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Laboratory of Tumor Immunology and Biology, Division of Basic Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892
| Abstract |
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treatment of the targets was necessary to achieve efficient
cytotoxicity. Here, we compared the lytic phenotype of the SW480 cell
line to its metastatic derivative, SW620, as an in vitro paradigm to
further characterize the nature of a HLA class I-restricted,
Ag-specific CTL response against neoplastic cell lines of primary and
metastatic origin. Although both colon carcinoma cell lines were lysed
by these Ag-specific CTL following IFN-
pretreatment, the mechanisms
of lysis were distinct, which reflected differential levels of
sensitivity to the Fas pathway. Whereas IFN-
pretreatment rendered
SW480 cells sensitive to both Fas-dependent and -independent (perforin)
pathways, SW620 cells displayed lytic susceptibility to Fas-independent
mechanisms only. Moreover, pretreatment of SW480 cells with the
anti-colon cancer agent, 5-fluorouracil (5-FU), led to enhanced Fas
and ICAM-1 expression and triggered Ag-specific CTL-mediated lysis via
Fas- and perforin-based pathways. In contrast, these
phenotypic and functional responses were not observed with SW620 cells.
Overall, these data suggested that 1) IFN-
and 5-FU may
enhance the lytic sensitivity of responsive colon carcinoma cells to
immune effector mechanisms, including Fas-induced lysis; 2) the
malignant phenotype may associate with resistance to Fas-mediated lysis
in response to Ag-specific T cell attack; and 3) if Ag-specific CTL
possess diverse lytic capabilities, this may overcome, to some extent,
the potential "escape" of Fas-resistant carcinoma
cells. | Introduction |
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The Fas/Fas ligand (FasL)2 system has been characterized as an essential process for the maintenance and support of immune privilege and immune homeostasis of peripheral lymphoid interactions under both normal and pathologic conditions (9, 10, 11). Additionally, Fas/FasL interactions that occur between immune effector cells and susceptible Ag-bearing target cells have been portrayed as potentially important components of T lymphocyte-mediated cytotoxicity (9, 12, 13). However, the disengagement or loss of the Fas death pathway as a potentially major antitumor determinant, for example, may allow immune escape and proliferation of a selective cohort of malignant cells, which, consequently, may facilitate metastatic development. The notion that loss of sensitivity to Fas-mediated apoptosis may play an important role in the progression of malignant behavior is supported by the observation that cancerous cells, including hematologic and nonhematologic solid tumors that display resistance to chemotherapeutic agents, may concomitantly exhibit resistance to functional Fas expression (14, 15, 16).
During antitumor immune interactions, a potentially important cellular
component of functional Fas ligation on Ag-bearing targets may be
MHC-restricted, tumor-specific CD8+ CTL, although
their involvement as relevant players under those conditions in human
carcinoma (in vitro or in vivo) remains largely uncharacterized. To
study this issue, we have developed an in vitro model system consisting
of HLA-A2-restricted CD8+ CTL specific for
ras oncogene determinants (17, 18). We
demonstrated that such CTL, established from both normal
(18) and carcinoma-bearing (17) individuals,
can lyse an HLA-A2+ primary colon adenocarcinoma
cell line (SW480) naturally bearing endogenous Ag. However, this was
achieved following IFN-
treatment of the target cells, which
appeared to be essential for modulation of their lytic susceptibility.
The role of IFN-
in modulating the lytic outcome introduced the
notion that during neoplastic progression, (colon) carcinoma cells may
evade T cell-mediated immunity, not only at the levels of Ag
recognition and cell-cell adhesion, but also at the level of
Ag-specific T cell attack, perhaps involving alterations in their
responsiveness to Fas/FasL-induced lysis. In this study, we examined
and compared the nature and spectrum of the CTL lytic mechanisms
operative against the SW480 and SW620 colon adenocarcinoma cell lines.
The latter of these lines represented a lymph node-derived metastatic
lesion established previously from the same patient (19).
Thus, this paradigm allowed us to investigate, at least initially in an
in vitro model system, an Ag-specific cellular immune response against
human colon carcinoma cells of primary and metastatic origin; to focus
on potential fundamental differences in their response toward
Ag-specific CD8+ CTL attack; and to determine the
correlation of that response with their characterized malignant
phenotype.
Overall, we found that following IFN-
treatment both tumor cell
lines were lysed by these Ag-specific CD8+ CTL,
but that the mechanisms of lysis were distinct at the level of
involvement of the Fas death pathway. While the SW480 cell line
displayed an IFN-
-inducible, Fas-sensitive phenotype, the SW620 cell
line maintained a Fas-resistant phenotype, which could not be reversed
by IFN-
treatment. These observations revealed a potentially
important link between the malignant or metastatic phenotype with
responsiveness to Fas-mediated killing by human MHC class I-restricted,
Ag-specific CD8+ CTL. Moreover, the finding that
lysis of IFN-
-treated SW620 tumor cells proceeded alternatively
through a perforin-based effector mechanism suggested that triggering
of Fas-independent killing by such MHC-restricted, Ag-specific
CD8+ CTL may circumvent, at least to some
magnitude, the potential "escape" of Fas-resistant colon carcinoma
cells.
| Materials and Methods |
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CD8+ CTL lines specific for mutated ras Val12 epitopes were generated as described (17, 18). CD8+ T cell lines were restimulated weekly with irradiated, autologous EBV-transformed B cells as APC, previously pulsed with peptide (5 µg/ml; Multiple Peptide Systems, San Diego, CA; >97% purity by HPLC) and ß2-microglobulin (0.5 µg/ml; Intergen, Purchase, NY) in the presence of recombinant human IL-2 (10 U/ml; Cetus, Emeryville, CA). The ras 412(Val12) peptide epitope sequence is YKLVVVGAV, while that of ras 514(Val12) is KLVVVGAVGV.
