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The Journal of Immunology, 1999, 163: 1398-1408.
Copyright © 1999 by The American Association of Immunologists

Heat Shock Protein 70 Induced During Tumor Cell Killing Induces Th1 Cytokines and Targets Immature Dendritic Cell Precursors to Enhance Antigen Uptake1

Stephen Todryk*, Alan A. Melcher*,{dagger}, Nicola Hardwick*, Emmanouela Linardakis*, Andrew Bateman*,{dagger}, Mario P. Colombo{ddagger}, Antonella Stoppacciaro*,§ and Richard G. Vile2,*,{dagger}

* Imperial Cancer Research Fund Laboratory of Molecular Therapy, Imperial Cancer Research Fund Oncology Unit, Imperial College of Science and Medicine, Hammersmith Hospital, London, United Kingdom; {dagger} Molecular Medicine Program, Mayo Clinic, Rochester, MN 55905; {ddagger} Experimental Oncology D, Istituto Nazionale Tumori, Milan, Italy; and § Department of Experimental Medicine and Pathology, Second Chair of Pathology, University of Rome La Sapienza, Rome, Italy


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Previously, we reported that killing tumor cells in vivo with the HSV thymidine kinase/ganciclovir system generates potent antitumor immunity, determined in part by the mechanism by which the cells die and by the levels of inducible heat shock protein (hsp) expression induced during the process of cell death. Here, we show that induction of hsp70 expression induces an infiltrate of T cells, macrophages, and predominantly dendritic cells (DCs) into the tumors as well as an intratumoral profile of Th1 cytokine expression (IFN-{gamma}, TNF-{alpha}, and IL-12) and enhances immunogenicity via a T cell-mediated mechanism. In addition, the protection conferred by hsp70 is both tumor and cell specific. We also demonstrate that hsp70 targets immature APC to make them significantly more able to capture Ags. This is likely to optimize cross-priming of the infiltrating APC with tumor Ags, which are simultaneously being released by the dying cells. In addition, using an Myc epitope-tagged hsp70 expression vector, we present evidence that hsp70 released from dying tumor cells is taken up directly into DCs and may, therefore, be involved in direct chaperoning of Ags into DCs. Taken together, our data suggest that hsp70 induction serves to signal the immune system of the presence of an immunologically relevant (dangerous) situation against which an immune reaction should be raised.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
There is now persuasive evidence that the context in which tumor cells are perceived by the immune system is very important to the subsequent response to them (1, 2, 3, 4, 5, 6). In general, when tumor cells are associated with inflammatory conditions in vivo, they are also often recognized by immune effector mechanisms more efficiently (1, 3, 7). This is because the release of tumor Ags at the site of immune stimulation through (nonspecific) tumor cell killing allows cross-priming of APC, such as dendritic cells (DCs)3 (8), from which a long term, tumor-specific immune response can be initiated (9, 10, 11, 12, 13, 14). This model is consistent with the molecular identification of a variety of tumor rejection Ags in both animal and human tumors (15, 16) and helps to explain why such Ags may not normally be recognized unless they can be revealed to the immune system in a specific immunological context (17). However, it is currently not clear in what form such tumor Ags pass from tumor cells into DCs. It may be that they are associated with the release of apoptotic bodies from dying cells (18) and/or that they are chaperoned into APC in association with chaperones such as heat shock proteins (hsp) (19).

Using gene transfer of the HSV thymidine kinase (HSVtk) suicide gene to the murine melanoma B16 model, we demonstrated that in vivo killing of this otherwise poorly immunogenic tumor generates a potent antitumor immunity (20, 21). Other groups have shown similar results (22, 23, 24, 25, 26). Furthermore, when B16 cells are killed in vivo by GCV, a highly immunostimulatory intratumoral environment is created, as shown by the expression of Th1-type profile of cytokines and the appearance of a dense infiltrate of T cells and macrophages (27). More recently, we showed that the physiological and biochemical mechanisms by which tumor cells are killed in vivo may directly affect their immunogenicity, such that the more physiologically "dangerous" the method that tumor cells can be killed, the greater the chance that immune reactivity will be raised against them (2, 17, 28).

During our studies to identify how the immune system might perceive these different mechanisms of cell death as significant or not, we observed that cells in which killing was less apoptotic (and correspondingly more immunogenic) showed an increase in the expression of inducible hsp (2). Thus, hsp induction may directly influence whether the relevant cells of the immune system, such as DC, become appropriately activated or not (29). Similarly, previous reports have shown that hsp may mediate effective antiviral- or antitumor-specific immunity (19, 30, 31) deriving at least in part from antigenic peptides chaperoned by the hsp into a subset of APC in vivo (32, 33, 34, 35, 36). In addition, expression of hsp in tumor cells may also enhance immunogenicity by direct presentation of Ags to {gamma}{delta} T cells (37, 38) and, by analogy from gene transfer experiments using highly conserved bacterial hsp, may also act as a potent immunogenic adjuvant in their own right (39, 40).

Therefore, our data concerning the suicide gene killing of tumors suggest that tumor immunogenicity might be manipulated therapeutically by ensuring that tumor cells are recognized in vivo under the appropriate immune stimulatory conditions such as necrotic cell death and/or in the context of immune-enhancing danger signals. In this report we have investigated how the expression of the inducible hsp70 signals to the immune system the presence of an immunologically relevant (dangerous) situation against which an immune reaction should be raised.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Cell lines

The B16 F1 cell line used in this study has been described previously (41). CMT93 is a murine colorectal tumor line derived from a C57/BL mouse (42). Cell lines were monitored routinely and were found to be free of Mycoplasma infection; they were grown in DMEM supplemented with 10% (v/v) FCS, 4 mM L-glutamine, 100 U/ml penicillin, and 0.1 mg/ml streptomycin sulfate. For cell killing in vitro, this medium was supplemented with ganciclovir (GCV; CYMEVENE, Roche, Welwyn Garden City, U.K.) to a final concentration of 5 µg/ml.

