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Medline Plus Health Information
*Genes and Gene Therapy
*Neuroblastoma
The Journal of Immunology, 2001, 166: 6944-6951.
Copyright © 2001 by The American Association of Immunologists

IFN-{gamma}-Inducible Protein-10 Is Essential for the Generation of a Protective Tumor-Specific CD8 T Cell Response Induced by Single-Chain IL-12 Gene Therapy1

Ursula Pertl*, Andrew D. Luster{dagger}, Nissi M. Varki{ddagger}, Dirk Homann*, Gerhard Gaedicke§, Ralph A. Reisfeld* and Holger N. Lode2,§

* Department of Immunology, The Scripps Research Institute, La Jolla, CA 92037; {dagger} Center for Immunology and Inflammatory Diseases, Division of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129; {ddagger} University of California, Cancer Center 0961, La Jolla, CA 92093; and § Charité Children’s Hospital, Berlin, Germany


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The successful induction of T cell-mediated protective immunity against poorly immunogenic malignancies remains a major challenge for cancer immunotherapy. Here, we demonstrate that the induction of tumor-protective immunity by IL-12 in a murine neuroblastoma model depends entirely on the CXC chemokine IFN-{gamma}-inducible protein 10 (IP-10). This was established by in vivo depletion of IP-10 with mAbs in mice vaccinated against NXS2 neuroblastoma by gene therapy with a linearized, single-chain (sc) version of the heterodimeric cytokine IL-12 (scIL-12). The efficacy of IP-10 depletion was indicated by the effective abrogation of scIL-12-mediated antiangiogenesis and T cell chemotaxis in mice receiving s.c. injections of scIL-12-producing NXS2 cells. These findings were extended by data demonstrating that IP-10 is directly involved in the generation of a tumor-protective CD8+ T cell-mediated immune response during the early immunization phase. Four lines of evidence support this contention: First, A/J mice vaccinated with NXS2 scIL-12 and depleted of IP-10 by two different anti-IP-10 mAbs revealed an abrogation of systemic-protective immunity against disseminated metastases. Second, CD8+ T cell-mediated MHC class I Ag-restricted tumor cell lysis was inhibited in such mice. Third, intracellular IFN-{gamma} expressed by proliferating CD8+ T cells was substantially inhibited in IP-10-depleted, scIL-12 NXS2-vaccinated mice. Fourth, systemic tumor protective immunity was completely abrogated in mice depleted of IP-10 in the early immunization phase, but not if IP-10 was depleted only in the effector phase. These findings suggest that IP-10 plays a crucial role during the early immunization phase in the induction of immunity against neuroblastoma by scIL-12 gene therapy.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We recently demonstrated that effective tumor-protective immunity can be achieved in a poorly immunogenic, syngeneic tumor model of murine neuroblastoma after the transduction of a fusion gene encoding a linearized single chain (sc)3 IL-12 (scIL-12) into NXS2 neuroblastoma cells. In fact, s.c. vaccination with live, scIL-12-producing NXS2 neuroblastoma cells not only resulted in tumor rejection at the primary vaccination site but also completely protected such mice from challenges with lethal doses of wild-type tumor cells as indicated by the absence of disseminated metastases (1).

IL-12 is known to have multifunctional activities (2), including immunomodulation (1, 3, 4, 5, 6, 7) and antiangiogenesis (8, 9, 10). The mode of action responsible for the antitumor effects induced by local scIL-12 includes inhibition of primary tumor growth (11) as well as inhibition of metastasis. IL-12 and its downstream mediator, IFN-{gamma} can elicit diverse immunomodulatory effects because of acquired and innate immune mechanisms. IL-12-mediated innate immune responses include stimulation of NK cell cytotoxicity and subsequent activation of neutrophils and macrophages. This in turn leads to the production of superoxides and nitric oxide, which are involved in mechanisms that were shown to control tumor growth in animal models (12, 13, 14, 15). However, the eradication of disseminated metastasis requires adaptive antitumor immune responses, which are initiated by IL-12 via induction of a CD8+ T cell-mediated immune response. This is achieved by augmenting cytotoxicity of primed CD8+ T cells or Th1 differentiation of naive CD4+ T cells that can subsequently provide help for tumor-specific priming of CTLs. A third mechanism of action of IL-12 is provided by the inhibition of tumor-induced neovascularization, i.e., antiangiogenesis. Experiments in vitro and in vivo have documented that the antiangiogenic effects of IL-12 are indirect and require the participation of IFN-{gamma} which, in turn, stimulates secretion of IFN-{gamma}-inducible protein 10 (IP-10). This chain of events identified IP-10 as a key player in IL-12-mediated antiangiogenesis (8, 10, 16).

IP-10 is a CXC chemokine that has been shown to induce chemotaxis of activated T cells and to inhibit angiogenesis (17, 18, 19). It is produced by activated monocytes, fibroblasts, endothelial cells, epithelial cells, and keratinocytes. IP-10 binds to a seven-transmembrane G protein-coupled receptor, CXCR3, expressed on activated T cells, leading to chemotaxis (20). IP-10 has two potential antitumor effects: antiangiogenesis and immunomodulation, similar to what has been described for IL-12. These observations stimulated a number of investigators to determine the role of IP-10 in IL-12-mediated antitumor effects focusing primarily on the growth of primary tumors in naive mice and the inhibition of neovascularization or chemotaxis (3, 18, 19, 21).

