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Department of Biological Sciences, College of Dentistry, New York University, New York, NY 10010
| Abstract |
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-actin. The
reduction of TAP1 protein occurs within 4 h and is dose-dependent.
Culture in tobacco extracts reduces TAP1 protein abundance, but not
steady-state mRNA abundance. Tobacco-treated cells show defects in HLA
class I biosynthesis similar to those found in TAP1-deficient cell
lines. Transfection with TAP1 cDNA restores TAP1 protein abundance, HLA
class I biosynthesis, and cell surface expression. Combined, these data
show that culture in tobacco extracts reduces TAP1 protein abundance
and membrane HLA class I levels. Reduction in membrane HLA class I
could permit subsequent malignant transformation of cells to be
undetected by the immune system. | Introduction |
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2-microglobulin
(
2-m)4
(1), and an endogenously processed peptide selected from a
large intracellular pool (1). H chain,
2-m, and peptide are required for transport of
mature HLA class I molecules to the cell surface (2, 3).
Peptides are transported from the cytosol to the endoplasmic reticulum
by a heterodimer, TAP1 and TAP2, (4) which is essential
for membrane expression of HLA class I for most alleles (4, 5). HLA class I molecules present peptides to roving CTL (6, 7) and cells, including tumor cells, presenting "foreign" peptides are eliminated. One mechanism to prevent CTL-mediated lysis of tumor cells is a reduction in the level of membrane HLA class I. For example, variants of a melanoma cell line with different levels of membrane HLA class I are lysed by CTL with different efficiencies; CTL effectiveness correlates directly with levels of HLA class I expression (8). Cormier et al. (9) demonstrated a dose-dependent correlation between levels of tumor-associated Ag, HLA class I, and CTL reactivity with a panel of melanoma cells. Interestingly, these two studies show that cells with intermediate levels of HLA class I molecules are killed with intermediate efficiency. This idea contradicts a widely held viewpoint that only large changes in HLA class I expression can reduce CTL-mediated killing.
Multiple cell lines are TAP-deficient (3, 10, 11, 12). HLA class I (or in murine cell lines MHC class I) assembly, maturation, and transit through the Golgi have been studied in TAP1-deficient cell lines. TAP-deficient cell lines show reduced assembly of mature HLA class I molecules compared with normal cells. The assembled molecules are less stable in TAP-deficient than in TAP normal cell lines. Fewer HLA class I molecules transit through the Golgi in TAP-deficient cell lines than in normal cells. As these cell lines are of different origins and species, combined these data show that TAP1-deficient cells have characteristic defects in all aspects of HLA class I biosynthesis (3, 10, 11, 12).
Numerous mechanisms have been associated with down-regulation of HLA class I molecules found in tumor cell lines. TAP1 and low m.w. protein (LMP) LMP2 are reduced in small cell lung carcinoma cell lines (11, 12) and transfection with TAP1, but not LMP2, restores membrane HLA class I (10). Renal carcinomas, metastatic cervical cancers, and melanomas have reduced TAP1 protein abundance with concomitant reductions in membrane HLA class I (13, 14, 15). Finally, in a murine model, Johnsen et al. (16) have shown that reductions in TAP are associated with decreased tumor surveillance and increased tumorigenesis. In all of these various models, loss or decrease in TAP1 protein abundance resulted in loss or decrease in HLA or MHC class I protein expression. In the TAP1-deficient tumor cell lines described above, TAP1 loss has been ascribed to random mutations followed by selection for the TAP1-reduced cells by CTL-mediated immunosurveillance (17).
Tobacco contains known carcinogens, but it is unclear which of the tobacco components contribute to carcinogenesis or how it occurs (18). We asked whether carcinogen-containing tobacco extracts could alter the expression of membrane HLA class I in an in vitro system, where reductions in HLA class I expression would not be affected by outside selection pressure. In this study, we present evidence showing that tobacco extracts specifically reduce TAP1 protein abundance and membrane HLA class I. Importantly, tobacco-induced reductions in membrane HLA class I could prevent recognition of certain oncogenic changes by the immune system, thereby allowing transformed cells to become overt tumors.
