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Departments of
*
Pediatric Research and
Pediatrics, National Hospital, Oslo, Norway; and
Institut National de la Santé et de la Recherche Médicale, Unit 343, Archet Hospital, Nice, France
| Abstract |
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| Introduction |
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TNF-related apoptosis-inducing ligand (TRAIL) or Apo-2 ligand has recently been cloned (14, 15) and shown to mediate programmed cell death (PCD) following ligation of the death receptors DR4/TRAIL-R1 and DR5/TRAIL-R2 (16, 17, 18, 19, 20). Whereas FasL expression is mostly confined to activated T cells, NK cells, and sites of immune privilege (21, 22, 23, 24), TRAIL transcription is constitutive in many tissues (14, 15). Furthermore, because DR4 and DR5 are also expressed in multiple human tissues (16, 17, 18, 19, 20), expression of antagonistic decoy receptors such as DcR1/TRAIL-R3 and DcR2/TRAIL-R4 is apparently critical in controlling TRAIL-induced cell death (16, 17, 18, 19, 25, 26, 27). Various tumor cells are highly responsive to recombinant soluble Apo-2 ligand or TRAIL (28, 29), possibly as a consequence of down-regulated expression of TRAIL decoy receptors (1, 17, 18, 19). Thus, CTLs may use TRAIL exposure as a strategy to eliminate some targets (30). The role of TRAIL in control of normal T cells and immune responses is not clear, but it has been reported that a subset of IL-2-stimulated mature T cells apparently acquires sensitivity to TRAIL-induced cell death (31).
Activation of caspases plays a major role in the recognized death pathways used by the immune system to control T cell responses and apparently also in killing of target cells by CTLs (1, 32). Ligands of the TNF superfamily initiate death signaling by inducing receptor oligomerization, recruitment of distinct adapter molecules such as Fas-associated death domain protein for Fas, DR4, and DR5 (33, 34) and both Fas-associated death domain protein and TNFR-associated death domain protein for TNFRI/p55 (35) to the death domain of the receptors and subsequent activation of caspases (1). Caspase activation has also been implicated in perforin-granzyme B-mediated killing of target cells (36, 37, 38, 39).
Normal mature peripheral T cells need days to develop susceptibility to Fas- and later TNFR-mediated death signaling (3, 4, 7, 11), and expression of TRAIL decoy receptors apparently protects them from TRAIL-induced apoptosis (17, 18, 25, 26, 27). Also, virus-infected cells and tumor cells may develop immune privilege as a consequence of acquired strategies aimed at interfering with normal activation of caspases (40, 41, 42, 43, 44). Together, these data may suggest that the immune system can exploit additional DRs and death pathways to control normal T cells and also to challenge transformed T cells that are resistant to death signaling by TNF family DRs and/or have developed strategies to interfere with caspase activation.
An increasing number of Ags are implicated in activation of nonclassical PCD characterized by a pathway proceeding independently of caspase activation. Thus, ligation of CD45 has been reported to induce a variant form of apoptosis in thymocytes as well as in mature T and B cells (45, 46). Furthermore, engagement of HLA class I molecules may also activate caspase-independent death signaling (47, 48, 49). Recent studies also suggest that CD47 may have a role in regulation of activated T cells by a Fas-, TNF-, and caspase-independent death pathways (50). In addition, other Ags may also have relevance in control of T cells by alternative PCD pathways (51, 52).
The MIC2 gene product CD99 is a 32-kDa cell surface Ag with broad
cellular expression but with no clear biologic function (53, 54). Studies with mature peripheral T cells show that coligation
of CD99 and CD3 may enhance the expression of CD25, CD69, and CD40
ligand, induce T cell proliferation, and also allow for production of
TNF-
and IFN-
(55, 56). In contrast, CD99 has also
recently been implicated in apoptosis of immature
CD4+CD8+ thymocytes by a
caspase-dependent pathway proceeding much more slowly than Fas-mediated
cell death (57). In this study, we demonstrate that
ligation of distinct epitopes on CD99 rapidly induces death of
transformed T cells, apparently by a novel caspase-independent pathway.
