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The Journal of Immunology, 1999, 163: 4462-4472.
Copyright © 1999 by The American Association of Immunologists

Tumor Regression After Adoptive Transfer of Effector T Cells Is Independent of Perforin or Fas Ligand (APO-1L/CD95L)1

Hauke Winter2,*, Hong-Ming Hu*,{dagger}, Walter J. Urba*,{ddagger} and Bernard A. Fox3,*,{dagger},{ddagger}

* Laboratory of Molecular and Tumor Immunology, Robert W. Franz Cancer Research Center, Earle A. Chiles Research Institute, Providence Portland Medical Center, Portland, OR, 97213; {dagger} Department of Biochemistry and Molecular Biology, Oregon Graduate Institute, Portland, OR 97291; and {ddagger} Oregon Cancer Center and § Department of Molecular Microbiology and Immunology, Oregon Health Sciences University, Portland, OR 97201


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The adoptive transfer of tumor-specific effector T cells can result in complete regression and cure mice with systemic melanoma, but the mechanisms responsible for regression are not well characterized. Perforin- and Fas ligand (APO-1/CD95 ligand)-mediated cytotoxicity have been proposed as mechanisms for T cell-mediated tumor destruction. To determine the role of perforin and Fas ligand (FasL) in T cell-mediated tumor regression in a murine melanoma model, B16BL6-D5 (D5), we generated D5-specific effector T cells from tumor vaccine-draining lymph nodes of wild type (wt), perforin knock out (PKO), or FasL mutant (gld) mice and treated established D5 metastases in mice with the same genotype. Effector T cells from wt, PKO and gld mice induced complete regression of pulmonary metastases and significantly prolonged survival of the treated animals regardless of their genotype. Complete tumor regression induced by PKO effector T cells was also observed in a sarcoma model (MCA-310). Furthermore, adoptive transfer of PKO and wt effector T cells provided long-term immunity to D5. Therapeutic T cells from wt, PKO, or gld mice exhibit a tumor-specific type 1 cytokine profile; they secrete IFN-{gamma}, but not IL-4. In these models, T cell-mediated tumor regression and long-term antitumor immunity are perforin and FasL independent.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The ability of specific T cells generated from tumor vaccine-draining lymph nodes (TVDLN)4 to mediate regression of established tumors following adoptive transfer is well established in murine models and has recently met with some success in the treatment of human renal cell cancer (1, 2). Although efficacy has been demonstrated in the murine model, the immunological mechanisms responsible for tumor regression following adoptive immunotherapy are not well characterized. Several animal studies and one clinical trial have identified a correlation between Ag-specific cytolytic activity of transferred T cells and their therapeutic efficacy (3, 4, 5, 6, 7, 8). However, tumor-specific effector T cells generated from TVDLN are generally not cytolytic in short-term in vitro 51Cr-release assays (9, 10, 11, 12). It was assumed that adoptively transferred T cells acquired cytolytic activity after reexposure to tumor in vivo. This assumption was supported by Matsumura et al., who demonstrated that effector TVDLN cells became cytotoxic after in vitro restimulation with autologous tumor cells (13). Although in vitro studies implicate cytolytic CD8+ T cells as the ultimate effector cell, no direct evidence to support a cytolytic mechanism has been identified in adoptive immunotherapy studies.

Perforin-dependent cytotoxicity and Fas/Fas ligand (FasL) interactions are the major known cytotoxic effector functions of CD8+ MHC class I-restricted T cells (14, 15, 16). Perforin is a membranolytic pore-forming protein that is stored together with granzymes in cytoplasmic granules of cytotoxic T cells and NK cells (17). After engagement of the TCR, perforin monomers are released from the cytoplasmic granules in a Ca2+-dependent fashion and assembled in the target cell membrane into polymeric pore structures that enable granzymes to invade the target cell and induce apoptosis (15, 18).

Alternatively, Ag-specific activation of effector T cells induces the expression and up-regulation of membrane-bound FasL, which induces apoptosis through Fas ligation on target cells (19, 20). Cross-linking of Fas through ligation of FasL activates the Fas-associated death domain, which triggers the activation of intracellular caspases, leading to apoptosis (21).

In this report we demonstrate that neither perforin nor FasL is required for the therapeutic antitumor effects mediated by adoptively transferred T cells from D5 TVDLN. Therapeutic effects were also observed in a sarcoma tumor model from MCA-310 TVDLN generated in perforin knockout (PKO) mice. However, effector T cells from wild-type (wt), PKO, or generalized proliferative disease (gld) all exhibit a tumor-specific type 1 cytokine profile. These results support the hypothesis that a type-1 cytokine response is associated with and may be critical for T cell-mediated tumor regression.


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

Female C57BL/6J (wt) mice, female C57BL/6 -PFPtm1Sdz (PKO), and B6Smn.C3H-Faslgld (gld) were purchased from The Jackson Laboratory (Bar Harbor, ME). Additional C57BL/6 x 129S6/SvEv (KO) Pfp mice (PKO) and C57BL/6NTac (wt) were purchased from Taconic Laboratories (Germantown, NY). Mice used for experiments were generally 8 to 12 wk old and were maintained in a specific pathogen-free environment. Recognized principles of laboratory animal care were followed (Guide for the Care and Use of Laboratory Animals, National Research Council, 1996), and all animal protocols were approved by the Earle A. Chiles Research Institute Animal Care and Use Committee.