B16-hsp70 and CMT93-hsp70 cells have been described previously (2). Briefly, murine melanoma B16.F1 cells or murine colorectal carcinoma cells CMT93 were transfected with the cDNA of the inducible hsp70 gene cloned downstream of the CMV promoter in the PCR3 eukaryotic expression vector (Invitrogen, San Diego, CA). Pooled populations of G418r cells were isolated, and populations of transfected cells expressing levels of hsp70 mRNA comparable to those induced by treatment of B16tk cells with GCV in vitro for 48 h were isolated and used for in vivo studies. The hsp70/Myc tag expression vector was constructed by PCR of hsp70 incorporating NheI and BamHI restriction sites. The product was cloned into the pcDNA3.1(-)/Myc-His A vector (Invitrogen), and the correct cloning was confirmed by sequencing. B16 cells were transfected with the hsp70/Myc tag expression vector and selected in G418, and clones were picked. Expression of Myc was confirmed by Western blot. Tumor cells were metabolically labeled by culturing 2 x 106 cells with 9 MBq of [35S]methionine for 16 h. Lysates of these cells were produced by freeze-thawing four times, to give an equivalent of 3 x 105 cells/ml.

DC culture

DC were cultured from the bone marrow of C57BL mice according to a protocol modified from that described by Inaba et al. (43). Bone marrow was flushed from femurs and tibias, resuspended at 1 x 106 cells/ml, and cultured in 75-cm2 flasks (25 ml/flask) in RPMI 1640 supplemented with 10% FCS, 5 x 10-5 M 2-ME and different concentrations of GM-CSF derived from X63-GMCSF cell supernatants. X63 cells transfected with the mouse GMCSF gene (D. Gray, Royal Postgraduate Medical School, London, U.K.) were cultured, and supernatant was harvested by Central Cell Services, Imperial Cancer Research Fund (London, U.K.). Culture medium was changed on day 3 of culture, and on days 7–9, cells in suspension were collected together with those dislodged by vigorous pipetting from aggregates on the bottom of the flasks. The yield of DC by this protocol was ~1 x 106/mouse. To test the phagocytic ability of the DC, 2 x 105 cells were incubated with 4 x 107 2-µm diameter green fluorescent latex beads (Sigma, Poole, U.K.) for 30 min at 37°C. Cell membranes were counterstained with red fluorescent membrane stain Dil (Dil C18(3), Molecular Probes, Eugene,OR) at 2 µg/ml for 30 min at 37°C, then fixed with 4% formaldehyde. The cells were visualized using a Zeiss confocal microscope (Zeiss, New York, NY).

Western blots

Tumor cells or DC were lysed in lysis buffer (50 mM Tris (pH 7.4), 1% Triton X-100, 5 mM EDTA, and 150 mM NaCl), and lysates were heated at 100°C for 2 min with reducing loading buffer. The lysates were run on 10% SDS-PAGE gels at 45 mA for 45 min. The proteins were transferred to nitrocellulose for 1 h at 25 V. Blots were blocked in PBS/5% skimmed milk powder and incubated with 9E10 anti-Myc Ab (Imperial Cancer Research Fund) at 5 µg/ml for 1 h, followed by incubation with rabbit anti-mouse HRP conjugate (Dako, Glostrup, Denmark). Bands were revealed using the enhanced chemiluminescence kit (Amersham, Aylesbury, U.K.), following the manufacturer’s instructions, by exposing the blot to Kodak film (Eastman Kodak, Rochester, NY).

Assay for NK cell activity

Splenocytes were extracted from spleens of naive mice by teasing, and RBCs were lysed with ammonium chloride (0.87%) for 2 min. NK (or lymphokine-activated killer) cells were generated from the splenocytes by culturing 1 x 106 cells/ml with 500 U/ml of recombinant murine IL-2. RPMI medium used was supplemented with 2 mM glutamine, 50 mM 2-ME, and 10% FCS. NK cells were harvested after 5 days.YAC-1 cells (which are highly susceptible to lysis by NK cells), B16, and B16-hsp70 tumor cells were incubated with sodium [51Cr]chromate for 1 h at 37°C, washed, and resuspended at 105 cells/ml. One hundred microliters of labeled cells were added to wells in round-bottomed 96-well plates. NK cells were added in triplicate to the target cells to obtain E:T cell ratios of 100, 50, and 25:1. Wells with targets but no effector cells added indicated the level of spontaneous lysis (S), while wells to which 0.1 mM NaOH was added caused maximal lysis (M). After incubation at 37°C for 4 h, the plate was centrifuged at 600 x g for 5 min, and 100 µl of supernatant was aspirated and counted using a gamma counter (Beckman, Fullerton, CA). The percentage of specific lysis was calculated as: (effectors - S)/(M - S) x 100.

In vivo studies

All procedures were approved by the Imperial Cancer Research Fund animal research committee. C57BL/6 or T cell-deficient nude mice were obtained from colonies bred at the Imperial Cancer Research Fund. Mice were age and sex matched for individual experiments. To establish s.c. tumors, 1–2 x 105 B16 or B16-hsp70 cells or 2 x 106 CMT93 or CMT93-hsp70 cells were injected s.c. (100 µl) into the flank region; these were the minimum doses required to produce 100% tumor take reproducibly in the mice used in this study. Animals were examined daily until the tumor became palpable, whereafter the diameter, in two dimensions, was measured three times weekly using callipers.

