The Journal of Immunology, 1999, 162: 3188-3192.
Copyright © 1999 by The American Association of Immunologists
Early Membrane Rupture Events During Neutrophil-Mediated Antibody-Dependent Tumor Cell Cytolysis1
Andrei L. Kindzelskii and
Howard R. Petty2
Department of Biological Sciences, Wayne State University, Detroit, MI 48202
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Abstract
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Although cell-mediated cytolysis is a fundamental immune effector
response, its mechanism remains poorly understood at the cellular
level. In this report, we image for the first time transient ruptures,
as inferred by cytoplasmic marker release, in tumor cell membranes
during Ab-dependent cellular cytolysis. The cytosol of IgG-opsonized
YAC tumor cells was labeled with tetramethylrhodamine diacetate
followed by the formation of tumor cell-neutrophil conjugates. We
hypothesized that tumor cell cytolysis proceeds via a series of
discrete membrane rupture/resealing events that contribute to marker
release. To test this hypothesis, we occluded the fluorescence image of
the labeled tumor cells by passing an opaque disk into a
field-conjugated plane between the light source and the sample.
Multiple small bursts of fluorescent label release from tumor cells
could be detected using a photomultiplier tube. Similarly, multiple
fluorescent plumes were observed at various sites around the perimeter
of a target. These findings support a multihit model of target
cytolysis and suggest that cytolytic release is not focused at specific
sites. Cytolytic bursts were generally observed at 20-s intervals,
which match the previously described reduced nicotinamide-adenine
dinucleotide phosphate and superoxide release oscillation
periods for neutrophils; we speculate that metabolic oscillations of
the effector cell drive the membrane damage of the
target.
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Introduction
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Cytolysis,
the lytic disruption of target cells, is a fundamental immunological
effector function. Cell-mediated cytolytic responses are conducted by,
for example, cytotoxic T cells, NK cells, macrophages, and neutrophils.
One mechanism of cytolysis, which we shall focus on in the present
study, is Ab-dependent cellular cytolysis
(ADCC).3 Numerous in vitro
studies have shown that ADCC requires opsonization of a target with Ig
and the engagement of effector cell surface receptors for the Fc
domains of Ig molecules 1, 2, 3, 4 . Indeed, cell surface Fc receptors of
inflammatory cells play a key role in providing host protection 2 .
The level of in vitro cytotoxicity can be affected by numerous factors,
such as cytokines 5, 6 . Although much research has focused on the
role of Ab-independent recognition of tumor cells by cytotoxic T cells,
recent studies support an in vivo role for Ab-dependent tumor cell
destruction 7, 8, 9, 10 . For example, in the murine system, both passive
immunization with mAb directed against glycoprotein 75 and
active immunization with glycoprotein 75 offer substantial protection
in melanoma metastasis models 11, 12 .
Although the central role of cytolytic phenomena in host defense has
been supported by thousands of scientific studies describing their
biological features, the elementary physical mechanisms of these
phenomena are unknown. Most cytolysis studies rely upon the
release of a cytoplasmic marker, such as 51Cr, to detect
cytolysis. The kinetics of marker release in these experiments are, of
course, a population average and consequently provide no detailed
information regarding events occurring at the level of individual
cells. For instance, it is widely presumed that membrane ruptures or
tears are an integral feature of cytolysis, yet no direct evidence for
membrane rupture/cytoplasmic leakage exists in nucleated target cells.
Because tumor cells are fairly large, one would anticipate that only a
small fraction of their cytoplasmic contents would be released during a
cytolytic event. To detect these comparatively weak signals, we
occluded tumor cell illumination by passing an opaque disk into a
field-conjugated plane between the light source and the sample. We now
quantitatively and qualitatively show the kinetics of ADCC on a
single-cell level, thereby demonstrating the formation of pericellular
cytolytic plumes during target destruction and their oscillatory
nature.
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Materials and Methods
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Neutrophil preparation
Peripheral blood was obtained from healthy individuals by
venipuncture using heparinized tubes. Neutrophils were isolated from
venous blood using Ficoll-Hypaque solutions (Sigma, St. Louis, MO) and
density gradient centrifugation 13 . Cells were washed twice by
centrifugation and then resuspended in HBSS (Life Technologies, Grand
Island, NY). Trypan blue staining indicated that 9599% of the cells
were viable.