Tumor cell lines

D5 is a poorly immunogenic subclone of the spontaneously arising B16BL6 melanoma (22, 23). An early passage of the original BL6 tumor was provided by Dr. E. Gorelick (Pittsburgh Cancer Institute, Pittsburgh, PA) and was subcloned by limiting dilution culture in Dr. S. Shu’s laboratory (Cleveland Clinic Foundation, Cleveland, OH). D5 exhibits low to undetectable class I (H-2 Db and Kb) and Fas (CD95) expression and no class II expression (provided by Dr. S. Shu). D5-G6 is a stable clone of D5 that was transduced with a murine GM-CSF retroviral MFG vector (provided by Dr. M. Arca, University of Michigan, Ann Arbor, MI, Ref. 24). D5-G6 cells secrete ~200 ng/ml/106 cells/24 h GM-CSF. MPR-4, which is a transformed prostate tumor cell line (generously provided by Dr. Thompson, Baylor College of Medicine, Houston, TX) from a C57BL/6 mouse (25), has very low MHC class I expression and no detectable MHC class II expression as determined by flow cytometry. MCA-101 (H-2b) is a methyl-cholanthrene-induced sarcoma that exhibits low to undetectable levels of MHC class I and class II, and low levels of Fas (kindly provided by Dr. Nick Restifo, Surgery Branch, National Cancer Institute, National Institutes of Health). MCA-310 (H-2b) is a methyl-cholanthrene-induced sarcoma recently developed at the Earle A. Chiles Research Institute that expresses low levels of MHC class I and undetectable levels of MHC class II and Fas.

Reagents

The 145-2c11 hybridoma (anti-CD3) was a gift of Dr. J. A. Bluestone (University of Chicago, Chicago, IL). Recombinant human IL-2 was generously provided by the Chiron Corporation (Dr. M. Giedlin, Emeryville, CA). The anti-CD4 GK1.5 (TIB-207) and anti-CD8 2.43 (TIB-210) hybridomas were obtained from the American Type Culture Collection (ATCC, Manassas, VA). Ascites was prepared in DBA/2 mice primed with pristane and immunosuppressed by injection with 200 mg/kg cyclophosphamide. FITC- and PE-labeled isotype control rat IgG, hamster IgG, and mAbs against CD3, CD4, CD8, Fas, FasL, and annexin were purchased from PharMingen (San Diego, CA). Freshly isolated TVDLN cells were blocked with anti-mouse Fc receptor hybridoma 2.4G2 (HB-197, ATCC) culture supernatant before incubation with directly labeled specific Abs. The apoptosis-inducing Fas Ab (clone Jo2) was purchased from PharMingen.

Culture conditions

Lymphocytes and tumor cells were cultured in complete medium (CM), which consisted of RPMI 1640 (BioWhittaker, Walkersville, MD.) containing 0.1 mM nonessential amino acids, 1 mM sodium pyruvate, 2 mM L-glutamine, and 50 µg/ml of gentamicin sulfate. This was further supplemented with 50 µM 2-ME (Aldrich, Milwaukee, WI.) and 10% FBS (Life Technologies, Grand Island, NY). Tumor cells were harvested 2 to 3 times per week by brief trypsinization (BioWhittaker) and maintained in T-75 or T-150 culture flasks.

Tumor vaccination

D5-G6 tumor cells were harvested by trypsinization, washed twice with HBSS, and subsequently resuspended at 2 x 107 cells per milliliter. One million D5-G6 (GM-CSF-transduced) tumor cells were injected s.c. into both hind and fore flanks of wt, PKO, or gld mice. Eight days following tumor vaccine inoculation, the draining superficial inguinal and axillary LN were harvested. MCA-310 tumor was passaged in wt and PKO mice and harvested before vaccination. The tumor was harvested, cut into small pieces using a pair of scissors and subsequently digested for 2 h using a triple enzyme mixture containing a final concentration of 0.1% collagenase type IV (No. C-5138; Sigma, St. Louis, MO), 0.002% deoxyribonuclease type IV (Sigma No. D-5025), and 0.01% hyaluronidase type V (Sigma No. H-6254) as previously described (26). The tumor digest was filtered, washed twice with HBSS, and subsequently resuspended at 2 x 107 cells per milliliter. One million MCA-310 tumor cells were injected s.c. into both hind and fore flanks of wt and PKO mice. Thirteen days following tumor vaccine inoculation, the draining superficial inguinal and axillary LN were harvested. TVDLN were resuspended at 2 x 106 cells per milliliter in CM and cultured in 24-well plates with 50 µl of 1:40 dilution of 2C11 ascites (anti-CD3). This dilution was determined previously to be optimal for T cell activation. After 2 days of activation, the T cells were harvested and expanded in CM containing 60 IU rhIL-2/ml for 3 additional days. T cells were then harvested, washed twice in HBSS, counted, and used in adoptive transfer, cytotoxicity, and cytokine release assays.

Adoptive immunotherapy

Experimental pulmonary metastases were established by i.v. inoculation of 2 x 105 D5 or of 2 x 105 or 4 x 105 MCA-310 tumor cells into specified mice. Three days later, when metastases were established, T cells were adoptively transferred i.v. Starting on the day of T cell infusion, mice received 90,000 IU IL-2 i.p. once per day for 4 days. Where noted, in vivo depletion of T cell subsets was performed by i.v. administration of anti-CD4 (GK1.5) or anti-CD8 (Lyt-2) ascites (0.5 ml of a 1:5 dilution). These doses of mAb were shown to deplete effectively the appropriate T cell population for at least 13 days (data not shown). Rat Ig (Sigma; No. I-4131, Lot 086H8910) was administered as a control. Animals were sacrificed 13 to 16 days following tumor inoculation by CO2 narcosis. Lungs were resected and fixed in Fekete’s solution. Lungs of mice bearing MCA-310 metastasis were infused with India ink to visualize the metastases. The number of pulmonary metastases was counted in a blinded fashion. Metastases that were too numerous to count accurately were assigned an arbitrary value of 250.

Survival experiments

After establishment of 3-day experimental pulmonary metastases by i.v. inoculation of 2 x 105 D5 cells into wt or PKO mice, 70 x 106 effector T cells generated in either wt or PKO mice were adoptively transferred i.v. Starting on the day of T cell infusion, mice received 90,000 IU IL-2 i.p. once per day for 4 days. The animals were followed for at least 100 days.

Rechallenge experiments

Wild type and PKO mice that survived for longer than 100 days after adoptive transfer of effector T cells were rechallenged with 2 x 104 tumor cells s.c. (about 10x TD50 for D5 tumor; the TD50 is the dose at which 50% of the injected animals will develop tumor). As a control, naive wt or PKO mice were challenged s.c. with the same tumor dose. The size of the developing tumors was determined three times a week by measurement of two perpendicular diameters of the developing tumor using a caliper.