Tumors that were established from the primary inoculation were excised when the size was ~1.0 x 1.0 cm. Mice were then rechallenged with s.c. injection of 1–2 x 105 (B16) or 2 x 106 (CMT93) parental cells on the opposite flank. Mice that had rejected the initial inoculation of tumor cells were also rechallenged. All groups of mice in any one individual experiment were rechallenged on the same occasion using the same preparation of cells. The animals were rechallenged 14 days following the most recent surgical excision that had been performed on any mouse in the cohort. A naive group of mice was also injected with these cells at the same time. Animals were examined daily until the tumor became palpable, whereafter the diameter, in two dimensions, was measured three times weekly using callipers. Animals were killed when tumor size was ~1.0 x 1.0 cm in two perpendicular directions.

Detection of cytokine RNA from tumors using RT-PCR

Tumor samples removed from animals were snap-frozen in liquid nitrogen to ensure conservation of the RNA. RNA was prepared by homogenization of the tumor with RNAzol (Biogenesis, Bournemouth, U.K.) followed by RNA extraction according to the manufacturer’s instructions. RNA concentrations were measured, and 1 µg of total cellular RNA was reverse transcribed in a 20-µl volume using oligo(dT) as a primer and Moloney murine leukemia virus reverse transcriptase (Pharmacia LKB Biotechnology, Milton Keynes, U.K.). A cDNA equivalent of 1 ng of RNA was amplified by the PCR using primers specific for individual murine cytokines. PCR was performed in a 50-µl reaction mixture with 250 µM of each dNTP, 100 nM of primers, 5 µl of 10x buffer (HT Biotechnology, Cambridge, U.K.), and 1 U of super Taq DNA polymerase (HT Biotechnology) using 30 cycles (94°C, 1-min denaturation; 58°C, 1.5-min annealing; and 72°C, 2-min extension). The reaction mix (25-µl samples) were analyzed by agarose gel electrophoresis (1%) in TAE buffer containing 0.2 µg/ml ethidium bromide. In all experiments, a mock PCR (without added DNA) was performed to exclude contamination. To exclude carryover of genomic DNA during the RNA preparation step, controls were also conducted in which the reverse transcriptase enzyme was omitted.

Immunohistochemistry

B16-hsp70 or B16 tumors were allowed to grow s.c. in C57BL mice to 1.0 x 1.0 cm, surgically excised, snap-frozen in liquid nitrogen, and stored at -80°C until sectioning. Five-micron cryostat sections were fixed in acetone and immunostained with rat anti-mouse mAbs against CD45 (clone M1/9.3.4), CD8 (clone 53.6.72), CD4 (clone GK1.5), Mac-3 (clone M37/84.6.34), and MHC-II (clone B21-2) from American Type Culture Collection (Manassas, VA); GR1 (clone RB6-8C5) CD11c (clone HL3) from PharMingen (San Diego, CA); and DEC205 (NDLC-145, provided by Ralph Steinman, Rockefeller University, New York, NY) and with hamster anti-mouse AB: CD3 (clone145-2C11), CD54 (clone3E2), and CD80 (clone 16-10A1) from PharMingen. Sections were preincubated with rabbit or hamster serum and sequentially incubated with optimal dilution of primary Abs, biotinylated rabbit anti-rat or rat anti-hamster (group I or II) IgGs and streptavidin-HPR (PharMingen). Each incubation lasted 30 min and was followed by a 10-min wash in Tris-buffered saline. Sections were then stained with 0.03% H2O2 and 0.06% diaminobenzidine (Sigma) in Tris-buffered saline for 2–3 min, washed in tap water, and finally lightly counterstained with hematoxylin. The number of immunostained cells was determined by light microscopy at x400 magnification in five random fields with the help of a 1-mm2 grid, and is given as cells per square millimeter of tissue (mean ± SD)

Statistics

Data from the animal studies were analyzed by the log-rank test (44).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Increased immunogenicity of hsp70-expressing cell lines is principally dependent upon T cells

Previously, we demonstrated that the tumorigenicity of B16 cells engineered to express hsp70 is not significantly altered relative to that of the parental line when grown in syngeneic C57BL mice. However, when animals vaccinated with live hsp70-expressing B16 were rechallenged with parental cells, up to 60% of the animals were protected over long time periods (>60 days following challenge) (2) (Table IGo). Similar experiments with CMT93 cells demonstrated that hsp70 expression not only increases the immunogenicity of the parental cell line but also decreases its tumorigenicity (Table IGo).


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Table I. Expression of hsp70 increases the immunogenicity of both B16 and CMT93 tumor lines1

 
To determine the mechanisms by which expression of hsp70 alters the tumorigenicity and immunogenicity of these cell lines, the experiments were repeated in T cell-deficient nude mice (Fig. 1Go). As with growth in the immunocompetent syngeneic mice, B16-hsp70 tumors grew at the same rate as the parental tumors (Fig. 1GoA). In contrast, whereas both CMT93 and CMT93-hsp70 tumors grew initially, in about 50% of the animals the CMT93-hsp70 tumors regressed compared with 0–10% of the parental CMT93 tumors (Fig. 1GoB). This contrasts with 100% regression of the same tumors in immunocompetent mice (Table IGo). Following surgical excision of these primary tumors and rechallenge with parental cells on the contralateral flank, the increased immunogenicity of the B16-hsp70 or CMT93-hsp70 tumors seen in C57BL mice was almost completely lost in nude mice (Fig. 1Go, C and D) compared with that in the control group of naive mice that was simultaneously challenged with parental tumor cells. In this control group, tumors were occasionally observed that grew to a small size (>0.2 cm diameter) but subsequently regressed thereafter. At times, a small increase in the immunogenicity of B16-hsp70 tumors in nude mice was observed (Fig. 1GoC), although this was considerably reduced relative to the immunogenicity seen in immunocompetent animals (Table IGo).