Cytotoxicity assay
Cytotoxicity was analyzed by 51Cr release
assays in the absence and presence of neutralizing mAb or concanamycin
A (CMA) (Sigma, St. Louis, MO) as an inhibitor of perforin-mediated
lysis (20, 21). Briefly, target cells were radiolabeled
with 200 µCi of Na251Cr
O4 (Amersham, Arlington Heights, IL) for 60 min
at 37°C. In some experiments, 51Cr release was
compared with [125I]IUdR release, as a
measurement of nuclear damage. To that end, target cells were
radiolabeled with 20 µCi of 5-[125I]IUdR
iodo-21-deoxyuridine (Amersham) for 3 h at 37°C, as described
(22). Effectors and targets (1 x
104/well) were incubated in 96-well, U-bottomed
plates (Costar, Cambridge, MA) for 12 h at various ratios in the
absence and presence of neutralizing mAb reactive with HLA-A2 (clone
BB7.2 from the American Type Culture Collection (ATCC), Manassas, VA),
Fas (CD95, clone ZB4; Immunotech, Westbrook, ME), FasL (CD95L, clone
NOK-1; PharMingen, San Diego, CA), ICAM-1 (CD54, clone 84H10; Serotec,
Raleigh, NC), or nonpolymorphic epitopes of the
ß-TCR (clone
BMA031; Immunotech). Isotype-matched control Ab included UPC-10 (IgG2a)
and MOPC-21 (IgG1) (both from Cappel, West Chester, PA) or
anti-carcinoembryonic Ag (CEA-specific clone Col-5 (IgG2b), as
described in Ref. 18). Ab were used as affinity purified
(10 µg/ml), except BB7.2 and isotype-matched Col-5, which were used
as ascites (1:10 dilution). In the case of CMA, CTL were preincubated
at 37°C for 2 h with the compound (10 µM) before adding
radiolabeled target cells, as described (20, 21) to
inhibit granule-mediated lysis (12, 23). After incubation, supernatants
were collected using a supernatant collection system (Skatron,
Sterling, VA), and radioactivity was measured in a gamma counter. In
the case of [125I]IUdR release, cultures were
treated with 0.3% Triton X-100 before collection, as described
(22). Cytotoxic activity was defined as percent specific
release of 51Cr or 125IUdR
and determined by the equation:
[(experimentalcpm -
spontaneouscpm)/(maximumcpm
- spontaneouscpm)] x 100. Effector cell
preparations included: anti-ras 412(Val12)
CD8+ CTL line (18),
anti-ras 514(Val12) CD8+ CTL
line (17), and HLA-A2-restricted
CD8+ CTL lines reactive with immunodominant
peptide epitopes of influenza virus
(Matrix5866) (24) or MART-1
(MART-12735) (25).
Target cells
The HLA-A2+, ras
Val12+ SW480 (CCL-228) and SW620 (CCL-227) colon
adenocarcinoma cell lines (19, 26) (both from ATCC) were
used as targets and, where indicated, were treated for 1824 h with
recombinant human IFN-
(sp. act. 2.4 x
107 U/mg; 250 U/ml) (Biogen Research, Cambridge,
MA) or 5-fluorouracil (5-FU; Sigma) before radiolabeling and testing.
As described in the ATCC product sheets, the SW480 and SW620 cell lines
were acquired shortly after their establishment and have been
cryopreserved since then. All cell lines used in these experiments,
including tumor cell lines, were mycoplasma-negative as determined by
PCR analysis using the Mycoplasma detection kit from ATCC.
An enzyme-based immunoassay was used for the detection of the Val12
determinant, as described (17, 18). Briefly, tumor cell
lysates were produced by extraction in nonionic detergent. The protein
concentration of the nuclei-free material was determined, and aliquots
were stored at -70°C until analysis. A pan-ras mAb (clone
RAS10; IgG2a isotype) (Oncogene, Cambridge, MA) was used as the capture
Ab, and an anti-ras Val12 mAb (clone DWP; IgG2b isotype)
(Oncogene) was used as the detection Ab in combination with an
affinity-purified, goat anti-mouse IgG2b-specific Ab conjugated to
HRP (Southern Biotechnology Associates, Birmingham, AL). After the
addition of the substrate, o-phenylenediamine
dihydrochloride (Sigma), and hydrogen peroxide, the OD was measured at
490 nm.
Flow cytometry
Cell surface marker analysis.
Untreated, IFN-
-pretreated or 5-FU-pretreated tumor cells were
analyzed by flow cytometry using commercially available mAb reactive
with HLA-A2 (One Lambda, Canoga, CA), Fas (clone DX-2; PharMingen),
ICAM-1 (clone 84H10; Serotec), LFA-3 (clone BRIC-5; Serotec), or
isotype-matched Ab (MOPC-21 and UPC-10). Affinity-purified,
FITC-conjugated goat anti-mouse IgG (Kirkegaard & Perry,
Gaithersburg, MD) was used as a second-step reagent. Data were
expressed as the percentage of specific positive cells and mean
fluorescence intensity (MFI) of the gated positive cells. Although
anti-Fas clone DX-2 was employed in all flow cytometric analyses
illustrated here, similar patterns were observed with anti-Fas
clones ZB4 and CH-11 (Immunotech).
Effector/target binding assay.
The influence of IFN-
on effector/target conjugate formation was
measured by a flow cytometric-based technique. SW480 or SW620 tumor
cells (with or without IFN-
pretreatment) were prelabeled with a red
fluorescent marker (PKH26; 2 µM/106 cells)
(Sigma), while the effector cells were prelabeled with a green
fluorescent marker (BCECF; 10 nM/106 cells)
(Molecular Probes, Eugene, OR) (as described by the manufacturers).