Measurement of cytokines

After activation and expansion, TVDLN were washed, resuspended in CM + IL-2 (60 IU/ml), and seeded at 4 x 106/2 ml/well in a 24-well plate. The cells were either cultured without further stimulation or stimulated with either 2 x 105 D5, MPR-4 or MCA-310 tumor cells, or immobilized anti-CD3. Supernatants were harvested after 24 h, and the release of IFN-{gamma}, IL-10, and IL-4 was determined in duplicate by ELISA using commercially available reagents (IFN-{gamma}, PharMingen or Genzyme; IL-4, Genzyme; IL-10, PharMingen). The concentration of the cytokines in the supernatant was determined by regression analysis.

Cytotoxicity assay

Target cell lysis was assessed by 6-h 51Cr-release assay. Tumor cells were incubated with 100 µCi Na251CrO4 (NEN, Boston, MA) for 1 h, washed twice, and plated into round bottom 96-well plates with 1 x 104 target cells/well in triplicate. The target cells were incubated with LAK or effector T cells at the indicated E:T ratios in a total volume of 200 µl CM at 37°C in a CO2 incubator. The supernatant was harvested and counted, and the percentage specific lysis was calculated as previously described (27). Maximum lysis was achieved by incubating target cells with 2% Triton X-100 detergent. LAK cells, which were used as positive controls for cytotoxicity assays, were generated by culturing wt splenocytes with 6000 IU/ml IL-2 for 3 days.

Fas (CD95)-mediated apoptosis as determined by cytotoxicity assay

Susceptibility of D5 or MCA-101 tumor cells to Fas-induced apoptosis was assessed by 6-h 51Cr release assay. Tumor cells were incubated for 24 h in the presence or absence of 10 ng/ml IFN-{gamma}, which up-regulates Fas (CD95) expression (see Fig. 4Go). After incubation with 100 µCi Na251CrO4 for 1 h, the cells were washed twice and resuspended in CM (200 µl/well) and plated in triplicate into flat-bottom 96-well plates with 1 x 104 target cells/well. The tumor cells were incubated at 37°C with or without Fas Ab (Jo2, 10 µg/ml or 3.3 µg/ml) or anti-CD3 (1:40 or 1:120 of 2C11 ascites). Protein G (1 µg/ml or 0.33 µg/ml) was added (as recommended by the supplier, PharMingen: Apoptosis Applied Reagents and Technologies Instruction Manual, 1st edition, 4/98, p. 4) to enhance cross-linking of the Abs. The supernatant was harvested from cells kept at 37°C in a CO2 incubator and counted, and the percentage specific lysis was calculated as previously described (27). Maximum lysis was achieved by incubating target cells with 2% Triton X-100 detergent.



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FIGURE 4. Fas expression on D5 and MCA-101 before and after incubation for 24 h with 10 ng/ml IFN-{gamma}. Tumor cells were stained with PE-conjugated anti-Fas mAb and isotype control mAb (PharMingen).

 
Statistical analysis

The significance of differences in number of metastases between experimental groups was determined by the Wilcoxon rank sum test. Two-sided p values of < 0.05 are considered significant. Each treatment group consisted of at least five mice, and no animal was excluded from the statistical evaluations. The significance of differences in cytokine secretion was determined using the Student paired t test. Two-sided p values of 0.05 are considered significant. Kaplan-Meier analyses and log rank tests were used to determine the significance of differences in survival studies.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effector T cells from PKO mice lack tumor-specific cytotoxicity in vitro

To prove that mice with a targeted mutation in the perforin gene were unable to mediate cytolytic activity, we generated LAK cells from wt and PKO mice and tested their cytotoxic capability in a 6-h 51Cr release assay. LAK cells generated in wt, but not PKO, mice lysed D5, MCA-101, and IFN-{gamma}-treated D5 tumor cells in a dose-dependent manner (Fig. 1Go, a–c). These data confirm that PKO mice are deficient in their ability to generate cytolytic effector cells. As expected, D5 treated with IFN-{gamma} to increase the normally low/undetectable level of MHC Class I expression were less susceptible to LAK lysis. Next, effector T cells generated by anti-CD3 activation of TVDLN of wt and PKO mice were tested for cytolytic activity against the same targets. It has previously been shown that this in vitro activation method induces the maturation of T cells with therapeutic activity specific for the tumor they were primed against by vaccination (9, 10). Although the total LN population of effector T cells were not specifically cytotoxic (data not shown), TVDLN from wt mice that were enriched for CD8+ T cells did exhibit specific killing of D5 tumor if they were pretreated with IFN-{gamma} to up-regulate MHC class I, but not the unrelated MCA-101 target (Fig. 1Go, d–f). However, CD8+ TVDLN from PKO mice were not cytolytic for D5 or IFN-{gamma}-treated D5 in the same assay. This demonstrates that effector T cells generated from TVDLN or LAK cells of PKO mice were unable to lyse specific tumor in short-term cytotoxicity assays.



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FIGURE 1. a–c, LAK cells generated from wt or PKO mice were incubated with either D5, D5/IFN-{gamma}, or MCA-101 as tumor targets for 6 h at different E:T ratios (100:1, 20:1, and 4:1). d–f, Effector T cells generated from either wt or PKO mice were incubated with either D5, D5/IFN-{gamma}, or MCA-101 as tumor targets for 6 h at different E:T ratios (100:1, 20:1, and 4:1).

