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The Journal of Immunology, 2000, 165: 1307-1313.
Copyright © 2000 by The American Association of Immunologists

IL-18 Activates STAT3 in the Natural Killer Cell Line 92, Augments Cytotoxic Activity, and Mediates IFN-{gamma} Production by the Stress Kinase p38 and by the Extracellular Regulated Kinases p44erk-1 and p42erk-21

Uwe Kalina2, Doerte Kauschat, Noriko Koyama, Heike Nuernberger, Karin Ballas, Steffen Koschmieder, Gesine Bug, Wolf-Karsten Hofmann, Dieter Hoelzer and Oliver G. Ottmann

Department of Hematology, Johann Wolfgang Goethe University Hospital, Frankfurt/Main, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-18 is a regulator of NK cell function which utilizes the serine-threonine IL-1R-associated kinase signal transduction pathway and may activate additional not yet characterized signaling pathways. Here we evaluated IL-18-mediated signal transduction using the human NK cell line NK92 as a model. NK92 cells were shown by RT-PCR to express all three IL-18 receptor chains (IL-18R, accessory protein-like chain, IL-18-binding protein). Stimulation by IL-18 strongly enhanced tyrosine phosphorylation of STAT3 and of the mitogen-activated protein kinases (MAPK) p44erk-1and p42erk-2. In contrast, STAT5 was not activated. The cytolytic activity of NK92 against K562 target cells, which was augmented in a dose-dependent manner by IL-18 in the presence of trace amounts of IL-2, was suppressed by the specific inhibitors of MAPK pathways (PD098059 and SB203580). Similarly, the stimulatory effect of IL-18 on IFN-{gamma} protein production, given in conjunction with IL-2, was counteracted by inhibition of MAPK. IL-18 alone failed to stimulate IFN-{gamma} protein production despite inducing expression of IFN-{gamma} mRNA. IL-2 alone stimulated neither IFN-{gamma} mRNA expression nor IFN-{gamma} protein production. IL-18 did not stimulate proliferation of NK92 cells, either alone or in combination with IL-2 or IL-12. Inhibition of the MAPK pathway did not significantly alter the IL-2- and IL-12-induced proliferation of NK92 cells, whereas the Janus kinase/STAT pathway inhibitor AG490 strongly suppressed proliferation. MAPK activation appears to play a prominent role in IL-18 signaling, being involved in transcription and translation of IL-18-induced IFN-{gamma} mRNA and IL-18-induced cytolytic effects. In contrast, proliferation of NK92 cells is not affected by MAPK p44erk-1 and p42erk-2.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Interleukin-18 was initially described as an endotoxin-induced serum factor stimulating IFN-{gamma} production (1) and was purified as a costimulatory factor from liver extracts preconditioned with Propionibacterium acnes (2). Subsequent cloning of murine and human IL-18 (3, 4) facilitated detailed studies of this cytokine (5). IL-18 primarily acts in concert with IL-12, IL-2, microbial agents, or mitogens by inducing Th1 cytokines and production of IFN-{gamma}, particularly in NK cells and T cells (6). It enhances the killing activity of NK and T cells by mechanisms possibly involving the CD95(Fas)-dependent or perforin-dependent pathway (7, 8, 9).

Although IL-18 shares biological activities with IL-12, such as the ability to activate NK cells and switch T cells toward Th1 cell function (4), the primary structure of IL-18 suggests a relationship with the IL-1 cytokine family. Like IL-1, IL-18 is produced as an inactive precursor molecule and processed to yield the mature and active protein of ~18.5 kDa by the intracellular cysteine protease caspase-1 (10, 11). Similar to IL-1{alpha} and IL-1ß, IL-18 enhances the ability of IL-12 or IL-2 to stimulate IFN-{gamma} production by NK cells. However, unlike IL-1{alpha} or IL-1ß, high concentration of IL-18 alone can stimulate production of low levels IFN-{gamma} by NK cells (12).

Two transmembranous IL-18 receptors related to the IL-1 receptor family have been identified: the IL-18R previously described as IL-1 receptor-related protein (Rrp),3 which was purified from the Hodgkin cell line L428 (13, 14) and the accessory protein-like (AcPL) chain, which is homologous to the IL-1R accessory protein (15). In addition, a soluble IL-18 binding protein was purified from human urine, which does not share any homology to other soluble cytokine receptors (16). Whether this binding protein exists also as a transmembranous form is currently unclear.

In contrast to the structural similarities to IL-1, IL-18 does not bind to either the type I or type II IL-1R, and IL-1 does not bind to the IL-18Rs (14, 15).