Thus, our data suggest that CD99 may have a major role as a DR on early
T cells.
| Materials and Methods |
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Anti-CD99 mAb MEM 131 (IgM) was obtained from HyberDomus (Rhoon,
The Netherlands) and Research Diagnostics (Flanders, NJ), and HO36-1.1
(IgM) was purchased from NeoMarkers (Union City, CA). L129 (IgM) and
O662 (IgG3) have been described previously (57, 58).
Apoptosis-inducing anti-CD95 mAb CH11 (IgM) was obtained from
Upstate Biotechnology (Lake Placid, NY), and DX2 (IgG1) was obtained
from BD PharMingen (San Diego, CA). The OKT3 (anti-CD3
, IgG2a)
hybridoma was obtained from American Type Culture Collection (ATCC;
Manassas, VA). Murine IgG1 (MOPC-21) control and recombinant protein G
were obtained from Sigma (St. Louis, MO). Anti-CD47 mAbs 2D3 (IgG1) and
B6H12 (IgG1) were kindly provided by Dr. Frederik P. Lindberg
(Washington University School of Medicine, St. Louis, MO). Anti-CD47
mAb Ad22 (IgG1) has been described previously (50). Murine
IgM control (TEPC 183) was obtained from BiosPacific (Emeryville, CA).
Anti-CD4 (IgG1-PerCP), anti-CD8 (IgG1-APC), anti-CD45RA
(IgG1-FITC), anti-CD45RO (IgG2a-PE), and IgG1-PerCP, IgG1-APC,
IgG1-FITC, and IgG2a-PE controls were purchased from BD Biosciences
(San Jose, CA). FITC-conjugated anti-active caspase-3 mAb (clone
C92-605, rabbit Ig), FITC-conjugated MOPC-21 (IgG1), and biotinylated
IgG1 and IgM controls were obtained from BD PharMingen.
Streptavidin-FITC was obtained from Dako (Glostrup, Denmark).
Recombinant human TRAIL was purchased from Calbiochem (La Jolla, CA)
and R&D Systems (Abingdon, U.K.). Caspase-I inhibitor V (Z-VAD-FMK) and
caspase-3 inhibitor II (Z-DEVD-FMK) were obtained from Calbiochem.
Monoclonal Ab production, cell culture, and transfectants
Monoclonal Ab Ad20 (IgM) was raised against the immature human T
cell line PFI-285 (59) as previously described
(60). Ad20 was purified from ascites using fast protein
liquid chromatography with a Superose 12-M gel filtration column
(Pharmacia, Uppsala, Sweden) and sterile PBS obtained from BioWhittaker
(Walkersville, MD). The purified mAb was further sterile-filtered.
Human cells were cultured in RPMI 1640 supplemented with 10% FCS, 1.5
mM glutamine, 100 U/ml penicillin, and 100 µg/ml streptomycin
(complete medium). The following human cell lines were obtained from
ATCC: T cell lines Jurkat E6 and Jurkat derivatives J.RT3-T3.5
(TCR
/CD3-deficient), J.CaM1.6 (defective in
p56lck kinase expression), J45.01
(CD45-deficient) and D1.1 (CD4 negative), CCRF-CEM, MOLT-3, MOLT-4, and
SUP-T1 and myeloid cell lines HL60, U937, KG1a, and K562. The
human T cell line SR was kindly provided by Dr. M. Beckwith (National
Cancer Insitute, Frederick, MD), and the human T cell line HPBALL and
the B cell line U698 were kindly provided by Dr. Gustav Gaudernack
(Norwegian Radium Hospital, Oslo). The B cell line C1R was kindly
provided by Dr. V. H. Engelhard (University of Virginia,
Charlottesville, VA). Jurkat T cells deficient in CD99 expression were
obtained by chemical mutation. Jurkat T cells (5 x
105 cells/ml) were cultured for 18 h in
complete medium supplemented with 200 µg/ml ethyl-methanesulfonate
(Sigma), washed, and allowed to recover for 5 days. CD99-expressing
Jurkat cells were eliminated by five rounds of negative selection using
the mAb O662 and nontoxic rabbit complement (Behring Diagnostics,
Marburg, Germany). Finally, cells were labeled with FITC-conjugated
O662 mAb and, CD99-negative Jurkat cells were sorted using a
FACStarPlus (BD Biosciences).