 
Effector T cells from PKO mice are therapeutic in vivo

Eight days after the vaccination of wt and PKO mice with D5-G6, TVDLN were harvested, and the phenotype of the cells was determined by flow cytometric analysis. No differences in the phenotype, or the number of cells recovered, were observed between TVDLN of wt or PKO mice. T cells from both wt and PKO mice expanded similarly following stimulation with anti-CD3 and expansion in IL-2, and similar percentages of CD4 (10% wt vs 21% PKO) and CD8 (82% wt vs 76% PKO) positive cells were present in the expanded population. To determine whether effector T cells generated in PKO mice could mediate therapeutic activity, in vitro activated TVDLN cells were adoptively transferred into wt mice bearing 3-day established D5 metastases. Control mice that received only IL-2 developed more than 250 metastases. In contrast, adoptive transfer of 35 or 70 x 106 effector T cells generated from both wt and PKO mice mediated significant (p < 0.05) tumor regression (Table IGo). No difference was observed between groups treated with wt or PKO T cells. To exclude the possibility that effector T cells generated in PKO mice indirectly induce CTL or NK cells in the wt recipient mouse by secretion of cytokines (e.g., IFN-{gamma}) at the tumor site that could induce tumor regression via a perforin-dependent mechanism, we adoptively transferred effector T cells generated in PKO mice into PKO recipient animals with established D5 tumor. The growth characteristics of D5 tumor in PKO mice did not differ from the growth characteristics observed in wt mice. The control PKO mice that were treated with IL-2 alone developed more than 250 pulmonary metastases (Table IIGo). Adoptive transfer of 70 x 106 PKO effector T cells mediated complete tumor regression in these mice as well (p < 0.05), confirming that T cell-mediated tumor regression is not a perforin-dependent process. We also generated MCA-310 TVDLN cells in PKO mice to investigate the role of perforin in a different tumor model. Adoptive transfer of 20 x 106 and 10 x 106 effector T cells from both wt and PKO mice induced complete tumor regression of wt and PKO mice bearing 3-day established MCA-310 metastases (Table IIIGo). This confirms that perforin-mediated cytotoxicity is not crucial for therapeutic efficacy of adoptively transferred T cells in these two tumor models.


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Table I. PKO effector T cells mediate regression of established tumors in wt hosts

 

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Table II. PKO effector T cells mediate tumor regression in PKO hosts

 

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Table III. Adoptive transfer of PKO effector T cells mediates regression of established MCA-310 tumors in wt and PKO hosts

 
Therapeutic effects are mediated by CD8+ cells

To investigate whether the therapeutic efficacy of effector T cells generated in PKO mice was mediated by CD4+ or CD8+ cells, we depleted each population in vivo by i.v. injection of the appropriate Ab immediately following the adoptive transfer of effector T cells. A dose of Ab was used that was known to be highly effective at depleting the corresponding T cell subsets. The T cells remained depleted for the course of the experiment (data not shown). As shown in Table IVGo, CD8+ T cells (CD4-depleted) from both wt and PKO mice mediated significant (p < 0.05) reduction in pulmonary metastases, while CD4+ T cells (CD8-depleted) failed to exhibit therapeutic activity.


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Table IV. Depletion of CD8+ T cells eliminates the therapeutic efficacy of PKO effector cells

 
Adoptive transfer of effector T cells from PKO donors cure mice with systemic tumor

To investigate whether the adoptive transfer of effector T cells from PKO mice affects long-term survival, we treated tumor-bearing PKO mice with effector T cells generated from PKO mice. In three independent experiments, all IL-2-treated control mice had to be sacrificed by 20 days. However, animals treated with PKO effector T cells showed significant survival benefit; all mice demonstrated an increase in survival compared with IL-2 alone, and 56% (14/25) survived greater than 100 days (p < 0.01; summary of three experiments is presented in Fig. 2Goa). The efficacy of T cells from PKO mice was not different from wt effector T cells (p = 0.26). Interestingly, apparent solitary s.c. tumor metastases that occurred after 60 days were often the reason that animals treated with T cells were sacrificed.



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FIGURE 2. a. Wild type mice and PKO mice were inoculated i.v. with 2 x 105 D5 tumor cells. Effector T cells (70 x 106) generated in wt mice were adoptively transferred into tumor-bearing wt mice (open squares), and 70 x 106 effector T cells generated in PKO mice were transferred into tumor-bearing PKO mice (open triangles). Untreated 3-day tumor-bearing wt (filled squares) and untreated tumor-bearing PKO mice (filled triangles) were included as a control. Starting on the day of T cell infusion, mice received 90,000 IU IL-2 i.p. once per day for 4 days. b, Wild type mice were inoculated i.v. with 2 x 105 D5 tumor cells. Three days later, 70 x 106 effector T cells generated from (open squares) wt or in gld mice (open diamonds) were adoptively transferred into wt mice with established tumor. Untreated 3-day tumor-bearing wt mice were included as a control (filled squares). Starting on the day of T cell infusion, mice received 90,000 IU IL-2 i.p. once per day for 4 days

 
Animals treated with PKO effector T cells are immune to subsequent tumor challenge

To determine whether surviving mice developed protective immunity, animals that survived longer than 100 days were rechallenged with a s.c. injection of 2 x 104 D5 tumor cells. As a control, 10 naive wt and PKO mice were challenged with the same tumor dose. As expected, all of the naive mice, regardless of the status of their perforin gene, developed rapid and progressive tumors and required sacrifice by 21 days (Fig. 3Go, a and b). In contrast, only two of the four PKO mice from the first experiment and four of the seven mice from the second experiment developed a tumor, and the onset of tumor development was significantly delayed compared with naive mice. Two rechallenged animals from experiment 1 remain tumor-free 140 days following rechallenge and three mice from experiment 2 remain tumor-free 120 days following tumor challenge.



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FIGURE 3. Rechallenge of wt or PKO mice receiving wt or PKO T effector cells, respectively, from two independent experiments are shown. a, Four PKO mice receiving PKO T cells that survived longer than 100 days were rechallenged with 2 x 104 viable D5 tumor cells s.c. (open triangles). Ten naive PKO mice were included as a control and were challenged with 2 x 104 tumor cells (open squares). Mean tumor size and SE of mean for naive mice that developed tumors are presented. b, Seven PKO mice receiving PKO T cells (open triangles) and 10 wt mice receiving wt T cells (open circles) that survived longer than 100 days were rechallenged with 2 x 104 viable D5 tumor cells s.c. Ten naive PKO mice (open diamonds) and ten naive wt mice (open diamonds) were included as a control and were challenged with 2 x 104 tumor cells. Mean tumor size and SE of mean for naive mice that developed tumors are presented.