PKH26-prelabeled targets (1 x 105) were
mixed with BCECF-prelabeled CTL (2 x 105)
(in a total volume of 0.2 ml culture medium) in U-bottomed, 12 x
75 mm polypropylene tubes and gently centrifuged (450 rpm for 2 min) to
facilitate cell-cell contact. Cell suspensions were then incubated for
60 min at 37°C in the absence and presence of the indicated Ab.
Afterward, cultures were gently resuspended by pipetting and
transferred to an appropriate vessel for immediate analysis by flow
cytometry for dual expression of BCECF+
PKH26+ events within the
PKH26+ gated population. Control preparations
included tumor cells 1) incubated in the absence of effectors; 2)
incubated with irrelevant effectors (i.e., MART-1 CTL); and 3) mixed
with relevant effectors (ras CTL), but analyzed immediately
without prior incubation. The data were expressed as the mean ±
SEM of triplicate tubes/group.
Induction of FasL expression on CTL
Up-regulation of cell-surface FasL expression on resting CTL
(i.e., 57 days after in vitro culture) was accomplished by
stimulation (of 1 x 106/well) for 2 h
at 37°C in 24-well plates (Costar) with either immobilized
anti-CD3 mAb (clone HIT3a from PharMingen, 1 µg/well) or
coculture with IFN-
-pretreated SW480 or SW620 cells (2 x
105/well). In the case of activation by
Ag-bearing carcinoma cells, SW480 or SW620 cells were first plated at a
concentration of 2 x 105 cells/well and
then allowed to adhere to wells in the absence or presence of IFN-
after an overnight incubation at 37°C. Monolayers were gently washed
to remove loosely bound or nonadherent tumor cells before the addition
of CTL. After TCR activation, CTL were recovered by pipetting. An
aliquot was then examined for cell-surface expression of FasL
(FITC-conjugated clone NOK-1) by two-color flow cytometry with
PE-labeled anti-CD8 mAb (PharMingen), while another aliquot was
employed in CTL assays. Greater than 97% of the recovered cells from
the CTL-tumor cell cocultures were CD8+ T
lymphocytes, as determined by flow cytometry.
TUNEL assay
Apoptotic cell death or DNA fragmentation was analyzed by the TUNEL assay, as described (27, 28). Briefly, after incubation at 37°C for 24 h in the absence or presence of CH-11 (29) or an isotype (IgM) control Ab (MOPC-104E; Cappel), tumor cells were washed in saline, fixed with 1% paraformaldehyde (30 min at 4°C), then resuspended and maintained in 70% ethanol for at least 2 h at -20°C. Cells were then washed in saline, aliquoted, and incubated for 30 min at 37°C in 50 µl of a cacodylate reaction buffer/sample (consisting of 0.2 M potassium cacodylate, 25 mM Tris-HCl, pH 6.6, 2.5 mM cobalt chloride, 0.25 mg/ml BSA, and 0.5 nM biotin-16-dUTP) with or without 100 U/ml TdT (reagents from Boehringer Mannheim, Indianapolis, IN). Afterward, cells were washed with saline and resuspended in 100 µl of a saline sodium-citrate buffer/sample (supplemented with 5% nonfat dry milk and 0.1% Triton X-100) and streptavidin-FITC (2.5 µg/ml), followed by incubation for 30 min at room temperature in the dark. Cells were washed again in saline and analyzed immediately by flow cytometry for quantitation of TUNEL+ cells.
Tumorigenic assays
Boyden chamber. Cellular penetration through a type IV collagen-precoated membrane filter in a Boyden chamber format was employed as an in vitro assay of tumor chemoinvasion, as described (30). Cell lines were retrieved from culture, washed, and, in the case of the anchorage-dependent cell lines (SW480, SW620, nontumorigenic BALB/3T3 fibroblasts from the ATCC, CCL163), reincubated in a culture flask at a subconfluent density for 6 h to promote adherence. Suspension cell lines (Jurkat, EBV-B cells autologous with the anti-ras 412(Val12) CTL line) were incubated in a parallel set of flasks. Afterward, serum-containing medium was removed by aspiration from monolayers (for adherent cells) or by centrifugation (for suspension cells) and replaced with serum-free medium. After an overnight incubation period under these serum-free conditions, the cells were recovered, washed, and resuspended at 4 x 105 cells/ml in serum-free medium for preparation and use in the Boyden chamber. Despite the absence of serum during this period, viability of all cell lines tested was >95%. Serum-containing culture medium (29 µl) was employed as a chemoattractant and placed in wells of the lower chamber, which was then covered with a polycarbonate membrane filter (10 µM pore size, 25 x 80 mm; Neuroprobe, Gaithersburg, MD) precoated with type IV collagen (25 µg in 1 ml PBS for 60 min at 37°C) as an extracellular matrix. The various cell lines (2 x 104 in 50 µl of serum-free medium) were then added to wells of the top chamber (six replicates/sample). The chamber was covered with Parafilm and incubated at 37°C for 1620 h. After incubation, the filter was collected and stained immediately with Diff-Quik (Dade Behring, Newark, DE). The cells on the upper surface were wiped away with a paper towel to allow the cells that penetrated the opposing surface of the membrane filter to be readily distinguished. The filter was air-dried on a microscope slide, and the cells were counted.
Tumor growth in athymic mice.