Beside viral infection, mitogens, and stress (17), IL-1 is one of the best known activators of NF-{kappa}B (18). It activates NF-{kappa}B by activation of the serine-threonine IL-1R-associated kinase (IRAK) (19, 20, 21), together with TNF-receptor associated factor-6 (TRAF6) (22) and NF-{kappa}B-inducing kinase (NIK) (23). With respect to the structural relationship of IL-1 and IL-18, it was demonstrated that IL-18 also induces the formation of the IRAK/TRAF6 complex (24), subsequently activating NF-{kappa}B in Th1 cells (25) and in EL4/6.1 thymoma cells (26). In COS cells, coexpression of the two IL-18 receptors, IL-18R and AcPL, was required for the induction of NF-{kappa}B (15).

IL-18 signaling defects were demonstrated in immune effector cells derived from IRAK-deficient mice (27, 28). Because IL-18 signaling defects in IRAK-deficient Th1 cells resulted in only partial inactivation of NF-{kappa}B, it was suggested that other mechanisms can compensate the function of IRAK (27). Splenocytes from IRAK knockout mice secreted increasing amounts of IFN-{gamma} in response to IL-18 and IL-12, but only approximately one-half of the amount of IFN-{gamma} protein produced by wild-type cells. The investigators suggested that although IRAK participates in IL-1 and IL-18 signal transduction, residual cytokine responsiveness operates through an IRAK-independent pathway (28).

In this report, we provide evidence that in NK92 cells IL-18 activates STAT3 but not STAT5 and that the IL-18-induced activation of the mitogen-activated protein kinases (MAPK) p42erk-2 and p44erk-1 is involved in the production of IFN-{gamma}. Inhibition of the MAPK pathway did not alter the IL-18-induced IFN-{gamma} mRNA expression but suppressed the IFN-{gamma} protein production. MAPK also participates in the IL-18-induced cytolytic effect and does not alter the proliferation of NK92 cells.


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

All cell culture experiments were performed at 37°C in 5% CO2 humidified atmosphere. The IL-2-dependent NK cell line NK92, established from a patient with rapidly progressive non-Hodgkin’s lymphoma (29) was provided by Dr. H. G. Klingemann (Chicago, IL). NK92 cells were maintained in {alpha}-MEM (Life Technologies, Karlsruhe, Germany) containing 12.5% FCS (HyClone, Logan, UT), 12.5% horse serum (Cansera, Ontario, Canada), 2 mM L-glutamate, 100 µg/ml penicillin, 100 µg/ml streptomycin (Life Technologies) and supplemented with 100 U/ml IL-2 (Chiron, Emeryville, CA). To achieve independence from exogenous IL-2, the NK92 cells were transfected with the expression vector (DFG-hIL-2Neo) to produce IL-2 (30, 31). The resulting cell line was called NK92Ci.

The erythroleukemia cell line K562 served as a target for the cytotoxicity experiments and was maintained in RPMI culture medium (Life Technologies) containing 10% FCS, 2 mM L-glutamate, 100 µg/ml penicillin, and 100 µg/ml streptomycin.

Cell-mediated cytotoxicity assay

Cytotoxic activity of NK92 cells against K562 cells was evaluated by FACS analysis. NK92 effector cells were deprived of IL-2 for 24 h and subsequently cultured for 2 days with IL-18 (R&D Systems, Wiesbaden, Germany) at concentrations ranging from 1 to 10 ng/ml in the presence of trace amounts of IL-2 (5 U/ml). K562 target cells (4 x 106) were prestained with the green fluorescent membrane dye PKH67-GL (Sigma, Deisenhofen, Germany) and resuspended in NK cell medium. Effector cells were added to 5 x 103 target cells to yield E:T ratios of 10:1–0.5:1 and incubated for 3 h. The cell mixture was centrifuged at 1200 rpm and stained with propidium iodide (5 µg/ml, Sigma). Dead target cells were determined to be PKH67-GL, and propidium iodide-positive cells using a flow cytometer (FACScalibur, Becton Dickinson, San Jose, CA). Target cells incubated without effector cells were used to assess spontaneous cell death. The percent of cytotoxicity was calculated as follows: cytotoxicity (%) = [dead target cells (%) - spontaneous dead target cells (%)]/[(total target cells %) - (spontaneous dead target cells %)] x 100 (%).

