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Program in Immunology and
Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305
| Abstract |
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| Introduction |
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-converting enzyme
(FLICE)) through homologous interactions between death effector domains
on both molecules (4, 5), resulting in the autocatalytic
cleavage of procaspase 8. The active caspase 8 heterotetramer is
released from DISC and initiates the caspase cascade by cleaving the
effector caspase 3. Effector caspase activation leads to DNA
fragmentation and degradation of key cellular proteins, completing the
cell death program. Tumor cells have evolved multiple mechanisms to evade Fas-mediated apoptosis (6). Elevated levels of Bcl-2, a well-characterized anti-apoptotic molecule first discovered in follicular B cell lymphomas, are found in many different human cancers (7, 8). Expression of functional FasL by the tumor cell itself may also confer protection by deleting anti-tumor lymphocytes, a phenomenon known as tumor counterattack (2). Additionally, alternative splicing of Fas transcripts can give rise to soluble forms of Fas, which have been proposed to contribute to apoptosis resistance by competing with membrane-bound Fas for available FasL molecules (9). Furthermore, the loss of function lpr and gld mutations in Fas and FasL, respectively, associated with autoimmune lymphoproliferative disease in mice in which activated lymphocytes are not eliminated by apoptosis also serve to demonstrate the potential for tumor development through Fas dysregulation (10, 11). More recently, viruses such as Kaposis sarcoma-associated human herpesvirus and human molluscipoxvius were found to encode catalytically inactive homologues of caspase 8 known as FLICE inhibitory proteins that are suggested to act as dominant negative proteins that interfere with Fas-induced DISC formation (12, 13, 14). Indeed, malignancies linked to oncogenic viruses often demonstrate resistance to apoptosis, although the specific mechanisms through which viruses directly or indirectly prevent cell death programs within tumor cells remain elusive.
Post-transplant lymphoproliferative disorder (PTLD) is a significant complication in immunosuppressed patients following organ transplantation (15, 16). PTLD is a phenotypically complex disorder ranging from benign hyperplasia to malignant lymphoma and is most commonly characterized by the development of EBV-associated B cell lymphomas (16, 17). EBV-specific CTL normally control the population of EBV-infected B cells in immunocompetent individuals, precluding tumorigenicity. However, immunosuppressive drugs used to prevent graft rejection debilitate EBV-specific T cells and permit the hyperproliferation and lymphomagenesis of B cell hosts by EBV, a potent transforming virus in this context. EBV infection is of particular concern in pediatric transplant recipients, since primary infection of seronegative transplant patients is more likely to lead to PTLD (15). Currently, treatment of PTLD primarily involves the reduction of immunosuppressive therapy to restore the T cell compartment, with the unfortunate consequence of increasing the risk of graft rejection. Conversely, potent immunosuppression may select for highly proliferative B cell lymphomas that cannot be brought to regression later by competent EBV-specific CTL.
To study these B cell lymphomas in vitro, we previously generated EBV-infected spontaneous lymphoblastoid cell lines (SLCL) derived from transplant recipients diagnosed with PTLD. We demonstrated that IL-10 is an important autocrine growth factor for these lymphomas (18). To date, mechanisms of apoptosis in PTLD-derived B cell lymphomas have not been examined in detail. In this study we investigate programmed cell death triggered by Fas in these cells and demonstrate that two subsets of SLCL can be identified based on their sensitivity or resistance to Fas-mediated apoptosis. We show that resistance to Fas-driven apoptosis in SLCL is not due to alterations in the Fas molecule itself, but rather occurs via a block in Fas signal transduction that precludes caspase 3 activation. Thus, defects in the proximal Fas signaling pathway contribute to Fas resistance in PTLD-associated EBV+ B cell lymphomas.
