The JI Acurri Cytometers
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     
 


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Noessner, E.
Right arrow Articles by Issels, R. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Noessner, E.
Right arrow Articles by Issels, R. D.
The Journal of Immunology, 2002, 169: 5424-5432.
Copyright © 2002 by The American Association of Immunologists

Tumor-Derived Heat Shock Protein 70 Peptide Complexes Are Cross-Presented by Human Dendritic Cells1

Elfriede Noessner2,3,{dagger}, Robert Gastpar2,4,*, Valeria Milani2,*,{ddagger}, Anna Brandl{dagger}, Peter J. S. Hutzler§, Maria C. Kuppner{ddagger}, Miriam Roos*, Elisabeth Kremmer{dagger}, Alexzander Asea, Stuart K. Calderwood and Rolf D. Issels*,{ddagger}

* Clinical Cooperation Group Hyperthermie, {dagger} Institute of Molecular Immunology, GSF National Research Center for Environment and Health, and {ddagger} Medizinische Klinik III, Klinikum Grosshadern, Ludwig Maximilians University, Munich, Germany; § Institute of Pathology, GSF National Research Center for Environment and Health, Neuherberg, Germany; and Department of Radiation Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02115


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our study demonstrates that tumor-derived heat shock protein (HSP)70 chaperones a tyrosinase peptide and mediates its transfer to human immature dendritic cells (DCs) by receptor-dependent uptake. Human tumor-derived HSP70 peptide complexes (HSP70-PC) thus have the immunogenic potential to instruct DCs to cross-present endogenously expressed, nonmutated, and tumor antigenic peptides that are shared among tumors of the melanocytic lineage for T cell recognition. T cell stimulation by HSP70-instructed DCs is dependent on the Ag bound to HSP70 in that only DCs incubated with HSP70-PC purified from tyrosinase-positive (HSP70-PC/tyr+) but not from tyrosinase-negative (HSP70-PC/tyr-) melanoma cells resulted in the specific activation of the HLA-A*0201-restricted tyrosinase peptide-specific cytotoxic T cell clone. HSP70-PC-mediated T cell stimulation is very efficient, delivering the tyrosinase peptide at concentrations as low as 30 ng/ml of HSP70-PC for T cell recognition. Receptor-dependent binding of HSP70-PC and active cell metabolism are prerequisites for MHC class I-restricted cross-presentation and T cell stimulation. T cell stimulation does not require external DC maturation signals (e.g., exogenously added TNF-{alpha}), suggesting that signaling DC maturation is an intrinsic property of the HSP70-PC itself and related to receptor-mediated binding. The cross-presentation of a shared human tumor Ag together with the exquisite efficacy are important new aspects for HSP70-based immunotherapy in clinical anti-cancer vaccination strategies, and suggest a potential extension of HSP70-based vaccination protocols from a patient-individual treatment modality to its use in an allogeneic setting.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In murine systems, vaccination with heat shock proteins (HSPs)5 such as glucose-regulated protein (GP)96, HSP70, and HSP90 from cancer tissues but not from normal tissues induces specific immunity and CTL activation (1). The specificity of the induced CTLs relies on the peptides chaperoned by these HSPs (2, 3). This property allows CTL activation without the need to characterize the corresponding Ag, and provides the basis for a new type of vaccine against cancer (4, 5, 6, 7). HSPs are classified into several families of sequence-related proteins. Among them, based on protein expression levels, the HSP70 family consists of the constitutively expressed HSP (HSC70) and the heat-inducible HSP (HSP70) 70-kDa proteins.

Immunization with HSP peptide complexes (HSP-PC) is exquisitely dependent on the presence of functional APCs in the immunized host, since depletion of such cells renders the host incapable of mounting immune responses after injection of HSP-PC preparations (8). Dendritic cells (DCs) are very effective activators of CTLs, a process that requires the presentation of Ag bound to MHC molecules, together with expression of adhesion and costimulatory molecules (9, 10). In particular, the ability to present exogenous Ags through "cross-presentation" is a key feature of DCs. This term was introduced to describe the representation of exogenous cell-associated Ags by MHC class I (11) and II molecules (12). It became evident that GP96- and HSP70-chaperoned peptides can be presented to CTLs by DCs in the context of MHC class I molecules, and uptake of GP96 or HSP70 requires receptor-mediated endocytosis (2, 13, 14). Recent data provide evidence for the existence of distinct receptors for HSPs (e.g., GP96, HSP90, HSP70) on murine APCs (15), and one of them has been identified as CD91 (16, 17).

The mechanisms involved in the stimulation of T cell responses via HSP70 and GP96 were studied in murine systems using induced tumors and model Ags (18, 19, 20), OVA (21), and viral Ags (22, 23). More recently, immunization with tumor-derived HSPs has also been demonstrated for spontaneous tumors (24). These analyses provided the principle knowledge of HSP-mediated cross-presentation and the involvement of APCs and have been the basis for the first clinical trials involving tumor-derived GP96 (5, 6, 25).

Different from most of the studies described so far, we investigated the role of HSP70 family members in a system that more closely resembles the patient situation. Most studies investigating mechanistic events related to HSP-mediated cross-presentation involved highly immunogenic Ags either induced by mutagenesis or overexpressed by transfection, a situation that does not reflect most human cancers. We selected a human melanoma system and investigated the role of HSP70 in the cross-presentation of the tyrosinase Ag, an endogenously expressed, nonmutated tumor-associated differentiation Ag of low immunogenicity (26) that is shared among tumors of the melanocytic lineage.

We demonstrate that HSP70-PC purified from tyrosinase-positive (HSP70-PC/tyr+) but not from tyrosinase-negative (HSP70-PC/tyr-) melanoma cells deliver the tyrosinase Ag to immature DCs for MHC class I-restricted T cell recognition. Activation of the tyrosinase-specific T cell clone was inhibited when binding of HSP70-PC/tyr+ to DCs was competitively blocked by HSP70-PC not carrying the tyrosinase Ag. T cell stimulation by immature DCs incubated with HSP70-PC/tyr+ was very efficient even without additional DC maturation signals (e.g., exogenous TNF-{alpha}), demonstrating the ability of tumor-derived HSP70-PC to act as a chaperone for peptides and a signal for DC maturation. Using a human tumor system, it can be concluded that endogenously expressed nonmutated and shared tumor Ags with low immunogenicity (26) are chaperoned by HSP70 and efficiently presented by DCs for T cell recognition.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Reagents

SPA-810 mAb (clone C92F3A-5, specific for the inducible protein HSP70) and rat mAb SPA-815 (clone 1B5, specific for the protein HSC70) were purchased from StressGen Biotechnologies (Victoria, British Columbia, Canada). Anti-HSP70 mAb (clone BRM-22, specific for both HSP70 and HSC70) and anti-FITC mAb (clone FL-D6) were obtained from Sigma-Aldrich (Taufkirchen, Germany). Rat mAb HSP-6B3, specific for the inducible isoform of HSP70 was generated by our in-house facility. Approximately 50 µg of recombinant human (rh)-HSP70 expressed in Escherichia coli (protein SPP-755; StressGen Biotechnologies) were injected i.p. and s.c. into LOU/C rats. After a 2-mo interval, a final boost was given i.p. and s.c. 3 days before fusion. Fusion of the myeloma cell line P3X63-Ag8.653 with the rat immune spleen cells was performed according to standard procedure. Hybridoma supernatants were tested in a solid-phase immunoassay using recombinant HSP70 adsorbed to polystyrene microtiter plates. Following incubation with culture supernatants for 1 h, bound mAbs were detected using peroxidase-labeled goat anti-rat IgG + IgM Abs (Dianova, Hamburg, Germany) and o-phenylenediamine as chromogene in the peroxidase reaction. Crude E. coli extract was used as a negative control. Positive-reacting hybridomas were further tested on HSC70 (constitutive form of HSP70, SPP-750; StressGen Biotechnologies). mAb HSP-6B3 (rat IgG1) specific for the inducible HSP70 was used in this study.