In some experiments (indicated in the text) a europium release assay was used according to the manufacturer’s instructions (Wallach, Freiburg, Germany). Europium releases were measured in a DELFIA 1234 fluorometer (Wallach). Cytotoxic activity was determined by specific release (%) = [experimental release (counts) - spontaneous release (counts)]/[maximum release (counts) - spontaneous release (counts)] x 100 (%).

Inhibitor assays

After serum deprivation, NK92 cells were preincubated for 2 h with 20 µM MAPK pathway inhibitor PD098059 or 20 µM stress kinase inhibitor SB203580, or 100 nM of Janus kinase (JAK)/STAT pathway inhibitor AG490 (all inhibitors from Calbiochem, Schwalbach, Germany) and stimulated as described.

Reverse transcription-polymerase chain reaction

The RT-PCR for evaluation of IFN-{gamma}- and IL-18-binding chain expression was performed according to the guanidium/phenol/chloroform method. For cDNA preparation, 5 µg total RNA, extracted from 5 x 106 cells, were used for random-primed cDNA synthesis using a reverse transcriptase preamplification system kit (SuperScript, Life Technologies) according to the manufacturer’s instructions. The RT-PCR was performed using a thermal cycler (Perkin-Elmer, Emeryville, CA) in 50 µl PCR buffer containing 100 mM Tris-HCl (pH 8.8), 1 mM dNTPs, 1 U of Taq polymerase (Life Technologies), and 2.5 mM concentrations of the specific primers.

The forward (fw) and reverse (rv) primers used were: fw-IFN-{gamma}, 5'-GACTAATTATTCGGTAACTGACTTGA-3'; rv-IFN-{gamma}, 5'-GCTATGTTTTCATCAGGGTCAC-3'; fw-IL-18-binding protein (IL-18BP), 5'-CAGCAGCTAAGCAGTGTCCA-3'; rv-IL-18BP, 5'-CGTGACGCTGGACAACCTG-3'; fw-IL-18R, 5'-GCCATTTGAAGCAGAATCCAAACC-3'; rv-IL-18R, 5'-TTAAGACTCGGAAAGAACAGGCAA-3'; fw-IL-18R, nested, 5'-GTCAACAGCACATCATTGTATAAG-3'; rv-IL-18, nested, 5'-GTTTTTCCATCTGTTAATGTTTC-3'; fw-IL-18AcPL, 5'-ATGCTCTGTTTGGGCTGGATA-3'; rv-IL-18AcPL, 5'-TCACCATTCCTTAGGCTGGGA-3'; fw-IL-18AcPL, nested, 5'-GGTACCAACAACCTTCGAATG-3'; rv-IL-18AcPL, nested, 5'-GAGACTCTGGCTCTTGGAAG-3'.

PCR conditions were: 96°C (1 min), 60°C (1 min), 72°C (2 min), 30 cycles. For amplification of IL-18R and IL-18AcPL, nested RT-PCRs including additional 25 cycles were performed. PCR samples were run for analysis on an ethidium bromide-stained 1% agarose gel.

Western blot analysis

NK92 cells (5 x 106) were starved from serum, growth factors, and IL-2 for at least 2 h before stimulation with 100 ng/ml IL-18 for 10 min. Cells were lysed in lysis buffer containing 20 mM Tris-HCl (pH 7.5), 1% Nonidet P-40 (v/v), 137 mM NaCl, 10 mM EDTA, 100 mM sodium fluoride, 10% glycerol (v/v) with the addition of 0.2 mM Na3VO4, 1 mM NaF, 1 mM PMSF, 5 mM leupeptin, and 100 U/ml aprotinin (Sigma). Lysates were centrifuged at 13,000 rpm in a benchtop centrifuge for 15 min at 4°C to remove nuclei and cell debris. The supernatants were retained for protein assay and Western blotting. Protein concentrations were determined by Bradford assay (Bio-Rad Laboratories, Munich, Germany) using IgG as a standard. Thirty micrograms protein of each sample were separated by SDS-PAGE on 10% acrylamide, 0.2% bis gels. Proteins were transferred to nitrocellulose membrane (Bio-Rad) and detected by Western blot with Abs against STAT3, STAT5, MAPK (Transduction Laboratories, Hamburg, Germany), phosphoSTAT3, phosphoSTAT5 (Upstate Biotechnology, Lake Placid, NY), and active-MAPK (Promega, Madison, WI). Abs for the detection of MAPK p38 and active MAPK p38 were purchased from New England Biolabs (Beverly, MA). Immunoreactive bands were visualized with enhanced chemiluminescence (Pharmacia Biotech, Freiburg, Germany). For reprobing, the blots were stripped with 62.5 mM Tris-HCl (pH 8.0), 100 mM 2-ME, 2% SDS (w/v) at 57°C for 1 h.