Female athymic (nu/nu) mice on a BALB/c background (National
Cancer Institute/Frederick Cancer Research Animal Facility, Frederick,
MD),
6 wk of age, were inoculated s.c. in their right flank with
either SW480 or SW620 tumor cells (3 x 106
or 10 x 106 cells/mouse in 0.1 ml HBSS,
where indicated). Tumor growth was measured every 23 days for up to
30 days by digital caliper in two dimensions, and the volumes were
calculated according to the formula of (width2 x
length)/2, as described (31). Additionally, the
superficial inguinal lymph node cells draining the tumor site were
analyzed for tumor cells as a surrogate evaluation of metastatic
activity in vivo. After the experiment was completed, tumor-draining
lymph nodes (TDLN) and contralateral non-TDLN were isolated, and single
cell suspensions were prepared from each mouse separately. Individual
cell preparations were then stained by indirect immunofluorescence and
analyzed by flow cytometry for cell-surface expression of DF3 (MUC-1)
(32). Briefly, lymph node cells were treated with a mouse
IgG1 anti-human DF3 mAb (kindly provided by Dr. D. Kufe,
Dana-Farber Cancer Institute, Boston, MA) in the presence of "Fc
Block" (rat anti-mouse CD16/32, clone 2.4G2; PharMingen),
followed by a second incubation with PE-conjugated goat anti-mouse
IgG1 (Kirkegaard & Perry), as described above. MOPC-21 (IgG1) was used
as an isotype control primary Ab.
In vitro selection of Fas-insensitive SW480 cells
SW480 cells were plated at 5 x
105/T25 flask and allowed to adhere overnight.
IFN-
(250 U/ml) was added the next day, followed 24 h later by
CH-11 (1 µg/ml). When the flasks achieved confluency, cells were
recovered and recultured under these same conditions for two additional
cycles of IFN-
plus CH-11. The cells (termed SW480.sel) were then
maintained and propagated in the absence of IFN-
/CH-11 and, after
three further passages, were used in the experiments. SW480 cells
derived from culture in the presence of IFN-
, CH-11, and ZB4 (10
µg/ml) (termed SW480.sel/ZB4) were included as a control for
specificity of CH-11-mediated effects.
Statistical analysis
Where indicated, the data were expressed as the arithmetic mean ± SEM of three or more independent experiments. Control (or untreated) groups were compared with experimental groups using a two-sided, paired t test, with values of p < 0.05 considered statistically significant. In the case of the lymph node dissemination assay, experimental groups were compared using a two-sided, unpaired t test, with values of p < 0.05 considered statistically significant.
| Results |
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We first compared the SW480 and SW620 cell lines for potential
similarities and differences in several tumorigenic properties. These
initial studies also served to substantiate the original description of
their malignant nature: i.e., the SW620 cell line, established from a
metastatic lesion, would possess enhanced malignant characteristics
compared with the SW480 cell line, established from the primary site
(19). To that end, we measured 1) chemoinvasive abilities
in vitro by Boyden chamber (Fig. 1
A) and 2) tumor growth with
regional lymph node dissemination in vivo in an athymic mouse xenograft
model (Fig. 1
, B and C).
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Next, we examined tumorigenicity in athymic mice in a xenograft model.
The results indicated that both tumor cell lines, when compared with
each other at either a higher or lower inoculum, proliferated similarly
and progressively over the course of the experiments (Fig. 1
B), which verified their tumorigenicity in this in vivo
setting. In addition, we analyzed the inguinal TDLN cells for the
presence of tumor cells as a surrogate assessment of metastatic ability
in vivo (Fig. 1
C). TDLN cells, as well as the contralateral
lymph node cells that did not drain the tumor site (non-TDLN), were
examined for cell-surface expression of DF3 (MUC-1) (32),
a tumor-associated Ag found on colon adenocarcinomas and other human
carcinomas (4). In control experiments, nearly 100% of
both SW480 and SW620 populations were found to express DF3, whereas
<5% of the lymph node cells from normal (non-tumor-bearing) athymic
mice were reactive with anti-DF3 mAb.
Despite the fact that tumor volume was comparable between both
tumor-bearing groups at the time of analysis (Fig. 1
B), the
results indicated that a significantly (p <
0.01) higher percentage of DF3+ cells were found
within TDLN of mice bearing SW620 cells compared with those of SW480
cells (Fig. 1
C). In contrast, the DF3+
cells from the non-TDLN of mice bearing SW480 cells were similar to
those bearing SW620 cells, but lower than those from the corresponding
TDLN, particularly for the SW620 group (p <
0.006). The observation that the percentage of
DF3+ cells from TDLN of SW480-bearing mice was
higher, albeit not significantly (p = 0.209),
than those from their non-TDLN counterparts suggested the possibility
for weak tumor cell migration to regional lymph nodes. Colony formation
assays in vitro substantiated the patterns observed by flow cytometry
(data not shown). These results affirmed not only the tumorigenicity of
SW480 and SW620 cells in vivo (in athymic mice), but also potential
disparities in their metastatic capacity, as determined using regional
lymph node dissemination as a surrogate endpoint.
Role of Fas in CTL-mediated lysis of SW480 and SW620 colon adenocarcinoma cell lines
We compared the lytic sensitivity of SW480 and SW620 cell lines,
before and after treatment with IFN-
, to CD8+
CTL restricted by HLA-A2 and specific for the mutant ras
epitope sequence 412 containing Val at position 12 (Fig. 2
A). In the absence of
IFN-
-pretreatment, both tumor cell lines were weakly susceptible
to Ag-specific CTL, although it appeared that SW620 cells displayed a
higher degree of lytic sensitivity (Fig. 2
A). Following
IFN-
pretreatment, our results indicated that these
anti-ras 412(Val12) epitope-specific CTL lysed
both SW480 and SW620 cell lines with comparable lytic efficiency at
multiple E:T ratios (Fig. 2
A). CTL-mediated lysis of
IFN-
-pretreated SW480 and SW620 tumor cells was effector
cell-specific, as determined by using HLA-A2-restricted,
CD8+ CTL lines specific for epitopes of unrelated
tumor (melanoma/MART-1) or viral (influenza) antigenic systems. Under
these assay conditions, lytic activity expressed by these control CTL
lines was observed only in the presence of their appropriate exogenous
peptide (data not shown).