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FIGURE 1. The increased immunogenicity of hsp70-expressing tumors is lost in nude mice. Effect of hsp expression on primary tumorigenicity of 5 x 105 B16 (A) or 2 x 106 CMT93 (B) cells in nude mice. Mice exposed to the primary inoculum of parental or hsp-expressing cells underwent surgery if the primary tumors grew, and all groups were rechallenged with the appropriate parental cells (5 x 105 B16 or 2 x 106 CMT93). The effect of hsp expression on immunogenicity of B16 (C) or CMT93 (D) tumors in nude mice is shown. These experiments were repeated three times, each time with results similar to those shown in this experiment.

 
To investigate further the mechanisms of the T cell-mediated protection conferred by hsp70-expressing tumors, splenocytes from C57BL mice vaccinated with B16-hsp70 tumors were pooled and assayed for the production of cytokines and the presence of cytotoxic activity against parental B16 cells in vitro. Splenocytes from mice immunized with hsp-expressing B16 cells produced the Th1 cytokines IFN-{gamma} and GM-CSF when incubated with parental tumor cells, whereas splenocytes from naive mice did not (data not shown). However, over several different experiments, only very low levels of tumor-specific CTL activity (up to 20% specific lysis) could be detected in hsp70-vaccinated mice relative to that in naive mice or mice vaccinated with B16 cells (data not shown). This is consistent with our previous experience, in which it was difficult to detect CTL against B16 cells even when the protection was clearly mediated by T cells, and with reports from other groups that antitumor protection does not correlate with CTL levels (45, 46). Taken together, these data suggest that a major component of the increased immunogenicity of hsp70-expressing tumor lines is mediated through T cell involvement.

Overexpression of hsp70 in B16 cells does not affect MHC levels or make them more susceptible to NK lysis

Because hsp expression has been described as a target for NK cells (47), we investigated whether the residual antitumor reactivity, not explicable by T cell involvement in the nude mice experiments, was due to NK activity. It has also been reported that hsp expression can increase levels of class I expression (48), which would make the B16-hsp70 cells better targets for T cell recognition in vivo. The parental B16 cells used in this study express very low levels of MHC class I on their surface, but overexpression of the hsp70 gene in B16 cells produced no significant increase in class I expression in the population used for the in vivo studies (data not shown). To test whether expression of hsp70 increased the susceptibility of these low class I B16 cells to NK killing, spleen cells from C57BL mice were cultured with high levels of IL-2 to produce NK (or lymphokine-activated killer) cell populations. Although these NK cells were readily able to lyse NK-sensitive YAC-1 cells, the B16-hsp70 population was, if anything, less susceptible to NK lysis than the parental B16 cells (Fig. 2). Therefore, expression of hsp70 on B16 cells was not able to increase the expression of MHC class I or to increase the sensitivity of parental cells to NK lysis.

Expression of hsp70 induces infiltration of DCs into B16 tumors and intratumoral expression of Th1 cytokines

To investigate which cells other than T cells or NK cells mediate the antitumor effects of hsp70, the immune infiltrates of B16 and B16-hsp70 tumors growing progressively in vivo were compared. Tumor sections stained for a variety of cell surface markers demonstrated that the only infiltrating cells seen intratumorally in parental B16 tumors were macrophages (Mac3+; Table IIGo). In contrast, a variety of different immune cells were observed within B16-hsp70 tumors. Consistent with the results from the nude mice experiments, hsp70-expressing tumors were infiltrated with both CD4+ and CD8+ T cells as well as macrophages (Mac3+). However, the majority of the tumor-infiltrating leukocytes were Dec205, CD11c+ DCs (Table IIGo and Fig. 3Go). These DCs were dispersed through the tumor and clustered near the intratumoral blood vessels.


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Table II. Expression of hsp70 in B16 tumors induces an intratumoral infiltrate of T cells, macrophages, and particularly DCs1

 


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FIGURE 3. Immunohistochemistry of B16 and B16-hsp70 tumors. Sections of B16 or B16-hsp70 tumors were immunostained for immune infiltrating cells using rat mAbs (PharMingen) and biotin-streptavidin HRP (magnification, x400). Markers are indicated (see also Table IIGo). Detection of the appropriate subsets of positive cells appears as brown staining.

 
Primary B16 or B16-hsp70 tumors resected after about 14 days in vivo were also used to prepare cDNA, which was screened for several murine cytokines. Fig. 4GoA shows that a weakly hybridizing band could be detected following RT-PCR for IL-2 within B16 tumors. In addition, very low levels of mRNA could be detected for IL-10 in B16 tumors, but detection of this cytokine required blotting with an IL-10-specific probe (data not shown). In contrast, significant expression of IL-2, TNF-{alpha}, the p40 subunit of IL-12, and GM-CSF was detected at relatively high levels in the B16-hsp70 tumors, and weak expression of IFN-{gamma} was found, but there was no detectable mRNA for IL-4, IL-6, or IL-10 (Fig. 4GoB).