Transcription factor binding assay

The assay was performed according to the method of Ng and Cantrell (32) with some modifications. Whole cell extracts were prepared by lysis of ~5 x 106 cells in lysis buffer used for Western blot analysis. The extracts were incubated with 1 µg double-stranded, 5'-biotinylated oligonucleotide at 4°C for 1 h and coupled to 30 µl of a 50% suspension of streptavidin-agarose (Sigma). DNA-protein complexes were washed three times with lysis buffer and sedimented by centrifugation. The oligonucleotide sequence was derived from the high affinity mutant sis-inducible element (SIEM67) of the c-fos gene: GTCGACATTTCCCGTAAATC (32). Precipitated proteins were separated by SDS-PAGE on 10% acrylamide, 0.2% bis gels and transferred to nitrocellulose membrane (Bio-Rad). Western blot analysis was performed with an Ab against activated STAT3.

IFN-{gamma} induction

NK92 cells (5 x 106) were serum starved for 4 h and stimulated with the following cytokines: IL-2 (100 U/ml), IL-12 (50 ng/ml, Cell Concepts, Umkirch, Germany), IL-18 (50 ng/ml). After 4 h of incubation at 37°C, 5 x 106 cells were harvested for the RT-PCR approach. Inhibitor PD098059 or SB203580 were added as described before. For estimation of IFN-{gamma} protein production, 1 x 106 NK92 cells were treated as for the RT-PCR approach with the exception that the cells were stimulated for 24 h. The supernatants were subsequently tested in an ELISA according to the manufacturer’s instruction (R&D Systems) and compared with an internal IFN-{gamma} standard.

Proliferation assay

After 2 h of IL-2 starvation, the NK92 cells were seeded at 1 x 104 cells/well in 96-well microtiter plates (Greiner, Frickenhausen, Germany) in a volume of 100 µl and incubated with the inhibitors PD098059 or AG490 for 2 h. The cells were then stimulated with the respective cytokines and incubated at 37°C and 5% CO2 for 24 h, followed by an 8-h pulse with 37 KBq per well [methyl-3H]thymidine (1.92 TBq/mmol, Amersham/Pharmacia Biotech, Freiburg, Germany). Samples were analyzed in a Packard Tri-Carb 1500 liquid scintillation analyzer (Packard Instrument, Groningen, The Netherlands). The results were expressed as mean cpm of triplicate determinations.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
IL-18-binding complex is constitutively expressed in the human NK92 cell line and cytotoxic activity is augmented by IL-18

To determine the expression of IL-18R, IL-18AcPL, and IL-18BP, the NK92 cell line was examined by semiquantitative RT-PCR. Whereas the mRNA for the IL-18BP was strongly expressed in NK92 and NK92Ci cells and could be detected using a standard RT-PCR approach, the mRNAs of IL-18R and IL-18AcPL were detected only when using a highly sensitive nested RT-PCR due to low expression levels (Fig. 1GoA). All IL-18 binding chains were expressed constitutively. The expression of IL-18R and IL-18AcPL was enhanced after a 24-h exposure to IL-12 (data not shown).



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FIGURE 1. mRNA of IL-18R complex is expressed in NK92 cells, and cytotoxic activity of NK92 cells is enhanced by IL-18. A, IL-18BP, 311 bp in lane 3) was amplified by RT-PCR from total RNA of NK92 cells. IL-18R (653 bp in lane 1) and IL-18AcPL (1316 bp in lane 2) were amplified using nested primers. B, After 24 h deprivation of IL-2 and stimulation with IL-18 (1–10 ng/ml) for 48 h in the presence of IL-2 (5 U/ml), NK92 cells were added to 5 x 103 PKH67-GL-prestained K562 cells at E:T ratios from 10:1 to 0.5:1 and incubated for 3 h. Lytic activity was measured as described.

 
To demonstrate the functionality of the IL-18 receptors, cytotoxicity assays were performed with the human cell line NK92 as effector cells and the erythroleukemia cell line K562 as target cells. IL-18 up-regulates the cytotoxic activity of human NK92 cells in a dose-dependent manner with a maximum lytic activity at 10 ng/ml IL-18. E:T ratios from 0.5:1 to 10:1 were studied. With an E:T ratio of 1:1, the lytic activity was increased by ~50% compared with unstimulated cells (Fig. 1GoB).