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-pretreated SW480 cells, but not SW620 cells, was effectively
inhibited, thereby supporting the presence and absence of a
Fas-dependent component, respectively (Fig. 2
-pretreated SW480 or SW620 cells in mAb
titration experiments) failed to block lysis of SW620 cells and
incompletely blocked lysis of SW480 cells suggested that cytotoxicity
also proceeded through Fas-independent mechanismsa premise that is
characterized further in subsequent experiments. We also examined
whether CTL-mediated lysis of IFN-
-pretreated SW480 and SW620 cells
was associated with the induction of a target nuclear lesion and
whether that process was Fas dependent. To that end, we measured lytic
activity against IFN-
-pretreated SW480 and SW620 cells, which had
been prelabeled with 125IUdR as an isotypic
marker for potential damage to the nuclear compartment (Fig. 2Phenotypic and functional differences in Fas expression by SW480 and SW620 colon adenocarcinoma cell lines
Phenotypic analysis indicated that IFN-
pretreatment of both
SW480 and SW620 cell lines led to enhanced cell-surface expression of
HLA-A2, ICAM-1, and Fas molecules, as determined by changes in the
percentage of positive cells and/or MFI as a relative estimation of
ligand density (Table I
). Furthermore,
although both cell lines expressed comparable amounts of HLA-A2 and
ICAM-1 molecules, the proportion of SW480 cells positive for Fas
expression after IFN-
pretreatment was >4-fold higher compared with
SW620 cells, which is consistent with a more dominant role of Fas in
lysis of IFN-
-pretreated SW480 cells. Additionally, SW480 cells were
compared with SW620 cells for expression of the mutant ras
Val12 determinant, before and after treatment with IFN-
(Fig. 2
C). The results indicated that lysates isolated from both
tumor cell lines, when compared with each other in a titratable
fashion, expressed equivalent amounts of the mutant ras
Val12 determinant. Furthermore, treatment with IFN-
under these
conditions did not appreciably alter mutant ras Val12
epitope expression when the cell lines were compared with each other or
to the respective untreated preparations (Fig. 2
C). In
contrast, no specific immune reactivity was observed using lysates from
the HT-29 colon carcinoma cell line, which was employed as a negative
control because it contains the wild-type Gly residue at position 12
(26). These observations suggested that IFN-
-induced
modulation of their lytic phenotype did not appear to correlate with
ras Val12 epitope production, as determined qualitatively by
this ELISA.
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enhanced or restored their sensitivity to Fas relative to the
untreated SW480 cells, as determined by their lytic susceptibility to
CH-11 (Fig. 3
-pretreated SW480 cells. In contrast to what was
observed with SW480 cells, pretreatment of SW620 cells with IFN-
did
not render them Fas sensitive (Fig. 3
(Fig. 3
, remained lytically
resistant to those cytokines. The potency of ZB4 was confirmed, based
on its ability to inhibit CH-11-mediated lysis of Jurkat cells and
IFN-
-pretreated SW480 cells in a dose-dependent fashion (Fig. 3
, but not SW620
cells, led to enhanced Fas-mediated apoptosis in response to CH-11, as
determined by TUNEL staining (Fig. 4
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Next, we examined the role of TCR-MHC/peptide and Ag-independent
adhesion events in anti-ras Val12 CTL-mediated lysis of
IFN-
-pretreated SW480 and SW620 cells using mAb directed against
those cell-surface interactions (Fig. 5
).
We showed that mAb directed against HLA-A2, ICAM-1, and nonpolymorphic
epitopes of the
ß-TCR, but not LFA-3 (data not shown), strongly
abrogated lysis of both targets (Fig. 5
A), indicating that
IFN-
-induced modulation of the lytic phenotype (of both targets)
involved engagement of both Ag-specific (TCR-MHC/peptide) and
Ag-independent (ICAM-1) signals. These experiments also affirmed that
CTL-mediated lysis of both IFN-
-pretreated targets was HLA-A2
restricted. The observations that pretreatment of both SW480 and SW620
cells with IFN-
led to enhanced HLA-A2 and ICAM-1 expression, and
that mAb directed against those molecules also inhibited lysis
suggested the possibility that IFN-
may have influenced conjugate
formation. To that end, we examined the effect of IFN-
pretreatment
on effector/target binding by two-color flow cytometry (Table II
). Following IFN-
pretreatment,
there was a substantial increase in the frequency of double-positive
cell complexes, as a measurement of binding or adhesion capacity
between CTL and SW480 or SW620 tumor targets. Such binding activity
was effector cell specific, because the frequency of double-positive
cell complexes formed between anti-MART-1 CTL and
IFN-
-pretreated SW480 or SW620 tumor targets was similar to the
control preparations (Table II
) and did not rise compared with those
formed with anti-ras CTL. Anti-ICAM-1 mAb, but not an
isotype control, abrogated the formation of double-positive cell
complexes (Table II
), which was consistent with its ability to inhibit
lytic activity (Fig. 5
A), further supporting the involvement
of ICAM-1-based interactions in effector/target binding and the lytic
process.
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-pretreated SW480 cells by >50%, with a marginal effect
observed against IFN-
-pretreated SW620 cells that appeared similar
to the isotype Ab control (Figs. 2
-pretreated SW480 cells by nearly
50%, while it blocked essentially the entire lytic response against
IFN-
-pretreated SW620 cells (Fig. 5
-pretreated SW480 and
SW620 cells, respectively. Lastly, the combination of anti-Fas mAb
plus CMA completely abolished lysis of IFN-
-pretreated SW480 cells,
whereas CMA alone was sufficient to abrogate lysis of
IFN-
-pretreated SW620 cells (Fig. 5
To determine whether the nature and spectrum of anti-carcinoma
effector mechanisms mediated by these anti-ras
412(Val12)-specific CTL were either unique to this particular
line or more representative in scope of the antitumor CTL response, we
examined the lytic properties of a second, independently isolated,
HLA-A2-restricted, anti-ras CD8+
CTL line. This particular CTL line was previously established from
a patient with metastatic duodenal carcinoma in a mutant ras
peptide-based phase I clinical trial, whose primary tumor contained the
Val12 mutation (17). This CTL line displayed specificity
for a closely related epitope (i.e., ras sequence 514 with
Val at position 12) and exhibited efficient lytic activity against
IFN-
-pretreated, but not untreated, SW480 cells (17).