Here, we demonstrate for the first time that IP-10 is a key player in mediating systemic tumor-protective immunity induced by scIL-12 gene therapy by directly affecting Th1-type CD8+ T cells and by playing a crucial role in the early immunization phase of vaccination with scIL-12.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Construction and characterization of sc mouse (m) IL-12

The construction of scIL-12 was done as described previously (1). Briefly, the cDNAs encoding the p35 and p40 chains of mIL-12 were generated from Con A-stimulated mouse splenocytes by RT-PCR. The cDNA for the scIL-12 fusion protein was constructed by linkage of p35 and p40 subunits with a synthetic linker. To assure secretion in eukaryotic cells, this construct was joined at its 5' SmaI site with the 3' BalI site of a p24 leader sequence, thereby replacing the amino-terminal arginines of p35 with two glycines downstream from the cleavage site. After introduction into the pBK-CMV vector (Stratagene, La Jolla, CA) using the NotI and XhoI restriction sites, NXS2 cells were transfected and stable clones selected in the presence of 500 µg/ml G418 (Sigma, St. Louis, MO).

The mIL-12 protein content produced by NXS2 cells was measured by an ELISA for mIL-12-p70 (Genzyme, Cambridge, MA). Two NXS2 clones secreting either low (0.5 ng/106 cells/24 h) or high levels (0.7 ng/106 cells/24 h) of scIL-12 were chosen for vaccination experiments. The specific IL-12 activity of the scIL-12 construct was one-sixth that of the mIL-12 standard (Hoffmann-La Roche, Nutley, NJ), as determined by its ability to induce mIFN-{gamma} after incubation with splenocytes, as described previously (1). One NXS2 clone transduced with the empty vector was used for control experiments. All clones revealed the same proliferation characteristics in vitro as NXS2 wild-type cells.

Cell lines and neuroblastoma model

Syngeneic female A/J, C.B-17 scid/scid and C.B-17 scid/beige mice were obtained at 6–12 wk of age from The Jackson Laboratory (Bar Harbor, ME). They were housed in the pathogen-free mouse colony at our institution, and all animal experiments were performed according to the National Institutes of Health guide for "The Care and Use of Laboratory Animals." The murine NXS2 wild-type, NXS2 pBK-CMV, and NXS2 scIL-12 neuroblastoma cell lines were cultured and used for vaccination experiments, as described previously (1). Briefly, primary tumors were induced by s.c. injection of 2 x 106 NXS2 pBK-CMV cells and their growth compared with that of NXS2 scIL-12 cells producing high and low amounts of scIL-12. Tumor growth was determined by microcaliper measurements, and tumor volume was calculated according to the formula 1/2 (length) x (width)2. Liver metastases were induced by lateral tail vein injection of 5 x 104 NXS2 wild-type cells, and mice were sacrificed for evaluation after 28 days.

Determination of tumor-induced angiogenesis in Matrigel

Matrigel (Becton Dickinson Labware, Bedford, MA), a product derived from the Engelbreth-Holm Swarm tumor (22) consisting of laminin, collagen IV, heparin sulfate, proteoglycan, and nidogen/entactin, liquefies at 4°C and rapidly polymerizes at 37°C following s.c. injection. Thus, Matrigel plugs were induced by s.c. injection of a mixture of liquefied Matrigel (0.4 ml) and 1 x 105 NXS2 pBK-CMV cells or NXS2 scIL-12 cells in the presence or absence of 0.1 ml of anti-IP-10 mAbs (1F11, 1B9), anti-IP-10 antiserum, or normal serum as a control. Mice were sacrificed on day 6, after which Matrigel plugs were harvested and weighed. Tumor-induced angiogenesis was quantified by determination of the hemoglobin content in Matrigel plugs by the method described by Drabkin and Austin (23). Briefly, Matrigel plugs were minced and liquefied in 0.3 ml of PBS at 4°C overnight. Subsequently, hemoglobin content was determined by incubation of 0.1 ml of Matrigel with 1 ml of Drabkin reagent for 15 min at room temperature. Insoluble tissue was removed by centrifugation (14,000 x g for 5 min) and the concentration of hemoglobin calculated according to a calibration curve obtained from serial dilutions of a hemoglobin standard (Sigma). Hemoglobin (Hb) concentrations and weights of Matrigel plugs were used to calculate mg Hb/g Matrigel.

In vivo depletion of mIP-10 and mIFN-{gamma}

Two hamster anti-mouse IP-10 mAbs (1F11 and 1B9) have been generated by standard techniques. The specificity of these mAbs was tested in direct ELISA and by immunoblot with other available mouse chemokines, including monokine induced by IFN-{gamma} (Mig), KC, stromal cell-derived factor-1, eotaxin, macrophage-inflammatory protein (MIP)-1{alpha}, MIP-1{beta}, and monocyte chemoattractant protein-5. Both mAbs were highly specific for mIP-10 and did not cross-react with other murine chemokines tested. The hybridomas have been adapted to serum-free medium and grown in CellMax cartridges (Cellco, Kensington, MD), and the mAbs were purified by protein G affinity chromatography. Purified 1F11 and 1B9 IgG were both capable of neutralizing mIP-10-induced chemotaxis and calcium flux responses of mCXCR3 transfected 300–10 cells (24). For in vivo depletion of IP-10 in Matrigel experiments, 250 µg of the monoclonal anti-IP-10 Abs 1F11 or 1B9 were added to the Matrigel plugs, followed by i.p. injection of another 250 µg of these Abs on days 0, 1, 2, and 4. In addition to the mAbs, polyclonal rabbit anti-mouse IP-10 serum, kindly provided by J. M. Farber (National Institutes of Health, Bethesda, MD) was used in Matrigel experiments. For this purpose, 0.1 ml of anti-IP-10 antiserum was added to liquefied Matrigel followed by i.p. injection of 0.3 ml of antiserum on days 0, 1, 2, and 4, similar to 1F11 and 1B9 mAbs.