| Materials and Methods |
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SLCL are EBV-transformed B cell lines derived from the peripheral blood (MF4, VB5, JB7, JC62) or lymph node (AB5) of patients diagnosed with PTLD. As previously described, the SLCL are phenotypically, morphologically, and functionally similar to EBV B cell lymphomas that arise in vivo during PTLD (18). The AB5 cell line was generated from a lymph node tumor biopsy taken from a pediatric kidney recipient diagnosed with PTLD. The tumor mass was disrupted into a single-cell suspension, established and grown in complete medium (see below) without exogenous growth factors or cyclosporine A. AB5 was classified as an SLCL according to EBV positivity as determined by PCR detection of the viral genome, the expression of B cell activation markers, and cytokine production as described for other SLCL (18). The Jurkat T cell line (TIB-152), the SKW 6.4 EBV+ B cell line (TIB-215), and the Daudi EBV+ Burkitts lymphoma cell line (CCL-213) were acquired from American Type Culture Collection (Manassas, VA). Human cell lines were maintained in RPMI 1640 (Life Technologies, Gaithersburg, MD) supplemented with 10% heat-inactivated FBS (Cellgro, Herndon, VA), 50 U/ml penicillin, and 50 µg/ml streptomycin (Life Technologies) at 37°C with 5% CO2. Mouse L fibroblasts transfected with murine FasL (FasL+ cells) and control L cells transfected with a plasmid containing the murine FasL in the reverse orientation were provided by Drs. T. Ferguson and J. Russell (Washington University, St. Louis, MO). L cells were maintained in DMEM with 10% heat-inactivated FBS, 50 U/ml penicillin, and 50 µg/ml streptomycin and cultured at 37°C with 5% CO2. Unless otherwise specified, all other reagents were obtained from Sigma (St. Louis, MO).
Induction and detection of apoptosis
Cells (1 x 106 cells/ml) were cultured for 24 h at 37°C in the presence of mouse anti-human Fas (IgM clone CH-11; Coulter-Immunotech, Marseilles, France; 200 ng/ml) or an isotype-matched IgM control Ab. In some experiments the protein kinase inhibitor staurosporine was used at 2 µM. Alternatively, SLCL and Jurkat cells (1 x 106 cells) were cocultured with FasL+ cells or control L cells or were treated with anti-Fas mAb CH-11 (200 ng/ml) for 2448 h in 24-well plates. The ratio of L cells to SLCL ranged from 1:2 to 1:32. For both methods of Fas ligation, the percentage of apoptotic cells was determined by cell cycle analysis using propidium iodide (PI) staining and flow cytometry as previously described (19). Briefly, cells were washed twice in HBSS containing 0.2% BSA and 0.02% sodium azide and incubated on ice with 50 µg/ml PI, 0.1% Triton X-100, 1 mg/ml sodium citrate, and 1 mg/ml RNase A for 30 min. Twenty thousand cells were acquired and analyzed on a FACScan flow cytometer using CellQuest software (BD Biosciences, Mountain View, CA). Gates were established on viable cells using forward and side scatter parameters, and apoptotic cells were quantified as the percentage of cells with hypodiploid DNA content. Additionally, apoptosis was quantified using an annexin V-enhanced green fluorescent protein (EGFP) Apoptosis Detection kit (BioVision Research Products, Palo Alto, CA) according to the manufacturers protocol. Briefly, cells were pelleted and resuspended in 0.5 ml of the provided 1x binding buffer. Five microliters of annexin V-EGFP and 5 µl PI were added to each sample and incubated at room temperature for 5 min in the dark. Cells were immediately analyzed by flow cytometry as described above. Apoptotic cells were quantified as the percentage of treated cells with increased EGFP fluorescence compared with untreated cells (+IgM control Ab).
Fas cell surface expression
To determine Fas (CD95) expression, 1 x 106 cells were washed twice in cold HBBS containing 0.2% BSA and 0.02% sodium azide (FACS buffer) and incubated for 30 min on ice with 10 µg/ml PE-conjugated mAb to human Fas (BD PharMingen, San Diego, CA) or an isotype-matched control Ab in 100 µl FACS buffer. After washing twice in FACS buffer, 20,000 cells were analyzed by flow cytometry. Only viable cells established using forward and side scatter parameters were used for analysis.