The C-19 goat polyclonal Ab specific for tyrosinase was purchased from Santa Cruz Biotechnology (Santa Cruz, CA). Anti-{beta}-tubulin mAb (Santa Cruz Biotechnology) was used in Western blotting procedures to control for protein loading. Abs used for FACS analysis included PE-conjugated anti-CD14, anti-CD83, and goat anti-mouse IgG (Beckman Coulter, Krefeld, Germany). Cytokines used for cell culture included IL-2 (Cetus, Emerville, CA), IL-4, TNF-{alpha} (Biomol, Hamburg, Germany), and GM-CSF (Hölzel Diagnostika, Köln, Germany). The tyrosinase peptide (YMNGTMSQV; aa 368–376) was synthesized and purified by Dr. M. Eulitz in our in-house facilities at the GSF Institute of Molecular Immunology (Munich, Germany).

Cells

The human melanoma cell lines, 624.38-MEL and SK23-MEL (tyrosinase-positive; HLA-A*0201-positive) (27, 28), were kind gifts from Dr. M. C. Panelli (National Institute of Health, Bethesda, MD), and A375-MEL (tyrosinase-negative; HLA-A*0201-positive) (27, 28) was purchased from the American Type Culture Collection (Rockville, MD). HLA-A2 and tyrosinase expression were verified by FACS analysis using Ab HB54 (Ref. 29 and data not shown) or by Western blot analysis using the goat polyclonal antiserum C-19 (see Fig. 2GoB), respectively. As a second tyrosinase-negative cell line, the EBV-transformed B lymphoblastoid cell line (B-LCL) of a local donor was used. All tumor cell lines were cultured in RPMI supplemented with 10% FCS. Cell lines were routinely tested for mycoplasma using the manufacturer’s directions (Biochrom, Berlin, Germany). PBMCs were prepared from leukapheresis samples or from peripheral blood of healthy donors by density gradient centrifugation over Ficoll/Hypaque (Amersham Pharmacia Biotech, Freiburg, Germany). To obtain CD14+ monocytes, PBMCs were incubated in 75-cm2 plastic flasks (Nunc, Wiesbaden-Biebrich, Germany) for 2 h and the nonadherent cells were washed off. Adherent cells were cultured in VLE-RPMI culture medium (Biochrom) supplemented with 2 mM glutamine, 100 U/ml penicillin/streptomycin, and 1% autologous serum. GM-CSF (1000 U/ml) and IL-4 (800 U/ml) were admixed to the monocytes on day 0 to generate DCs. GM-CSF alone was again added on day 4 of culture. On day 7, the DCs were tested for their ability to stimulate peptide-specific T cells in the cross-presentation assay. For binding experiments with FITC-labeled proteins, DC maturation was induced by the addition of a cytokine mixture (IL-1{beta}, 10 ng/ml; IL-6, 1000 U/ml; TNF-{alpha}, 10 ng/ml; PGE2, 1 µg/ml; a kind gift from Dr. E. Kaempgen, Department of Dermatology, Julius Maximilians University, Würzburg, Germany) on day 7. Mature DCs were used on day 9.



View larger version (52K):
[in this window]
[in a new window]
 
FIGURE 2. A, Isolation of HSP70-PC from melanoma lines. Left panel, Aliquots from each purification step were resolved by SDS-PAGE (10%) and silver stained. Lane 1, Crude lysate; lane 2, desalted lysate; lane 3, ADP-binding proteins; lane 4, ADP-nonbinding proteins; lanes 5 and 6, desalted ADP-binding proteins; lane 7, HSP70-PC after anion exchange chromatography (pooled fractions). Purity of the last fraction was estimated to be >95%. Right panel, 2D-IEF/SDS-PAGE of HSP70-PC from A375-MEL cells followed by Western blotting with anti-HSP70 mAb (BRM-22), recognizing both the HSP70 and HSC70 isoforms of the 70-kDa HSP family. Data are those obtained from the preparation of A375 cells and are representative of three independent experiments with similar results. HSP70-PC from 624.38-MEL and SK23-MEL cells displayed similar composition. B, Natural expression (at 37°C) of HSP70, HSC70, and tyrosinase by melanoma cell lines 624.38-MEL, SK23-MEL, and A375-MEL. Intracellular FACS staining was done for 624.38-MEL and A375-MEL ({blacksquare}, mAb SPA-810, specific for HSP70; and {square}, mAb SPA-815, specific for HSC70). Rat and mouse isotype control Abs did not show significant staining for both cell lines (mean fluorescence of 1.4 and 1.1, respectively) and were used for reference settings. Depicted on the y-axis is the difference between the mean fluorescence of experimental mAb and isotype control ({Delta} mean fluorescence 1). Error bars indicate SEM. Expression of HSC70, HSP70, and tyrosinase was also analyzed by Western blotting. Gels were run in parallel and probed with Abs to HSC70 (SPA-815), HSP70 (HSP-6B3), and tyrosinase (C-19).

 
The HLA-A*02-restricted tyrosinase peptide (aa 368–376; YMNGTMSQV) specific cytotoxic T cell clone, TyrF8 (30), was kindly provided by Dr. P. Schrier (Department of Clinical Oncology, Leiden University Hospital, Leiden, The Netherlands). TyrF8 cells were cultured in RPMI 1640 medium supplemented with 2 mM L-glutamine, 1 mM sodium pyruvate, 7.5% heat-inactivated FCS, 7.5% heat-inactivated pooled human serum, and 50 U/ml of rhIL-2. TyrF8 cells were stimulated bimonthly with irradiated (10,000 rad, using a 137Cs-source Gammacell 40; Atomic Energy of Canada, Ottawa, Canada) IL-2-secreting HLA-A*0201-positive and tyrosinase-positive melanoma cells, irradiated (5,000 rad) pooled allogeneic PBMC, and irradiated (15,000 rad) EBV-transformed allogeneic B-LCL. Fresh medium was given biweekly and TyrF8 cells were split when wells were confluent. For functional assays measuring Ag-specific induction of cytokine secretion, TyrF8 were used on day 14 after the last stimulation.

Isolation of HSP70-PC from melanoma cells

The HSP70-PC were isolated as previously described (31) with minor modifications. A total of 10 ml of packed cell pellet of either A375-MEL, 624.38-MEL, SK23-MEL, or B-LCL cells was homogenized in 40 ml of hypotonic buffer A (10 mM NaHCO3, 0.5 mM PMSF, pH 7.1) by repeated freeze and thaw cycles and sonication, and a 100,000 x g supernatant was obtained. The sample buffer was exchanged for buffer B (20 mM Tris-acetate, 20 mM NaCl, 15 mM 2-ME, 3 mM MgCl2, 0.5 mM PMSF, pH 7.5) via gel filtration chromatography using Sephadex G-25. The sample was applied directly to an ADP-agarose column equilibrated with buffer B. The column was washed extensively with buffer B until protein was undetectable in the eluate by absorbance at 280 nm. Finally, the column was incubated with buffer B containing 3 mM ADP at room temperature for 30 min and subsequently eluted with the same buffer (25 ml). The buffer of the eluate was exchanged again with Sephadex G-25 for buffer C (20 mM Na2HPO4, 20 mM NaCl, pH 7.0). The protein was separated by anion exchange chromatography using MonoQ Sepharose and eluted over a 20–600 mM NaCl gradient. Fractions containing HSP70-PC as a single protein, as determined by SDS-PAGE silver stain and by Western blot with anti-HSP70 mAb (clone BRM-22) were pooled. Sephadex G-25, ADP-agarose, MonoQ Sepharose, ADP, and all buffer ingredients were obtained from Sigma-Aldrich. Protein content was determined by the Lowry method using the protein assay kit of Bio-Rad (Munich, Germany).

SDS-PAGE, two-dimensional (2D) isoelectric focusing (IEF)/SDS-PAGE, and Western blot analysis

For analysis of protein content in various fractions of the HSP70-PC isolation steps, samples were denatured by boiling for 5 min in SDS sample buffer and separated on 10% SDS-PAGE. After electrophoresis, proteins were either silver stained or transferred to nitrocellulose membranes (Sartorius, Goettingen, Germany) and probed with appropriate Ab as described in the figure legends. Detection of proteins was achieved by the ECL system (Amersham Life Science, Karlsruhe, Germany).

