156804, like UP (5), strongly inhibits B cell proliferation stimulated by EBV, as well as EBV-induced immortalization of these cells with the same dose-response curve as inhibition of T cell proliferation (Golay et al., unpublished data). Thus, PNU156804 shows the same biological activity as UP in vitro on human lymphocytes. The capacity to block the immortalization of B lymphocytes by EBV is an important advantage for a candidate immunosuppressive drug due to the frequent occurrence of EBV-induced lymphomas in immunosuppressed patients (3).

Analysis of the cell cycle profile and cell cycle-regulated genes in PNU156804-treated T cells has allowed us to conclude that PNU156804 blocks T cell proliferation in mid-late G1, suggesting that that its target is very similar to that of UP (5). In particular we show that PNU156804 inhibits cells between cyclin D2 and cyclin E expression and that both cdk2 and cdk4 are completely inhibited (5, 24, 25). Furthermore we show that retinoblastoma protein remains hypophosphorylated in the presence of PNU156804 (5, 26). Finally, we demonstrate that PNU156804 does not inhibit the down-regulation of p27 protein, clearly distinguishing it from rapamycin, which on the contrary blocks p27 degradation (19, 27, 28). Thus the prodigiosin family represents a new family of molecules with a common mechanism of action and specific molecular targets.

The second part was aimed at identifying more precisely possible target proteins of PNU156804 action. We have first demonstrated that PNU156804 blocks IL-2-dependent signaling. It does not inhibit significantly the induction of IL-2 and of its receptor {alpha}- and {gamma}-chains but efficiently blocks IL-2-dependent T cell proliferation. These data led to the investigation of the different signaling pathways known to be triggered by IL-2 in T cells. IL-2 responses are mediated by the IL-2R complex, which is composed of three subunits, {alpha}, ß, and {gamma} (8, 9, 29). The {alpha}-chain is responsible for high affinity IL-2 binding, whereas the ß- and {gamma}-chains mediate signaling (8, 9). Several non-receptor protein tyrosine kinases such as Jak1, Jak3, p56lck, and syk interact with the IL-2R and become activated after IL-2 engagement (8, 9, 19, 29, 30, 31, 32, 33) (Fig. 10Go). IL-2 also activates PI3-kinase (9, 19, 22, 34, 35). These different kinases in turn activate different cascades that lead both to the induction of c-myc, c-fos, and c-jun, which form the transcription factors AP-1 and bcl-2, and to the activation of STAT transcription factors (10, 12, 13, 29, 30, 33, 36, 37, 38, 39). IL-2 has also been shown to activate NF-{kappa}B (9, 40) (Fig. 10Go). The serine rich (S) region of the IL-2 ß-chain is known to associate with Jak1 and syk and to be required for induction of c-myc and bcl-2 (9, 29, 36). The acidic domain (A) is required for activation of p56lck, for association of the adapter protein shc, which may mediate activation of p21ras and of the MAPK cascades, and for induction of c-fos and c-jun gene expression (9, 13, 29, 31, 41). The mechanism of activation of PI3-kinase is still unclear but requires the S region and leads to activation of protein kinase B (PKB, also called Akt), which may participate in induction of bcl-2 and down-regulation of p27 (22, 34, 37). The mechanism of activation of NF-{kappa}B is still unclear but may involve kinases of the JNK pathway and in particular MEKK-1 (15, 16) (Fig. 10Go). Evidence has been presented that activation of c-myc, AP-1, and bcl-2 is important for the proliferative response of T cells to IL-2 (13, 29, 42, 43).