Amplification and cloning of Fas gene transcripts
Total RNA was isolated from the SLCL and Jurkat cells using TRIzol reagent (Life Technologies). Three micrograms of total RNA was used in cDNA synthesis reactions with oligo(dT) primers and AMV reverse transcriptase (Roche, Indianapolis, IN). Fas transcripts were amplified using the oligonucleotide primers 5'-CACTTCGGAGGATTGCTCAACA-3' (sense) and 5'-TATGTTGGCTCTTCAGCGCTA-3' (antisense; Life Technologies), which flank the full-length 1167-bp coding region of the Fas gene. PCR was performed using Gene Amp PCR core reagents (PerkinElmer, Branchburg, NJ). After an initial 5-min denaturation at 95°C, PCR amplification was conducted for 35 cycles of denaturation for 70 s at 94°C, annealing for 30 s at 60°C, and extension for 60 s at 72°C. PCR products were cloned into the pT-Adv vector (Clontech, Palo Alto, CA), and individual clones were sequenced by the Stanford University Protein and Nucleic Acid facility. Sequence analysis was performed using the DNAstar Lasergene for Windows software package (DNAstar, Madison, WI).
Western blots
For analysis of endogenous protein levels, 1 x
107 cells were washed in cold PBS and lysed in
100 µl 50 mM Tris (pH 7.4), 1% Nonidet P-40, 0.5% deoxycholate, 150
mM NaCl, 0.5 mM EDTA, 2 mM PMSF, 5 µg/ml each of aprotinin and
leupeptin, and 0.5 µg/ml pepstatin A on ice for 30 min. Lysates were
centrifuged at 13,000 rpm for 5 min at 4°C to remove insoluble
material, and the protein concentration of the lysates was determined
using the DC protein assay (Bio-Rad, Hercules,
CA). Thirty micrograms of each lysate was separated by 12% SDS-PAGE
under reducing conditions and transferred to nitrocellulose. Following
blocking with 5% BSA in TBST, blots were probed for 2 h with
primary Abs diluted in 3% BSA in TBST. The following primary Abs were
used: rabbit anti-human caspase 8 (BD PharMingen; diluted 1/1,500);
mouse anti-human FADD (BD PharMingen; diluted 1/1,000); rabbit
anti-human caspase 3 (BD PharMingen; diluted 1/1,000), and mouse
anti-human
-actin (AC-15; diluted 1/8,000). Following three
5-min washes in TBST, bound Abs were detected using appropriate
secondary Abs (peroxidase-conjugated goat anti-rabbit IgG (Jackson
ImmunoResearch Laboratories, West Grove, PA; diluted 1/50,000) or
peroxidase-conjugated sheep anti-mouse Ig (Amersham Pharmacia,
Piscataway, NJ; diluted 1/2,000)) for a 1-h incubation at room
temperature. Blots were washed as described above and developed using
an ECL kit (Amersham Pharmacia).
To assess caspase activation following Fas ligation, 5 x 106 cells (1 x 106 cells/ml) were treated for 0, 2, or 4 h at 37°C with 200 ng/ml mouse anti-Fas (CH-11), and lysates were prepared as described above. Western blotting was performed on 30 µg of each lysate as described above using rabbit anti-human caspase 8 or rabbit anti-human caspase 3 capable of detecting both pro and cleaved forms of caspase 8 and caspase 3, respectively.
Immunoprecipitation of Fas-DISC complexes
Immunoprecipitation of the Fas-DISC was performed as described
previously (20). A total of 1 x
107 cells in 1 ml were cultured in the presence
of 3 µg anti-Fas mAb APO13 IgG3
at 37°C for 2 h.
Cells were washed once in cold PBS and lysed in 1 ml lysis buffer (30
mM Tris (pH 7.4), 1% Triton X-100, 10% glycerol, 150 mM NaCl, 1 mM
PMSF, 5 µg/ml each of aprotinin and leupeptin, and 0.5 µg/ml
pepstatin A) for 15 min on ice. Following removal of insoluble material
by centrifugation, Fas-DISC complexes were precipitated using 10 µl
GammaBind Sepharose beads (Amersham Pharmacia) for 4 h at 4°C.
Precipitates were washed four times in 1 ml cold lysis buffer and
resuspended in 20 µl 2x reducing Laemmli SDS-sample buffer. Samples
were boiled for 3 min, separated by 12% SDS-PAGE, and transferred to
nitrocellulose. Membranes were immunoblotted with anti-FADD and
anti-caspase 8 Abs as described above or with anti-Fas (C20,
Santa Cruz Biotechnology, Santa Cruz, CA; diluted 1/1000) Abs and
detected by ECL.