Latex bead samples
Fluorescent latex beads (Fluoresbrite YG, diameter = 1.14
µm) were obtained from Polysciences (Warrington, PA). To minimize
diffusional displacement of the beads during imaging studies, beads
were mixed with 2% fluid-phase gelatin at
40°C (type B; Sigma).
The mixture was placed on a microscope slide, a coverslip was added,
and the gelatin was allowed to harden at room temperature before
observations.
YAC tumor cells
YAC cells were grown in suspension culture using RPMI 1640
medium (Life Technologies) containing 10% FCS and 10 µg/ml
penicillin-streptomycin in a humidified CO2 incubator at
37°C 14 . YAC cells were thoroughly washed by centrifugation and
then resuspended in HBSS. The cells were >95% viable as judged by
trypan blue staining.
YAC cell labeling
YAC cells were labeled with tetramethylrhodamine diacetate (TMR)
(Molecular Probes, Eugene, OR). Briefly, stock solutions of TMR were
prepared by mixing 1.5 mg of TMR with 200 µl of DMSO and then
diluting with 50 ml of HBSS. Next, YAC cells were labeled with a 1/10
dilution of the stock solution for 1 h at 37°C. Cells were
thoroughly washed by centrifugation 14 .
Opsonization
Labeled YAC cells were opsonized with a rabbit anti-mouse
thymocyte IgG fraction (adsorbed) (Accurate Chemicals, Westbury, NY) as
described previously 14 . Next, the cells were washed three times with
HBSS. The opsonized and labeled YAC cells were mixed with neutrophils
at an E:T ratio of 1:2 and then incubated at 37°C for 30 min.
Optical microscopy
Cells were examined using an axiovert inverted fluorescence
microscope (Carl Zeiss, New York, NY) with mercury illumination
interfaced to a Perceptics Biovision workstation (Knoxville, TN) 15, 16 . The fluorescence images were collected by an intensified
charge-coupled device camera (ICCD) (model XC-77; Hamamatsu Photonics,
Bridgewater, NJ). A narrow bandpass discriminating filter set
was used with excitation at 540/20 nm and emission at 590/30 nm (Omega
Optical, Brattleboro, VT). A long-pass dichroic mirror was used at 560
nm. To occlude the bright cytoplasm of labeled tumor cells, a special
adapter (Zeiss) for the fluorescence light source was employed. An
opaque disk on a glass substrate held on an aluminum slider was placed
into a field-conjugated plane of the adapter. Differential interference
contrast photomicrographs were collected using Zeiss polarizers and a
charge-coupled device camera (Model 72; Dage-MTI, Michigan City,
IN). The images were stored on hard disk and photographed using
a freeze-frame video recorder (Polaroid, Boston, MA).
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Results
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In the present study, we tested the hypothesis that membrane
rupture and consequent cytoplasmic leakage are early and transient
events in tumor cell cytolysis. Inasmuch as preliminary studies
suggested that the fluorescence of cytolytic labels released from cells
at early timepoints was a small fraction of the total cellular
fluorescence, it was necessary to increase the relative contrast of the
released label. To do this, we occluded the bright fluorescence of the
target cells. Occultation is an optical strategy employed by
astronomers to visualize the corona of the sun, planetary oblateness,
etc. (e.g., 17 . Thus, an opaque disk on a transparent substrate
was placed in a field-conjugated plane near the mercury epifluorescence
lamp. With the bright cell occluded, the ICCD camera operates at
maximal gain, thus allowing detection of the weak fluorescence leakage
in real time. To confirm the rigor of the approach, we imaged
fluorescent latex beads in the presence and absence of an occultation
disk. Fig. 1
A shows a
fluorescence micrograph of latex beads using conventional illumination.