Using this anti-ras 514(Val12)-specific CTL line, we
then explored the role of Fas-dependent and Fas-independent mechanisms
in lysis of IFN-
-pretreated SW480 and SW620 cells using anti-Fas
mAb and CMA (Fig. 6
), as described above
(Figs. 2
and 5
). Thus, based on the relative contributions of
anti-Fas mAb and CMA toward inhibition of cytotoxicity by the
anti-ras 514(Val12)-specific CTL, we found that
lysis of IFN-
-pretreated SW480 cells involved both Fas- and
perforin-based components, whereas lysis of IFN-
-pretreated
SW620 cells predominantly involved a perforin-based mechanism
(Fig. 6
).
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-pretreated SW620 cells via Fas/FasL interactions was due to the
failure of these targets to trigger FasL up-regulation, we examined
these CTL effectors for FasL expression before and after interaction
with Ag-bearing tumor cells or anti-CD3 mAb as a positive control
stimulus (Fig. 7
-pretreated,
Ag-bearing SW480 or SW620 tumor cells, we observed a substantial
increase in the proportion of CD8+
FasL+ cells recovered from (co)culture (Fig. 7
-pretreated SW620 cells to be killed, in part, via
a Fas-dependent pathway was not due to the failure of these targets to
trigger functional FasL expression on the effector cell surface.
|
It has been proposed that certain anticancer chemotherapeutic agents, such as 5-FU, doxorubicin or cisplatin, may influence cell surface and/or functional Fas expression on susceptible tumor cells and that the increased sensitivity to Fas engagement may account, in part, for the cytotoxic activity of those drugs (38, 39, 40). Interestingly, the acquisition of tumor cell resistance to such chemotherapeutic agents has also been associated with the onset of resistance to Fas-mediated apoptosis (14, 15, 16), which may play an integral role in tumor progression from primary to metastatic disease. The observations that SW480 and SW620 cell lines differed markedly in cell-surface expression of Fas receptors and/or functional responsiveness to Fas engagement introduced the hypothesis that chemotherapy-induced modulation of the Fas death phenotype in susceptible tumor cells may subsequently render those cells susceptible to Ag-specific CTL attack involving that pathway.
First, we showed that incubation of SW480 cells with 5-FU enhanced the
sensitivity of these cells in a dose-dependent fashion to Fas-mediated
cytotoxicity in response to coculture with CH-11 (Fig. 8
). In the absence of CH-11 or in the
presence of an isotype control Ab, no demonstrable lysis was observed.
The effect of CH-11 on IFN-
-pretreated SW480 was included as a
positive control for comparison (Fig. 8
, insert). These observations
revealed that the functional effect achieved with 5-FU at the highest
dose tested was >65% of that attained with IFN-
-pretreated SW480
cells. In contrast to what was observed with SW480 cells, SW620 cells
under these same treatment conditions remained resistant to the
cytotoxic effects of CH-11 (Fig. 8
).
|
(refer to Table I
Because we found that 5-FU sensitized SW480 cells to Fas-mediated
lysis, which was also correlated, in part, with the up-regulation of
Fas receptors, we then examined the susceptibility of these
5-FU-pretreated targets to Ag-specific CTL through that pathway
(Fig. 9
). Accordingly, SW480 and SW620
cells were pretreated with 5-FU at two concentrations, based on an
optimal and suboptimal response to CH-11 (Fig. 8
). The results
indicated that 5-FU-pretreated SW480 cells became sensitive to
CTL-mediated lysis, which was apparent at the higher dose but still
detectable at the lower dose relative to the untreated cells. The
inclusion of ZB4 in the lytic assay resulted in
50% inhibition of
lysis (Fig. 9
B), confirming a functional role of Fas/FasL
interactions in the mechanism of tumor cell killing induced by 5-FU
pretreatment. An isotype-matched control Ab failed to inhibit lysis.
The observation that CMA could block lysis also by
50% suggested
that the remainder of the CTL lytic response was mediated by a
perforin-based mechanism (Fig. 9
B). In contrast to what was
observed with 5-FU-pretreated SW480 cells, pretreatment of SW620 cells
with 5-FU (at either dose) did not further sensitize them to
CTL-mediated lysis relative to the untreated cells (Fig. 9
C). However, IFN-
pretreatment of SW620 cells enhanced
their susceptibility to CTL-mediated lysis. Thus, 5-FU-pretreated SW480
cells displayed heightened susceptibility to CTL-mediated lysis as
compared with 5-FU-pretreated SW620 cells (Fig. 9
, A vs
C at 30 µg/ml). Lastly, lysis of 5-FU-pretreated SW480 or
SW620 cells by anti-ras Val12 CTL was shown to be
effector cell specific, because an irrelevant CTL line (with
specificity for an influenza viral epitope) failed to lyse these
targets unless the appropriate exogenous peptide was added (data not
shown). The observation that the viral epitope-specific CTL line could
only lyse these SW480 targets in the presence of their respective
exogenous peptide also precluded the possibility that 5-FU treatment
rendered them more amenable to nonspecific lysis.
|
To explore the potential interplay between the acquisition of Fas
insensitivity and metastatic phenotype, we have taken the following
approach: 1) to culture the primary tumor cell line, SW480, with CH-11
(and IFN-
) to select for the outgrowth of Fas-insensitive tumor
cells; and 2) to then explore the potential correlation between Fas
insensitivity and metastatic phenotype, based on lymph node metastasis
(described in Fig. 1
C).