The natural expression levels for HSC70, HSP70, and tyrosinase in cultured cell lines were determined using cell lysates (lysis buffer: 2% 3-((3-cholamidopropyl)dimethylammonio)-1-propanesulfonate in 50 mM HEPES and 200 mM NaCl (pH 7.5), and protease inhibitors). Equal amounts of protein (40 µg/lane measured with the Bio-Rad assay kit) were boiled for 5 min in SDS-sample buffer and separated on a 10% SDS-PAGE. After electrophoresis, Western blot analysis was performed as described above. For detection of tyrosinase, the polyclonal goat serum C-19 was used. HSP70 and HSC70 were detected using the rat mAbs HSP-6B3 and SPA-815, respectively. Equal protein loading was verified by reprobing the blots with anti-{beta}-tubulin Ab (Santa Cruz Biotechnology; data not shown).

For 2D-IEF/SDS-PAGE, the first dimension used IEF using a Multiphor II electrophoresis unit and ImmunobilineDryStrip (IPG) (pH 3–10 NL), all from Amersham Pharmacia Biotech. A total of 100 ng of purified HSP70-PC were solubilized in lysis buffer (10 M urea, 1% DTT, 4% 3-((3-cholamidopropyl)dimethylammonio)-1-propanesulfonate, 2.5 mM EDTA, 2.5 mM EGTA) supplemented with 0.05% bromophenol blue and IPG buffer (pH 3–10 NL; Amersham Pharmacia Biotech), loaded onto the IPG (pH 3–10 NL), and covered with paraffin. The running conditions were 91 kVh. IEF was followed by a vertical 10% SDS-PAGE. The IPG strip was equilibrated and placed on top of the vertical 10% SDS-PAGE. After separation, Western blotting and immune detection using the anti-HSP70 and HSC70 mAb (BRM-22) and the ECL kit were performed.

Fluorescence labeling of proteins

Purified HSP70-PC (from A375-MEL melanoma cells) or BSA (1 mg/ml) was incubated with FITC (50 µg; Sigma-Aldrich) or FluoroLink Cy5 (Amersham Pharmacia Biotech) in carbonate-bicarbonate buffer (0.1 M; pH 9.5) overnight at 4°C, or 5 h at room temperature for Cy5. Free unconjugated FITC was removed by passing the mixture over a gel filtration column (Sephadex G-25; Amersham Pharmacia Biotech). For Cy5-labeling, protein was dialyzed (12–14 kDa dialysis membrane) for 12–14 h. FITC-conjugated proteins were analyzed by SDS-PAGE and immunoblotting using anti-HSP70 mAb (clone BRM-22) and anti-FITC Ab. Labeled proteins were centrifuged at 100,000 x g before use to remove any particulate matter.

FACS analysis

For phenotypic characterization, 2 x 105 cells were stained with PE-labeled mAb to CD14 and CD83, FITC-labeled BSA, and FITC-labeled HSP70-PC/tyr+ or FITC-HSP70-PC/tyr- (each 100 ng/ml) in PBS supplemented with 5% FCS for 30 min at 4°C. For competition studies, labeled (100 ng/ml) and unlabeled proteins (in concentrations to reach indicated ratios) were mixed and added to the cells. Cells were washed with ice-cold PBS and analyzed by flow cytometry using a FACScan with CellQuest software (BD Biosciences, Mountain View, CA). The analysis gate was set on propidium iodide negative cells and cell type characteristic forward (forward light scatter) and orthogonal scatter (side light scatter). For intracellular staining of HSC70 and HSP70, cells were permeabilized using the FIX and PERM kit (Dianova). Then, mAb SPA-815 (HSC70) and SPA-810 (HSP70), respectively, in combination with FITC-labeled secondary reagents were applied.

Confocal microscopy

Immature DCs were incubated with 5 µg Cy5-labeled HSP70-PC or Cy5-labeled BSA for 30 min at 4°C (surface staining) or at 37°C (uptake studies). After washing, cells were settled on poly-L-lysine-coated glass slides, fixed with 4% paraformaldehyde (PFA) in PBS for 30 min at room temperature, and mounted with VECTASHIELD (Vector Laboratories, Burlingame, CA). Samples were analyzed for transmission and fluorescence using a Zeiss model LSM510 confocal laser-scanning microscope (Zeiss, Oberkochen, Germany) equipped with an external Helium-Neon Laser 633 nm lens CAPO 63x/1.2 W as well as equipment for digital interference contrast (DIC). Confocal section of specific fluorescence and DIC contrast image were taken simultaneously. Fluorescence of the Cy5-labeled probe was detected using an excitation wavelength of 633 nm, and a 650-nm LP emission filter. Cy5 fluorescence is visualized in yellow (see Fig. 4GoB). DIC images were treated by multiplicative shading correction using software KS 400 (Zeiss).



View larger version (30K):
[in this window]
[in a new window]
 
FIGURE 4. Receptor-dependent binding of HSP70-PC, uptake, and active cell metabolism are required for T cell stimulation. A, Inhibition of HSP70-PC/tyr+ surface binding to DCs by HSP70-PC/tyr- blocks T cell stimulation. Immature DCs were pulsed with HSP70-PC/tyr+ (from 624.38-MEL) alone and various mixtures of HSP70-PC/tyr+ with HSP70-PC/tyr- (from A375-MEL) ({blacksquare}), or with a mixture of BSA and HSP70-PC/tyr+ (10:1; {square}). Maturation of DC was induced by TNF-{alpha}, and TyrF8 stimulation was measured by determining the amount of IFN-{gamma} released. Data represent mean IFN-{gamma} concentration in picograms per milliliter (mean ± SEM) of results from two independent experiments. ***, p < 0.005, comparing the IFN-{gamma} value of the 10:1 ratio of HSP70-PC/tyr- and HSP70-PC/tyr+ with that of the 10:1 ratio of BSA and HSP70-PC/tyr+. B, Confocal microscopy of immature DCs stained with Cy5-labeled HSP70-PC or Cy5-labeld BSA at 4°C (a–h, surface binding) and 37°C (i–l, uptake). Cy5-labeled BSA was used for control staining (c, d, g, h, k, and l). Cells were analyzed for fluorescence (shown in yellow) and transmission (shown as overlay with the fluorescence signal). Scale bars indicate respective magnifications. a–d, An overview for the staining at 4°C demonstrating that all cells stain positive for Cy5-HSP70-PC and none are positive for Cy5-BSA. For presentation purpose, fluorescence images for Cy5-BSA stainings (c, d, g, h, k, and l) are digitally enhanced twice to allow detection of residual fluorescence. Individual cells are depicted at higher magnification (e–l) to visualize discrete staining patterns at 4°C (surface) and 37°C (perinuclear and vesicular). C, PFA-fixation of cells abrogates T cell stimulation. Left panel, DCs fixed with PFA (1% for 10 min at room temperature) were unable to perform HSP70-PC-mediated cross-presentation, but retained the ability to present exogenously added tyrosinase peptide. Untreated DCs are shown in the left panel.

 
Cross-presentation assay

Activation of the T cell clone TyrF8 was assessed by measurement of the amount of IFN-{gamma} released into the culture supernatant. DCs derived from monocytic precursors were seeded on day 7 at a concentration of 104 cells/well in 96-well round bottom plates in 100 µl of DC culture medium, and indicated concentrations of the HSP70-PC were added. After 24 h, DCs were induced to mature by addition of 200 U/ml TNF-{alpha} and incubated for a further 24 h. As a control for the T cell stimulation capacity of the DCs, tyrosinase peptide (aa 368–376; YMNGTMSQV) was added exogenously at concentrations ranging from 1–10 µg/ml to TNF-{alpha}-matured DCs. Before T cell addition, the DCs were irradiated (5,000 rad). TyrF8 cells were added (2 x 104 cells/well) in 100 µl of medium to give final concentrations of 25 U/ml IL-2, 5% FCS, and 5% human serum. After 24 h, culture supernatants were harvested and the content of IFN-{gamma} was measured by OptEIA (BD Biosciences). When the cross-presentation assay was performed to investigate the ability of HSP70-PC to mature DCs, we added polymyxin B (Sigma-Aldrich) at a concentration of 1 µg/ml together with HSP70-PC to rule out the possible influence of LPS contamination. For Ab-blocking experiments, before adding the T cells, DCs were incubated for 1 h at 37°C with the mAb HB54 (20 µg/ml) recognizing an antigenic determinant shared by HLA-A*02 and B17 (29). In some experiments, immature DCs were fixed with PFA (1%) for 10 min at room temperature, then they were washed three times with excess of VLE medium before being used in cross-presentation assays (32).