Here we confirmed bcl-2 and c-myc induction by IL-2 in our IL-2-dependent system, but we showed that PNU156804 does not affect the expression of these genes. These data, as well as the lack of inhibition of p27 down-regulation, suggest that the Syk and PI3-kinase pathways possibly involved in the signaling of IL-2 to these molecules are not targets of PNU156804 action (Fig. 10Go). On the contrary, PNU156804 very efficiently inhibits both NF-{kappa}B and AP-1 activation in response to IL-2. Furthermore, we confirm that a major NF-{kappa}B complex induced by IL-2 in our primary T cell system is the p50/p65 (relA) complex and show that IL-2 signaling leads to rapid down-regulation of I{kappa}B-{alpha} and IkB-ß, as described for many of the other signals that activate NF-{kappa}B (15, 16, 44). Finally we demonstrate that PNU156804 inhibits the IL-2-induced down-regulation of I{kappa}B-{alpha} and I{kappa}B-ß. These data strongly suggest that PNU156804 inhibits NF-{kappa}B activation through inhibition of I{kappa}B-{alpha} and I{kappa}B-ß down-regulation. I{kappa}B-{alpha} and I{kappa}B-ß are thought to undergo phosphorylation by I{kappa}B kinase complex(es), and this phosphorylation event renders these proteins targets for proteasome-mediated protein degradation (15, 16, 44). It is likely that many second messengers can trigger these phosphorylation events through activation of perhaps several I{kappa}B kinases, since many different signals can activate NF-{kappa}B in different cells, including TNF, IL-1, LPS, phorbol esters, anti-CD28, etc. All signals, however, appear to act by degrading I{kappa}B molecules (15). Recently, a ubiquination-sensitive I{kappa}B kinase complex has been described, and two I{kappa}B kinases have been cloned that are part of a different multiprotein complex (45, 46, 47). Little is known about the second messengers that are triggered by IL-2 and lead to NF-{kappa}B activation and about which I{kappa}B kinase may be involved in IL-2-induced NF-{kappa}B activation (9, 40). The data presented here suggest that PNU156804 inhibits an IL-2-specific signaling pathway that leads to I{kappa}B-{alpha} and I{kappa}B-ß degradation and which is not shared by PMA or PHA, since PNU156804 did not inhibit PMA- or PHA-induced NF-{kappa}B activation. Furthermore, NF-{kappa}B is thought to play a role in the induction of IL-2 and IL-2R{alpha} transcription (15). The fact that expression of these two genes was little affected by PNU156804 is in agreement with a specific inhibition of NF-{kappa}B activation downstream from the interaction between IL-2 and its receptor. Numerous signals can, however, lead to NF-{kappa}B activation in different cells. The experiments presented suggest that PNU156804 can also inhibit NF-{kappa}B induction by CD40 Abs in B cells. Thus, the inhibition of NF-{kappa}B activation by PNU156804 is not specific solely for the IL-2-dependent signaling pathway. A complete investigation of the different signals and intracellular cascades that lead to NF-{kappa}B activation in different cell types and their sensitivity to PNU156804 will be of particular interest in identifying a molecular target for PNU156804 but is clearly beyond the scope of this article.

Although much more information is available on the IL-2-induced activation of AP-1 activity, the exact signaling pathways have not yet been clearly identified (8, 13, 14, 29, 31, 35, 48). AP-1 activation is regulated at different levels, involving transcription of its components such as c-fos and c-jun and activation of c-jun through phosphorylation by JNK (13, 14, 48). Furthermore, activation of ras through the p56lck and the shc, sos, grb pathways and possibly through the action of other IL-2-associated kinases can lead to activation of the MAP kinase (ERK) and JNK pathways, which are required for maximal AP-1 activation (13, 14, 38, 43, 48, 49, 50) (Fig. 10Go). Thus, the exact target of PNU156804 that leads to AP-1 inhibition will require a more detailed characterization of its effects on these kinase cascades, which is beyond the scope of this paper. It is again of particular interest that PNU156804 specifically blocks the IL-2- and not PMA-induced AP-1 activation, suggesting a specific effect on a target downstream from IL-2. Interestingly MEKK-1, a kinase that is upstream from the JNK cascade and therefore plays a role in AP-1 activation, has been shown to activate NF-{kappa}B through activation of one or more I{kappa}B kinase complexes (15, 23). Thus, the AP-1 and NF-{kappa}B pathways appear to be linked by MEKK-1 (Fig. 10Go). It is tempting to speculate that a target of PNU156804 could lie in the pathway linking the IL-2 receptor to such a dual kinase capable of activating both the NF-{kappa}B and AP-1 pathways.

We conclude that the prodigiosin family of drugs show a very specific effect on IL-2-induced signaling, leading to NF-{kappa}B and AP-1 activation. These two transcription factor complexes appear to be involved in the control of several cellular functions, including proliferation and apoptosis (8, 29, 36, 51). Thus, we hypothesize that inhibition of AP-1 and NF-{kappa}B may be responsible at least in part for the proliferation block induced by prodigiosins. The efficacy, specificity of action, and diversity relative to other known immunosuppressive drugs make this family of compounds of great interest for further preclinical studies, as well as interesting tools to further dissect the signaling pathways triggered by IL-2 in T lymphocytes. Furthermore, the centrality of IL-2 signaling and AP-1 and NF-{kappa}B activation in the biology of T and other cell types makes this class of compounds of wide interest.


    Acknowledgments
 
We thank Dr. A. Sica for his useful advice and gift of Abs.


    Footnotes
 
1 J.G. is a Fellow of the 1997 Angelo and Angela Valenti Foundation. Back

2 Address correspondence and reprint requests to Dr. Josée Golay, Istituto Ricerche Farmacologiche "Mario Negri," via Eritrea 62, 20157 Milan, Italy. E-mail address: Back

3 Abbreviations used in this paper: CsA, cyclosporin A; UP, undecylprodigiosin; PI3-kinase, phosphatidylinositol 3'-kinase; PI, propidium iodide; rhIL-2, recombinant human IL-2; SAC, Staphylococcus aureus Cowan I strain bacteria; MAPK, mitogen-activated protein kinase; ERK, extracellular signal-related kinase; MEKK-1, MAPK/ERK kinase kinase-1; JNK, c-Jun N-terminal kinase; Jak, Janus kinase; PKB, protein kinase B; cdk, cyclin-dependent kinase. Back

Received for publication October 13, 1998. Accepted for publication April 5, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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