In vaccination experiments, 250 µg of anti-IP-10 mAb was added to the tumor inoculum and injected on days 3, 8, and 17 i.p. For depletion in the immunization phase, 250 µg of anti-IP-10 mAb were injected i.p. on day 0 followed by 100 µg on days 2 and 4. Depletion of IP-10 in the early effector phase was accomplished by 250 µg of anti-IP-10 injected i.p. on day 7 followed by 100 µg of mAb i.p. on days 10 and 13 and in the late effector phase by 250 µg of anti-IP-10 i.p. on day 10 followed by 100 µg of mAb on days 13 and 16. Rabbit anti-mouse IP-10 serum was not used in this set of experiments because of lethal serum reactions in all animals observed after the third injection.

In experiments with hamster mAbs and rabbit antiserum, equal amounts of normal hamster serum (Harlan Bioproducts, Indianapolis, IN) or normal rabbit serum (Dako, Carpinteria, CA) were applied as negative controls, respectively. In vivo depletion of mIFN-{gamma} was accomplished by addition of 0.5 mg of rat anti-mouse IFN-{gamma} mAb to the tumor inoculum and additional i.p. injections of 1 mg each on days 3, 7, and 18. Rat anti-mouse IFN-{gamma} mAb was obtained from ascites generated with the R4-6A2 hybridoma cell line, kindly provided by S. Webb (The Scripps Research Institute, La Jolla, CA).

Histology and immunohistochemistry

Tumor-induced angiogenesis was determined by histological analysis of neovascularization and tumor cell morphology in Matrigel experiments. To this end, Matrigel plugs containing NXS2 pBK-CMV cells or NXS2 scIL-12-producing cells were harvested in the presence or absence of IP-10 depletion on day 6, fixed in 10% buffered formalin, sectioned, and stained with hematoxylin and eosin. The immunophenotype of NXS2 scIL-12-induced leukocyte infiltrations was determined 6 days after s.c. inoculation of 2 x 106 NXS2 scIL-12 in the presence or absence of IP-10 depletion and compared with NXS2 pBK-CMV controls. Frozen sections of tumor tissue were fixed in cold acetone for 10 min followed by removal of endogenous peroxidase with 0.03% H2O2 (30 min, room temperature). Nonspecific binding was blocked with 10% species-specific serum in 1% BSA/PBS. Biotinylated anti-mouse CD45 mAb (BD PharMingen, La Jolla, CA), biotinylated CD8, CD4, Mac1, and NK cell-specific rabbit anti-asialo GM1 antiserum (Wako, Richmond, VA) were diluted to 10 µg/ml in 10% goat serum (1% BSA/PBS, pH 7.4) and overlaid onto serial sections. Slides were incubated in a humid chamber for 30 min followed by the application of biotinylated goat anti-rabbit Ab onto slides that were preincubated with anti-asialo GM1 antiserum for 10 min. Streptavidin-labeled HRP was added and the slides incubated for 10 min, followed by substrate development with the AEC (amino ethyl carbazole) kit (Vector Laboratories, Burlingame, CA) and a hematoxylin nuclear counterstain. All incubations were followed by three wash steps with PBS (pH 7.1).

RT-PCR for the detection of IP-10

Isolation of mRNA from tumor tissues and synthesis of cDNA was performed, as described previously (25). The amplification of a 302-bp fragment of mIP-10 was performed in a 25-µl PCR mixture consisting of 20 mM Tris-HCl (pH 8.4), 50 mM KCl, 0.2 mM deoxynucleotide triphosphate, 2 mM MgCl2, 2.5 U Taq Polymerase (Life Technologies, Rockville, MD), and 0.5 µM sense and antisense oligonucleotide primers. PCRs were conducted in the Mastercycler gradient (Eppendorf, Hamburg, Germany) for 30 cycles (96°C, 15 s; 62°C, 30 s; 72°C, 90 s). The primer sequences were as follows: mIP-10 sense: ACC ATG AAC CCA AGT GCT GC; mIP-10 antisense: AGT TAA GGA GCC CTT TTA GAC C. PCR products were separated on 1% agarose gels by electrophoresis. The identity of 302-bp fragments was verified by DNA sequencing. The integrity of the cDNA used for PCR amplification was determined by amplification of a 299-bp fragment of mouse GAPDH as described previously (25).

Determination of secreted IL-12

Blood plasma from naive mice or mice inoculated with 2 x 106 IL-12-producing NXS2 cells or NXS2 pBK-CMV cells was obtained by retroorbital puncture with heparinized capillaries (Fischer Scientific, Pittsburgh, PA), followed by centrifugation (2000 rpm for 5 min). IL-12 p70 was measured in plasma by using an ELISA kit (Genzyme, Cambridge, MA), according to the manufacturer’s instructions (assay sensitivity, 5 pg/ml).