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FIGURE 4. Hsp70 expression in B16 tumors induces expression of a Th1 profile of intratumoral cytokines. B16 or B16-hsp70 tumors were excised at a size of 1.0 x 1.0 cm, and tumor lysates and cDNA were prepared as described in Materials and Methods. PCR was performed using primers to various murine cytokines, hsp70, and tyrosinase cDNA (details of primers available on request). A, RT-PCR for cytokines expressed within B16 tumors. lane 1, IL-2; lane 2, IFN-{gamma}; lane 3, TNF-{alpha}; lane 4, p40 subunit of IL-12; lane 5, GM-CSF; lane 6, IL-4; lane 7, IL-10; lane 8, IL-6; lane 9, hsp70; lane 10, murine tyrosinase (arrow indicates 1.5 kbp). B, RT-PCR for cytokines expressed within B16-hsp70 tumors; lanes are explained in A (arrow indicates 500 bp) Equal loading of cDNA for the B16 and B16-hsp70 tumors was confirmed using amplification of GAPDH as a control (data not shown). C, Tumor lysates prepared from two B16 tumors showed characteristically high levels of melanin synthesis in the melanomas; lysates from two B16-hsp70 tumors showed marked loss of pigment production.

 
During preparation of the tumor lysates for RNA production we also observed that although the parental B16 tumors expressed characteristically large amounts of melanin, B16-hsp70 tumors expressed very little macroscopically visible melanin (Fig. 4GoC). Consistent with this observation, the B16-hsp70 tumors also showed a decreased level of expression of tyrosinase relative to B16 tumors (Fig. 4Go, A and B). However, B16-hsp70 cells grown in culture continued to produce melanin at levels comparable to those produced by B16 cells (data not shown), indicating that the transfection procedure had not selected out an amelanotic population.

Therefore, expression of hsp70 on B16 tumors induces a dramatic increase in tumor-infiltrating leukocytes comprising T cells, macrophages, and, predominantly, DCs and induces the expression of a Th1-like cytokine within the tumor. Moreover this is accompanied by the apparent loss of melanin production in vivo, which may be due to immunological selection against continued expression of melanocytic Ags.

Protection conferred by hsp70 expression is tumor specific and does not exert a field effect within the tumor

Because B16-hsp70 tumors stimulate such a prominent leukocyte infiltration, we investigated the mechanism by which its expression results in antitumor immunity. To test whether the protection conferred by hsp70 expression was tumor specific, CMT93 cells expressing hsp70 were used as a vaccine against rechallenge with B16 cells in a repeat of the experiments described in Table IGo. CMT93-hsp70 tumors gave no significant protection above that seen with the parental CMT93 line against rechallenge with B16 cells (data not shown), indicating that the protection afforded by hsp70 expression is tumor specific.

To test whether the presence of hsp within a tumor containing B16 cells would be sufficient to immunize against B16, perhaps by a general, nonspecific, leukocyte-attracting activity, B16 tumors were seeded in which hsp70 was expressed on 1 x 105 CMT93 cells coseeded within the tumor inoculum. Following surgical excision of these hybrid tumors, animals were rechallenged on the contralateral flank with parental B16 cells. Fig. 5 shows that there was no significant protection conferred by the B16/CMT93-hsp70 hybrid tumors against B16 rechallenge. These results contrast with those seen when a smaller number of B16 cells express hsp70 within the vaccinating tumor, when up to 60% of the animals are protected against rechallenge with B16 cells (Table IGo). Therefore, these data suggest that the immune protection conferred by hsp70 expression is tumor specific and that hsp70 must be expressed on the tumor cells against which protection is sought, rather than acting in a diffusable, cytokine-like fashion.

Tumor cell lysates induce maturation of DC precursors, but the presence of hsp maintains the immature phenotype

We investigated whether the presence of hsp70 in tumor cell lysates would affect the phenotype of the DC precursor populations used in these studies. As shown in Fig. 6a, the population of DC precursors had relatively low levels of MHC class I and class II expression by FACS analysis. Interestingly, when these cells were incubated with tumor lysates of parental B16 cells, a dramatic up-regulation of surface MHC expression was observed (Fig. 6Goc), indicating that tumor cell lysates can induce maturation of APC. In contrast, incubation of the DC precursors with lysates from B16-hsp70 cells consistently induced only a very moderate increase in the level of MHC class I or class II expression (Fig. 6Gob). These data suggest that lysates from normal tumor cells may be able to mature DC precursor populations, but that the presence of hsp may actually suppress these signals.



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FIGURE 6. B16 tumor cell lysates induce an increased surface expression of MHC class I and II on DC precursors, which was inhibited by the presence of hsp70. DC precursors prepared in low concentrations of GM-CSF were analyzed for surface expression of MHC class I and class II molecules either alone (A) or 48 h following incubation with tumor lysates prepared from B16-hsp70 (B) or parental B16 (C) cells.

 
Hsp70 expression enhances uptake of proteins by immature DC precursors, but not by mature cells

The results shown in Figs. 3Go and 6Go and Table IIGo suggest strongly that hsp70 expression may exert its immune protective effects through recruitment and/or modulation of DC function/maturation. Therefore, we studied the effects of hsp70 expression on DCs and their precursors in vitro. DC precursors prepared from mouse bone marrow in a low concentration of GM-CSF (0.2 ng/ml) had a phenotype typical of immature cells, with relatively low levels of MHC class I and class II expression as well as other markers, including B7.1 and B7.2 (data not shown). We and others have shown that these DC precursors can be matured by culture with higher levels of GM-CSF (20–200 ng/ml) and even more so with IL-4 to acquire a phenotype with high surface expression of MHC and costimulatory molecules (data not shown). Fig. 7Go, A and B, shows that one functional consequence of the maintenance of the DC precursors in an undifferentiated state, by growth in low concentrations of GM-CSF and/or incubation with hsp70-containing tumor cell lysates, is that they remain much more phagocytic than DC prepared in higher levels of GM-CSF, as assessed by measuring the uptake of latex beads, rather than shifting the phenotype to Ag presentation via class I and class II pathways. Consistent with this hypothesis is the finding that the high GM-CSF-derived cells are significantly more effective at Ag presentation in an MLR than the low GM-CSF precursors (data not shown).