IL-18 rapidly activates STAT3 in NK92 cells

To determine whether IL-18 induces signaling molecules other than IRAK, TRAF6 (24), or NF-{kappa}B, known to be involved in IL-18 signaling (25, 26), we examined the extracellular regulated kinases p42erk-2 and p44erk-1, which belong to the family of MAP kinases, as well as STAT3 and STAT5 molecules.

When the NK92 cells were starved for at least 2 h and subsequently stimulated with IL-18 for 10 min, activation of STAT3 was demonstrated, using an Ab against phosphorylated STAT3 (Fig. 2GoA). Equal expression of STAT3 and uniform loading of the gel was assured by stripping the membrane and reprobing it with an Ab recognizing both the active and the inactive form of STAT3 as demonstrated in Fig. 2GoA.



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FIGURE 2. IL-18 leads to activation and DNA binding of STAT3 in NK92 (lanes 1 and 2) and NK92Ci (lanes 3 and 4) cells. A, 5 x 106 cells were deprived of serum and IL-2 for 2 h and incubated without (lanes 1 and 3) or with IL-18 (lanes 2 and 4) for 10 min. Western blot analyses were performed with Abs against phosphorylated STAT3 (upper panel) and STAT3 (lower panel). B, Whole cell lysates from NK92 cells were prepared as described and incubated for 1 h with double-stranded 5'-biotinylated oligonucleotides specific for SIEM67. DNA-bound and streptavidin-agarose-precipitated proteins were analyzed by Western blotting using an Ab against phosphorylated STAT3. C, Western blot analysis was performed as described in A using Abs against phosphorylated STAT5 (upper panel) and STAT5 (lower panel).

 
To prove that the IL-18-induced phosphorylation of STAT3 resulted in STAT3 binding to specific promoter sequences, biotinylated oligonucleotides comprising the high affinity mutant SIEM were used to precipitate activated STAT3 proteins from cell extracts of IL-18-stimulated and unstimulated NK92 cells. Binding of the activated STAT3 protein to the specific SIEM oligonucleotides was detected by Western blotting using an Ab against phosphorylated STAT3. In contrast to unstimulated cells, DNA binding of STAT3 was induced in IL-18-treated NK92 cells (Fig. 2GoB). With an identical approach, we investigated the potential involvement of STAT5 in IL-18 signaling. In NK92 cells, an IL-18-triggered phosphorylation of STAT5 was not detectable. In contrast to the parental cell line, STAT5 was already phosphorylated in NK92Ci cells in the absence of exogenous stimulation. This phosphorylation level was not amplified by IL-18 (Fig. 2GoC).

Inhibition of MAPK suppresses the IL-18-enhanced cytotoxicity of NK92 cells against tumor cells

Because IL-18 was shown to activate the lymphoid phosphotyrosine kinases p56lck and MAPK p42erk-2 in a murine Th1 clone (33), we examined the role of MAPK in mediation of IL-18-enhanced cytotoxicity in the NK92 cells. Stimulation of starved NK92 cells with IL-18 resulted in a strong activation of p42erk-2 and to a lesser extent of p44erk-1 as demonstrated by Western blotting with an Ab against activated MAPK p42erk-2/p44erk-1 (Fig. 3GoA). Phorbol ester, a strong inducer of MAPK, served as a positive control and activated both p42erk-2 and p44erk-1. Kinetic experiments of IL-18-induced MAPK phosphorylation revealed that the activation of p42erk-2 and p44erk-1 took place within 4 min and lasted for >1 h (data not shown). IL-18 induced a comparable activation of MAPK p42erk-2/p44erk-1 in NK92Ci cells genetically modified to express IL-2 (Fig. 3GoA). This activation was completely abrogated in the presence of the MAP kinase inhibitor PD098059 (Fig. 3GoB). Furthermore, IL-18 strongly activated MAPK p38 in NK92 cells, whereas IL-2 activated p38 to a lesser extent in these cells. In the presence of the MAPK p38 inhibitor, the activation was completely abrogated (Fig. 3GoC).