Cytotoxicity assays

Effector cells were prepared from mouse spleen cells by hypotonic lysis of RBC with ACK lysis buffer (Life Technologies) and cultured for 5 days in DMEM medium containing, 10% FCS, 1% glutamine, 1% penicillin/streptomycin in the presence of 0.04% T-stim (Collaborative Biomedical Products, Bedford, MA), 100 IU human IL-2/ml and irradiated NXS2 tumor cells at a tumor cell:effector cell ratio of 1:100. After 5 days, effector cells were used for the cytotoxicity assay or for subsequent separation into subpopulations. Pure (>95%) CD4+ and CD8+ T cells were prepared by MACS (Miltenyi Biotec, Auburn, CA). Briefly, mouse splenocytes were incubated with either anti-mCD8 or anti-mCD4 Ab microbeads (Miltenyi Biotec). MACS was performed according to manufacturer’s guidelines. For the subsequent 51Cr release assay, NXS2 target cells were incubated in the presence of 0.5 mCi of Na251CrO4 (Amersham, Cleveland, OH) for 2 h at 37°C and washed three times and seeded onto a flat-bottom 96-well plate at a density of 5000 cells/well. Effector cells were added at various E:T ratios in a final volume of 200 µl/well and incubated for 8 h. MHC class I-Ag restriction was determined by addition of anti-H2Kk (clone 36-7-5) and anti-H2Dd (clone 34-2-12) Abs (25 µg/ml; BD PharMingen). Total 51Cr release was induced with 10 µl of SDS (10%). Supernatants were collected from each well for determination of 51Cr release. The percentage of target cell lysis was calculated as follows: experimental release (cpm) - spontaneous release (cpm)/total release (cpm) - spontaneous release (cpm) x 100 = percent cytotoxicity. The results were expressed as mean value ± SD of at least three experiments.

Flow cytometry

Staining of cell surface Ag and intracellular Ags was performed as described previously (26). Cell cultures from spleens of control mice, immunized mice, and IP-10-depleted mice were labeled with CFSE (Molecular Probes, Eugene, OR) and for tumor-specific stimulation incubated for 5 days with irradiated NXS2 tumor cells at a tumor/effector cell ratio of 1:100 in DMEM medium supplemented with 10% FCS, 2 mM glutamine, 100 IU/ml penicillin, 100 µg/ml streptomycin, and 0.04% T-stim (Collaborative Biomedical Products). For staining of intracellular cytokines, cells were stimulated for the final 5 h with 5 ng/ml PMA (Sigma) and 500 ng/ml ionomycin (Sigma). All stimulated cultures contained 1 µg/ml brefeldin A (Sigma) to block protein transport into post-Golgi compartments and allow cytokines to accumulate within cells. Surface staining with PE-labeled anti-CD8 mAb was followed by intracellular staining with APC-labeled anti-IFN-{gamma} mAb (BD PharMingen). Cells were analyzed on a FACScan flow cytometer with CellQuest software (Becton Dickinson, Mountain View, CA).

Statistics

The statistical significance of differential findings between experimental groups of animals was determined by the two-tailed Student’s t test. The nonparametric Wilcoxon test was used to determine the statistical significance of hepatic metastases. Findings were regarded as significant if two-tailed p values were <=0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Effect of scIL-12 production on local antitumor response

The involvement of distinct immune effector cells in the antitumor response induced by local scIL-12 production was analyzed in immunocompetent A/J mice. These data were compared with scid/scid mice and those obtained in scid/beige mice to assess the role of T cells and NK cells, respectively, in this tumor model. NXS2 cells producing IL-12 were rejected in A/J mice, irrespective of the cytokine’s secretion rate (Fig. 1GoA). This was in contrast to scid/scid and scid/beige mice that only revealed a reduction in continuous s.c. tumor growth but not a complete tumor rejection (Fig. 1GoB). These findings indicate the involvement of the T cell compartment in the rejection of NXS2 scIL-12 cells, an observation reported previously (1). Here, we extended these findings by establishing a role for NK cells in local tumor growth. Specifically, the dose-dependent growth rates of NXS2 scIL-12 cells in scid/beige mice lacking both T and NK cells are at least twice those observed in scid/scid mice lacking mature T cells (Fig. 1GoB). Differences in s.c. tumor growth attributable to variable cell proliferation rates of each cell clone investigated could be excluded by determination of [3H]thymidine incorporation over time, which revealed no difference between each NXS2 cell clone (data not shown). Interestingly, a reduction in tumor growth dependent on the scIL-12 secretion rate of NXS2 scIL-12 cells also was observed in scid/beige mice (Fig. 1GoB), defective in both T and NK cell compartments, accompanied by impaired chemotaxis and motility of macrophages. These findings strongly suggest the involvement of antiangiogenesis, an additional effector function to immunomodulation induced by IL-12.



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FIGURE 1. Effect of local scIL-12 production on s.c. tumor growth in immunocompetent and immunodeficient mice. Immunocompetent A/J mice (n = 4; A) and T cell-deficient scid/scid mice (n = 4; B, open symbols) or T cell and NK cell-deficient scid/beige mice (n = 4; B, filled symbols) were injected s.c. with 2 x 106 NXS2 cells producing either high ({triangleup}, {blacktriangleup}), or low amounts ({triangledown},{blacktriangledown}) of scIL-12 and compared with NXS2 pBK-CMV empty vector controls ({circ},•). Tumor growth was evaluated by microcaliper measurements performed two to three times per week. In experiments with A/J mice (A), the difference between the experimental groups and the control group is statistically significant (day 5; p <= 0.0001). In experiments with scid/beige mice and scid/scid mice (B), the difference between all experimental and control groups is statistically significant (scid/beige: day 8, p <= 0.05; day 21, p <= 0.001; scid/scid: day 12, p <= 0.05; day 20, p <= 0.001).