Caspase colorimetric assays
Caspase 8 and caspase 3 activities were examined using commercially available colorimetric kits (BioVision, Palo Alto, CA). Briefly, 5 x 106 cells (1 x 106 cells/ml) were cultured for 24 h with anti-Fas mAb (CH-11) or an IgM isotype control Ab as described above. Cells were recovered, washed twice using PBS/10% FBS, and lysed with the provided buffer for 10 min on ice. Lysates were centrifuged at 13,000 rpm for 5 min at 4°C to remove insoluble material, and the protein concentration of the lysates was determined using the DC protein assay (Bio-Rad). The substrates Asp-Glu-Val-Asp-p-nitroaniline (pNA) or Ile-Glu-Thr-Asp-pNA (200 µM, final concentration) were incubated with 80 µg total protein, and the OD at 405 nm was determined at 1 and 120 min for both caspase 3 or caspase 8, respectively. The data are recorded as the OD405 at 120 min - the OD405 at 1 min.
| Results |
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To study EBV+ B cell lymphomas associated with PTLD, we generated several SLCL from the peripheral blood of pediatric transplant patients diagnosed with PTLD following liver transplantation. These B cell lines were transformed by EBV in vivo and were propagated from primary culture of PBMC in the absence of exogenous virus or growth factors. In one case (AB5) the SLCL was derived from a lymph node tumor biopsy originating from a kidney transplant patient with PTLD. We have previously shown that these cell lines possess an activated B cell phenotype and depend on IL-10 as an autocrine growth factor (18).
A panel of five SLCL was tested for sensitivity to Fas-induced
apoptosis using the Fas cross-linking mAb CH-11. Following 24-h
treatment with CH-11, cell cycle analysis with PI was used to
distinguish apoptotic cells with sub-G1
hypodiploid DNA content. Annexin V staining was also used to identify
cells in the early stages of apoptosis. Both PI analysis and annexin V
staining identified two subsets of SLCL based on relative sensitivity
to Fas-driven apoptosis, and the histograms of representative cell
lines are shown in Fig. 1
, A
and B. Two SLCL, VB5 and MF4, showed similar Fas-dependent
increases in apoptosis compared with the control Jurkat T cell line as
demonstrated by both PI analysis and annexin V staining (Fig. 1
, C and D). In contrast, the SLCL JC62, JB7, and
AB5 all exhibited marked resistance to Fas-mediated apoptosis (Fig. 1
, C and D). Daudi cells, an
EBV+ Burkitts lymphoma line, served as an
additional control for Fas resistance. A higher percentage of apoptotic
cells was identified by annexin V staining compared with PI analysis,
reflecting cells in the early stages of apoptosis before DNA
fragmentation (Fig. 1
, compare D with C).
Nevertheless, the same pattern of relative sensitivity to Fas-induced
apoptosis emerged when measured by either assay. To verify that the
Fas-resistant SLCL were not simply refractory to CH-11 stimulation,
SLCL were cultured with mouse L cell fibroblasts expressing recombinant
FasL. The same pattern of Fas-induced apoptotic sensitivity and
resistance by SLCL was seen (data not shown), demonstrating that the
response by SLCL to Fas ligation is physiologically relevant.
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To begin to address the differential sensitivity to Fas-mediated
cell death in our cell lines, SLCL were stained for surface expression
of Fas and analyzed by flow cytometry. All five SLCL express high
levels of Fas compared with the Fas+ Jurkat T
cells, whereas Daudi cells express low levels of Fas (Fig. 2
). Although it should be noted that VB5
and MF4 cells have slightly higher levels of Fas expression than the
other SLCL, resistance to Fas-induced apoptosis in JC62, JB7, and AB5
cells cannot be explained by a marked difference in the extent of Fas
expression. Indeed, Jurkat T cells demonstrate high levels of
Fas-mediated apoptosis (
70%; Fig. 1
C) despite expressing
less Fas than the Fas-resistant SLCL. Furthermore, cloning and
sequencing of the Fas molecule from each SLCL revealed no sequence
mutations or deletions (data not shown), implying the Fas receptor
itself is not defective in Fas-resistant cell lines.
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We next tested whether SLCL were sensitive to a non-Fas-dependent
apoptotic stimulus using the protein kinase inhibitor staurosporine.