Chinese hamster ovary (CHO) cells expressing CD99 have been described previously (58). Experiments on human cell lines were performed on 5 x 105 cells/ml cultured in 24-well cell culture cluster plates (3524; Costar, Cambridge, MA) and repeated a minimum of three times in duplicate unless otherwise indicated. Human PBMC were isolated by Lymphoprep (Nycomed, Oslo, Norway) centrifugation. All cultures were grown at 37°C in a humidified 5% CO2 atmosphere.
Flow cytometry
For direct labeling, 5 x 105 Jurkat cells (wild type (WT) or CD99-deficient) and CHO cells (WT or CD99-transfected) were incubated with FITC-conjugated mAb O662 (10 µg/ml) for 30 min at 4°C. Cells were then washed twice and resuspended in PBS with 1% paraformaldehyde. For two-step labeling, 5 x 105 cells were incubated with the primary mAb (10 µg/ml) diluted in PBS with 0.5% BSA for 30 min at 4°C and, after two washes, stained with a secondary FITC-labeled rabbit anti-mouse IgG Ab (Dako). Peptide blocking experiments were performed by incubating anti-CD99 mAbs (10 µg/ml) with synthetic peptides (Appligene, Strasbourg, France; 200 µg/ml) or PBS as control for 1 h at 4°C. Jurkat cells (5 x 105 cells) were then suspended in 200 µl of peptide/mAb solution and incubated for 20 min at 4°C. After two washes and fixation in PBS with 1% paraformaldehyde, binding of the mAbs was detected by incubation with FITC-conjugated rabbit anti-mouse IgG (Dako). In mAb blocking experiments, Jurkat cells were preincubated with mAb Ad20 or mAb O662 (10 µg/ml) for 30 min at 4°C. After centrifugation and discharge of supernatants, cells were further incubated with FITC-conjugated mAb O662 (10 µg/ml), washed twice, and finally fixed in PBS with 1% paraformaldehyde. Flow cytometric analyses were performed using a FACScan (BD Biosciences). Expression of CD99 and CD47 on cell lines was determined with biotinylated mAbs Ad20 and Ad22, streptavidin-FITC, and flow cytometry as described (61). Cells were finally washed twice in PBS and fixed with 1% paraformaldehyde in PBS. Samples were analyzed using a FACSCalibur (BD Biosciences), and data were collected on 10,000 cells.
Flow cytometric determination of cell death, caspase-3 activation, and DNA fragmentation
PCD was determined by monitoring changes in cell size and
granularity with flow cytometry and assessment of phosphatidylserine
(PS) exposure by annexin V-FLUOS (Boehringer Mannheim, Mannheim,
Germany) binding according to the manufacturers instructions. Cell
membrane permeability was assessed by determining uptake of the
DNA-binding fluorescent dye propidium iodide (PI; 2.5 µg/ml) after
incubation for 510 min. The C92-605 mAb and the Cytofix/Cytoperm kit
(BD PharMingen) were used for intracellular staining of active
caspase-3 according to the manufacturers instructions. To avoid
unspecific mAb binding, fixed and permeabilized cells were preincubated
with human IgG (Octagam; Octapharma, Ziegelbrücke,
Switzerland; 100 µg/ml) for 10 min in Perm/Wash solution before
intracellular staining. DNA fragmentation was examined with the TUNEL
assay using terminal transferase and biotin-16-dUTP obtained from Roche
(Mannheim, Germany) and streptavidin-FITC obtained from Dako. In each
case, data were collected for 10,000 cells. The impact of mAb treatment
on resting and activated PBMC T cells was determined by enumeration of
cells in the lymphocyte region using TruCount tubes (BD
Biosciences) containing fluorescent-dyed microbeads and flow cytometry,
essentially as described (50). Resting PBMC (1 x
106 cells/ml) were incubated with Ad20, MEM 131,
or isotype control mAb TEPC 183 (2 µg/ml) for 24 h. PBMC
stimulated with the anti-CD3
mAb OKT3 (1 µg/ml) for 18 h
were finally cultured for an additional 6 h with Ad20, MEM 131, or
isotype control mAb TEPC 183 (2 µg/ml) and then analyzed. For every
donor, the impact of each mAb was determined at least in quadruplicate
on both unactivated and preactivated T cells. Following incubation,
harvested cells were stained for four-color analysis of CD4, CD8,
CD45RA, and CD45RO expression, resuspended in an equal volume of
buffer, and transferred to TruCount tubes containing known numbers of
fluorescent microbeads (counts). Under each condition, 1000 microbeads
were collected and the number of lymphocytes determined.