| Materials and Methods |
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HaCaT, a nontumorigenic keratinocyte cell line (19), 183, a tumorigenic cell line derived from head and neck squamous cell carcinoma (20), and HeLa were maintained in DMEM (Mediatech, Washington, DC) containing 10% supplemented bovine calf serum (SCS; HyClone Laboratories, Logan, UT). Jesthom, a B lymphocyte cell line, was maintained in RPMI 1640 (Mediatech) containing 10% SCS. Third pass primary oral keratinocytes were maintained in keratinocyte growth media (Biowhittaker/Clonetics, Rockland, ME; Ref. 21). Tobacco extracts were added at the concentrations and times indicated for each experiment. Extracts of cigarette, loose leaf, and snuff tobacco were used on multiple cell lines as noted.
Metabolic radiolabeling and immunoprecipitation
Jesthom were treated with 0.2% final concentration of extract from snuff tobacco overnight. At 24 h, the cells were washed and resuspended in fresh RPMI 10% SCS. Metabolic radiolabeling was performed as described (22). Briefly, cells were starved for 1 h in Met-/Cys- RPMI, followed by addition of 300 µCi 35S Met+/Cys+ radiolabeling mix (NEN, Boston, MA) per 5 x 106 cells and incubated for 2 h in a 37°C 7.5% CO2 incubator (pulse). Following radiolabeling, cells were resuspended in nonradioactive RPMI-10% SCS and cultured for time periods indicated (chase).
Immunoprecipitation and gel electrophoresis was performed as described (22). For each sample, 2 µl of total lysate was spotted on Whatman filter paper (Whatman, Clifton, NY) before immunoprecipitation as a control for cell labeling. Images were exposed to a Phosphorscreen (Molecular Dynamics, San Jose, CA) quantified using ImageQuant software (Molecular Dynamics), and the amount of immunoprecipitated HLA class I was normalized to total labeling in each sample.
Transfection of tobacco-treated cells
Jesthom were treated with tobacco extracts for 24 h. After treatment, an aliquot of treated and untreated cells were collected for flow cytometry and Western blot, the 0 time point. The remainder of the tobacco-treated cells were divided into the following groups: 1) treated, untransfected; 2) treated TAP1 transfected; and 3) treated vector transfected. The transfections were performed as described (23). Twenty-four hours after transfection, an aliquot of untreated and tobacco-treated cells from the three groups was collected for flow cytometry and Western blot. The untreated and tobacco-treated cells from the three groups were cultured in RPMI 10% SCS for an additional 24 h (a total of 48 h after transfection, 72 h after the start of the experiment). Then an aliquot from untreated and each group of tobacco-treated cells was collected for flow cytometry and Western blot while the remainder of the cells were metabolically radiolabeled, cultured for "chase" times, and immunoprecipitated.
Extract preparation
Loose leaf tobacco (Pinkerton Tobacco, Owensboro, KY), snuff tobacco (Swisher International, Wheeling, WV), and dried leaf (Earl Gray Tea; McNultys, New York, NY) extracts were prepared according to the method of Murrah et al. (24) by making a 10% (w/v) solution in water. Briefly, the leaves were stirred until thoroughly wetted, then allowed to soak for 2 h, stirring continuously at room temperature, followed by centrifugation to obtain the supernatant, and adjusting the pH to 7.4, with 10 N NaOH. The extracts were filtered through a 0.22-µ filter (Millipore, Bedford, MA). Cigarette tobacco extracts (Marlboro Phillip Morris, Richmond, VA) were made by removing the filter, slitting open the paper, removing the tobacco, and preparing a 10% (w/v) solution in water as described above. Lozenge extracts were prepared by gently crushing LifeSavers (Nabisco, East Hanover, NJ), weighing, and dissolving the powder in an appropriate amount of water to make a 10% solution. The pH was adjusted to 7.4 with 10 N NaOH and the solution filtered as described. Extracts were aliquoted in small batches and stored at -20°C until needed. Once the extracts were thawed, they were used immediately.