Statistical analyses

The statistical significance of experimental values was assessed by means of Student’s t test. *, **, and *** represent values of p < 0.5, p < 0.05, and p < 0.005, respectively. For the calculation of the dose response value Y50, the statistics menu of the Origin 4.1 program and the logistic nonlinear curve fitting for the dose response in pharmacology and biology were used. Y = (A1 - A2)/(1 + (x/x0) exp(p) + A2) with A1 = -2.845; A2 = 556,25; x0 = 74,710; p = 2,2351. The second derivation of the above equation is set to zero and the resulting turning point of the sigmoid curve represents Y50.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Differential surface binding of tumor-derived HSP70-PC to human monocyte-derived APCs

We previously showed that rh-HSP70 binds to human monocytes (33) and DCs (34). In this study, we demonstrate that HSP70-PC isolated from human melanoma cell lines exhibit a differential binding pattern to human APCs derived from the monocytic lineage. Monocytes (CD14+, CD83-), immature DCs (CD14-, CD83-) and mature DCs (CD14-, CD83+) were coincubated with FITC-conjugated HSP70-PC at 4°C to exclude endocytosis, and surface binding characteristics were analyzed by flow cytometry (Fig. 1GoA). BSA-FITC used as a control did not result in significant binding to any of the APCs tested. HSP70-PC bound to immature and mature DCs with similar high intensity (mean fluorescence of 40), whereas monocytes bound HSP70-PC at a low intensity (mean fluorescence of 8). The binding characteristics of HSP70-PC thus differed from our previous results with rh-HSP70, which did not bind to mature DCs (34).



View larger version (32K):
[in this window]
[in a new window]
 
FIGURE 1. A, Differential surface binding of tumor-derived HSP70-PC to various monocyte-derived human APCs. Monocytes, immature DCs, and mature DCs were stained with FITC-labeled BSA or FITC-HSP70-PC (from A375 melanoma cells) together with PE-labeled anti-CD14 or anti-CD83 Ab. The gate was set on propidium iodide-negative cells. Percentage of cells is shown for each quadrant. Data are representative of three independent experiments with similar results. B, Inhibition of surface binding by unlabeled HSP70-PC. Immature monocyte-derived DCs were labeled with BSA-FITC alone ({square}), HSP70-PC-FITC alone or indicated mixtures of labeled and unlabeled HSP70-PC (), or a mixture of labeled HSP70-PC and unlabeled BSA, ratio 1:10 ({blacksquare}), and analyzed by flow cytometry. Data represent mean fluorescence intensity (mean ± SEM) of results from three independent experiments. Statistical significance of data was calculated compared with that of FITC-HSP70-PC alone. *, p < 0.5; and ***, p < 0.005.

 
2D-IEF/SDS-PAGE analysis of HSP70-PC revealed a heterogeneous composition of melanoma-derived HSP70-PC consisting of both the HSC70 and the inducible HSP70 proteins (Fig. 2GoA). This composition was found to reflect the natural HSP70 expression pattern of the melanoma cell lines, 624.38-MEL, SK23-MEL, and A375-MEL, that were used for HSP70-PC isolation. As demonstrated by intracellular FACS analysis and Western blot, these cell lines expressed the HSC70 and HSP70 isoforms at physiological growth conditions (Fig. 2GoB).

To negate the possibility that binding of HSP70-PC to DCs was a consequence of nonspecific events, competition assays between unlabeled HSP70-PC and FITC-labeled HSP70-PC were performed (Fig. 1GoB). Unlabeled HSP70-PC competitively inhibited the binding of FITC-labeled HSP70-PC to immature DCs. Inhibition was shown to be dependent on the ratio of FITC-labeled to nonlabeled HSP70-PC and displayed a saturation kinetics characteristic for receptor-mediated binding. The inhibition of binding was highly significant at a 10-fold excess of unlabeled HSP70-PC (p < 0.005). In contrast, the surface binding was not affected using a 1:10 ratio of HSP70-PC-FITC to unlabeled BSA.

HSP70 from melanoma cells chaperones the tyrosinase peptide and delivers it to DCs for MHC class I-restricted cross-presentation

To determine the functional consequence of HSP70-PC binding to APCs, experiments were performed in which we tested whether peptides chaperoned by HSP70-PC are effectively cross-presented by MHC class I molecules to T cells. HSP70-PC were isolated from two tyrosinase-positive (HSP70-PC/tyr+) and one tyrosinase-negative (HSP70-PC/tyr-) melanoma cell lines, 624.38-MEL, SK23-MEL, and A375-MEL, respectively (Refs. 27 and 28 , and Fig. 2GoB), and incubated with immature DCs from HLA-A*0201-positive donors in vitro. The expression of HLA-A*0201 by DCs was required because the tyrosinase peptide-specific T cell clone (TyrF8) is HLA-A*0201-restricted. After incubation with HSP70-PC, the DCs were treated with TNF-{alpha} to induce maturation and to switch function from Ag uptake and processing to presentation. Pulsed DCs were then assayed for their capacity to stimulate the tyrosinase peptide-specific and HLA-A*0201-restricted T cell clone TyrF8. TyrF8 stimulation was measured by its ability to release IFN-{gamma}.

DCs pulsed with HSP70-PC/tyr+ stimulated TyrF8 to secrete IFN-{gamma} in an HSP70-PC dose-dependent manner (Fig. 3GoA, {blacksquare}). IFN-{gamma} secretion reached a plateau at 600 ng/ml, with a half-maximal value (Y50) of IFN-{gamma} achieved at 74.76 ng/ml of HSP70-PC/tyr+. The amount of IFN-{gamma} secreted was comparable to the maximum stimulation obtained using the HLA-A*0201- and tyrosinase-positive melanoma cell lines 624.38-MEL and SK23-MEL (data not shown). TyrF8 activation was Ag-dependent, since HSP70-PC purified from melanoma cells not expressing the tyrosinase Ag (HSP70-PC/tyr-) were unable to stimulate TyrF8 (Fig. 3GoA, {square}). IFN-{gamma} secretion was further dependent on the interaction of both DCs and T cells, since neither DCs alone (Fig. 3GoB) nor T cells alone (Fig. 3GoC) incubated with HSP70-PC-secreted IFN-{gamma}. To confirm that the stimulation of TyrF8 by DCs pulsed with HSP70-PC from tyrosinase-positive melanoma cells was indeed specific and HLA-A*02-dependent, we performed blocking experiments using the anti-HLA-A*02-specific Ab HB54 (29). The release of IFN-{gamma} by TyrF8 was inhibited by preincubation of HSP70-PC-pulsed DCs with HB54 (p < 0.05 at 10 ng/ml of HSP70-PC/tyr+ and p < 0.005 at 100 ng/ml of HSP70-PC/tyr+; Fig. 3GoD).