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FIGURE 3. IL-18-induced phosphorylation of MAPK p44erk-1 and p42erk-2 and cytotoxicity in NK92 cells can be suppressed by PD098059. A, After 2 h deprivation of serum and IL-2, NK92 (lanes 1–3) and NK92Ci (lanes 4–6) cells were incubated for 10 min without (lanes 1 and 4) and with IL-18 (lanes 2 and 5) or PMA (lanes 3 and 6). Western blot analyses were performed using Abs specific for the activated forms of p44erk-1 and p42erk-2 (upper panel) or p44erk-1 and p42erk-2 (lower panel). B, NK92 cells were serum deprived and incubated for 4 h in the absence (lanes 1 and 2, lanes 5 and 6) or presence of MAPK pathway inhibitor PD098059 (lanes 3 and 4). Cells were stimulated for 10 min with IL-18 (lanes 2 and 4), DMSO (lane 5), IL-2 (lane 6), or without cytokines (lane 1). Western blot analyses were performed using Abs specific for the phosphorylated forms of p44erk-1 and p42erk-2(upper panel) and against p44erk-1 and p42erk-2 (lower panel). C, NK92 cells were serum deprived and incubated for 4 h in the absence (lanes 1, 2, and 5) or presence of MAPK pathway inhibitor SB203580 (lanes 3, 4, and 6). Cells were stimulated for 10 min with IL-18 (lanes 2 and 4), IL-2 (lanes 5 and 6), or without cytokines (lane 1). Western blot analyses were performed using Abs specific for the phosphorylated forms of MAPK p38 (upper panel) and against p38 (lower panel). D, After NK92 cells were deprived of IL-2 for 24 h, the cells were incubated without (•) or with ({blacksquare}) PD098059 for 2 h before stimulation with IL-18 and trace amounts of IL-2. Cytotoxic activity was performed using europium release assay as described.

 
To address the consequence of the IL-18-induced MAPK activation, we evaluated the effect of the specific MAPK inhibitor on the biological effects of IL-18. When NK92 cells were cultured in the presence of PD098059, the IL-18-induced augmentation of the lytic activity of NK92 against K562 cells was markedly suppressed by ~30% at an E:T ratio of 25:1 (Fig. 3GoD).

IL-18 alone does not induce IFN-{gamma} protein but up-regulates IFN-{gamma} mRNA in NK92 cells

To determine the impact of the inhibited MAPK-pathway on IL-18-induced IFN-{gamma} production, NK92 cells were starved for 4 h and subsequently stimulated with IL-18 alone or in combination with IL-2 or IL-12. The expression of IFN-{gamma} was determined by semiquantitative RT-PCR and ELISA.

As shown in Fig. 4GoA, IL-18 alone strongly induced IFN-{gamma} mRNA expression in NK92 cells, while IFN-{gamma} protein production was not observed by ELISA (Fig. 4GoB). In contrast to IL-18, 100 U/ml IL-2 given as the only stimulus was not capable either of inducing IFN-{gamma} mRNA expression or of IFN-{gamma} protein production. When NK92 cells were costimulated with IL-18 and IL-2, IFN-{gamma} mRNA synthesis was induced to the same amount that was observed by the treatment with IL-18 alone. However, this costimulation led to an enhanced IFN-{gamma} protein production of ~2500 pg/ml (Fig. 4GoB).



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FIGURE 4. IL-18 alone induces mRNA but not protein expression of IFN-{gamma} in NK92 cells. A, Total RNAs from NK92 cells were isolated after stimulation without any cytokine (lane 1) or with IL-18 (lane 2), PD098059 (lane 3), IL-18 and PD098059 (lane 4), SB203580 (lane 5), IL-18 and SB203580 (lane 6), IL-2 (lane 7), IL-2 and IL-18 (lane 8), IL-12 (lane 9), or IL-12 and IL-18 (lane 10) and amplified by RT-PCR to detect IFN-{gamma} (600 bp). (B) After 4 h deprivation of serum and IL-2 and 2 h preincubation with or without SB 203580 (lower row) or PD098059 (middle row), 1 x 106 cells were stimulated for 24 h with cytokines (upper row) as indicated in B. The serum concentrations of IFN-{gamma} were measured by IFN-{gamma} ELISA as described.

 
In contrast to IL-18 or IL-2, IL-12 alone was able to induce IFN-{gamma} mRNA as well as IFN-{gamma} protein production of 1140 pg/ml (Fig. 4Go). IL-18 acted synergistically in combination with IL-12, resulting in a strong increase of the IFN-{gamma} production, whereas the expression level of IFN-{gamma} mRNA did not change.

Inhibition of MAPK interferes with IFN-{gamma} production

The MAPK pathway inhibitor PD098059 did not affect the IFN-{gamma} mRNA expression induced by IL-18 but resulted in a 43% reduction of IFN-{gamma} protein production when administered with IL-2 and IL-18. PD098059 had only a minor effect on the IFN-{gamma} protein production induced by IL-18 and IL-12 (6%) (Fig. 4GoB). In contrast to the inhibition of the MAPK p42erk-2 and p44erk-1, the inhibition of MAPK p38 by SB203580 affected the IFN-{gamma} mRNA expression and suppressed the IFN-{gamma} protein production by 89% (Fig. 4GoB).