After three consecutive in vitro cell passages with IFN-
and CH-11
to sensitize the responsive SW480 cells to Fas-mediated lysis, the
resulting cell population was propagated in the absence of
IFN-
/CH-11 and then tested for functional Fas activity. SW480 cells
cultured under those conditions (termed SW480.sel) were insensitive to
Fas-mediated lysis induced by CH-11, as compared with the parental
(unselected) SW480 population (Fig. 10
A). As an additional
control for the in vitro selection process, we established a SW480
population that had been cultured in parallel, but with IFN-
, CH-11,
and ZB4 (termed SW480.sel/ZB4) to specifically neutralize the
functional impact of CH-11. SW480.sel/ZB4 cells, in contrast, were
sensitive to Fas-mediated lysis triggered by CH-11, indicating that the
loss of Fas sensitivity associated with SW480.sel cells was likely due
to selective pressure against Fas engagement and consequent depletion
of Fas-sensitive cells, rather than to Fas-independent factors.
Phenotypic analysis of SW480.sel cells for HLA-A2 and ICAM-1, pre- and
posttreatment with IFN-
, revealed a pattern of expression similar to
that of SW480 cells, whereas analysis of Fas receptor on SW480.sel
cells revealed a pattern of expression similar to that of SW620 cells
(data not shown).
|
Lastly, we examined whether SW480.sel cells, when compared with SW480
cells, exhibited enhanced metastatic behavior in vivo, as determined by
lymph node migration in an animal model (as described in Fig. 1
C). Despite the fact that s.c. tumor volume was comparable
between both tumor-bearing groups at the time of analysis (Fig. 10
D), the results indicated that a significantly
(p < 0.03) higher percentage of
DF3+ cells were found within TDLN of mice bearing
SW480.sel cells, compared with those of SW480 cells (Fig. 10
D). In contrast, the DF3+ cells from
the non-TDLN of mice from both tumor-bearing groups were similar and
substantially lower than those from the corresponding TDLN. Overall,
these findings indicated that SW480 cells selected for functional Fas
resistance in vitro displayed enhanced ability to disseminate to
draining lymph nodes, as compared with the parental SW480 cells and the
SW620 metastatic cell line (see Fig. 1
C).
| Discussion |
|---|
|
|
|---|
pretreatment, while both the SW480 and SW620 cell
lines were lysed by ras oncogene-specific
CD8+ CTL, the lytic mechanisms were dissimilar at
the level of tumor-cell sensitivity to the Fas death pathway. The SW480
cell line exhibited an IFN-
-inducible, Fas-responsive phenotype,
while the SW620 cell line sustained a functionally Fas-unresponsive
phenotype that could not be circumvented by IFN-
treatment under
these conditions or even following a 3-day culture period with IFN-
(data not shown; up to 1,000 U/ml ± TNF-
(42) as
a potential modulator of Fas expression).
The inability of IFN-
to endow a Fas-sensitive phenotype in SW620
cells was not likely due to a general or global defect in their
responsiveness to IFN-
, because these cells efficiently up-regulated
cell-surface expression of HLA-A2 and ICAM-1 molecules and, to a lesser
extent, Fas receptors as a consequence of IFN-
exposure (Table I
).
Furthermore, the inability of IFN-
-pretreated SW620 cells to undergo
Fas-mediated lysis was demonstrated and confirmed using two
independently produced anti-ras Val12-specific
CD8+ CTL lines (Fig. 6
). These observations are
consistent with the hypothesis that the malignant or metastatic
phenotype characterized for the SW620 cell line (19) and
supported here (Fig. 1
) was associated, at least in part, with
resistance to Fas-mediated lysis, measured both in response to
Ag-specific T cell attack and Fas pathway stimuli. It is important to
point out that although SW480 cells exhibited enhanced sensitivity to
Fas-mediated lysis by anti-Fas triggering and Ag-specific
CD8+ CTL, this Fas-responsive phenotype was not
characteristic of the entire tumor cell population. This observation is
consistent with the notion that cells comprising the primary tumor
lesion may be heterogeneous in functional Fas expression.
Although IFN-
appeared unable to enhance or restore functional Fas
expression in SW620 cells, it was important for modulation of
Ag-specific CTL-mediated lysis. Under these conditions, the lytic
phenotype of SW620 cells was correlated with enhanced effector/target
binding (Table II
), and expression and functional participation of
HLA-A2 and ICAM-1 molecules (Fig. 5
), which were likely necessary for
further promoting or strengthening the effector/target interaction as a
prerequisite for efficient T cell activation and execution of
perforin-mediated lysis. The finding that lysis of IFN-
-treated
SW620 tumor cells proceeded alternatively through a perforin-based
effector mechanism suggested that triggering of Fas-independent lysis
by such MHC-restricted, Ag-specific CD8+ CTL may
bypass, at least to some extent, the Fas-resistant phenotype of certain
colon carcinoma populations.
Similar to what was observed with IFN-
, treatment of SW480 cells,
but not SW620 cells, with 5-FU led to enhanced functional Fas
expression (Figs. 8
and 9
). Moreover, these findings demonstrated for
the first time the ability of a chemotherapeutic agent to sensitize a
solid tumor cell line (i.e., primary colon adenocarcinoma) to MHC class
I-restricted, Ag-specific CD8+ CTL attack, which
lends support to the concept of chemoimmunotherapy. Ag-specific CTL
activity against 5-FU-pretreated SW480 cells was associated with a
small, but significant, increment in the percentage of cells expressing
Fas receptors, as well as a significant increase in the percentage of
cells positive for ICAM-1 expression. Conversely, the failure of 5-FU
to further sensitize SW620 cells to Ag-specific, CTL-mediated lysis was
correlated with the inability of 5-FU to significantly augment the
percentage of those cells positive for ICAM-1 expression. Although
additional studies are necessary, these findings implicate important
functional roles of Fas, ICAM-1, and, perhaps, yet unidentified
receptor/ligand interactions in the mechanism of action of 5-FU on
modulation of the lytic phenotype. In preliminary studies, we also
examined whether the coincubation of IFN-
and 5-FU would further
enhance Fas expression by SW480 or SW620 cells and found no additional
enhancement above that observed with IFN-
alone, as determined by
flow cytometry (data not shown).