View larger version (27K):
[in this window]
[in a new window]
 
FIGURE 3. HSP70-PC from melanoma cells chaperone the tyrosinase peptide for MHC class I-restricted cross-presentation by human DCs. A, Immature DCs (HLA-A*02-positive) were incubated with indicated amounts of HSP70-PC/tyr+ (from 624.38-MEL cells, {blacksquare}) or HSP70-PC/tyr- (A375-MEL cells, {square}), matured with exogenous TNF-{alpha} and cocultured with the HLA-A2-restricted tyrosinase-specific T cell clone TyrF8. Ag-specific stimulation of TyrF8 is demonstrated by the amount of IFN-{gamma} secreted. Y50 indicates the amount of HSP70-PC/tyr+ (74.76 ng/ml) required for half maximal stimulation of TyrF8. T cell stimulation requires coculture of T cells with HSP70-PC loaded DCs. Neither DCs alone (B) nor TyrF8 alone (C) secrete IFN-{gamma} after incubation with HSP70-PC/tyr+ ({blacksquare}) or HSP70-PC/tyr- ({square}). Five independent preparations of the HSP70-PC from the tyrosinase-positive 624.38 cell line and one preparation of tyrosinase-positive cell line SK23-MEL (data not shown) were tested for cross-presentation. All preparations were tested repeatedly and induced IFN-{gamma} secretion with experimental variations ranging between 500 and 80 pg/ml of IFN-{gamma} at 100 ng/ml of HSP70-PC (data not shown). The tyrosinase-negative cell line A375-MEL and tyrosinase-negative B-LCL were also repeatedly tested and never found to induce significant amounts of IFN-{gamma} (data not shown). Variations in dose dependency of individual HSP70-PC preparations from tyrosinase-positive melanoma cell lines might be related to different purities of the preparations. As determined by silver staining, some HSP70-PC preparations contain other, yet undefined proteins, different from HSC70 or HSP70 (data not shown). D, Stimulation of TyrF8 by HSP70-PC-loaded DCs is HLA-A*02-restricted. IFN-{gamma} secretion of TyrF8 was measured after coculture with HSP70-PC/tyr+ (from 624.38-MEL)-loaded DCs in the absence ({blacksquare}) or presence ({square}) of anti-HLA-A2 Ab (HB54). Values of p were calculated for all data, comparing IFN-{gamma} values in the presence of HB54 to that in the absence of HB54. **, p < 0.05; and ***, p < 0.005. Data represent the mean IFN-{gamma} concentration in picograms per milliliter (mean ± SEM) of results from four independent experiments.

 
Receptor-dependent binding of HSP70-PC, uptake, and active cell metabolism are required for cross-presentation of chaperoned peptides and T cell stimulation

To test that receptor-dependent binding of HSP70-PC is required for T cell activation, the T cell stimulation capacity of DCs pulsed with HSP70-PC/tyr+ was measured in the presence of increasing amounts of HSP70-PC/tyr- in a cross-presentation assay. IFN-{gamma} secretion induced by HSP70-PC/tyr+ was inhibited by 80% when DCs were coincubated with a 10-fold excess of HSP70-PC/tyr- (Fig. 4GoA, p < 0.005). However, excess of BSA did not influence IFN-{gamma} secretion.

The binding of HSP70-PC to DCs and early downstream consequences of binding were analyzed by confocal laser scanning microscopy. Immature DCs were incubated for 30 min with Cy5-conjugated HSP70-PC at 4°C to exclude endocytosis, or at 37°C to induce uptake. Cy5-labeled BSA was used as a negative control. After staining, cells were settled on poly-L-lysine-coated glass slides, fixed and analyzed for transmission and fluorescence. Consistent with the observed FACS analysis (see Fig. 1Go), BSA did not result in detectable staining of DCs (Fig. 4GoB, c, d, g, h, k, and l), while all DCs were stained strongly positive with HSP70-PC (Fig. 4GoB, a, b, e, f, i, and j). Different staining patterns were observed at 4°C and 37°C. At 4°C (Fig. 4GoB, a, b, e, and f), the fluorescence signal was localized to the cell surface. In contrast, at 37°C (Fig. 4GoB, i and j) this surface staining was replaced by a vesicular staining at two distinct subcellular locations. Fluorescent signals were localized to perinuclear areas and clusters of focal staining near the cell surface, presumably early endosomes.

These staining patterns suggested that HSP70-PC, after binding to the cell surface, was translocated into the cell interior, a process requiring active cell metabolism. To prove that HSP70-PC does not deliver its peptide cargo to cell surface MHC directly but chaperones it through an intracellular pathway for loading onto newly synthesized MHC class I molecules, immature DCs were fixed with PFA before being used in cross-presentation assays. PFA fixation completely abrogated T cell stimulation, while exogenously added tyrosinase peptide was still efficiently presented (Fig. 4GoC).

HSP70-PC-dependent cross-presentation and T cell stimulation do not require additional external DC maturation signals

For our cross-presentation assays, we used immature DCs because they demonstrated strongest binding for HSP70-PC and because they are highly efficient in Ag uptake and processing (10). Based on the rationale that for the process of T cell stimulation mature DCs are the most efficient, we added TNF-{alpha} exogenously after HSP70-PC had bound to immature DCs and had delivered the peptide cargo. In the meantime, others and we had observed that rh-HSP70 stimulates secretion of inflammatory cytokines, including TNF-{alpha}, from monocytes and DCs (33, 35, 36), and induces maturation of DCs (34, 37, 38). Therefore, we reasoned that DCs through binding HSP70-PC might be stimulated to release TNF-{alpha} and induce their maturation by an autocrine loop. To investigate whether DCs after incubation with HSP70-PC need exogenous TNF-{alpha} for efficient cross-presentation, we incubated immature DCs with HSP70-PC/tyr+ and either left them untreated (intrinsic DC maturation by HSP70-PC) or gave TNF-{alpha} (external DC maturation) before addition of the T cells. As shown in Fig. 5Go, cross-presentation by HSP70-PC-treated DCs without exogenously added TNF-{alpha} was even stronger than that with additional TNF-{alpha} (p < 0.005). Polymyxin B, a potent inhibitor of LPS, was included in the cross-presentation assay. No inhibitory effect on IFN-{gamma} secretion by the T cells was observed, ruling out the possibility that endotoxin contamination within the HSP70-PC preparations was responsible for DC maturation and their ability to efficiently stimulate the T cells. Immature DCs treated with HSP70-PC only consistently performed better in Ag-specific and allogeneic T cell stimulation assays than those treated with HSP70-PC and TNF-{alpha} (data not shown).



View larger version (18K):
[in this window]
[in a new window]
 
FIGURE 5. HSP70-PC-mediated cross-presentation and T cell stimulation do not require external (i.e., TNF-{alpha}-induced) DC maturation. Immature DCs were incubated with indicated amounts of HSP70-PC/tyr+ (from 624.38-MEL) and TNF-{alpha} was given (external DC maturation signal; {square}) or was omitted (intrinsic, HSP70-mediated, DC maturation; {blacksquare}) before the addition of T cells. Polymyxin B was present in all reactions throughout the cross-presentation assay. TyrF8 stimulation was determined by measuring the amount of secreted IFN-{gamma}. Values of p were calculated from data comparing IFN-{gamma} values obtained with TNF-{alpha} to that without TNF-{alpha}. ***, p < 0.005.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
In the last years, HSPs have been proposed as a tool for cancer therapy. They can function as tumor-associated activation structures (i.e., HSP70) if detected on the surface of tumor cells, thereby activating NK cells (39, 40), or as Ag-presenting molecules, eliciting a specific T cell response through peptides associated in HSP-PC (1, 2, 3, 4, 5, 6, 7).

Using HSP70-PC/tyr+ and HSP70-PC/tyr-, and by focusing on the nature of the APCs that mediate cross-presentation as well as the biochemical composition of the tumor-derived HSP70-PC, we were able to demonstrate that the immunogenic potential of HSP70 as a tool to induce anti-tumor immune responses can be extended to naturally expressed nonmutated human tumor Ags of low immunogenicity (26). Binding of HSP70-PC to DCs and intracellular events are required for HSP70-mediated cross-presentation. Although HSP70-PC bound to immature and mature DCs with similar intensity, immature DCs were more efficient in cross-presentation than mature DCs (data not shown). This makes sense from an immunological point of view, since immature DCs are better in Ag uptake than monocytes or mature DCs and have a strong capacity to process Ag (10, 41). Ag processing ability is potentially useful if peptides bind to HSP70 as longer precursors.