Inhibition of the MAPK pathway does not alter the proliferation of NK92 cells

NK92 cells were deprived of IL-2 and subsequently cultured with various combinations of IL-2, IL-12, and IL-18 in the presence or absence of the MAPK pathway inhibitor PD098059 or the JAK/STAT pathway inhibitor AG490. The influence on proliferation was measured by incorporation of [3H]thymidine. In this setting, IL-2 was the maximal stimulus for NK92 cell proliferation. Whereas treatment with IL-12 still reached the half-maximal effect of IL-2, IL-18 alone stimulated proliferation of only 25% compared with IL-2. IL-18 applied in combination with IL-2 or IL-12 did not enhance proliferation above levels observed with IL-2 or IL-12 alone. PD098059 did not significantly influence the proliferation, irrespective of whether the cells were treated with IL-2 or IL-12 or in combination with IL-18 (Fig. 5Go). In contrast to the MAPK pathway inhibitor, AG490 reduced the proliferation of NK92 cells by ~70%, when they were treated with IL-2 or IL-12, respectively. When a combination of IL-18 and IL-2 was applied, the growth reduction was ~60% (Fig. 5Go).



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FIGURE 5. Inhibition of the MAPK pathway does not alter proliferation of NK92 cells in [3H]thymidine reuptake assays. NK92 cells (1 x 104) were stimulated for 24 h with cytokines and inhibitors. After an 8-h pulse with 37 kBq [3H]thymidine per well, cells were analyzed, and the results are expressed as mean cpm of triplicate determinations.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
NK cells as mediators of the innate immune surveillance play a critical role in tumor recognition and elimination at an early stage of cancer progression and metastasis (34). In the early response to viral infections and tumors, NK cells are cytolytic and secrete cytokines that influence the developing Ag-specific immune response. The NK cell line NK92 was established from a patient with rapidly progressive non-Hodgkin’s lymphoma and displays potent cytotoxic activity against a broad range of tumors. The cell line is positive for the NK surface marker CD56 and negative for the TCR marker CD3 (29). To achieve independence from exogenous IL-2, the NK92 cell line has been transfected with a human IL-2 expression vector and a subline named NK92Ci was established (31).

Recently, IL-18 was discovered as an important regulator of NK cell function, stimulating IFN-{gamma} production and augmenting the cytolytic effect, predominantly through CD95(Fas)-dependent or perforin-dependent pathways (7, 8, 9). In view of its structural relationship to IL-1, investigation of IL-18-mediated signaling has focused on the IL-1-related signaling pathways. Albeit the involvement of IRAK in IL-18 signaling was clearly demonstrated in a knockout mouse model, these results also revealed that residual cytokine responsiveness operates through IRAK-independent pathways. Furthermore, IL-1 and IL-18 act on a different spectrum of cell types and lead to divergent cellular responses (27). These signaling pathways also differ from those activated by the functionally related IL-12. In our work, we therefore tried to elucidate other relevant IL-18 signaling pathways. Because of its clinical relevance in tumor therapy, the evaluation was conducted in the human NK92 cell line, which has retained phenotypic features characteristic of normal NK and lymphokine-activated killer cells.

Because the presence of the IL-18 receptors is a prerequisite to mediate the different IL-18 effects, we initially demonstrated that the NK92 cells constitutively express all three IL-18-binding chains including the IL-18-binding protein, which reveals no structural relationship to any known receptor family (Fig. 1GoA). Furthermore, the functionality of the IL-18-binding chains was demonstrated by production of IFN-{gamma} in response to IL-18 and the enhancement of IL-18-induced cytolytic effects against K562 target cells in a dose-dependent manner.

IL-18 was thought to act as a costimulatory factor for induction of IFN-{gamma} in collaboration with secondary stimuli such as IL-2 or mitogens (1). This was also confirmed for the IFN-{gamma} production in human NK92 cells. However, IL-18 alone strongly induces IFN-{gamma} mRNA expression, whereas IL-2 alone did not effectively stimulate transcription of the IFN-{gamma} gene. However, only the combination of IL-2 and IL-18 resulted in an increase of both IFN-{gamma} mRNA and IFN-{gamma} protein production. This clearly demonstrates that IL-18 alone regulates the transcription of the IFN-{gamma} gene but requires the additional presence of IL-2 to force IFN-{gamma} protein production at the translational level.