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FIGURE 7. The presence of hsp70 in tumor lysates enhances the protein uptake capacity of immature DC precursors. DCs were prepared from mouse bone marrow in either high (20 ng/ml; A) or low (0.2 ng/ml; B) concentrations of GM-CSF. DC prepared in this way were then incubated with fluorescent latex beads and examined for their ability to engulf the beads using confocal microscopy. DC grown in low GM-CSF or incubated with B16-hsp70 lysates were consistently able to take up significantly greater numbers of beads per cell than the corresponding DC grown in high GM-CSF. C, DCs (105) freshly prepared from mouse bone marrow in 0.2 ng/ml GM-CSF were incubated with the freeze-thawed lysates of either B16 or B16-hsp70 cells that had been incubated overnight with [35S]methionine. Following thorough washing to remove unincorporated labeled proteins from the DC population, the 35S incorporated into the DC was measured. D, DCs prepared in the same way were incubated with the freeze-thawed lysate of clone E26 cells, a B16 clone stably transduced with HSVtk, or with the lysates produced by killing E26 cells with GCV for 24 h in vitro; both lysates were prepared from cells incubated overnight with [35S]methionine. Following thorough washing to remove unincorporated labeled proteins from the DC population, the 35S incorporated into the DC was measured. A certain amount of toxicity was seen in the DC populations incubated with lysates containing GCV, which accounts for the lower total counts taken up by DC in this experiment compared with that shown in C.

 
We reasoned that populations of immature DC precursors that maintain the ability to take up Ags within tumors may be biologically more potent at inducing antitumor immune responses than those that arrive at the tumor site more mature and, therefore, less able to acquire released Ags. This hypothesis stems from our finding that adoptive transfer of immature DC precursors into established B16 tumors is more effective at protecting animals against subsequent tumor challenge (~70% protected animals) than is the transfer of more mature DC (~20% protected animals; A. Melcher et al., manuscript in preparation). Therefore, to test the possibility that hsp70 affects the functional properties of DC or of their precursors, freshly prepared DC precursors were incubated with freeze-thawed lysates of B16 or B16-hsp70 tumor cells that had been metabolically labeled with [35S]methionine. A significantly enhanced uptake of labeled proteins was observed in the DC precursors incubated with hsp70-containing lysates (Fig. 7GoC). Because our interest in hsp70 induction and tumor immunogenicity originated from the observation that hsp70 is induced during HSVtk-mediated tumor killing, we repeated this experiment using lysates from B16 cells or B16tk cells that had been killed by ganciclovir (2). A similar pattern of increased uptake of 35S-labeled proteins, but with a reduced differential, was seen in the DC precursors incubated with the GCV-killed B16 cells compared with the parental freeze/thawed lysates (Fig. 7D). When we repeated these experiments using DC matured in high GM-CSF concentrations, the ability of hsp70-containing lysates to increase the uptake of labeled solutes was completely abolished (data not shown). To investigate the mechanism of increased Ag capture, these experiments were also repeated either in the presence of cytochalsin, which is known to block phagocytosis, or by monitoring the uptake of dextran as a measure of the relative levels of macropinocytosis. The level of dextran uptake was not affected by the presence of hsp70 in the tumor lysates, and cytochalasin, an inhibitor of phagocytosis, was unable to block the increased uptake of Ags by the DC precursors in the presence of hsp70 (data not shown).

Therefore, hsp70 expression on tumor cells specifically targets immature DC precursors and enhances their capacity to capture soluble Ags. Moreover, the increased Ag capture by the DC precursors is not via nonspecific macropinocytosis or phagocytosis and may, therefore, be occurring via a more specific, hsp70 receptor-mediated mechanism.

Hsp70 is taken up into DCs

It may be that the increased levels of uptake of soluble proteins seen in Fig. 7Go represent an indiscriminate activity of hsp70 on DC precursors to increase their ability to take up Ags or, alternatively, that the increase is due at least in part to uptake of hsp70 itself. Therefore, lysates were prepared from the DC precursors that had themselves been exposed to the radiolabeled tumor lysates as in Fig. 7Go and were run on a 10% SDS-PAGE gel. Following transfer to nitrocellulose the labeled proteins present in the DC were exposed to film overnight. DC exposed to labeled proteins released from parental B16 cells showed very low levels of uptake of radiolabel, whereas DC exposed to lysates from B16-hsp70 cells showed a very significant increase in uptake of label incorporated into proteins over a range of m.w. (data not shown), suggesting that no single molecular species is exclusively taken up by the DC. To investigate whether the hsp70 molecule is itself directly taken up by DC, an expression vector was constructed in which the hsp70 cDNA was cloned in frame with an Myc tag peptide (Fig. 8Go) and transfected into B16 tumor cells. The presence of the tag allowed the movements of the exogenously expressed hsp70 to be followed and to be distinguished from those of the endogenous hsp in tumor or DCs. Lysates of DC precursors preincubated with freeze-thawed lysates of B16 or B16-hsp-Myc cells were analyzed by Western blot using the anti-Myc tag Ab 9E10. A specific band at ~70 kDa was detected by the Ab in DC precursors incubated with B16-hsp-Myc cells, but not in DC incubated with B16 cells (Fig. 8GoB), suggesting that at least one component of the increased uptake of labeled proteins seen in Fig. 7 is the hsp70 protein itself.