 
scIL-12-induced inhibition of angiogenesis in neuroblastoma is mediated by IP-10

Consistent with the scIL-12-induced reduction of tumor growth in immunodeficient scid/beige mice, a dramatic, local antiangiogenic effect was revealed by Matrigel plug assays. To this end, the hemoglobin content in Matrigel plugs was determined after s.c. inoculation of a mixture of Matrigel with NXS2 cells carrying the empty vector (NXS2 pBK-CMV) and compared with Matrigel containing scIL-12-producing NXS2 cells. Importantly, scIL-12 inhibited NXS2 neuroblastoma-induced neovascularization, as indicated by a 1.5–2.0 log decrease in hemoglobin content of NXS2 scIL-12 vs NXS2 pBK-CMV empty vector controls (Fig. 2GoA). This finding was further supported by histological analyses of Matrigel plugs, which in the case of NXS2 scIL-12 cells revealed an almost complete absence of erythrocytes and the presence of necrotic tumor cell islets (Fig. 2GoC, open arrowhead). This finding is in contrast to NXS2 pBK-CMV controls that revealed both: viable tumor cell islets (Fig. 2GoB, arrows) and erythrocytes (Fig. 2GoB, asterisk).



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FIGURE 2. Effect of IP-10 depletion on antiangiogenesis mediated by NXS2 scIL-12 cells. A/J mice were inoculated with Matrigel containing either NXS2 scIL-12-producing cells or NXS2 empty vector controls. IP-10 was depleted in three separate experiments with either monoclonal anti-IP-10 Abs 1F11 (purple bars), or 1B9 (green bars) or polyclonal anti-IP-10 serum (blue bars) and compared with serum controls (NHS) as described in Materials and Methods (A). The difference between the hemoglobin content of Matrigel plugs of non-IP-10-depleted mice, NXS2 pBK-CMV empty vector controls, and IP-10-depleted mice was statistically significant (p <= 0.05). For histological analysis, Matrigel plugs were injected with scIL-12-producing NXS2 tumor cells in the absence (C) or presence (D) of anti-IP-10 antiserum and compared with NXS2 pBK-CMV empty vector controls (B). On day 6, Matrigel plugs were removed, fixed in 10% buffered formalin, and stained with hematoxylin and eosin (B–D). Representative areas were photographed at x400 magnification. Arrows and arrowheads, Viable and necrotic tumor cell islets, respectively. *, Presence of erythrocytes.

 
Two lines of evidence support the involvement of IP-10 in scIL-12-mediated local suppression of neuroblastoma tumor growth. First, analysis of local IP-10 gene expression in animals that were depleted of scIL-12 indicated increased IP-10 mRNA detectable only in tumor tissue of mice that received scIL-12-producing NXS2 cells. This in contrast to empty vector controls, mice depleted of IL-12 or naive A/J mice (Fig. 3Go). These findings clearly indicate scIL-12-dependent production of IP-10 mRNA in the primary tumor’s microenvironment. Second, the antiangiogenic effect of scIL-12-producing NXS2 cells was demonstrated by a decrease in hemoglobin in Matrigel plugs. This antiangiogenic effect was reversed only in mice receiving both local and systemic administration of anti-IP-10 Ab, as indicated by both increased hemoglobin (Fig. 2GoA) and by histology demonstrating the reappearance of erythrocytes and the presence of viable tumor islets (Fig. 2GoD, arrow and asterisk). These findings were obtained with three different IP-10 neutralizing reagents, including a polyclonal anti-IP-10 antiserum and two anti-IP-10 mAbs, 1F11 and 1B9, that recognize different mIP-10 epitopes. Importantly, these findings demonstrate the efficacy of IP-10 depletion in our experimental model.



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FIGURE 3. Gene expression of IP-10 at the tumor site in the presence or absence of scIL-12. IP-10 expression as detected by RT-PCR in scIL-12-producing tumor tissue was determined in the presence or absence of anti-IL-12 mAb and compared with NXS2 pBK-CMV empty vector controls (n = 3). GAPDH was amplified to demonstrate integrity of cDNA used for the experiments.

 
Effect of IP-10 depletion on the scIL-12-induced local cellular antitumor response

Based on the antiangiogenic effect induced by local scIL-12 production and its abrogation by in vivo depletion of IP-10, s.c. tumor growth of scIL-12-producing NXS2 cells was analyzed by histological and immunohistochemical analyses in mice depleted of IP-10. Tumors induced by scIL-12-producing NXS2 cells in IP-10-depleted mice revealed decreases in infiltrating CD4+ and CD8+ T cells (Fig. 4Go) but showed no effect on infiltrating Mac1+ cells (Fig. 4Go) and granulocytes (data not shown). Local secretion of scIL-12 by NXS2 cells in the absence of IP-10 depletion induced a strong inflammatory response concomitant with the absence of viable tumor cells in the tumor microenvironment (Fig. 4Go, hematoxylin and eosin). This was in contrast to controls injected with NXS2 cells carrying only the empty vector.



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FIGURE 4. Histological and immunohistochemical analyses of scIL-12-induced leukocytic infiltrates in the presence or absence of anti-IP-10 mAb. Four days after s.c. inoculation of scIL-12-producing NXS2 cells and subsequent IP-10-depletion, tumors were removed and subjected to histological analysis. Sections of paraffin embedded or frozen tumor tissue from each group were stained with hematoxylin and eosin (H&E) (top row) and analyzed for T cells with anti-CD4 mAb (second row) and anti-CD8 mAb (third row) or for macrophages with Mac-1 mAb (bottom row). Tumor foci and infiltrates are depicted at x400 magnification. Brown coloring indicates positive staining for each marker, respectively.