Support of the notion that the Fas death phenotype may have correlated
not only with Fas receptor expression but also potentially with
downstream postreceptor events was provided by preliminary findings in
our laboratory regarding the regulation of intracellular levels of
caspase-3. For example, following IFN-
pretreatment, we observed an
increase in pro-caspase-3 protein expression in SW480 cells that was
not found in SW620 cells. The increase closely paralleled the cells
relative sensitivity to functional Fas activity. Although the precise
molecular and biochemical mechanisms by which IFN-
sensitizes
responsive human cell types to Fas activation remain to be fully
understood and may vary from cell system to cell system, Ossina et al.
(43) reported in a human colon carcinoma cell line (HT-29)
the induction of several apoptosis-related genes including selected
members of the caspase (e.g., Ice, CPP32,
FLICE) and bcl-2 (e.g., bak) families.
Similarly, Keane et al. (44) reported in several human
breast carcinoma cell lines the up-regulation of certain caspases
(e.g., Ice subfamily).
In an effort to potentially link the acquisition of Fas insensitivity
and metastatic phenotype, we have sought to culture the primary tumor
cell line, SW480, with IFN-
and CH-11 to select for the outgrowth of
Fas-insensitive SW480 tumor cells and subsequently analyze the
association between Fas insensitivity and metastatic phenotype based on
the lymph node metastasis assay (Fig. 10
). Overall, our findings
indicated that SW480 cells selected for functional Fas resistance in
vitro exhibited enhanced ability to disseminate to draining lymph
nodes, as compared with the parental SW480 cells and the SW620
metastatic cell line (Figs. 1
and 10
). Thus, these experiments support
a potential interplay between Fas responsiveness and metastatic
phenotype, as determined by this experimental approach. Ongoing studies
are aimed at further understanding the potential mechanistic link
between these two functional outcomes, and to determine whether the
loss of Fas sensitivity directly accounts for the enhanced metastatic
ability or represents one or more intrinsic characteristic features
that parallel the development of a more malignant or metastatic
phenotype.
In the tumor microenvironment, IFN-
and other potentially relevant
cytokines may be provided endogenously by immune system interactions,
such as by CD4+ T cells (3, 5),
following interaction with MHC class II+ APC
presenting exogenous Ag. Ag-specific CD8+ CTL may
then lyse cytokine-modified tumor cells through Fas-dependent and/or
Fas-independent pathways, depending upon the intrinsic susceptibility
of the tumor population to one or more immune effector mechanisms. In
addition to cell contact-dependent immune interactions occurring
between Ag-specific CD8+ CTL and their tumor
targets, cell contact-independent interactions involving the secretion
of sFasL following Ag-specific immune stimulation, for example, may
play important roles in the regulation of the anti-neoplastic
response. In normal human T lymphocytes following cellular activation,
it has been reported that FasL may be released as a soluble product
that maintains functional activity (45, 46). These cell
contact-independent lytic mechanisms may represent biologically
significant pathways for the elimination of Ag-negative tumor cells.
However, the ability of cancerous cells within primary or metastatic
lesions to resist Fas-mediated apoptosis in response to engagement with
FasL-bearing effector cells or sFasL may constitute a novel mechanism
of tumor escape influenced by Ag-independent immune interactions or
cell-derived soluble products. In support of that hypothesis, we used
recombinant sFasL as a surrogate source of physiologically produced
sFasL, as well as preactivated FasL-bearing CTL, and found evidence for
tumor-specific differences in their functional response toward
FasL-mediated cytotoxicity (Fig. 3
).
Although our studies here focused on the design of an in vitro system
to analyze the roles of IFN-
, 5-FU, and Fas in human Ag-specific
CTL-mediated lysis of colon carcinoma cells, the results may have
implications for fresh or autologous tumor isolates, which warrants
further investigation, and may provide insights into the processes of
both tumor immunity and tumor escape for at least a potential subset or
fraction of malignancies. For example: 1) down-regulation of
cell-surface Fas receptors and/or elements of Fas-mediated signaling
may represent unique tumor escape mechanisms against Ag-specific T cell
attack; 2) IFN-
and certain anticancer agents, such as 5-FU, may
help to enhance or restore a Fas-sensitive phenotype in certain colon
carcinoma cells (i.e., SW480), supporting a potentially important role
of IFN-
(or those cytokines that induce endogenous IFN-
production) or chemotherapeutics in active- and/or passive-based
immunotherapies; 3) the inability of IFN-
or 5-FU to sensitize SW620
cells to Fas-mediated apoptosis or Ag-specific CTL attack suggests that
such "loss-of-function" may be an important adaptation in the
evolution of malignant potential; and 4) IFN-
may act to promote
efficient CTL/target interactions leading to enhanced T cell activation
and triggering of granule (perforin/granzyme)-mediated lysis of
metastatic carcinoma cells that might otherwise remain resistant or
refractory to Fas-mediated apoptosis (i.e., SW620).
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Abbreviations used in this paper: FasL, Fas ligand; CMA, concanamycin A; 5-FU, 5-fluorouracil; MFI, mean fluorescence intensity; MMP, matrix metalloproteinase; sFasL, soluble FasL; TDLN, tumor-draining lymph node. ![]()
Received for publication September 1, 1999. Accepted for publication February 22, 2000.
| References |
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