In Fig. 1
B, this same field of beads is shown again after
the occultation disk is in place. As this figure illustrates,
illumination was effectively blocked for a circular region in the image
plane corresponding to the disk in the field-conjugated plane of the
adapter without a loss in overall image quality. During quantitative
intensity measurements, nonspecific background fluorescence (from other
cells or prior membrane ruptures) was reduced by reducing the diameter
of the field diaphragm (illustrated in Fig. 1
C). Thus, we
minimize background fluorescence while maximizing the contrast of
cytoplasmic marker release using pericellular illumination.

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FIGURE 1. Illustration of the imaging technique. To exclude the bright
fluorescence of labeled tumor cells while retaining the ability to
detect pericellular fluorescence, a "doughnut-like" pattern of
concentric circles was created on the sample. A, A field
of fluorescent beads is shown. B, The same field of
beads is shown again after inserting an opaque disk into a
field-conjugated plane between the sample and the lamp.
C, The extent of perimeter detection was limited by the
field diaphragm. Magnification is x560.
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Single-cell marker-release studies
IgG-coated and TMR-labeled YAC cells were incubated with human
neutrophils at a 1:2 E:T ratio for 30 min at 37°C and then
transferred to a microscope slide and held at 37°C using a heated
microscope stage. Target to effector conjugates were selected and then
aligned with the occultation disk by adjusting the stage and/or the
slider holding the disk. The intensity of released pericellular
fluorescence was monitored continuously using a photomultiplier
tube and was recorded by a computer. Fig. 2
shows several representative
quantitative marker-release experiments. In Fig. 2
, trace a,
a long timebase was used to show an entire time course of early
cytolysis, including background levels before and after marker release.
As this illustrates, a series of intensity spikes was observed. Fig. 2
, bg, shows the results of similar single-cell
marker-release experiments depicting the heterogeneity of the
responses. In general, between three and eight marker-release spikes
were observed. The background level of pericellular fluorescence, which
increases during marker release, decreases following the last spike. As
illustrated in the kinetic studies of Fig. 2
, marker release was often
observed at 20-s intervals.

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FIGURE 2. Quantitative fluorometry of pericellular fluorescence of tumor cells in
neutrophil-tumor cell conjugates. Neutrophil-tumor cell conjugates were
observed at 37°C. The fluorescence of the tumor cell was optically
occluded, and the pericellular fluorescence intensity was recorded
using a photomultiplier tube apparatus, amplifier, and computer. In
these experiments, the fluorescence intensity (ordinate) is plotted
against time (abscissa). Trace a shows a representative
kinetic profile of pericellular fluorescence intensity over a 7.5-min
period. Note the onset and termination of oscillatory marker-release
events. Traces bg show six additional quantitative
marker-release studies for different effector cell to tumor cell
conjugates. These traces illustrate the heterogeneity of the responses
observed. In general, at least three to eight pulses of marker release
can be resolved. Similar results were obtained on 15 different days
with a total of 113 kinetic traces.
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To ascertain the spatial characteristics of marker release, we acquired
images of marker release using an ICCD camera. Images were captured as
the fluorescent marker diffused into the pericellular illumination
region. Fig. 3
shows several
representative qualitative micrographs of marker release during
neutrophil-mediated ADCC. Plumes of label released from the cells were
observed. A variety plume shapes were observed. This may be due, for
example, to membrane ruptures near the edge of the occultation disk
(excitation cone of light) vs membrane ruptures near the apical or
basal surfaces, which would be out of the focal plane, dimmer, and more
diffuse. Interestingly, no preferred orientation of the plume was found
relative to the position of the effector cell; a similar observation
was made previously for ADCC of E 18 . Thus, the marker was released
as pericellular plumes of fluorescence that occur randomly around the
perimeter of a target.

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FIGURE 3. A gallery of photomicrographs illustrating marker release. Labeled
target cells were occluded during ADCC as described above. A total of
18 examples of fluorescent marker-release experiments are shown to
illustrate the heterogeneity of the responses observed. Marker release
is associated with a plume of fluorescence intensity, presumably
associated with a point of cytolytic membrane rupture. The site of
marker release did not correlate with the position of the effector
cell. Similar results were obtained on 8 different days; a total of 80
different cells were photographed. Magnification is x500.