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FIGURE 8. Hsp70 protein is taken up into DCs directly. A, Hsp70 cDNA was cloned upstream and in frame with a polyhistidine and Myc tag epitopes in the expression vector pcDNA3.1(-)/Myc-His A (Invitrogen). This vector was transfected into B16 cells, and clones were isolated that expressed the Myc tag-labeled hsp70 as determined by Western blotting with the Ab 9E10. lane 1, Parental B16 cells; lane 2, pooled population of G418r B16-hsp70-Myc cells; lanes 3–8, individual B16-hsp70-Myc clones following transfection and single cell cloning. Clone A5 (lane 6) was used for the experiments described below. B, Lysates prepared from B16 cells or from clone A5 of the B16-hsp70-Myc transfections were used in the experiment shown in Fig. 7 and were fed to DC (106). Following thorough washing to remove unincorporated hsp70-Myc protein, lysates from these DC were then blotted with Ab 9E10 to detect any hsp70-Myc protein taken up into the DC. DC incubated with lysate from B16 parental cells after 2 h (lane 1), 4 h (lane 2), and 6 h (lane 3); lane 4, DC incubated with lysate from B16-hsp70-myc clone A5 after 2 h, 4 h (lane 5), and 6 h (lane 6).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our previous work has demonstrated that killing tumor cells in vivo with the HSVtk/GCV system can generate potent antitumor immunity (2, 20, 21, 27). This effect is determined in part by the mechanism by which the cells die (apoptotic or necrotic) and by the levels of hsp70 expression that are induced during the process of cell death (2). Therefore, we investigated how the induction of hsp70 expression might help to break tolerance to tumor Ags that otherwise remain immunologically hidden in the progressively growing tumor.

Expression of hsp70 within B16 tumors induced dramatically increased levels of infiltration by CD4+ and CD8+ T cells, macrophages, and DCs. In addition, hsp70 induced a specific profile of cytokine mRNA expression within the tumor environment that is characteristic of a Th1 immune response (27). Intriguingly, the B16-hsp70 tumors grown in vivo also had greatly down-regulated levels of melanin synthesis and expression of tyrosinase compared with those of the parental tumors. It may be that this reflects the development of hsp70-induced immune responses against melanocytic Ags, which are known to serve as tumor rejection Ags in mouse and human tumors (15), a hypothesis that we are currently testing. However, stimulation of this immune reaction was unable to cause rejection of the primary B16-hsp tumors, presumably because the time required to prime an effective T cell-mediated immune response against B16 is too long relative to the growth of this aggressive tumor in vivo. We had previously observed a very similar immune infiltrate and cytokine profile in B16tk+ tumors treated with GCV (21), which induces hsp70 expression (2). Our results here strongly suggest that the protection produced by HSVtk/GCV killing of B16 tumors is probably mediated at least in part through the induction of hsp70 acting in some way as an immune stimulatory signpost or danger signal.

Our data with T cell-deficient mice demonstrate that hsp70-mediated protection is predominantly T cell dependent, although CTL could only be detected at very low levels from splenocytes of animals vaccinated with hsp70-expressing tumors. In contrast to the up-regulation of MHC seen in B16 cells by expression of the human hsp72 gene (48), we did not detect any increase in MHC class I expression in the B16-hsp70 tumor cells. Previous reports have also shown that hsp may serve as a target for NK-mediated killing (47), but we could show no increased susceptibility of B16-hsp70 cells in vitro. In addition, one component of the protection induced by expression of hsp70 on tumor cells may be provided by increased recognition by {gamma}{delta} T cells (37, 38), and we are currently investigating this possibility. Finally, it may also be that hsp70 is affecting the expression of an unknown Ag(s) on the B16 cells and promoting enhanced presentation through cross-priming or other as yet unknown mechanisms.

It may be that expression of hsp70 increases intratumoral infiltrates and leads to T cell-dependent protection by stimulating leukocyte accumulation at the tumor site in a non-cell type-specific manner, in a similar way as a diffusable cytokine, such as GM-CSF or IL-2. Both these cytokines have been shown to have their immunizing effects when delivered by cells other than tumor cells themselves (49, 50, 51). Alternatively, it may be that hsp acts by a cell-associated and tumor cell-specific mechanism (19, 31, 33, 52). In support of the latter, we showed that the protection conferred by hsp70 expression in the B16 model was, indeed, tumor specific, (CMT93-hsp70 tumors were unable to protect significantly against rechallenge with B16 cells). Even within hybrid tumors of B16 and CMT93-hsp70, in which the appropriate (B16) tumor Ags are available, hsp70 must be expressed on the tumor cells against which protection is sought. These observations indicate that hsp70 confers its tumor-immunizing effects in a tumor-specific, cell-associated mechanism rather than acting in a diffusable, cytokine-like fashion.

Therefore, we investigated the effects of hsp70 expression in B16 cells on the form and function of DCs and their progenitors prepared from mouse bone marrow. Interestingly, DC precursors incubated with tumor cell lysates from parental B16 cells consistently demonstrated a significant increase in levels of expression of class I and class II MHC molecules, indicating that tumor lysates can induce maturation of DC precursors. We are currently investigating whether intracellular molecules released during (necrotic) cell death may serve as signals for these effects, as suggested by Matzinger (53). In contrast, the presence of hsp70 inhibited this lysate-induced maturation and maintained the DC precursor population in a more poorly differentiated phenotype. Similarly, we observed a significantly enhanced level of uptake of 35S-labeled proteins by the population of phagocytic DC precursors incubated with hsp70-containing lysates compared with those incubated with parental B16 cell lysates. More mature, less phagocytic DC prepared in high levels of GM-CSF were not responsive to hsp70 in the lysates and showed no increased capacity to take up labeled proteins relative to DC fed parental B16 tumor lysates. Therefore, it appears that hsp70 specifically targets immature DC precursors and enhances their capacity to take up proteins/peptides, but cannot reverse a maturation process already induced by other factors (such as high levels of GM-CSF). Taken together, these data suggest that the maturational status of the DC/DC precursors entering a tumor, which is releasing tumor Ags, may have a significant impact on the efficacy with which the DC can acquire those Ags for subsequent presentation to T cells (54).