 
Effect of IP-10 depletion on systemic protective immunity induced by the scIL-12 cell vaccine

The role of IP-10 was assessed in the induction of a systemic tumor-protective immunity induced by the scIL-12 NXS2 cell vaccine. For this purpose, A/J mice were vaccinated by s.c. injection of scIL-12-producing NXS2 cells, challenged 7 days thereafter by i.v. injection of wild-type NXS2 tumor cells, and analyzed for disseminated liver metastases, in the presence or absence of IP-10. The depletion of IP-10 by two different anti-IP-10 mAbs for the duration of the entire experiment completely abrogated the systemic tumor-protective immunity induced by vaccination with scIL-12-producing NXS2 cells and was the same as observed in control mice depleted of IFN-{gamma} (Fig. 5Go). This finding suggests that local IP-10 mediates the induction of a systemic tumor-protective immunity.



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FIGURE 5. Effect of IP-10 depletion on experimental liver metastasis in scIL-12-vaccinated mice. In three separate experiments, A/J mice were inoculated s.c. with either scIL-12-producing cells or NXS2 pBK-CMV empty vector controls. Experimental liver metastases were induced on day 7 by i.v. injection of 5 x 104 NXS2 wild-type cells. Two groups of animals vaccinated with scIL-12-producing NXS2 cell were injected with neutralizing mAbs (scIL-12 + mAb) specific for mIP-10 (1F11: n = 10, {blacksquare}; 1B9: n = 4, ) and one group with mAbs against mIFN-{gamma} (R4-6A2: n = 4, {square}). Systemic, hepatic metastases were assessed by counting the number of metastatic foci on the surface of the liver. Bars represent average numbers of metastatic foci per group ± SE Differences in the number of metastatic liver foci of scIL-12 NXS2-vaccinated mice and IP-10- or IFN-{gamma}-depleted groups of mice were statistically significant (*, p < 0.05).

 
To evaluate the time interval critical for IP-10-mediated induction of systemic protective immunity by scIL-12 gene therapy, three additional IP-10 depletion schedules were tested. Anti-IP-10 mAb was administered either in the immunization phase (days 0–4) or the early (days 7–28) and late (days 10–28) effector phases (Table IGo). In the group of mice that received the anti-IP-10 Ab only during the immunization phase (day 0–4), four of four mice developed metastases after immunization with the cellular scIL-12 vaccine as compared with immunized controls that were completely protected from metastases. This finding was identical with results obtained with a depletion schedule covering the entire duration of the experiment (Fig. 5Go), indicating that the presence of IP-10 during the immunization phase is critical for the induction of protective immunity. However, if IP-10 was depleted during the early effector phase, only two of four mice developed metastases, and if IP-10 was depleted in the late effector phase, only one of four mice developed metastases. These observations suggest that IP-10 plays a crucial role in the generation of effector T cells during the early immunization phase.


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Table I. Effect of IP-10 depletion schedules on scIL-12 gene therapy-induced antineuroblastoma immune responses1

 
The contention that IP-10 mediates the induction of protective antitumor immunity by scIL-12-producing NXS2 cells was further supported by data from two sets of experiments. First, the amplitude of the CTL response was analyzed in IP-10-depleted animals, and compared with undepleted controls. Depletion was accomplished with 250 µg of anti-IP-10 mAb 1B9 added to the tumor inoculum and injected on days 3 and 8 i.p. Effector cells were isolated from A/J mice vaccinated with scIL-12 NXS2 cells either in the presence or absence of IP-10 depletion, 14 days after vaccination and used against NXS2 target cells in a standard 51Cr release assay at a fixed E:T cell ratio of 100:1. The cytolytic response in vitro observed in bulk cultures prepared from A/J mice vaccinated with scIL-12 NXS2 was almost completely inhibited by the depletion of IP-10 in vivo (Fig. 6GoA). This response was further characterized by the isolation of CD8+ and CD4+ T cell subpopulations from these same mice, which revealed primarily an MHC class I Ag-restricted CD8+ T cell response with some cytolytic activity in the CD4+ T cell compartment (Fig. 6GoB), an observation that was reported previously (1). However, mice vaccinated with scIL-12 NXS2 and depleted of IP-10 revealed a clear inhibition of the MHC class I Ag-restricted CD8+ T cell response in contrast to the cytolytic CD4+ T cell compartment, which was not affected by IP-10 depletion (Fig. 6GoB).



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FIGURE 6. Vaccination with scIL-12 NXS2 cells induces an IP-10 mediated CTL response against NXS2 target cells. Splenocytes (A) and CD8+ and CD4+ T cells (B) obtained from mice vaccinated with 2 x 106 NXS2 scIL-12-producing cells in the presence and absence of IP-10 depletion with 1B9 mAb were obtained 14 days after vaccination and compared with such cells obtained from empty vector controls. Depletion was accomplished with 250 µg of anti-IP-10 mAb 1B9 added to the tumor inoculum and injected on days 3 and 8 i.p. Cytotoxic activity was determined in an 8-h 51Cr release assay against NXS2 target cells at a fixed E:T cell ratio of 100:1. MHC class I-Ag restriction was determined by addition of anti-H2Kk and anti-H2Dd mAb (25 µg/ml).