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We subsequently confirmed the relationship between the quantitative
intensity measurements and the qualitative imaging results. Fig. 4
shows a time-correlated intensity and
imaging experiment of a neutrophil-tumor cell conjugate. In this
experiment,
50% of the light was directed to a photomultiplier tube
(thus accounting for the slight reduction in the signal/noise ratio in
Fig. 4
A), whereas the remainder was sent to an ICCD camera.
Fig. 4
A shows a quantitative kinetic measurement of
fluorescence intensity vs time. The timepoints labeled 1, 2, and 3
correspond to the images shown in Fig. 4
, B, C,
and D, respectively. Thus, the bursts of fluorescence
intensity illustrated in Fig. 4
A correspond to separate
plumes of marker release. For example, the burst of intensity labeled
as 1 in Fig. 4
A corresponds to the appearance of a bright
plume labeled as 1 in Fig. 4
B. Similar relationships hold
for bursts 2 and 3. These data also illustrate the longitudinal
features of individual marker-release events. For example, the bright
burst labeled as 1 in Fig. 4
B dissipates within several
seconds as shown in Fig. 4
C and cannot be observed in Fig. 4
D. Because the rate of rupture at these early times is
faster than diffusion of the marker from the illumination area, the
background level of fluorescence increases during the observations. In
some cases, this can begin to obscure the individual events (e.g., Fig. 2
).

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FIGURE 4. Time-correlated fluorometric and imaging experiments. A,
Kinetic single-cell fluorescence tracing showing pulses of marker
release from labeled tumor cells during neutrophil-mediated ADCC. The
fluorescence intensity (photocurrent) is listed at the ordinate,
whereas time (in seconds) is given at the abscissa. Multiple temporally
distinct marker-release events are shown. Optical micrographs of
fluorescence were acquired at three points in time (labeled 1, 2, and
3) in A. BD correspond to the
timepoints labeled 1, 2, and 3 in A. Note that the
bursts of marker release illustrated quantitatively in A
correspond to distinct marker-release plumes at different positions in
B, C, and D, respectively.
Similar results were obtained on 3 separate days. For
BD, magnification is x585.
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Discussion
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The quantitative analysis of immunological cytolysis can be traced
to the work of Brunner et al. 19 , who demonstrated that Ag-specific T
lymphocytes promote the cytolytic release of 51Cr from
target cells. Early studies also showed that the cytolytic process can
be divided into distinct phases. For example, the release of
cytoplasmic 86Rb and small molecules (e.g., ATP and
nicotinamide) precedes that of 51Cr, which is bound to
proteins 20, 21 . The label used in the present study, TMR, is a small
molecule. Because our data represent the earliest detectable TMR
release, it seems likely that the cytolytic plumes observed (Figs. 3
and 4
) are early marker-release events. Moreover, this early cytolytic
damage occurs at roughly the same time as the first committed cellular
steps in cytolytic programming 20 and may contribute to subsequent
membrane damage (e.g., colloid-osmotic effects). Cytolysis, the release
of cytoplasmic contents, consequently begins with multiple small bursts
of cytoplasmic content release around the perimeter of a target.
Although cytolysis represents a major form of immunological effector
function, its details have remained obscure in nucleated cells due to
an inability to detect individual cytolytic events. Previous
microscopic studies have observed individual cytolytic events during
Ab-dependent lysis of lipid vesicles and sheep E 18, 22 . Lysis in
both of these systems demonstrated a catastrophic breakdown of the
target membrane and a complete loss of cytoplasmic contents. A previous
report has indirectly studied cytolysis by following the cytoplasmic
calcium concentration of a tumor cell target; this concentration
presumably increases due to calcium influx and CTL contact 23 .
However, cytolytic events were not photographed, and release kinetics
were not quantitated. In contrast, our approach is to occlude the
fluorescence of bright tumor cells, thereby allowing the weak
fluorescence leaking from the cell to be detected. The strategy
demonstrated pericellular cytolytic plumes of fluorescent marker
release. Our kinetic studies of tumor cell cytolysis indicate that
relatively small marker-release events take place without catastrophic
membrane rupture at the timepoints examined. This finding is consistent
with the fact that conventional imaging techniques cannot detect
cytolytic plumes around tumor cells. Thus, in contrast to other
cytolytic systems, tumor cell cytolysis is not an all-or-none
biological response.