 
D5 is not susceptible to FasL-mediated killing

Although tumor destruction in PKO mice treated with PKO T cells could not be mediated by a perforin-dependent mechanism, other lytic molecules could be responsible for tumor regression. For example, expression of FasL on effector T cells affords one alternative method for tumor destruction (28). Flow cytometric analysis confirmed that D5 expressed low levels of Fas (Fig. 4Goa). Since effector T cells can express FasL, we postulated that D5-TVDLN may mediate tumor regression via induction of apoptosis by triggering Fas on D5. To determine whether D5 was susceptible to Fas-mediated killing, we used the anti-mouse Fas mAb Jo2. Although we could demonstrate the apoptotic activity of the Jo2 Ab against wt thymocytes (data not shown), the Jo2 Ab did not induce apoptosis of D5 tumor cells (Fig. 5Go). This was confirmed by measuring the viability of D5 tumor cells in a colony-forming assay, where treatment with anti-Fas again failed to reduce the viability of D5 tumor cells as determined by their ability to form colonies (data not shown). D5-induced IFN-{gamma} secretion by T cells could up-regulate the expression of Fas as well as MHC class I and class II molecules (data not shown). Therefore we evaluated whether in vitro culture with IFN-{gamma} would up-regulate Fas expression on D5 which could increase their susceptibility to anti-Fas-induced apoptosis (29). D5 and MCA-101 tumor cells were cultured in CM or CM containing 10 ng/ml IFN-{gamma}, and Fas expression was evaluated by flow cytometry 24 h later. Both D5 and MCA-101 tumor cells exhibited substantially higher levels of Fas following exposure to IFN-{gamma} (Fig. 4Go, b and d). Following IFN-{gamma} treatment, MCA-101 became more susceptible to anti-Fas-mediated killing, but D5 remained resistant to anti-Fas-induced apoptotic death (Fig. 5Go). Thus, D5 does not appear to be susceptible to apoptosis upon ligation of Fas with the anti-Fas Ab (Jo2), which suggests that Fas/FasL interactions in vivo may not be a primary mechanism of T cell-mediated tumor regression in our model. To test this hypothesis in vivo, we generated D5-specific effector T cells from TVDLN of gld mice and examined their therapeutic activity in the D5 tumor model.



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FIGURE 5. Induction of apoptosis by anti-Fas Ab of D5 or MCA-101 tumor cells and D5 or MCA-101 tumor cells preincubated with IFN-{gamma} (10 ng/ml) was assessed by 6-h 51Cr release assay. Tumor cells were incubated with 100 µCi Na251CrO4 for 1 h, washed, and plated with 1 x 104 target cells/well in triplicate. The tumor cells were incubated with or without Fas Ab (Jo2 10 µg/ml or 3.3 µg/ml) or anti-CD3 (1:40 or 1:120 of 2C11 ascites), and protein G (1 µg/ml) was added to enhance cross-linking of the Abs. Maximum lysis was achieved by incubating target cells with 2% Triton X-100 detergent.

 
Effector T cells from FasL-deficient gld mice are therapeutic in vivo

Eight days after vaccination of wt and gld mice TVDLN were harvested, and the phenotype of the cells was determined by flow cytometric analysis. TVDLN from gld mice contained 11% double-negative CD4 and CD8 T cells. This was different from wt and PKO mice. After activation of T cells with anti-CD3 and IL-2, no double-negative T cells were observed, and the percentage of CD4+ and CD8+ T cells was the same as in wt T cells. The percentage of CD4+ cells from wt and gld mice was 20% and 23%, respectively, and the percentage of CD8+ cells from wt and gld mice was 82% and 75% respectively. To determine whether effector T cells generated in gld mice were therapeutic, in vitro-activated TVDLN cells were adoptively transferred into wt mice bearing 3-day established D5 metastases. Adoptive transfer of 35 or 70 x 106 effector T cells generated from gld mice mediated significant (p < 0.05) tumor regression (Table VGo). To exclude the possibility that effector T cells generated in gld mice indirectly induce CTL or NK cells in the wt recipient mouse at the tumor site, which can induce tumor regression via a FasL-dependent mechanism, we adoptively transferred effector T cells generated in gld mice into gld recipient animals with established D5 tumor (Table VIGo). Adoptive transfer of 35 x 106 gld effector T cells mediated complete tumor regression in gld mice as well, indicating that T cell-mediated tumor regression is independent of FasL-dependent mechanisms.


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Table V. Adoptive transfer of gld effector T cells mediates regression of established tumors in wt hosts

 

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Table VI. GLD effector T cells mediate regression of established tumor in GLD hosts

 
Effector T cells from FasL deficient gld mice cure mice with systemic tumor

To investigate long-term survival after adoptive transfer of effector T cells from gld mice, we treated tumor-bearing wt mice with 70 x 106 effector T cells generated from gld mice. The IL-2 treated wt mice that did not receive adoptively transferred T cells were sacrificed by 21 days (Fig. 2Gob). However, animals treated with gld and wt effector T cells showed significant survival benefit compared with IL-2. All animals treated with T cells from FasL-deficient mice survived greater than 50 days (p < 0.01). The efficacy of T cells from gld mice was not different compared with effector T cells from wt mice (p < 0.01).

Effector T cells generated from PKO mice exhibit a tumor-specific T1 cytokine profile

Recently, we and others have shown a correlation between tumor-specific cytokine secretion and therapeutic efficacy of adoptively transferred T cells (12, 23, 30, 31, 32). To characterize the effector T cells generated in either wt or PKO mice we examined their ability to secrete IFN-{gamma}, IL-4, or IL-10 upon exposure to D5 tumor cells. These analyses were performed on T cells used for adoptive immunotherapy studies (Tables I and II). Stimulation with anti-CD3 induced secretion of similar levels of all three cytokines by effector T cells from wt or PKO mice (Fig. 6Go). Effector populations from wt and PKO mice secreted substantial IFN-{gamma}, specifically in response to D5 tumor stimulation (p < 0.05). IFN-{gamma} was not produced when T cells were cultured alone or in the presence of syngeneic prostate cancer cells, MPR-4. Thus, tumor-specific release of IFN-{gamma} was exhibited by effector T cells generated from PKO mice. A similar T1 cytokine profile was seen from CD4-depleted effector T cells but was absent from CD8-depleted effector populations (data not shown). We next evaluated IL-4 and IL-10 production by the same T cells. In contrast to IFN-{gamma}, effector T cells generated from wt or PKO mice did not secrete IL-4, the prototypical type 2 cytokine, in response to stimulation with D5 or MPR-4 tumor cells. However, tumor-specific IL-10 secretion was observed for both PKO and wt mice.