All SLCL underwent increased apoptotic cell death following 24-h
treatment with staurosporine as measured by cell cycle analysis (Fig. 3
). The SLCL AB5 showed less cell death
in response to staurosporine, which may reflect broader resistance to
apoptotic stimuli in the cells that were derived from a more advanced,
solid tumor. In addition, Daudi cells consistently demonstrated
resistance to staurosporine-induced apoptosis, suggesting that Daudi
cells have additional mechanisms to resist apoptotic stimuli.
Nevertheless, these results indicate that none of the SLCL possesses a
significant global defect in programmed cell death.
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Following our observations of differential sensitivity to
Fas-induced apoptosis in the SLCL, we examined components of the Fas
signaling pathway in these cell lines to explore the possible mechanism
of Fas resistance. First, basal levels of important Fas signaling
proteins in each cell line were determined by Western blotting of
lysates prepared from untreated cells. The expression of FADD, caspase
8, and caspase 3 in all five SLCL examined was comparable to that in
Fas-sensitive Jurkat control cells (Fig. 4
), implying that each SLCL contains the
critical proteins necessary for propagating signals for cell death
following ligation of the Fas receptor.
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To determine whether there are defects in DISC formation in
Fas-resistant cell lines, experiments were conducted to compare the
recruitment of FADD and caspase 8 to the Fas-induced DISC in each SLCL.
Following cross-linking of the Fas receptor with the agonist
anti-Fas mAb APO13, immunoprecipitated protein complexes were
examined by Western blotting to compare levels of coimmunoprecipitated
FADD and caspase 8 in each cell line. Treatment with 1 µg/ml APO13
mAb induced a similar pattern of relative sensitivity to Fas-mediated
apoptosis when assayed by cell cycle analysis (data not shown). As
expected, both FADD and caspase 8 coimmunoprecipitated with the Fas
receptor in the sensitive VB5 and MF4 cells following anti-Fas
treatment, suggesting that DISC formation is intact in these cell lines
(Fig. 5
, lanes 14 and
16). Furthermore, bands corresponding to activated forms of
caspase 8 (p43/41, p23) were clearly detected in VB5 and MF4
cells following 2 h of anti-Fas treatment,
implying that the Fas-induced DISC in these cells is also functional
for signaling. However, significantly reduced amounts of FADD and
caspase 8 were found in the Fas-DISC complexes precipitated from JB7
and AB5 cells, consistent with their resistance to Fas-driven apoptosis
(Fig. 5
, lanes 10 and 12). This result suggests
that a block or defect in Fas signaling exists at the level of DISC
formation in these Fas-resistant cell lines. Interestingly, the small
amounts of caspase 8 that are detected in JB7 and AB5 lysates also
display some degree of activation, as demonstrated by the presence of
p43/41 and p23 cleavage products.
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As an additional positive control for DISC formation, the
EBV-transformed B cell line SKW 6.4 was used. Previous reports have
established SKW 6.4 cells as type I cells, for which most procaspase 8
molecules are activated at the DISC following Fas ligation
(21). Consistent with these findings, SKW 6.4 cells
demonstrated significant DISC formation following anti-Fas
treatment, with large amounts of caspase 8 and FADD coprecipitating
with the Fas receptor (Fig. 5
, lane 6), similar to the VB5
and MF4 SLCL.
Jurkat T cells demonstrate no appreciable DISC formation upon Fas
ligation, as evidenced by the lack of detectable FADD or caspase 8
recruitment to the Fas receptor (Fig. 5
, lane 2). This
observation is consistent with previous studies establishing Jurkat
cells as type II Fas-sensitive cells, in which almost all caspase 8
activation occurs without DISC formation (21) (Fig. 6
). Daudi cells also show no detectable
FADD or caspase 8 recruitment following Fas cross-linking, which may be
partially explained by the lower levels of cell surface Fas expression
observed by both flow cytometry (Fig. 2
) and Western blotting (Fig. 5
, lanes 3 and 4). It should be noted that less Fas
receptor was detected in Jurkat and Daudi cells treated with
anti-Fas to induce DISC formation before lysis (Fig. 5
, lanes
2 and 4, +), as opposed to control samples in which the
anti-Fas mAb was added after lysis (Fig. 5
, lanes 1 and
3, -). It is likely that some anti-Fas mAb was lost
while washing the cells that were treated with Ab before lysis,
explaining why less Fas receptor was immunoprecipitated in those
samples. Indeed, a faint band corresponding to the APO13 Ab H chain
can be seen in all samples treated with Ab after lysis due to
cross-reactivity with the peroxidase-conjugated secondary Abs, implying
that more immunoprecipitating Ab is present in those precipitates (Fig. 5
, - lanes). When supplementary Ab is added to lysates made from cells
treated with APO13 before lysis, comparable amounts of Fas was
immunoprecipitated (data not shown).