Our results demonstrate further that HSP-PC-mediated cross-presentation by immature DCs does not require external maturation signals, such as TNF-{alpha}. This finding is consistent with previous observations that HSPs represent natural danger signals to the immune system. When released by stressed cells (42, 43), they stimulate monocytes and DCs to secrete proinflammatory cytokines (TNF-{alpha}, IL-12) (33, 35, 36, 44), and are maturation signals for immature DCs (34, 37, 38, 45, 46). Our results demonstrating efficient cross-presentation without external DC maturation signals indicate that the two properties—the chaperoning of antigenic peptides and the induction of DC maturation—are intimately linked within tumor-derived HSP70-preparations. A similar conclusion can be reached for GP96 (47). The significance for the clinical use of tumor-derived HSP preparations in stimulating anti-tumor immune responses is discussed below.

The biochemical analysis of our HSP70 preparations revealed that they consisted of both the HSC70 and the HSP70. This was found to reflect the natural expression pattern of HSP70 and HSC70 in the melanoma cell lines used for HSP70-PC isolation. Similar constitutive expression of HSP70 has also been described for surgical specimens of primary and metastatic human melanoma (48). Our previous findings that rh-HSP70 but not recombinant HSC70 is able to deliver the DC maturation signal (34) indicate that the heterogeneous composition of tumor-derived HSP70-PC might be of functional relevance for the cross-presentation.

The ability to cross-present HSP-bound Ag has also been shown for APCs other than DCs, including monocytes (49) and macrophages (50). Using blood monocytes, Castelli et al. (49) demonstrated HSP70-mediated cross-presentation for melanoma Ags other than tyrosinase. However, in their system a much higher number of APCs and significantly more HSP70-PC were required for T cell stimulation than in our system. Possibly, the poor binding of HSP70 to monocytes is one explanation for this difference (see Fig. 1GoA). Furthermore, it is our own experience that experimental variations in APCs, i.e., DCs grown in FCS vs autologous serum, not fully differentiated DCs still expressing residual CD14, or matured DCs expressing CD83, influence the efficiency of cross-presentation (data not shown).

The studies presented in this report are of special clinical interest for HSP70-based vaccinations. First, HSP70-PC-mediated Ag presentation by DCs is very efficient, requiring low amounts (in the nanogram range) of HSP70-PC (Fig. 3Go; and Ref. 6). This can be explained by the receptor-mediated uptake for HSP70-PC vs fluid phase uptake and surface peptide exchange mechanisms for exogenous peptides, respectively. In addition, Binder et al. (51) described that HSP70 positively influences cross-presentation of chaperoned peptides by efficiently directing them to an endoplasmic reticulum/Golgi compartment where loading onto the MHC class I molecules occurs. The observation that an endoplasmic reticulum/Golgi localization is important for efficient cross-presentation is consistent with our confocal microscopic data that show a perinuclear staining of immature DCs incubated with Cy5-labeled HSP70-PC at 37°C (see Fig. 4GoB). An additional explanation for the efficacy of HSP preparations to induce anti-tumor immune responses might be related to the dual function of HSPs delivering Ag and inducing DC maturation. Linking these two properties is one possibility to ensure that Ag presentation occurs in an environment optimal for T cell stimulation. Second, initial vaccination studies using murine tumor models demonstrated that the anti-tumor immunity achieved by vaccination with GP96 or HSP70 preparations is restricted to the tumor from which the GP96/HSP70 was isolated (1, 6). Therefore, HSP-based vaccination strategies are considered patient-individual treatment modalities. This view is challenged by our observation, and that of Castelli et al. (49), demonstrating that HSP70 isolated from human melanoma cells chaperone naturally expressed nonmutated and shared human melanoma Ags and transfer them to APCs for T cell recognition. If cross-presentation of shared human tumor Ags by HSP70-PC followed by efficient T cell stimulation is routinely achieved with HSP70-PC, the clinical application of HSP70-based vaccines may be extended from a patient-individual treatment to use in an allogeneic vaccination setting. Third, our novel insights into the mechanistic events responsible for HSP70-mediated cross-presentation by DCs are of additional interest for treatments involving hyperthermia. Clinical hyperthermia has been found to be effective as a locoregional treatment modality for certain solid tumors (52, 53). For melanoma in particular, a randomized phase III study in humans has been completed showing improvement of local tumor control and survival benefits in patients with multiple lesions after hyperthermia treatment (54). During clinical hyperthermia, peak temperatures of up to 42°C can be achieved in the tumor tissue, and at this temperature the de novo synthesis of heat inducible HSP70 is up-regulated (55). Within this temperature range, local necrosis occurs which might result in the release of HSP (56, 57) and uptake by DCs (38, 47) with subsequent processing and presentation of the associated peptides. Since HSP70-mediated cross-presentation is efficient without additional DC maturation signals, an environment optimal for T cell stimulation is ensured. Hyperthermia, by up-regulating HSP70 or other stress proteins (e.g., HSP110 and grp170; Ref. 58) and by causing local necrosis (57) in tumor tissue, has the potential to directly activate the immune system against tumors.


    Acknowledgments
 
We thank Svetlana Gelwer, Christoph von Hesler, and Oksana Heinz (Clinical Cooperation Group Hyperthermie, Klinikum Grosshadern, Ludwig Maximilians University) for their technical assistance.


    Footnotes
 
1 This work was supported by the Deutsche Krebshilfe Projekt 702301-Is/2, and by Grant SFB455/project B9. Back

2 E.N., R.G., and V.M. contributed equally to this work. Back

3 Address correspondence and reprint requests to Dr. Elfriede Noessner, Institute for Molecular Immunology, GSF National Research Center for Environment and Health, 81377 Munich, Germany. E-mail address: Noessner{at}gsf.de Back

4 Current address: Department of Hematology and Oncology, Klinikum University of Regensburg, 93053 Regensburg, Germany. Back

5 Abbreviations used in this paper: HSP, heat shock protein; B-LCL, B lymphoblastoid cell line; 2D, two dimensional; DC, dendritic cell; HSC70, constitutively expressed HSP; HSP70, heat-inducible HSP; HSP-PC, HSP peptide complexes; HSP70-PC/tyr+, HSP70-PC isolated from tyrosine-positive melanoma cell lines; HSP70-PC/tyr-, HSP70-PC isolated from tyrosinase-negative melanoma cell lines; IEF, isoelectric focusing; rh, recombinant human; PFA, paraformaldehyde; DIC, digital interference contrast; GP, glucose-regulated protein. Back