Stimulation of human NK92 cells with IL-18 rapidly activates the MAPK p42erk-2 and p44erk-1. This activation was completely suppressed by the MAPK pathway inhibitor PD098059. In contrast to a minimal influence of the MAPK pathway inhibitor on IFN-{gamma} mRNA expression induced by IL-18, the IFN-{gamma} protein production was drastically reduced in IL-18- and IL-2-stimulated cells. These data suggest that the MAPK p42erk-2/p44erk-1 are involved in IL-18-mediated IFN-{gamma} protein production, presumably at a translational level. The activation of the MAPK alone is not sufficient to induce IFN-{gamma} protein production, because IL-18 alone mediates the IFN-{gamma} mRNA expression as well as MAPK p42erk-2/p44erk-1 activation without stimulating protein production. In contrast to the inhibition of MAPK p42erk-2/p44erk-1, inhibition of MAPK p38 by the specific inhibitor SB203580 down-regulated IFN-{gamma} protein production at the transcriptional level. This is concordant with the finding that MAPK p38 is relevant for the activation of the ATF2 element in the IFN-{gamma} promoter (35).

Wei et al. (36) reported that the MAPK-pathway inhibitor reduced NK lysis of tumor cells and completely blocked the redirection of both perforin and granzyme B. The MAPK pathway also appears to have a role in IL-18-mediated cytotoxic activity. The cytolytic effect of NK92 cells was markedly reduced by the MAPK pathway inhibitor, when cells were activated by IL-18 in concert with IL-2. Interestingly, the proliferation of the NK92 cells was nearly unaltered in this setting.

It was reported that IL-12 is a potent NK cell-stimulatory factor (37) and acts synergistically with IL-18 (2). IL-12 mediates its effects by activation of JAK which in turn activates the specific members of the STAT family of transcription factors, STAT3 and STAT4 (38, 39). It was further demonstrated that IL-18 does not activate STAT4 (40). Because it was known that IL-2 mediates its functions by activating STAT molecules in that it activates STAT3 and STAT5 (41), we investigated whether IL-18 might also activate those signaling molecules.

In Western blot experiments, we could demonstrate that in NK92 cells STAT3 but not STAT5 was rapidly phosphorylated in response to IL-18. The specific DNA-binding activity of these phosphorylated STAT3 molecules was revealed in oligonucleotide binding experiments, using the specific SIEM motif of the c-fos gene as bait. In contrast to the STAT3 activation, IL-18 was not able either to induce the phosphorylation of STAT5 in NK92 cells or to enhance the phosphorylation in NK92Ci cells. NK92Ci cells contain the IL-2 expression vector and already display phosphorylated STAT5, presumably activated by the endogenous IL-2 production.

NK92 cells proliferate in response to IL-2 and to a lesser extent to IL-12, alone or in combination with IL-18. IL-18 alone only barely stimulated the cells to proliferate. The cytokine-induced NK92 cell proliferation is completely abrogated when cells were cultured in the presence of the JAK/STAT pathway inhibitor AG490. AG490 prevents the phosphorylation of STAT molecules without affecting the vitality of the cells. Our findings suggest that the translation of IFN-{gamma} mRNA induced by IL-18 involves MAPK activation and additional costimulatory factors activated by IL-2. MAPK also participates in the IL-18-induced cytolytic effect but does not alter the proliferation of NK92 cells. These data may also be relevant in the context of a clinical application of NK cells in tumor therapies. The parental NK92 cell line is currently being tested in clinical trials.


    Footnotes
 
1 This work was supported by a Research Project Grant from the Marie Christine Held and Erika Hecker Foundation. Back

2 Address correspondence and reprint requests to Dr. Uwe Kalina, Department of Hematology, Johann Wolfgang Goethe University Hospital, Theodor-Stern-Kai 7, 60590 Frankfurt/Main, Germany. Back

3 Abbreviations used in this paper: Rrp, receptor-related protein; AcPL, accessory protein-like; IRAK, serine-threonine IL-1R-associated kinase; TRAF6, TNFR-associated factor-6; NIK, NF-{kappa}B-inducing kinase; MAPK, mitogen-activated protein kinases; JAK, Janus kinase; fw, forward primer; rv, reverse primer; SIEM67, sis-inducible element; IL-18BP, IL-18-binding protein. Back

Received for publication September 7, 1999. Accepted for publication May 17, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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