Flow cytometry
Flow cytometry was performed as described (23). Briefly, cells were stained with CVC7, an anti-clatherin Ab as an isotype control (25), W6/32, against assembled HLA class I (CVC7 and W6/32 were prepared as supernatants from hybridoma cell lines obtained from American Type Culture Collection, Manassas, VA), followed by goat anti-mouse IgG-FITC (Fisher, Houston, TX). A total of 10,000 cells per group were analyzed on a FACsort using CellQuest (BD Biosciences, San Jose, CA), and dead cells were eliminated by propidium iodide uptake. For most experiments, the reduction in membrane HLA class I in tobacco-treated cells was normalized to the amount of HLA class I on control (untreated) cells.
Intracellular flow cytometry
Cells were collected as appropriate and stained using the BD PharMingen intracellular flow staining kit (BD PharMingen, San Diego, CA) according to the manufacturers instructions. Briefly, cells were collected as appropriate and washed in 1 ml of wash buffer. Cells were stained with 4 µg/µl 7-aminoactinomycin D (Molecular Probes, Eugene, OR) for 1 min followed by a wash in 1 ml wash buffer. Cells were fixed using 100 µl cytofix/cytoperm at room temperature for 20 min, and washed in 500 µl perm/wash buffer. A total of 50 µl of supernatants of either 148.3, an anti-TAP1 mAb (13), or CVC7 as an isotype control and an equal amount of wash buffer were added and cells were incubated for 15 min on ice and washed as described. Cells were resuspended in 20 µl goat anti-mouse FITC and incubated on ice for 15 min. Flow cytometry was performed as described above using 7-aminoactinomycin D staining as an exclusion gate for live cells.
Western blot analysis
Cells were treated with tobacco extracts for the times
indicated, and protein collected by the methods described in Ref.
26 . Protein concentrations were determined using Bio-Rad
protein assay (Bio-Rad, Hercules, CA) and 20 µg of each sample was
analyzed by 10% SDS-PAGE (the linear range for both anti-TAP1
antisera and anti-
-actin covered 1040 µg total protein
loaded). Proteins were transferred to a nitrocellulose membrane
(Schleicher and Schuell, Keene, NH) using a Genie transfer apparatus
(Idea Scientific, Minneapolis, MN). Western blot staining was performed
using HC-10, an mAb against some HLA class I H chain alleles
(27), BBM1, an mAb against
2-m
(23), anti-TAP1 antisera or an anti-actin mAb
(Sigma-Aldrich, St. Louis, MO) followed by a goat anti-mouse or
goat anti-rabbit HRP conjugate (Fisher). Blots were developed using
Pierce SuperSignal West (Pierce, Rockford, IL) and exposed to film for
appropriate periods of time. Western blots were scanned and analyzed
using Un-Scan-IT software (Silk Scientific, Orem, UT).
RNA collection and Northern blots
Total RNA was collected using RNAzol (Teltest, TX) as previously described (22), and samples were quantified from their OD. A total of 40 µg of each RNA was analyzed on a 1% formaldehyde-agarose gel (22). TAP1 mRNA was assessed using a cDNA probe for TAP1 (28) and a cDNA for 18S ribosomal RNA as a loading control (25). All probes were labeled using a random priming kit (Roche, Indianapolis, IN) as previously described (22). Membranes were hybridized in 6x SSC (29) at 55°C and washed in 0.1x SSC:1% SDS at 55°C for 1 h. Membranes were exposed to a Phosphorscreen and samples were quantitated using ImageQuant as previously described (22). For each experiment, the amount of TAP1 mRNA was normalized to the amount of 18S mRNA for each sample.
| Results |
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Tumors associated with tobacco use have reduced membrane HLA class
I. To identify the mechanism causing reduced HLA class I expression, we
tested the ability of tobacco extracts to reduce HLA class I on
cultured cells using indirect flow cytometry. Continuous culture in
media containing different preparations of tobacco extracts reduced
membrane HLA class I on primary keratinocytes and a variety of cell
lines (Jesthom, HaCaT, HeLa, and 183) by up to 70% (Fig. 1
and Table I
). The result is more
dramatic on homogenous cell lines than on the heterogeneous
primary keratinocyte cell population, but
a portion of primary keratinocytes responded to tobacco by reducing
membrane HLA class I (Fig. 1
). The expression of membrane Ig (mean
fluorescence intensity (MFI) for untreated, cigarette, loose
leaf, and snuff treated are 22, 21, 27, 25, respectively) or
1 integrin (MFIs of 69, 65, 66, 71, same order
as above) were not reduced by treatment with any tobacco extract. We
also tested discontinuous culture (1 h per day) of cells in tobacco
extracts and saw similar reductions in HLA class I after 3 h of
treatment (data not shown). Combined, these data show that extracts of
tobacco reduced HLA class I, but not other membrane proteins, in
primary keratinocytes and several cell lines in a physiologically
relevant manner.