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Results derived from examining DISC formation in each SLCL led us
to investigate the kinetics of caspase 8 and caspase 3 activation
following anti-Fas treatment. Cells were stimulated with the
anti-Fas mAb CH-11 for 0, 2, or 4 h, and lysates made from
these cells were immunoblotted with Abs capable of recognizing both the
zymogen and cleaved forms of each caspase. In Jurkat T cells, both
caspase 8 and caspase 3 activation peaked at 2 h, as evidenced
from the presence of distinct bands corresponding to the p43/41 and p17
cleavage products of caspase 8 and caspase 3, respectively (Fig. 6
, lane 2). By 4 h the levels of these activated subunits
only decreased slightly (Fig. 6
, lane 3). These results
agree with previous reports on caspase 8 and 3 activation in Jurkat
cells (21).
In Fas-sensitive VB5 and MF4 SLCL, both caspase 8 and caspase 3 are
activated with similar kinetics compared with Jurkat T cells (Fig. 6
, lanes 1621), even though most caspase 8 activation is
presumably occurring within the Fas-induced DISC in these cell lines as
opposed to type II Jurkat cells. Interestingly, the presence of
activated forms of both caspases decreases by 4 h of treatment in
conjunction with an apparent increase in the amounts of zymogen forms
(Fig. 6
, lanes 18 and 21). This result is even
more pronounced at 8 h (data not shown), suggesting that both
caspase 8 and caspase 3 activations are transient in these cells
despite efficient Fas-induced apoptosis by 24 h of treatment.
In Fas-resistant JB7 and AB5 cells, little or no caspase 8 and caspase
3 activation is detected by Western blot (Fig. 6
, lanes
1015), consistent with the levels of caspase activation in the
DISC immunoprecipitation experiments (Fig. 5
). The absence of cleaved
subunits of either caspase persisted even after 8 h of Fas
ligation (data not shown), suggesting the activation of caspase 8, and
subsequently caspase 3, in these cell lines is not delayed, but rather
is substantially blocked. In contrast, the activated p43/41 forms of
caspase 8 are readily detectable in Fas-resistant JC62 cells (Fig. 6
, upper panel, lanes 8 and 9), also
consistent with the presence of these activated subunits in the DISC.
However, the activated p17 form of caspase 3 is absent in JC62 cells
following Fas cross-linking (Fig. 6
, lower panel,
lanes 8 and 9), suggesting a potential Fas
signaling defect in this cell line that can be localized between
caspase 8 and caspase 3 activation. Daudi cells again served as a
negative control, showing no detectable caspase activation (Fig. 6
, lanes 5 and 6) even after 8 h of
anti-Fas treatment (data not shown). Caspase activation was also
confirmed using colorimetric assays, in which specific pNA-labeled
peptide substrates for caspase 8 and caspase 3 are incubated with cell
lysates treated for 24 h with anti-Fas mAb or an IgM control.
Substrate cleavage by activated caspases releases free pNA, which can
be quantified at 405 nm on a spectrophotometer. Data generated from
colorimetric assays confirmed the same pattern of caspase 8 and caspase
3 activation noted by Western blot for all cell lines (data not shown).