 
Second, we determined the effect of IP-10 depletion in scIL-12 NXS2-vaccinated mice on the number of proliferating CD8+ T cells producing IFN-{gamma}. This analysis revealed a 2-fold reduction of such CD8+ T cells in mice depleted of IP-10 in contrast to nondepleted controls (Fig. 7Go), suggesting a direct involvement of IP-10 in the generation of a Th1-type T cell-mediated antitumor immune response.



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FIGURE 7. Determination of CD8+ T cells of the Th1 type in the presence or absence of IP-10 determined by intracellular staining of IFN-{gamma} in proliferating CD8+ T cells. Splenocytes from mice vaccinated with scIL-12-producing NXS2 cells were analyzed 14 days after immunization. Cells were labeled with CFSE, cultured for 5 days, and analyzed by FACS as described in Materials and Methods. Representative histograms show the presence or absence of IFN-{gamma} signals (x-axis) in proliferating CD8+ T cells (y-axis) of vaccinated mice with (C and D) and without (A and B) depletion of IP-10. Signals obtained without PHA stimulation are shown as negative controls (A and C). Numbers indicate the percentage of proliferating CD8+ T cells producing IFN-{gamma}. The average percentage ± SE of proliferating CD8+ T cells producing IFN-{gamma} (n = 4) is shown in a bar graph (E). The difference in numbers of proliferating CD8+ T cells producing IFN-{gamma} between the NXS2 scIL-12 immunized mice in the presence or absence of IP-10 depletion is statistically significant (*, p < 0.0001).

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The induction of an effective cellular immune response against syngeneic tumors, which includes a local increase in inflammatory Th1 cytokines in the tumor microenvironment followed by a systemic protective immunity, is a promising approach for cancer immunotherapy. IL-12 has proven to be an excellent candidate for achieving this goal (4, 5, 27, 28, 29, 30, 31, 32, 33, 34, 35). We previously demonstrated that NXS2 neuroblastoma cells that were genetically engineered to secrete a linearized version of mIL-12 can induce a T cell-dependent protective immunity in a poorly immunogenic tumor model of murine neuroblastoma in syngeneic A/J mice (1). The finding of a CD8+ T cell-mediated tumor-protective immunity was in contrast to an NK cell-mediated local antitumor effect induced in the same tumor model by IL-2 gene therapy (36) and with a tumor-specific Ab-IL-2 fusion protein (25), in both cases concomitant with the absence of a T cell memory. These findings emphasize the superior efficacy of IL-12 over IL-2 in priming CD8+ T cell responses against poorly immunogenic neuroblastoma tumors. Here, we demonstrate for the first time that the induction of a CD8+ T cell-mediated tumor-protective immunity by scIL-12 gene therapy is entirely dependent on the production of CXC chemokine IP-10. This contention was supported by three lines of evidence. First, abrogation of the T cell-mediated protective immunity induced by scIL-12 gene therapy with two anti-IP-10 mAbs resulted in the reappearance of disseminated liver metastases in immunized animals (Fig. 5Go). Second, MHC class I Ag-restricted target cell lysis by CD8+ T cells was inhibited by depletion of IP-10 (Fig. 6Go). Third, the number of proliferating CD8+ T cells producing IFN-{gamma} revealed a 2-fold reduction in mice depleted of IP-10. Furthermore, tumor-protective immunity was only entirely abrogated if IP-10 was depleted in the immunization phase before tumor cell challenge, but not if IP-10 was depleted in the effector phase. These findings suggest a role for IP-10 in the generation of a tumor-specific Th1-type CD8+ T cell immune response during the immunization phase.

Previous observations of an antitumor response against plasmocytoma and mammary adenocarcinoma cells that were genetically engineered to secrete mIP-10 focused on a local antitumor response induced by IP-10 (3). This study established that the antitumor properties of IP-10 are mediated by thymus-derived cells. However, the role of IP-10 in the induction of protective immunity was not addressed by these studies. We also demonstrated in our tumor model the involvement of both major functional properties of IP-10, T cell chemotaxis (3, 7) and antiangiogenesis (16, 37), in the scIL-12-mediated local antitumor effect ( Figs. 1–3GoGoGo). Interestingly, depletion of IP-10 efficiently inhibited both scIL-12-mediated chemotaxis and antiangiogenesis, but did not impede the complete rejection of scIL-12-producing primary tumors in immunocompetent mice (data not shown). This was in contrast to depletion of IFN-{gamma} or IL-12, which resulted in continuous s.c. tumor growth by scIL-12-producing neuroblastoma cells (data not shown). A similar finding was reported in a syngeneic model of renal cell carcinoma (RENCA) in which the effect of systemic IL-12 injection on partial regression of s.c. primary tumors of BALB/c mice remained unaffected by the depletion of IP-10 (7). This observation and our findings support the contention that an immunological and not an antiangiogenic mechanism is involved in IL-12-mediated local tumor rejection, which is independent of IP-10. This may involve other IL-12 mediators downstream, such as Mig, IFN-{gamma}, or a direct effect of IL-12, per se. The persistence of Mac-1-positive cells in the local microenvironment of scIL-12-producing primary neuroblastoma tumors, even in the absence of IP-10, suggest a role for macrophages in scIL-12-mediated, IP-10-independent rejection of primary tumors, especially because these effector cells are also known to be directly activated by IL-12 and IFN-{gamma}.