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FIGURE 6. Anti-CD3 activated and IL-2 expanded effector T cells generated from D5-G6 TVDLN in either wt or PKO mice were assessed for tumor-specific cytokine release at the time cells were adoptively transferred into tumor-bearing hosts. T cells (4 x 106/ml) were cultured alone, with anti-CD3 (2C11), with a syngeneic but unrelated tumor (2 x 105/ml) MPR-4, or with D5 (2 x 105/ml). Supernatants were harvested 18–24 h later for quantification of IFN-{gamma}, IL-4, and IL-10. Cytokine release into the supernatant was determined by ELISA using standard kits. Data are presented as the mean of three independent experiments ± SE. The limit of detection is 10 pg/ml for IFN-{gamma} and IL-4, and 40 pg/ml for IL-10.

 
Although T cells from PKO mice exhibited a higher background secretion of IL-10, they released significantly more IL-10 following stimulation with D5 (p < 0.005). In contrast, IL-10 secretion from wt effector T cells appeared to be elevated compared with stimulation with syngeneic tumor, but the difference was not statistically significant. These results demonstrate that vaccination with the D5-G6 tumor sensitized TVDLN T cells in both wt and PKO mice that exhibit a dominant tumor-specific type 1 cytokine profile.

Effector T cells from FasL-deficient gld mice exhibit a tumor-specific T1 cytokine profile

Next we characterized the cytokine profile of effector T cells generated from gld mice. Although stimulation with anti-CD3 induced secretion of similar levels of IFN-{gamma}, IL-4, or IL-10 by effector T cells generated from wt or gld mice, the tumor-specific cytokine response was polarized to a T1 profile (Fig. 7Go). Effector T cells from gld mice secreted substantial IFN-{gamma}, specifically in response to D5 tumor stimulation (p < 0.05). IFN-{gamma} was not produced when T cells were cultured alone or in the presence of the syngeneic sarcoma MCA-310. As observed for effector T cells from wt and PKO mice, gld effector T cells did not secrete tumor-specific IL-4. These results demonstrate that effector cells from wt, gld, and PKO mice exhibit a dominant tumor-specific type 1 cytokine profile.



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FIGURE 7. Anti-CD3-activated and IL-2-expanded effector T cells generated from D5-G6 TVDLN in either wt or gld mice were assessed for tumor-specific cytokine release at the time cells were adoptively transferred into tumor-bearing hosts. T cells (4 x 106/ml) were cultured alone, with anti-CD3 (2C11), with a syngeneic but unrelated tumor (2 x 105/ml) MCA-310, or with D5 (2 x 105/ml). Supernatants were harvested 18–24 h later for quantification of IFN-{gamma}, IL-4, and IL-10. Cytokine release into the supernatant was determined by ELISA using standard kits. Data are presented as the mean of three independent experiments ± SE. The limit of detection is 10 pg/ml for IFN-{gamma} and IL-4, and 40 pg/ml for IL-10.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
CD8+ T cells recognize peptides derived from intracellular proteins that are presented by MHC class I molecules. In contrast to MHC class II molecules, which are expressed mainly on professional APC, MHC class I molecules are the only restriction element expressed on the majority of solid tumors. It was, therefore, anticipated that CD8+ lymphocytes would play a major role in tumor rejection mediated by adoptively transferred T cells. Initial studies in animals revealed a strong correlation between therapeutic efficacy of adoptively transferred T cells and tumor-specific cytotoxicity, determined by 4-h 51Cr release assay (3, 4, 5, 6, 7, 8). These studies implicated cytolytic activity as the major effector mechanism of adoptively transferred tumor-specific T cells. This was further supported by studies showing that tumor regression could be achieved by adoptive transfer of cytolytic CD8+ T cell clones (33, 34, 35) or CD8+ T cell cultures (36, 37, 38) in the absence of CD4 help, as long as IL-2 was supplied. Subsequently, Barth et al. demonstrated that the adoptive transfer of tumor-infiltrating lymphocytes, lacking significant tumor-specific lysis in vitro, significantly reduced the number of pulmonary metastases even in mice that were preirradiated to eliminate possible induction of host CTL (31). We and others also demonstrated therapeutic efficacy in vivo following adoptive transfer of in vitro-activated TVDLN cells that lacked cytolytic activity in vitro (10, 12). Although these data suggest that other mechanisms than direct cytolytic activity are functional in tumor regression induced by tumor-specific T cells, no direct evidence has excluded in vivo acquisition of cytolytic activity by the transferred T cells as the mechanism for tumor eradication in vivo. Support for the contention that noncytolytic CD8+ T cells may acquire cytolytic activity following reexposure to tumor in vivo came from the work of Matsumura et al., who demonstrated that specific cytolytic activity could be uncovered from noncytolytic TVDLN cells following in vitro restimulation with tumor (13). To determine the role of T cell-mediated cytotoxicity in tumor regression in vivo, we examined the contribution of perforin and FasL, the two major known pathways of cell-mediated cytotoxicity. Although CD8+-enriched effector T cells generated from wt mice exhibit tumor-specific cytotoxicity in vitro, effector T cells from PKO mice lack tumor-specific cytolytic activity in a 6-h 51Cr release assay. However, both wt and PKO effector T cells mediate significant tumor regression of established D5 and MCA-310 pulmonary metastases. As previously observed in other models (10), tumor regression in our tumor model in wt and PKO mice was mediated only by CD8+, not by CD4+ TVDLN cells. Since tumor regression was still observed when effector T cells generated in PKO mice were adoptively transferred into tumor-bearing PKO mice, the activation of host effector cells with perforin-mediated lytic activity was excluded. The therapeutic efficacy of PKO TVDLN cells was confirmed in long-term survival experiments, which did not reveal any difference between wt and PKO mice. The survival studies document that, in the absence of a functional perforin pathway in both donor and recipient lymphocytes, adoptively transferred T cells can mediate complete tumor regression and cure most of the animals.