Thus, the block in Fas-mediated apoptosis in resistant SLCL appears to
occur before caspase 3 activation, probably resulting from inhibition
of caspase 8 activation in the DISC or inhibition of caspase 3 cleavage
by activated caspase 8.
| Discussion |
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Cells can be classified into two types according to the Fas signaling pathway used (21). In type I cells caspase 8 is primarily activated at the DISC, as seen in the SKW 6.4 B cell line and our Fas-sensitive SLCL. Caspase 8 activation is evident in the DISC as early as 10 min following Fas engagement (data not shown). In contrast, type II cells such as Jurkat T cells demonstrate reduced DISC assembly, with caspase 8 activation following loss of mitochondrial membrane potential. Although we have yet to extensively study the role of mitochondria in SLCL following Fas stimulation, our data suggest that Fas-resistant JB7 and AB5 cells are not type II cells. Despite impaired DISC formation, the low amounts of activated caspase 8 detected in our blotting experiments appear to be cleaved at the DISC level. Furthermore, we do not detect large amounts of activated caspase 8 following 2 h of anti-Fas treatment in these Fas-resistant SLCL, as would be expected for type II cells.
Fas signaling in JC62 cells appears to be obstructed before caspase 3 activation despite substantial caspase 8 activation at the DISC and the presence of undiminished levels of procaspase 3. It is difficult to discern whether this defect may be due to the specific targeting of caspase 3 or suboptimal generation of activated caspase 8 subunits (i.e., p23 subunit) for signal propagation. One novel explanation is that activated caspase 8 is not released from the DISC to cleave downstream substrates, although this is unprecedented in other Fas-resistant cell types. Another explanation might involve the inhibitor of apoptosis (IAP) family of proteins, which can specifically bind to and inhibit caspase 3 (22, 23). In fact, the human IAP survivin is often expressed in human neoplasms at higher levels than in normal adult tissues (24). IAPs could potentially inhibit caspase 3 activity and subsequent apoptosis in JC62 cells following Fas stimulation, while allowing staurosporine-induced apoptosis to occur through the release of Smac/DIABLO, an IAP inhibitor, from the mitochondria (25, 26).
In the Fas-resistant JB7 and AB5 cell lines, a defect in Fas signaling was detected at the level of DISC formation, resulting in suboptimal recruitment of both FADD and caspase 8 molecules. Although DISC formation appears to be impaired in these resistant cells, the caspase 8 molecules that are recruited to the DISC are capable of autocatalytic cleavage. However, the activated caspase 8 generated appears to be insufficient to induce the downstream apoptotic caspase cascade. Hence, the completion of the Fas-driven apoptotic program may require a higher threshold of caspase 8 activation than generated in JB7 and AB5 cells. Alternatively, the kinetics of DISC formation and/or caspase 8 activation may be delayed in these Fas-resistant cell lines, which may also be attributed to a specific block in proximal Fas signaling. The latter possibility is unlikely, however, since procaspase 8 remains uncleaved in JB7 and AB5 cells up to 8 h following Fas ligation (data not shown).
Another attractive possibility for explaining poor caspase 8 recruitment and activation at the Fas-induced DISC involves cellular FLICE inhibitory protein (cFLIP, also referred to as I-FLICE/FLAME-1/CASH/CLARP/Casper/MRIT/Usurpin) (27, 28, 29, 30, 31, 32, 33, 34). cFLIPexists as two isoforms, cFLIPL and cFLIPS, that structurally resemble caspase 8 and FLICE inhibitory protein, respectively (27, 32, 34). cFLIPL contains two death effector domains and a catalytically inactive caspase domain and has been proposed to have either an anti-apoptotic or a proapoptotic function in regulating Fas-mediated apoptosis depending on cellular context. For instance, Scaffidi and colleagues (35) demonstrated that cFLIPL is cleaved at the DISC upon Fas ligation in stably transfected BJAB cells and remains bound to prevent further recruitment of procaspase 8 into the DISC. Because this effect was only demonstrated when cFLIPL is overexpressed, endogenous levels of cFLIPL may not play a significant role in blocking Fas signaling in SLCL. Furthermore, small amounts of procaspase 8 can be detected at the DISC following 2-h anti-Fas stimulation, suggesting that cFLIP is not blocking the continuous recruitment of procaspase 8. On the other hand, other groups have suggested the C-terminal caspase-like domain of cFLIPL is critical for inducing apoptosis in mammalian cells in overexpression studies (30, 31, 32, 33). cFLIP is expressed in all SLCL at comparable levels (A. L. Snow, unpublished observations), and studies are ongoing to determine the role of cFLIP in Fas signaling in SLCL.