Another key finding in the present study is that multiple
marker-release events take place, as illustrated by the multiple
fluorescence intensity peaks associated with each target cell (Fig. 2
).
Again, this observation contrasts sharply with the single
marker-release events of liposomes and E 18, 22 . Nonetheless, it is
consistent with prior indirect studies of complement-mediated lysis of
nucleated target cells that supported a multihit hypothesis 24 .
Because cytolysis is defined as cytoplasmic marker release, we
interpret the multiple marker-release events as corresponding to
multiple cytolytic events. Each cytolytic event comprises membrane
rupture and resealing events, as suggested by their finite duration.
Hence, each cytolytic event is composed of a membrane rupture event
that allows the fluorescent label to leak from a cell and accumulate as
a pericellular plume of fluorescence followed by a resealing
event and dissolution of the label into the environment.
Our quantitative kinetic experiments (Fig. 2
) show that cytolytic burst
peak intensities occur at
20-s intervals. This time interval
corresponds to that observed for oscillations in other neutrophil
functions and properties such as actin assembly, shape and velocity
changes, receptor oscillations, and reduced nicotinamide-adenine
dinucleotide phosphate oscillations (reviewed in 25 . Moreover,
the oscillatory release of reactive oxygen metabolites and pericellular
proteolysis take place at 20-s intervals 16 . Several functional
properties of neutrophils appear to be driven by their oscillatory
metabolism 15, 16 . Furthermore, reactive oxygen metabolite release
has been linked to tumor cell cytotoxicity 26, 27, 28 . Thus, both
oscillatory enzymatic and oxidative capacities of neutrophils could
contribute to the timing of the oscillatory cytolytic bursts observed
in the present study. In either case, it seems likely that oscillatory
metabolite concentrations within the effector cell drive the
oscillatory cytolytic damage of the target cell.
Studies of the time-dependent formation and dissipation of cytolytic
marker-release plumes show their occurrence at multiple sites around
the perimeter of tumor cells (Fig. 4
, BD). This suggests
that there is no unique membrane site associated with cytolysis. Hence,
cytolytic marker release is not necessarily found at sites of
effector-to-target cell contact. We have reported similar findings for
neutrophil-mediated E lysis 18 . The contact zone between target and
effector cells may, in fact, be stabilized by links and cross-links
among cytoskeletal components, membrane Ags, IgG, and Fc receptor
complexes. Furthermore, macrophages form exclusionary zones around
sites of contact with IgG-opsonized targets 29 . Thus, it may be
difficult to damage a contact zone, and such zones may impede the
diffusion of cytosolic labels into the extracellular environment.
In addition to providing the first direct evidence regarding the
subcellular mechanism of tumor cell cytolysis and dramatic evidence in
support of the multihit hypothesis, our studies also provide a new tool
for dissecting the temporal elements of tumor cell destruction. It
should become possible to image later events during cytolysis by taking
advantage of green fluorescent proteins, microscope flow chambers 13 ,
and ICCDs possessing greater dynamic ranges. Moreover, when emerging
tools in biology such as imaging spectrophotometry and extracellular
fluorescence labels that report their chemical environment (e.g., 16 are used, it should become possible to temporally correlate
well-defined chemical reactions with membrane rupture. Thus, it may be
possible to mechanistically associate the molecules participating in
host defense with specific cytolytic plumes. It should also be possible
to examine additional cell types that may display different cytolytic
release mechanisms.
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Footnotes
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1 This work was supported by National Institutes of Health Grant AI27409 (to H.R.P.). 
2 Address correspondence and reprint requests to Dr. Howard R. Petty, Department of Biological Sciences, Wayne State University, Detroit, MI 48202. E-mail address: 
3 Abbreviations used in this paper: ADCC, Ab-dependent cellular cytolysis; TMR, tetramethylrhodamine diacetate; ICCD, intensified charge-coupled device. 
Received for publication October 8, 1998.
Accepted for publication December 9, 1998.
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