| Results |
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Mature peripheral T cells gradually acquire susceptibility to
apoptotic signaling by Fas and TNF receptors, and this represents
the basis for control of immune responses by
activation-induced cell death (AICD). However, it is not clear how the
immune system may regulate death signaling in T cells that are
nonresponsive to engagement of Fas and TNF receptors. To identify DRs
that may have a regulatory role in earlier stages of T cell
development, we screened for functional mAbs raised against the
immature human T cell line PFI-285 (59). A new mAb (Ad20,
IgM
) reacting with CD99 (Fig. 1
) was
produced and found to recognize distinct epitopes at a distant region
of the CD99 molecule as compared with the mAb O662 (Fig. 2
), which has previously been implicated
in CD99-mediated death signaling in thymocytes (57).
Immunoprecipitation and Western blotting experiments further confirmed
that Ad20 recognized CD99 (data not shown). Assessments with Jurkat E6
cells revealed that mAb Ad20 induced cell aggregation and that Ad20
also rapidly induced morphological changes consistent with activation
of PCD (Fig. 3
A and data not
shown).
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Although normal mature T cells gradually acquire
susceptibility to FasL-mediated death signaling (3, 4, 7),
the impact of TRAIL is apparently controlled by expression of decoy
receptors (17, 18, 25, 26, 27). To examine whether
CD99-mediated death responses involved Fas- or TRAIL DR-mediated
signaling pathways, we first compared the impact of mAb Ad20 with the
apoptosis-inducing anti-Fas mAbs CH11 and DX2 and recombinant human
TRAIL (obtained from both Calbiochem and R&D) on Jurkat E6 cells.
Monoclonal Ab DX2 (IgG1) was cross-linked with recombinant protein G to
induce maximal Fas signaling. PCD responses were determined by
examining annexin V-FLUOS binding and uptake of PI with flow cytometry.
These studies showed that Jurkat cells cultured for 3 and 5 h
responded significantly to both anti-Fas and TRAIL treatment (Fig. 5
and data not shown). However, death
responses to anti-Fas and TRAIL proceeded kinetically slowly
compared with Ad20-induced death signaling. Ad20 treatment induced a
relative constant proportion of cells (2331%) in the characteristic
transit apoptotic stage
(annexinV+/PI-) during the
0.5- to 3-h period, with an accompanying steady increase in dead cells
(1263.5%; Figs. 4
and 5
). In the same time period, anti-Fas and
TRAIL induced accumulation of cells in the early/intermediate apoptotic
stage with no significant increase in the number of dead cells (Fig. 5
and data not shown). Comparable responses were observed with TRAIL
obtained from two different manufacturers (data not shown). Thus, the
data in Figs. 4
and 5
suggest that CD99-mediated death signaling may
represent a major pathway in control of T cells.
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Role of caspases
Induction of apoptosis following ligation of Fas and TRAIL DRs
requires recruitment of initiator caspases, such as caspase-8, to the
receptors death domain (1). This enables subsequent
processing and activation of downstream effector caspases, normally
resulting in DNA fragmentation and ordered desintegration of the cell.