Kaegi et al. demonstrated that activation and proliferation of T cells from PKO mice are not impaired and that the number and ratio of CD8+ and NK cells in these mice are not different to wt mice (39). Consistent with these data, no phenotypic difference in the T cell or NK cell populations was observed for wt or PKO mice, either after vaccination in the TVDLN, or after in vitro stimulation and expansion. These results strongly suggest that other PKO-independent effector mechanisms are operational in tumor regression. Nevertheless, a possible contribution of perforin-mediated cytotoxicity in TVDLN cells generated in wt mice cannot be excluded by these experiments.

Although tumor rejection was not impaired by adoptive transfer of T cells lacking perforin, we observed a significant difference in the control of tumor growth in surviving PKO and wt mice that were rechallenged s.c. with live tumor cells. This observation is consistent with previous reports by M. van den Broeck et al., who investigated the role of perforin in tumor surveillance and the control of s.c. tumor growth in mice (40). They showed that, after a s.c. challenge with MC57G fibrosarcoma cells and the lymphoid tumors EL-4 and MBL-2, wt mice exhibited better growth control of the tumor than PKO mice.

The discrepancy between the efficacy of adoptively transferred PKO T cells in the eradication of established 3-day pulmonary metastases and the impaired ability of immune long-term surviving PKO mice to reject or prevent the outgrowth of a s.c. tumor burden, which is accomplished by wt-immune mice, is still uncertain and the subject of further investigation. However, it may be related to the properties of the immune response against a s.c. tumor vs a visceral tumor.

The contribution of perforin-dependent, T cell-mediated cytotoxicity has been intensely investigated in various infectious disease and transplantation models. These studies revealed an important role of CTL-mediated, perforin-dependent cytotoxicity in infections with the noncytopathic virus lymphocytic choriomeningitis virus and in immunity to secondary infections with the intracellular bacterium Listeria monocytogenes (41). In contrast, immune protection against cytopathic viruses such as vaccinia and vesicular stomatitis virus and infections with Semliki Forest virus or hepatitis B virus were independent of perforin-mediated cytotoxicity (15, 42, 43, 44, 45, 46). These infections are controlled by the release of soluble cytokines and neutralizing Abs. The role of perforin in allograft rejection is still controversial. Heart grafts with disparity in the MHC class I gene, but not in the MHC class II gene, were rejected faster in wt mice than in PKO mice (42). In contrast, neither heart grafts that differed in both MHC class I and class II, nor skin grafts that differed in one or in both MHC loci, were rejected faster in wt mice (42). These data show that perforin-mediated cytotoxicity is crucial in some, but not all, cases of CD8+ T cell-dependent immune responses and that other mechanisms, like Ag-specific cytokine release, may be important effector mechanisms of T cells.

Besides perforin-mediated cytotoxicity of CD8+ T cells, FasL expressed on T cells has also been shown to play an important role in CTL-mediated cytotoxicity, especially in the control of peripheral T cell homeostasis (47, 48, 49) and in the control of viral infections (50).

Although T cells from PKO mice lack perforin-mediated cytotoxicity, they can express FasL and induce apoptosis upon ligation to Fas on target cells (14, 39). Carter et al. demonstrated that T1 CD8+ effector cells but not T2 CD8+ effector cells generated in wt or PKO mice exhibit FasL-mediated cytotoxicity (51). Since both PKO and wt T cells express a T1 cytokine profile, we hypothesized that FasL might induce apoptosis of the tumor cells. FasL-induced apoptosis is dependent upon the expression of Fas on the target cell. Although cultured D5 tumor cells express a very low level of Fas, as determined by flow cytometry, we were unable to detect Fas on in vivo passaged or freshly isolated D5 tumor nodules (data not shown). This is consistent with reports of others (29). Furthermore, treatment of D5 with anti-Fas mAb failed to induce apoptosis. Because IFN-{gamma} up-regulates Fas expression on murine melanoma cells (29) and effector T cells specifically secrete IFN-{gamma} in response to D5 stimulation, we reasoned that PKO T cells that traffic to the lung could secrete IFN-{gamma}, following interaction with D5 or APC, and induce local expression of Fas on D5. In vitro exposure of D5 to IFN-{gamma} (10 ng/ml) for 24 h led to marked up-regulation of Fas (Fig. 4Go) and MHC class I (Kb, Db) and class II (IAb) (data not shown). However, IFN-{gamma} pretreatment did not render D5 susceptible to killing by PKO or wt effector T cells in a 6-h 51Cr release assay (Fig. 1Go), or as determined by flow cytometric or colony-forming assays (data not shown).

Another method to determine the impact of Fas/FasL interactions in vivo is to examine our model in FasL-deficient (gld) mice. Since adoptive transfer of T cells generated in gld mice mediated complete tumor regression in 3-day tumor bearing wt and gld mice, and because significant prolongation of survival was noted in the treated animals, it is unlikely that tumor regression is dependent on FasL-mediated apoptosis.

The basis for the resistance of D5 melanoma to FasL-mediated apoptosis is unknown.

Polymerization of Fas through FasL is known to activate Fas-associated death domain, which then activates caspase 8 (Fas-associated death domain-like IL-1 converting enzyme (FLICE)) (52). However, cross-linking of Fas does not necessarily induce apoptosis. Recently, apoptosis inhibitors like FLICE-inhibiting protein (FLIP) have been identified (53). Human melanoma cell lines can express FLIP (54). Since we are not able to induce apoptosis in D5 by Fas mAb despite up-regulation of Fas after incubation with IFN-{gamma}, it can be speculated that FLIP or other downstrean inhibitors that are activated or constitutively expressed inhibit apoptosis induction in D5.