Received for publication October 10, 2001. Accepted for publication September 9, 2002.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Srivastava, P. K., H. Udono. 1994. Heat shock protein-peptide complexes in cancer immunotherapy. Curr. Opin. Immunol. 6:728.[Medline]
  2. Suto, R., P. K. Srivastava. 1995. A mechanism for the specific immunogenicity of heat shock protein-chaperoned peptides. Science 269:1585.[Abstract/Free Full Text]
  3. Schild, H., D. Arnold-Schild, E. Lammert, H. G. Rammensee. 1999. Stress proteins and immunity mediated by cytotoxic T lymphocytes. Curr. Opin. Immunol. 11:109.[Medline]
  4. Tamura, Y., P. Peng, K. Liu, M. Daou, P. K. Srivastava. 1997. Immunotherapy of tumors with autologous tumor-derived heat shock protein preparations. Science 278:117.[Abstract/Free Full Text]
  5. Janetzki, S., D. Palla, V. Rosenhauer, H. Lochs, J. J. Lewis, P. K. Srivastava. 2000. Immunization of cancer patients with autologous cancer-derived heat shock protein gp96 preparations: a pilot study. Int. J. Cancer 88:232.[Medline]
  6. Srivastava, P. K.. 2001. Immunotherapy of human cancer: lessons from mice. Nat. Immunol. 5:363.
  7. Srivastava, P. K.. 2002. Roles of heat-shock proteins in innate and adaptive immunity. Nat. Rev. Immunol. 2:185.[Medline]
  8. Udono, H., D. L. Levey, P. K. Srivastava. 1994. Cellular requirements for tumor-specific immunity elicited by heat shock proteins: tumor rejection antigen gp96 primes CD8+ T cells in vivo. Proc. Natl. Acad. Sci. USA 91:3077.[Abstract/Free Full Text]
  9. Young, J. W.. 1999. Dendritic cells: expansion and differentiation with hematopoietic growth factors. Curr. Opin. Hematol. 6:135.[Medline]
  10. Banchereau, J., F. Briere, C. Caux, J. Davouost, S. Lebecque, Y.-J. Liu, B. Pulendran, K. Palucka. 2000. Immunobiology of dendritic cells. Annu. Rev. Immunol. 18:767.[Medline]
  11. Kurts, C., W. R. Heath, F. R. Carbone, J. Allison, J. F. Miller, H. Kosaka. 1996. Constitutive class I-restricted exogenous presentation of self antigens in vivo. J. Exp. Med. 184:923.[Abstract/Free Full Text]
  12. Adler, A. J., D. W. Marsh, G. S. Yochum, J. L. Guzzo, A. Nigam, W. G. Nelson, D. M. Pardoll. 1998. CD4+ T cell tolerance to parenchymal self-antigens requires presentation by bone marrow-derived antigen-presenting cells. J. Exp. Med. 187:1555.[Abstract/Free Full Text]
  13. Singh-Jasuja, H., R. E. M. Toes, P. Spee, C. Münz, N. Hilf, S. P. Schoenberger, P. Ricciardi-Castagnoli, J. Neefjes, H. G. Rammensee, D. Arnold-Schild, H. Schild. 2000. Cross-presentation of glycoprotein 96-associated antigens on major histocompatibility complex class I molecules requires receptor-mediated endocytosis. J. Exp. Med. 191:1965.[Abstract/Free Full Text]
  14. Arnold-Schild, D., D. Hanau, D. Spehner, C. Schmid, H. G. Rammensee, H. de la Salle, H. Schild. 1999. Cutting edge: receptor-mediated endocytosis of heat shock proteins by professional antigen-presenting cells. J. Immunol. 162:3757.[Abstract/Free Full Text]
  15. Binder, R. J., M. L. Harris, A. Menoret, P. K. Srivastava. 2000. Saturation, competition, and specificity in interaction of heat shock proteins (hsp) gp96, hsp90, and HSP70 with CD11b+ cells. J. Immunol. 165:2582.[Abstract/Free Full Text]
  16. Basu, S., R. J. Binder, T. Ramalingam, P. K. Srivastava. 2001. CD91: CD91 is a common receptor for heat shock proteins gp96, hsp90, hsp70 and calreticulin. Immunity 14:303.[Medline]
  17. Binder, R. J., D. K. Han, P. K. Srivastava. 2000. CD91: a receptor for heat shock protein gp96. Nat. Immunol. 1:151.[Medline]
  18. Srivastava, P. K., A. B. DeLeo, L. J. Old. 1986. Tumor rejection antigens of chemically induced sarcomas in inbred mice. Proc. Natl. Acad. Sci. USA 83:3407.[Abstract/Free Full Text]
  19. Udono, H., P. K. Srivastava. 1993. Heat shock protein 70-associated peptides elicit specific cancer immunity. J. Exp. Med. 178:1391.[Abstract/Free Full Text]
  20. Udono, H., P. K. Srivastava. 1994. Comparison of tumor-specific immunogenicities of stress-induced proteins gp96, HSP90 and HSP70. J. Immunol. 152:5398.[Abstract]
  21. Breloer, M., T. Marti, B. Fleischer, A. von Bonin. 1998. Isolation of processed, H-2Kb-binding ovalbumin-derived peptides associated with the stress proteins HSP70 and gp96. Eur. J. Immunol. 28:1016.[Medline]
  22. Blachere, N. E., Z. Li, R. Y. Chandawarkar, R. Suto, N. S. Jaikaria, S. Basu, H. Udono, P. K. Srivastava. 1997. Heat shock protein-peptide complexes, reconstituted in vitro, elicit peptide-specific cytotoxic T lymphocyte response and tumor immunity. J. Exp. Med. 186:1315.[Abstract/Free Full Text]
  23. Ciupitu, A. M., M. Petersson, C. L. O’Donnell, K. Williams, S. Jindal, R. Kiessling, R. M. Welsh. 1998. Immunization with a lymphocytic choriomeningitis virus peptide mixed with heat shock protein 70 results in protective antiviral immunity and specific cytotoxic T lymphocytes. J. Exp. Med. 187:685.[Abstract/Free Full Text]
  24. Vanaja, D. K., M. E. Grossmann, E. Celis, C. Y. Young. 2000. Tumor prevention and antitumor immunity with heat shock protein 70 induced by 15-deoxy-{delta}12,14-prostaglandin J2 in transgenic adenocarcinoma of mouse prostata cells. Cancer Res. 60:4714.[Abstract/Free Full Text]
  25. Menoret, A., R. Chandawarkar. 1998. Heat-shock protein-based anticancer immunotherapy: an idea whose time has come. Semin. Oncol. 25:654.[Medline]
  26. Sette, A., A. Vitiello, B. Reherman, P. Fowler, R. Nayersina, W. M. Kast, C. J. Melief, C. Oseroff, L. Yuan, J. Ruppert. 1994. The relationship between class I binding affinity and immunogenicity of potential cytotoxic T cell epitopes. J. Immunol. 153:5586.[Abstract]
  27. Riker, A. I., U. S. Kammula, M. C. Panelli, E. Wang, G. A. Ohnmacht, S. M. Steinberg, S. A. Rosenberg, F. M. Marincola. 2000. Threshold levels of gene expression of the melanoma antigen gp100, correlate with tumor cell recognition by cytotoxic T lymphocytes. Int. J. Cancer 86:818.[Medline]
  28. Rivoltini, L., K. C. Barracchini, V. Viggiano, Y. Kawakami, A. Smith, A. Mixon, N. P. Restifo, S. L. Topalian, T. B. Simonis, S. A. Rosenberg, F. M. Marincola. 1995. Quantitative correlation between HLA class I allele expression and recognition of melanoma cells by antigen-specific cytotoxic T lymphocytes. Cancer Res. 55:3149.[Abstract/Free Full Text]
  29. McMichael, A. J., P. Parham, N. Rust, F. Brodsky. 1980. A monoclonal antibody that recognizes an antigenic determinant shared by HLA A2 and B17. Hum. Immunol. 1:121.[Medline]
  30. Visseren, M. J., A. van Elsas, E. I. van der Voort, M. E. Ressing, W. M. Kast, P. I. Schrier, C. J. Melief. 1995. CTL specific for tyrosinase autoantigen can be induced from healthy donor blood to lyse melanoma cells. J. Immunol. 154:3991.[Abstract]
  31. Peng, P., A. Menoret, P. K. Srivastava. 1997. Purification of immunogenic heat shock protein-peptide complexes by ADP-affinity chromatography. J. Immunol. Methods 204:3.
  32. Kammerer, R., D. Stober, P. Riedl, C. Oehninger, R. Schirmbeck, J. Reimann. 2002. Noncovalent association with stress protein facilitates cross-priming of DC8+ T cells to tumor cell antigens by dendritic cells. J. Immunol. 168:108.[Abstract/Free Full Text]
  33. Asea, A., S.-K. Kraeft, E. A. Kurt-Jones, M. A. Stevenson, L. B. Chen, R. W. Finberg, G. C. Koo, S. K. Calderwood. 2000. HSP70 stimulates cytokine production through a CD14-dependant pathway, demonstrating its dual role as a chaperone and cytokine. Nat. Med. 6:435.[Medline]
  34. Kuppner, M. C., R. Gastpar, S. Gelwer, E. Noessner, O. Ochmann, A. Scharner, R. D. Issels. 2001. The role of heat shock protein (HSP70) in dendritic cell maturation: HSP70 induces the maturation of immature dendritic cells but reduces DC differentiation from monocyte precursors. Eur. J. Immunol. 31:1602.[Medline]
  35. Vabulas, R. M., P. Ahmad-Nejad, S. Ghose, C. J. Kirschning, R. D. Issels, H. Wagner. 2002. HSP70 as endogenous stimulus of Toll/interleukin-1 receptor signal pathway. J. Biol. Chem. 277:15107.[Abstract/Free Full Text]
  36. Asea, A., M. Rehli, E. Kabingu, J. A. Boch, O. Bare, P. E. Auron, M. A. Stevenson, S. K. Calderwood. 2002. Novel signal transduction pathway utilized by extracellular HSP70: role of TLR2 and TLR4. J. Biol. Chem. 277:15028.[Abstract/Free Full Text]
  37. Somersan, S., M. Larsson, J. Fonteneau, S. Basu, P. Srivastava, N. Bhardway. 2001. Primary tumor tissue lysates are enriched in heat shock proteins and induce the maturation of human dendritic cells. J. Immunol. 167:4844.[Abstract/Free Full Text]
  38. Todryk, S., A. A. Melcher, N. Hardwick, E. Linardakis, A. Bateman, M. P. Colombo, A. Stoppacciaro, R. G. Vile. 1999. Heat shock protein 70 induced during tumor cell killing induces Th1 cytokines and targets immature dendritic cell precursors to enhance antigen uptake. J. Immunol. 163:1398.[Abstract/Free Full Text]
  39. Multhoff, G., C. Botzler, L. Jennen, J. Schmidt, J. Ellwart, R. D. Issels. 1997. Heat shock protein 72 on tumor cells: a recognition structure for natural killer cells. J. Immunol. 158:4341.[Abstract]
  40. Multhoff, G., L. Mizzen, C. C. Winchester, C. M. Milner, S. Wenk, G. Eissner, H. H. Kampinga, B. Laumbacher, J. Johnson. 1999. Heat shock protein 70 (Hsp70) stimulates proliferation and cytolytic activity of natural killer cells. Exp. Hematol. 27:1627.[Medline]
  41. Albert, M. L., S. F. Pearce, L. M. Francisco, B. Sauter, P. Roy, R. L. Silverstein, N. Bhardwaj. 1998. Immature dendritic cells phagocytose apoptotic cells via {alpha}v{beta}5 and CD36, and cross-present antigens to cytotoxic T lymphocytes. J. Exp. Med. 188:1359.[Abstract/Free Full Text]
  42. Srivastava, P. K., A. Menoret, S. Basu, R. J. Binder, K. L. McQuade. 1998. Heat shock proteins come of age: primitive functions acquire new roles in an adaptive world. Immunity 8:657.[Medline]
  43. Chen, W., U. Syldath, K. Bellmann, V. Burkart, H. Kolb. 1999. Human 60-kDa heat-shock protein: a danger signal to the innate immune system. J. Immunol. 162:3212.[Abstract/Free Full Text]
  44. Kol, A., A. H. Lichtman, R. W. Finberg, P. Libby, E. A. Kurt-Jones. 2000. Cutting edge: heat shock protein (HSP) 60 activates the innate immune response: CD14 is an essential receptor for HSP60 activation of mononuclear cells. J. Immunol. 164:13.[Abstract/Free Full Text]
  45. Singh-Jasuja, H., H. U. Scherer, N. Hilf, D. Arnold-Schild, H. G. Rammensee, R. E. M. Toes, H. Schild. 2000. The heat shock protein gp96 induces maturation of dendritic cells and down-regulation of its receptor. Eur. J. Immunol. 30:2211.[Medline]
  46. Binder, R. J., K. M. Anderson, S. Basu, P. K. Srivastava. 2000. Cutting edge: heat shock protein gp96 induces maturation and migration of CD11c+ cells in vivo. J. Immunol. 165:6029.[Abstract/Free Full Text]
  47. Zheng, H., J. Dai, D. Stoilova, Z. Li. 2001. Cell surface targeting of heat shock protein gp96 induces dendritic cell maturation and antitumor immunity. J. Immunol. 167:6731.[Abstract/Free Full Text]
  48. Protti, M. P., S. Heltai, M. Bellone, M. Ferrarini, A. A. Manfredini, C. Rugarli. 1994. Constitutive expression of the heat shock protein 72 kDa in human melanoma cells. Cancer Lett. 85:211.[Medline]
  49. Castelli, C., A. T. Ciupitu, F. Rini, L. Rivoltini, A. Mazzocchi, R. Kiessling, G. Parmiani. 2001. Human heat shock protein 70 peptide complexes specifically activate antimelanoma T cells. Cancer Res. 61:222.[Abstract/Free Full Text]
  50. Heath, W. R., F. R. Carbone. 1999. Cytotoxic T lymphocyte activation by cross-priming. Curr. Opin. Immunol. 11:314.[Medline]
  51. Binder, R. J., N. E. Blachere, P. K. Srivastava. 2001. Heat shock protein-chaperoned peptides but not free peptides introduced in the cytosol are presented efficiently by major histocompatibility complex I molecules. J. Biol. Chem. 276:17163.[Abstract/Free Full Text]
  52. Falk, M. H., R. D. Issels. 2001. Hyperthermia in oncology. Int. J. Hyperthermia 17:1.[Medline]
  53. Wust, P., B. Hildebrandt, G. Sreenivasa, B. Rau, H. Riess, R. Felix, P. M. Schlag. 2002. Hyperthermia in combined treatment of cancer. Lancet Oncol. 3:487.[Medline]
  54. Overgaard, J., D. Gonzales, M. C. C. M. Hulshof, G. Arcangeli, O. Dahl, S. M. Bentzen. 1995. Randomized trials of hyperthermia as adjuvant to radiotherapy for recurrent or metastatic malignant melanoma. Lancet 345:540.[Medline]
  55. Fuller, K. J., R. D. Issels, D. O. Slosman, J.-G. Guillet, T. Soussi, B. S. Polla. 1994. Cancer and the heat shock response. Eur. J. Cancer 12:1884.
  56. Basu, S., R. J. Binder, R. Suto, K. M. Anderson, P. K. Srivastava. 2000. Necrotic but not apoptotic cell death releases heat shock proteins, which deliver a partial maturation signal to dendritic cells and activate the KF-{kappa}B pathway. Int. Immunol. 12:1539.[Abstract/Free Full Text]
  57. Melcher, A. A., S. Todryk, N. Hardwick, M. Ford, M. Jackobson, R. G. Vile. 1998. Tumor immunogenicity is determined by the mechanism of cell death via induction of heat shock protein expression. Nat. Med. 4:581.[Medline]
  58. Wang, X.-Y., L. Kazim, E. A. Repasky, J. R. Subjeck. 2001. Characterization of heat shock protein 110 and glucose-regulated protein 170 as cancer vaccines and the effect of fever-range hyperthermia on vaccine activity. J. Immunol. 165:490.