Recent studies suggest that PCD may also proceed independently of
caspase activation (45, 46, 47, 48, 49, 50, 51, 52, 63, 64). To determine the role
of caspases in Ad20-induced T cell death signaling, we first examined
the impact of the caspase-3 inhibitor Z-DEVD-FMK and the general
caspase inhibitor Z-VAD-FMK on Jurkat E6 responses to Ad20. Control
cultures with anti-Fas and TRAIL were also included. Cells were
incubated with caspase inhibitors for 60 min before the addition of
Ad20, CH11, isotype control mAb TEPC 183, or TRAIL and were further
cultured for 3 h. Death responses were determined by assessments
of annexin V-FLUOS binding and uptake of PI with flow cytometry. These
experiments clearly revealed that Z-DEVD-FMK and Z-VAD-FMK did not
interfere with Jurkat E6 responses to Ad20 (Fig. 7
and data not shown). In contrast, both
caspase inhibitors completely suppressed Jurkat E6 death responses to
anti-Fas and TRAIL treatment (Fig. 7
and data not shown). We next
examined activation of caspase-3, which is a major effector caspase, in
Jurkat cells cultured with Ad20 or control mAb TEPC 183 for 1, 2, or
3 h. Cultures incubated with TRAIL for 3 and 4 h were
included as positive controls. Assessments of caspase-3 activation were
performed by intracellular staining using a mAb specific for the active
form of caspase-3 and flow cytometry. These experiments revealed no
activation of caspase-3 in Jurkat cells incubated with Ad20 or control
mAb, but confirmed TRAIL-induced activation of caspase-3 (Fig. 8
A and data not shown). We
also examined whether Ad20 induced DNA fragmentation in Jurkat cells
using the TUNEL assay and flow cytometry. In these experiments Jurkat
cells were cultured for 1, 2, and 3 h with Ad20 (0.1, 0.5, and 1.0
µg/ml) or control mAb TEPC 183. Cultures for 3 and 4 h with
TRAIL and CH11 were included as positive controls. These assessments
showed no classical DNA fragmentation in Jurkat cells incubated with
Ad20 or control mAb TEPC 183 (Fig. 8
B and data not shown).
In contrast, with TRAIL and CH11, induction of DNA fragmentation in
Jurkat cells was evident (Fig. 8
B and data not shown). Taken
together, Ad20/CD99-mediated T cell death signaling apparently does not
require caspase activation and also proceeds independently of Fas and
TRAIL DR activation by a distinct pathway.
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TCR/CD3-mediated signaling plays a critical role both in negative
selection of thymocytes (65) and in control of T cell
responses by AICD (4, 5, 6, 7). TCR signaling involves the
tyrosine kinase p56lck, which associates with
the cytoplasmic domain of CD4 and CD8 (66, 67, 68). CD45
expression is also required for p56lck
activation and TCR signaling (66, 69, 70). Recent studies
implicate CD4 and CD45 in T cell apoptosis (45, 46, 52, 71, 72, 73) and suggest a functional requirement for
p56lck in AICD of Jurkat T cells (74, 75). To examine whether Ad20/CD99-mediated death signaling
required functional CD3, CD4, CD45, or p56lck,
we examined the impact of Ad20 on established variant Jurkat T cell
lines selected for deficient expression of TCR/CD3 (clone J.RT3-T3.5),
CD4 (clone D1.1), CD45 (clone J45.01), or deficient
p56lck signaling (clone J.CaM1.6). Cultures with
Jurkat E6 cells were included as controls. Based on assessments with
annexin V binding and FACS analysis, we found that the variant Jurkat
cell lines all responded significantly to Ad20 treatment (Fig. 9
). The CD4-,
CD45-, and p56lck-
cell lines responded to Ad20 treatment comparably to Jurkat E6
cells (Fig. 9
). Assessments with Jurkat J.RT3-T3.5 cells also
showed that Ad20-induced death signaling could proceed independently of
TCR
/CD3 expression (Fig. 9
). The comparably more moderate
Ad20-induced PS exposure on this mutant cell line, which was produced
by ethylmethanesulfonate treatment, may reflect that other signaling
pathways relevant to death control may have been altered during the
mutagenesis process. In contrast, no death responses were
observed in cultures with MEM 131 or isotype control mAb TEPC 183 (Fig. 9
). Thus, Ad20/CD99-mediated death signaling appears to proceed
independently of major signaling pathways implicated in control of
thymocytes and mature peripheral T cells.