We further extended these findings by establishing a role for IP-10 in the induction of systemic tumor-protective immunity that depended on CD8+ T cells of the Th1 type. The mechanisms involved in IP-10-mediated induction of a vaccination effect by scIL-12 gene therapy are related to the induction and/or priming of CD8+ T cells of the Th1 type by this chemokine. This contention is supported by two observations. First, scIL-12 NXS2-vaccinated mice depleted of IP-10 during the immunization phase had a decrease in the tumor-specific cytolytic response and had fewer IFN-{gamma} secreting CD8+ T cells after Ag-specific stimulation. Second, IP-10 depletion only entirely abrogated the protective effect of scIL-12 if the anti-IP-10 mAb was injected within the first 4 days after immunization.

The detailed function of IP-10 in CD8+ T cell-mediated immunity after scIL-12 gene therapy in this neuroblastoma model remains obscure. Thus, direct activation of effector T cells by IP-10 was analyzed in a culture of splenocytes from mice immunized with scIL-12-producing NXS2 cells in the presence or absence of increasing amounts of anti-IP-10 Abs ex vivo. There was no difference in the number of proliferating IFN-{gamma}+/CD8+ T cells in the presence or absence of IP-10 (data not shown), even at 100 µg/ml anti-IP-10 Ab. This observation indicates that IP-10 secreted in such cultures is not activating CD8+ T cells directly, suggesting indirect mechanisms of IP-10-mediated induction of CD8+ T cell immunity. In fact, such indirect mechanisms may involve APCs (38, 39, 40, 41). Immature APCs were demonstrated to up-regulate chemokine receptors during differentiation into Langerhans cells (38), and IP-10 Ag fusion proteins were shown to target Ag to such APCs, resulting in a dramatically increased Ag-specific immune response (39). It further was reported that a distinct subset of blood APCs that have picked up Ag in the periphery, identified as plasmacytoid monocytes, express the IP-10 receptor CXCR3 and home to lymph nodes guided by IP-10 released from high endothelial venules (40). There, these cells mature to plasmacytoid dendritic cells characterized by a potent Th1 polarization to subsequently generate an Ag-specific immune response (41). This, in combination with an IP-10-mediated increase in T cells provides a most effective milieu for the induction of a CD8+ T cell response.

Furthermore, IP-10 was reported necessary for effector T cell trafficking and function and host survival in Toxoplasma gondii infection (24). Neutralization of IP-10 inhibited the influx of CD4+ and CD8+ T cells into spleens and livers of mice infected by T. gondii, resulting in a simultaneous 3-log increase in the parasite burden and a significant decrease in survival. These findings demonstrate a critical role for IP-10 in effector T cell trafficking in this infectious disease model. In contrast to this model with high IP-10 levels in parasite infected organs, tumors and metastases induced by NXS2 wild-type cells do not produce IP-10 (Fig. 3Go and data not shown). Therefore, it is unlikely that inhibition of IP-10-mediated effector T cell trafficking to neuroblastoma metastases provides a mechanism for the effects observed in this tumor model. However, in contrast to metastases, we clearly demonstrated T cell trafficking to the local vaccination site, whenever NXS2 neuroblastoma cells were producing scIL-12 (Fig. 4Go.). In this case, IP-10 was highly expressed (Fig. 3Go), and administration of anti-IP-10 Abs clearly decreased the number of T cells at the vaccination site (Fig. 4Go).

These findings indicate that IP-10 may be involved in the generation of early activated T cells by either recruiting immature APC or early activated T cells into the tumor. APCs that pick up Ag in the tumor migrate back to the lymph node where they generate activated T cells, which respond to a gradient of IP-10 emanating from the tumor, leading to T cell infiltration of the tumor and amplification of the response. Thus, inhibition of these processes by anti-IP-10 Abs would abrogate the generation of tumor-specific CD8+ effector T cells. This contention also is consistent with the observation that IP-10 depletion is only completely effective when applied during the early immunization phase with loss of activity over time (Fig. 5Go, Table IGo).

In summary, we have demonstrated that the induction of systemic tumor-protective immunity by scIL-12 gene therapy is dependent on the CXC chemokine IP-10 during early immunization. Inhibition of IP-10 during the immunization phase resulted in complete abrogation of the vaccination effect as indicated by a failure of IP-10-depleted mice to control a subsequent tumor challenge. These findings were supported by a decrease in CD8+ T cell activation in IP-10-depleted mice as defined by inhibition of MHC class I Ag-restricted tumor target cell lysis and a decrease in the number of Ag-specific CD8+ T cells producing IFN-{gamma}. Taken together, these data describe a novel role for IP-10 in the generation of protective antitumor immunity induced by scIL-12 gene therapy.


    Acknowledgments
 
We thank Dr. J. M. Farber for the rabbit anti-mouse IP-10 antiserum and Dr. S. Webb for the R4-6A2 hybridoma cell line. We would like to extend our appreciation to Lynne Kottel for the preparation of this manuscript. This is The Scripps Research Institute’s manuscript number 12656-IMM.


    Footnotes
 
1 This work was supported by a grant from the Culpepper Medical Foundation (to A.D.L.), National Institutes of Health, National Cancer Institute Grants CA83140 (to R.A.R.) and CA69212 (to A.D.L.), and Deutsche Forschungsgemeinschaft, Emmy-Noether Lo Grant 635/2 (to H.N.L.). Back

2 Address correspondence and reprint requests to Dr. Holger N. Lode, Charité Children’s Hospital, Augustenburgerplatz 1, 13353 Berlin, Germany. E-mail address: holger.lode{at}charite.de Back

3 Abbreviations used in this paper: sc, single chain; IP-10, IFN-{gamma}-inducible protein 10; m, mouse. Back

Received for publication December 28, 2000. Accepted for publication March 22, 2001.


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