Research conducted on other types of B cell lymphomas to date reveals a
myriad of mechanisms by which Fas-mediated apoptosis may be disrupted.
For example, a recent report by Mueller and colleagues
(36) described decreased Fas expression, activation of
protein kinase C and NF-
B, and increased cFLIP expression all as
distinct ways in which Fas-driven apoptosis is dysregulated in murine B
cell lymphomas. Other groups have identified a soluble decoy receptor
for Fas (DcR3) that is expressed in several types of tumors, including
EBV-infected human B cell lymphomas (37, 38). Although
this form of immune evasion could prove important for tumor protection
against CTL and NK cells expressing FasL, it does not explain
resistance to Fas-driven apoptosis in SLCL stimulated with an agonist
anti-Fas Ab. More important, a recent report by Tepper and
colleagues (39) uncovered defects in DISC formation and
reduced caspase 8 activation in EBV-infected Burkitts lymphoma cells.
They demonstrated that higher ratios of cFLIPL to
caspase 8 transcripts in EBV+ Burkitts lymphoma
cells correlate to increased resistance to Fas-mediated apoptosis,
suggesting the modulation of this ratio may be a novel mechanism by
which EBV imparts Fas resistance on Burkitts lymphoma hosts. Similar
EBV-influenced mechanisms may also be at work in SLCL, which display a
LCL phenotype as evidenced by constitutive expression of latent
membrane protein-1 (LMP-1; A. L. Snow, unpublished
observations).
LMP-1 itself has been implicated in host cell resistance to apoptosis
through NF-
B-mediated up-regulation of Bcl-2 and related
anti-apoptotic molecules (40, 41, 42, 43, 44). Latency in
EBV-infected lymphoblastoid B cells is marked by high expression of
LMP-1, which can engage TRAF molecules and force the constitutive
activation of NF-
B in B cell hosts, including SLCL (A. L. Snow,
unpublished observations). Both antisense targeting of LMP-1 and direct
NF-
B inhibition can suppress growth and promote apoptosis in
otherwise resistant EBV+ LCLs (45, 46). Although the up-regulation of Bcl-2 family members by LMP-1
is probably unrelated to direct type I Fas signaling, viral
interference with death receptor-mediated apoptosis remains an
intriguing possibility that has yet to be demonstrated in SLCL and
related EBV+ cells.
Another study examining susceptibility to Fas-driven apoptosis in PTLD-derived cells showed that EBV+ LCL established from heart or bone marrow allograft recipients are extremely sensitive to apoptosis triggered by high dose agonistic anti-Fas Ab (47). Tumors arising from LCL inoculation in SCID mice could be forced into transient remission when treated with the anti-Fas Ab. In contrast, our study demonstrates that other PTLD-derived EBV+ B cell lymphomas can exhibit strong resistance to Fas-mediated apoptosis. Understanding this resistance on a molecular level, particularly in relation to viral modulation, may aid in the development of more effective therapeutic options involving Fas or other apoptotic stimuli for the treatment of PTLD-associated lymphomas.
| Acknowledgments |
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| Footnotes |
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2 A.L.S. and L.J.C. contributed equally to this work. ![]()
3 Address correspondence and reprint requests to Dr. Olivia M. Martinez, Stanford University School of Medicine, 1201 Welch Road, MSLS P312, Stanford, CA 94305-5492. E-mail address: omm{at}stanford.edu ![]()
4 Abbreviations used in this paper: FasL, Fas ligand; DISC, death-inducing signaling complex; EGFP, enhanced green fluorescent protein; FADD, Fas-associated death domain protein; FLICE, FADD-like IL-1
-converting enzyme; FLIP, FLICE inhibitory protein; cFLIP, cellular FLIP; IAP, inhibitor of apoptosis; LCL, lymphoblastoid cell line; LMP-1, latent membrane protein-1; PI, propidium iodide; pNA, p-nitroaniline; PTLD, post-transplant lymphoproliferative disorder; SLCL, spontaneous lymphoblastoid cell lines. ![]()
Received for publication May 14, 2001. Accepted for publication August 27, 2001.
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B inhibition causes spontaneous apoptosis in Epstein-Barr virus-transformed lymphoblastoid cells. Proc. Natl. Acad. Sci. USA 97:6055.This article has been cited by other articles:
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