|
Ligation of distinct epitopes on the IgV domain of CD47 has
recently been shown to induce PCD of T cells by a pathway with close
resemblance to Ad20/CD99-mediated death signaling (50).
The functional site for activation of CD47-mediated T cell death is
blocked by mAb B6H12; and mAb 2D3, directed to a distant region of the
CD47 molecule, also restrains CD47-mediated T cell death signaling
(50). To address whether Ad20/CD99-mediated death
signaling involved activation of CD47, we examined whether mAbs B6H12
and 2D3 interfered with mAb Ad20-induced responses. In these
experiments, Jurkat E6 cells were preincubated with excess
anti-CD47 mAbs or isotype control mAb MOPC-21 for 15 min and
further cultured with Ad20 or Ad22 as a positive control for 60 min.
Assessments of death responses were based on analysis of annexin V
binding with flow cytometry. In these experiments, we found no impact
of interference with CD47 activation on Ad20 responses (Fig. 10
), suggesting that Ad20/CD99- and
CD47-mediated death signaling proceeds by different pathways.
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-activated normal T cells (50). Thus, to
address a possible role for CD99-mediated death signaling in normal
peripheral T cells, we next examined the impact of Ad20 and control
mAbs MEM 131 and TEPC 183 on normal resting and OKT3-preactivated PBMC
T cells. TruCount tubes and FACS analysis were used for assessments of
relative numbers of lymphocytes. Notably, with resting and
OKT3-stimulated PBMC T cells from five different donors, we found no
death responses of CD4+ or
CD8+ T cells to Ad20 treatment as compared with
control cultures with MEM 131 or TEPC 183 (data not shown). Taken
together, Ad20/CD99 activation reveals profound impact on transformed T
cell lines but apparently has no effect on most normal peripheral T
cells. | Discussion |
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Previous studies have shown that activation of the CD99 domain specified by mAbs O662, L129, and DN16 specifically induces apoptosis in thymocytes and Ewings sarcoma cells (57, 76). Death responses were restricted to immature CD4+CD8+ thymocytes with an intermediate expression of CD3 (57) and undifferentiated Ewings sarcoma cells (76). These responses were dependent on caspase activation but proceeded independently of the Fas death pathway. Compared with Fas responses, mAb O662/CD99-induced apoptosis revealed much slower kinetics (57). Peptide and mAb blocking experiments made it clear that Ad20 and O662 are directed to different epitopes and that Ad20 defines a distant and novel functional domain on the CD99 molecule. Short-term cultures further revealed that Ad20 and HO36-1.1 were the only anti-CD99 mAbs consistently capable of rapidly inducing T cell death. The reason why two different CD99 domains are linked to two distinctly different death pathways is not clear, but studies with MHC class I molecules demonstrate a similar complex situation in which ligation of distinct domains either induce caspase-dependent or caspase-independent PCD (47, 48, 49, 77).
TRAIL is considered to selectively induce apoptosis of cancer cells but
not normal cells (28, 29). With the T cell lines examined,
we found that only SR and Jurkat T cells responded profoundly to TRAIL.
These two cell lines were also the only cell lines distinctly
responsive to Fas ligation. The observed differences in responses to
TRAIL and anti-Fas, as compared with the impact of Ad20 and the
marked differences in requirement for caspases to induce cell death,
strongly suggest that Ad20/CD99-mediated cell death proceeds
independently of Fas or TRAIL DR activation. Furthermore, because
previous assessments with Jurkat E6 T cells showed no responses to 5-h
TNF-
or TNF-
treatments (50), we also conclude that
Ad20 responses proceed independently of TNFRI/II activation.