Recently, Thomas et al. have shown that 10 human melanoma cell lines were resistant to apoptosis induction after treatment with the FasL, TNF-{alpha}, and CD40L. However 7 of these 10 cell lines tested were susceptible to TNF-related apoptosis-inducing ligand (TRAIL)-induced apoptosis (54). Whether TRAIL or other members of the TNF family are involved in T cell-mediated tumor regression in the D5 model can only be speculated. In preliminary experiments, we have been unable to induce apoptosis of D5 with human recombinant TRAIL (our unpublished observations).

Thus far we have no evidence that direct cell-mediated cytolytic activity is responsible for tumor regression mediated by adoptive transfer of tumor-specific T cells.

If tumor regression is not dependent on direct cell-mediated cytotoxicity, indirect mechanisms through activation of other cells with potential tumoricidal activity are likely to play a major role.

Barth et al. demonstrated a correlation between tumor-specific IFN-{gamma} and TNF-{alpha} release and tumor regression (31). We have recently shown a direct correlation between tumor-specific IFN-{gamma} release and therapeutic efficacy of TVDLN T cells in the D5 tumor model (23). Others have shown that in vivo administration of neutralizing mAb to IFN-{gamma} and GM-CSF in a mouse tumor model significantly inhibited the therapeutic efficacy of effector T cells (55). Nagoshi et al. recently identified that host CD8+ T cells recruited and activated by IFN-{gamma} secreted by tumor-specific T cells were crucial for tumor regression (56).

As shown here, effector T cells generated in wt, PKO, and gld mice release tumor-specific IFN-{gamma} but not IL-4 upon stimulation with the parental tumor. IFN-{gamma} is known to up-regulate MHC class I and II on D5 in vitro and on the parental B16 tumor in vivo and might enhance tumor recognition by CD4 and CD8 cells in vivo (57). Furthermore, IFN-{gamma} has been shown to activate tumoricidal activity of NK cells as well as their release of IL-12, which in turn activates macrophages and dendritic cells and potentially induces more T1 cells. Activated macrophages exhibit increased tumoricidal activity in vitro and in vivo (58, 59, 60, 61, 62, 63).

By immunohistochemistry, we could show that macrophages accumulate in the lung around tumor metastasis following adoptive immunotherapy with PKO or wt T cells. This was most noticeable on day 2 after cell transfer, and was not seen in control mice. How these macrophages were attracted to the tumor site, and whether they were involved in tumor regression is the focus of future investigations. Interestingly, we observed tumor-specific release of IL-10 by therapeutic effector T cells. This was more pronounced for effector cells generated in PKO and gld mice. The tumor-specific IL-10 produced by highly therapeutic T cells is interesting, in light of recent observation that IL-10 appeared to inhibit the antitumor activity of transferred T cells. Aruga et al. reported that distinct nontherapeutic Vß-subpopulations of TVDLN T cells from LN-draining MCA-207 secreted tumor-specific IL-10, but not IFN-{gamma} or GM-CSF, whereas therapeutic Vß subpopulations secreted tumor-specific IFN-{gamma} and GM-CSF (30). Furthermore, in vivo neutralization of IL-10 by i.v. injection of anti-IL-10 mAb following adoptive transfer of effector T cells enhanced the antitumor activity of the transferred T cells. Since IL-10 potentially down-regulates Th1 responses of T cells and has also been shown to abrogate local T cell responses in established cutaneous basal and squamous cell carcinomas (64), it is interesting to speculate whether blocking IL-10 in our model would further augment the therapeutic efficacy of effector T cells. IL-10 is also a potent inhibitor of macrophage functions and inhibits their cytokine synthesis, MHC class II expression, and respiratory burst (65, 66, 67). Additional experiments neutralizing IL-10 will address the role of IL-10. Whether other T1 cytokines like TNF-{alpha} or TNF-ß are crucial for tumor regression is also under investigation.

It is important to note that, while we have analyzed both the perforin and FasL effector mechanism separately, it is possible that, in the absence of one lytic mechanism, another lytic mechanism can compensate and mediate antitumor activity. Future studies utilizing animals deficient for both perforin and FasL will be necessary to rule out this possibility. Nonetheless, these studies document that neither perforin- nor FasL-dependent mechanisms are required to mediate tumor regression in this model. These observations raise the possibility that T1 cytokines may indirectly mediate therapeutic activity by the induction and activation of macrophages, which may be the mediators of tumor regression in this model.


    Acknowledgments
 
We thank Dr. Gregory Alvord for statistical support, Dr. Andrew W. Weinberg for critical review of this manuscript, and Trish Ruane for maintaining the mouse colony.


    Footnotes
 
1 This work was supported by a generous grant from the Chiles Foundation, from the Providence Medical Foundation, and from the National Institutes of Health (Grant 1RO1CA80964-01 to B.F.). H. W. was an Earle A. Chiles visiting fellow. Back

2 Current address: Department of Surgery, Ludwig-Maximilians-Universität München, Klinikum Grosshadern, Marchioninistraße 15, 81377 Munich, Germany. Back

3 Address correspondence and reprint requests to Dr. Bernard A. Fox, Robert W. Franz Cancer Research Center, Earle A. Chiles Research Institute, 4805 Northeast Glisan, Portland, OR 97213. E-mail address: Back

4 Abbreviations used in this paper: TVDLN, tumor vaccine-draining lymph node; D5, B16BL6-D5; D5-G6, B16BL6-D5 stably transfected with murine GM-CSF; LN, lymph node; LNC, LN cells; 2C11, hamster anti-mouse CD3 {epsilon}-chain; PKO, perforin knockout; FasL (CD 95L), Fas ligand; gld, generalized lymphoproliferative disease; wt, wild type; CM, complete medium; FLICE, Fas-associated death domain-like IL-1- converting enzyme; FLIP, FLICE-inhibiting protein; TRAIL, TNF-related apoptosis-inducing ligand. Back

Received for publication April 28, 1999. Accepted for publication July 26, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
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