This article has been cited by other articles:


Home page
J. Biol. Chem.Home page
H. Bendz, B.-C. Marincek, F. Momburg, J. W. Ellwart, R. D. Issels, P. J. Nelson, and E. Noessner
Calcium Signaling in Dendritic Cells by Human or Mycobacterial Hsp70 Is Caused by Contamination and Is Not Required for Hsp70-mediated Enhancement of Cross-presentation
J. Biol. Chem., September 26, 2008; 283(39): 26477 - 26483.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
B. Valentinis, A. Capobianco, F. Esposito, A. Bianchi, P. Rovere-Querini, A. A. Manfredi, and C. Traversari
Human recombinant heat shock protein 70 affects the maturation pathways of dendritic cells in vitro and has an in vivo adjuvant activity
J. Leukoc. Biol., July 1, 2008; 84(1): 199 - 206.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
R. J. Binder, J. B. Kelly III, R. E. Vatner, and P. K. Srivastava
Specific Immunogenicity of Heat Shock Protein gp96 Derives from Chaperoned Antigenic Peptides and Not from Contaminating Proteins
J. Immunol., December 1, 2007; 179(11): 7254 - 7261.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
S. Kettner, F. Kalthoff, P. Graf, E. Priller, F. Kricek, I. Lindley, and T. Schweighoffer
EWI-2/CD316 Is an Inducible Receptor of HSPA8 on Human Dendritic Cells
Mol. Cell. Biol., November 1, 2007; 27(21): 7718 - 7726.
[Abstract] [Full Text] [PDF]