TCR/CD3 signaling controls thymocyte selection and sensitizes peripheral T cells for AICD (4, 5, 6, 7, 65). The CD4 coreceptor, p56lck, and CD45 modulate TCR signaling, and these molecules have also been directly implicated in control of T cell apoptosis (45, 46, 52, 71, 72, 73, 74, 75). However, Ad20/CD99-mediated T cell death revealed no requirements for functional TCR/CD3, CD4, CD45, or p56lck. These observations exclude central components in TCR signaling as major control elements in promoting CD99-mediated cell death and demonstrate that Ad20/CD99-mediated death response is not a consequence of CD45 activation.
Caspases are central executioners of death, and recruitment and activation of caspases is critical for death signaling by receptors belonging to the TNFR family (1). However, the mechanisms for how T cells die in response to Ad20 have not been established. Decrease in cell volume, changes in morphologic appearance, and progression through an annexin V-positive and PI-negative stage following Ad20 treatment were observations in agreement with activation of CD99-mediated PCD. Nevertheless, Ad20-induced PCD revealed no requirement for caspase activity or any evident induction of classical DNA fragmentation. Similarly, recent studies suggest that caspase-independent and nonclassical forms of apoptosis can be activated by engagement of distinct cell surface Ags such as MHC class I and MHC class II molecules, CD2, CD4, CXCR4, CD45, and CD47 (45, 46, 47, 48, 49, 50, 51, 52, 63, 64). Furthermore, proapoptotic molecules such as Bax and AIF may also execute cell death independently of caspase activation (78, 79). Thus, in addition to classical apoptosis, other forms of cell death under molecular control seem to have biologic relevance.
Oncosis was originally used to define ischemic cell death with swelling. Recently, it has been shown that a mAb directed to a cell surface receptor called porimin rapidly induced cell membrane damage and death of Jurkat cells by a type of cell death similar to oncosis (80). Notably, within 20 min of culture with the anti-porimin mAb, >75% of the Jurkat cells stained PI positive. Consequently, it is clear that Ad20/CD99-mediated cell death proceeds more slowly than receptor-mediated oncosis but more quickly than death mediated by engagement of Fas and TRAIL DRs. The kinetics of Ad20/CD99-mediated exposure of PS and uptake of PI also suggest that T cells dying in a normal biologic setting as a consequence of CD99-ligation should be efficiently removed by macrophages without causing inflammation (81, 82).
Although there were several similarities between Ad20/CD99-mediated and CD47-induced T cell death signaling, functional blocking of CD47 activation had no impact on Ad20 responses. Notably, whereas CD47 has also been implicated in death signaling in activated normal T cells (50), Ad20 induced no observable death responses of resting or activated normal peripheral T cells.
Decoy receptors are considered to protect normal cells from TRAIL-induced apoptosis (16, 17, 18, 19, 25, 26, 27). However, recent studies with melanoma cell lines suggest that additional factors regulate TRAIL responses, as there was no correlation between the expression of DcR1 or DcR2 and resistance or sensitivity to TRAIL (83, 84). Different mechanisms may also account for resistance to Fas ligation. The recent identification of a Fas decoy receptor that is expressed on thymocytes is consistent with receptor-mediated inhibition of FasL-mediated apoptosis in developing T cells (85). In mature peripheral T cells, the intracellular level of Fas-associated death domain-like IL-1-converting enzyme-like inhibitory protein seems to play a major role in controlling the susceptibility to Fas-mediated apoptosis (86).
The factors that control sensitivity or resistance to Ad20/CD99-mediated death signaling are not established. Previous studies with thymocytes and Ewings sarcoma cells show that susceptibility correlates with high expression of the CD99 Ag (57, 76). We found no clear relation between CD99 expression and responses to Ad20. All cell lines tested stained brightly for CD99 expression, and the two most resistant T cell lines SUP-T1 and PFI-285 represented T cells with the lowest and highest Ad20 staining intensity, respectively (data not shown).