A similar enhancement of the protein uptake activity of DC precursors was seen following their exposure to lysates of B16tk+ cells killed in vitro by GCV, indicating that the immune system-activating effects of necrotic HSVtk/GCV killing of B16 cells operate through hsp induction and DC modulation. The net effect would be to increase the ability of tumor-infiltrating DC precursors to take up tumor Ags for later presentation in the tumor or lymph nodes.

A recent report showed that DCs take up Ag released from apoptotic cells, but, in that system, not from cells killed necrotically (18). However, necrosis was induced by rapid lysis ex vivo, with no opportunity for the induction of biochemical/immunological markers of death to be produced. In contrast, the HSVtk/GCV system generates a necrotic death much more akin to that likely to occur in vivo during, for example, a viral infection and occurs over a longer time period during which rapid induction of genes, such as hsp, is possible. Therefore, it is clear that DC can take up Ag from cells under a variety of different conditions (8, 18), but our data suggest that one particularly immune stimulatory pathway is via the induction of hsp expression, which may directly influence the levels of Ag captured for later presentation.

It has been reported that hsp70 recognizes specific receptors on certain cells within the DC precursor population, consistent with a role for an hsp-specific receptor for Ag chaperoning (32) of tumor-specific peptides into APC for class I-mediated presentation (19, 31, 33, 52). These data are also consistent with our finding that hsp70 acts through a cell-associated and tumor specific mechanism. Therefore, we investigated the mechanisms of hsp70 activity by constructing an Myc tag-labeled hsp70 expression vector. These experiments demonstrated that hsp70 is taken up directly by the DC. It is not yet clear what percentage of the increased uptake of labeled proteins is contributed by the hsp70 protein or whether this uptake of hsp70 is directly responsible for increased tumor Ag presentation by a chaperone effect, as reported in other systems (19, 31, 32, 33, 52). However, this hsp70-Myc construct will be valuable to answer these questions and to identify the mechanisms by which hsp70 is taken up into DC, including any receptor that may be involved.

Taken together, our observations suggest a model by which suicide gene killing of tumor cells can, through induction of hsp expression, enhance the immunogenicity of the tumor cells. GCV-mediated killing of tumors can lead to induction of hsp expression in the tumor cells, particularly if the mechanism of dying is by high relative levels of necrotic cell death. This combination of necrotic cell death/induction of hsp signals to the immune system the presence of an immunologically relevant situation against which an immune reaction should be raised. Our data suggest that hsp expression transmits this signal in at least two ways. In the first, accumulation of DCs as well as other immune cells occurs, as evidenced by infiltrates observed within B16-hsp70 tumors. In the second, the presence of hsp within the dying tumor may target immature DC precursors (low class I and II, phagocytic, low Ag-presenting capacity) and further enhance their capacity to capture Ags at a time when large amounts of tumor Ags and cell debris are being released by the HSVtk-GCV-mediated cell killing. In the absence of hsp expression, the nonimmunogenic parental tumor is unable to recruit DC into the tumor for cross-priming, as evidenced by the almost total lack of DC in parental B16 tumor sections. Once the DC have taken up tumor Ag peptides, some of which may be chaperoned into the DC by the hsp itself, they may then complete their maturation in response to additional signals, shifting to a high MHC-expressing phenotype and becoming much more effective at Ag presentation (as confirmed by the high concentration of mature DC (CD11c and Ia +ve cells) observed within the B16-hsp70 tumors). The result is the generation of a T cell-dependent antitumor immune response that can confer long term protection against parental tumors.



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FIGURE 2. Expression of hsp70 on B16 cells does not increase susceptibility to NK lysis. NK cells were prepared and assayed for their ability to lyse YAC-1, parental B16, or B16-hsp tumor cells as described in Materials and Methods.

 


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FIGURE 5. Intratumoral expression of hsp70 on an unrelated tumor cell is insufficient to provide a vaccinating effect against admixed B16 tumors. Primary tumors consisting of 2 x 105 B16 cells admixed with either 1 x 105 CMT93 or 1 x 105 CMT93-hsp70 cells were seeded s.c. Following surgical excision of these tumors 14–21 days later, animals were rechallenged with 5 x 105 B16 cells on the opposite flank. The number of tumor-free mice (tumor diameter, <0.2 cm) was recorded. In this experiment although there was a small increase in protection conferred by the B16/CMT93-hsp70 mixture, this was not statistically significant.

 

    Acknowledgments
 
We thank members of Biological Resources, Imperial Cancer Research Fund, for their expert assistance with the in vivo experiments, and Laura Hanf for her expert secretarial assistance.


    Footnotes
 
1 This work was supported by the Imperial Cancer Research Fund in London and by the Mayo Foundation in Rochester. S.T. is supported by the Lewis Charitable Trust; N.H. was supported by Glaxo Wellcome and the Medical Research Council. A.M. was a Medical Research Council Clinical Research Fellow. Back

2 Address correspondence and reprint requests to Dr. R. Vile, Molecular Medicine Program, Guggenheim 18, Mayo Clinic, 200 First Street SW, Rochester, MN 55905. E-mail address: Back

3 Abbreviations used in this paper: DC, dendritic cell; hsp, heat shock protein; HSVtk, HSV thymidine kinase; GCV, ganciclovir. Back

Received for publication February 17, 1999. Accepted for publication May 19, 1999.


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B. Berwin, R. C. Reed, and C. V. Nicchitta
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