A truncated isoform of CD99, designated CD99 type II, has recently been discovered and is characterized by only 13 amino acid residues in its putative cytoplasmic domain (87). Overexpression of CD99 type II is shown to regulate CD99-mediated and spontaneous aggregation of lymphocytes by reducing the level of LFA-1 expression (87). The role of CD99 type II in control of CD99-mediated PCD has not been addressed. However, the apparently relative low transcription level of CD99 type II in PBLs and the relatively higher transcription level in MOLT-4 (87) may suggest that CD99 type II has a biologic function other than serving as a decoy receptor for a putative death-inducing CD99 ligand.
Regulated signaling by different DRs appears to impose a selective pressure on T cells at several stages during their life span, from negative selection in the thymus to final depletion of excess mature peripheral T cells. The current picture reveals that mature peripheral T cells gradually develop susceptibility to FasL- and later TNF-mediated death signaling and that these cytokines are the major death ligands implicated in depletion of T cells by AICD (3, 4, 7, 11). The picture is less clear regarding the role of Fas and TRAIL DRs and other receptors in control of T cell death at earlier stages.
In developing thymocytes, the Fas Ag has been implicated in death signaling (88), but a requirement for CD95 in T cell selection has also been questioned (89). Notably, nonclassical forms of apoptosis may be important in T cell selection because PCD in developing thymocytes can proceed independently of caspase enzyme activity (90). Thus, CD99 is a strong candidate for regulation of cell death in the thymus by caspase-dependent and caspase-independent pathways. Activation of caspase-independent death pathways may represent a critical strategy to avoid development and expansion of autoreactive T cells in situations in which progenitor T cells are infected with virus that can interfere with normal mobilization and activation of caspases.
Recent studies present CD2, CD4, CXCR4, CD45, HLA class I molecules, and CD47 as novel DRs on T cells linked to caspase-independent signaling pathways (45, 46, 47, 48, 49, 50, 51, 52, 63, 64). Although these novel death pathways appear to be functional in both immature and mature T cells, CD99-mediated T cell death signaling appears to be restricted to earlier stages of T cell development. Thus, mature peripheral T cells express CD99 but appear to be nonresponsive to Ad20, suggesting that resistance to CD99-mediated death signaling is acquired during later stages of T cell maturation. A functional role for CD99 in controlling responses and expansion of newly developed and Ag-challenged naive T cells needs to be further examined.
Activation of caspases plays a major role in the different strategies used by CTLs to kill target cells (1, 32, 36, 39). However, interference with normal caspase recruitment represents viral and cellular strategies for immune escape (40, 41, 42, 43, 44). Thus, Ags such as CD99 and CD47 may represent additional target Ags exploited by CTLs to challenge cancer cells and virus-infected cells resistant to signaling by DRs of the TNFR family. Identification of ligand(s) and additional control elements for CD99 should further clarify the Ags biologic functions.
In conclusion, in this study, we have identified a new functional domain on CD99 and demonstrated that specific activation of this region activates a novel caspase-independent death pathway in T cells. Ligation of Fas and TRAIL DRs appeared to be less effective in control of transformed T cells as compared with CD99 activation. Thus, we suggest that CD99 may have major biologic role as a DR on early T cells.
| Footnotes |
|---|
2 Address correspondence and reprint requests to Dr. Rolf D. Pettersen, Department of Pediatric Research, National Hospital, Rikshospitalet, Pilestredet 32, N-0027 Oslo, Norway. ![]()
3 Abbreviations used in this paper: FasL, Fas ligand; PS, phosphatidylserine; PI, propidium iodide; PCD, programmed cell death; AICD, activation-induced cell death; TRAIL, TNF-related apoptosis-inducing ligand; DR, death receptor; CHO, Chinese hamster ovary; WT, wild type. ![]()
Received for publication July 24, 2000. Accepted for publication February 5, 2001.
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