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As multiple proteins are required for proper assembly of HLA class
I molecules, treatment with tobacco extract could reduce membrane HLA
class I by directly reducing the abundance of H chain and/or
2-m or by reducing abundance of one of the
other proteins involved in HLA class I assembly. To examine the
mechanism underlying the tobacco-induced reduction in HLA class I,
protein levels of HLA class I H chain,
2-m,
TAP1, TAP2, LMP2, LMP7, and the housekeeping protein
-actin were
analyzed by intracellular flow cytometry and Western blot. Culture in
media containing extracts of cigarette, loose leaf, and snuff tobacco
reduced the protein abundance of TAP1 by 3055% in primary
keratinocytes and several cell lines analyzed by intracellular flow
cytometry (Fig. 2
and Table I
). These
results were confirmed by Western blot analysis and show that
TAP1 protein levels declined by 4 h (Fig. 3
, a and b), but
longer incubation times did not cause further reductions in TAP1 (Fig. 3
, c and d). As dried leaf mixtures
contain a myriad of compounds, one possibility was that other dried
leaf preparations would have similar affects. We examined the ability
of a preparation of tea to reduce TAP1 (Fig. 4
). In multiple experiments, other dried
leaf extracts had no affect on TAP1 protein abundance, or as predicted
on membrane HLA class I expression (data not shown). Thus, these data
show that only dried tobacco leaf preparations reduce TAP1 protein
abundance. Although culture in media containing tobacco extract reduces
TAP1, it did not reduce HLA class I H chain,
2-m, or
-actin proteins even after 24
h of incubation (Fig. 3
, ad). Furthermore, tobacco
extracts did not reduce protein levels for TAP2, LMP2, or LMP7 (data
not shown). These data show that extracts from three different
preparations of cigarette, loose leaf, and snuff, tobacco but not other
dried leaf preparations, reduced TAP1 protein abundance and membrane
HLA class I rapidly and specifically in primary keratinocytes and
several different cell lines.
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Jesthom were cultured in different doses of snuff tobacco extract
and TAP1 protein abundance was analyzed by Western blot. The
30%
reduction in TAP1 is saturated by 0.01%; higher doses did not cause
additional reductions (Fig. 5
). Similar
results were seen with culture in different doses of cigarette and
loose leaf (data not shown). The half maximal dose for reduction by
snuff tobacco extract is
0.05%. Multiple experiments show that
culture in 0.4% tobacco extract markedly reduces cell viability
especially during longer incubations (data not shown). Based on these
data, we have performed our experiments using a saturating 0.2%
tobacco extract.
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Decreased protein abundance can result from changes in turnover of
the protein itself or by a decrease in steady-state mRNA abundance
(30). To determine which of these mechanisms is
responsible for the decrease in TAP1 protein abundance, cells were
cultured in tobacco extract for the times indicated, total RNA was
collected and analyzed by Northern blot. Treatment with tobacco extract
did not reduce TAP1 mRNA steady-state abundance, even after 24 h
in culture (Fig. 6
). Thus, these data
show that culture in tobacco extract reduced TAP1 protein abundance by
a mechanism that does not involve altering mRNA abundance.
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In other systems, loss of TAP1 causes characteristic reductions in
assembly, stability, and maturation of HLA class I
(10, 11, 12). To determine whether the tobacco-induced
reduction in TAP1 causes similar changes in biosynthesis of HLA class I
molecules, Jesthom were treated with tobacco extract to reduce TAP1
protein levels. Two days later, cells were metabolically radiolabeled
followed by 6 h of nonradioactive chase. Aliquots of cells were
removed at the time periods indicated and immunoprecipitated using the
mAb W6/32, which only recognizes fully assembled HLA class I molecules,
followed by gel electrophoresis. In untreated cells, the amount of the
W6/32 recognizable form of HLA class I increased during the chase time.
These data are consistent with previous findings showing that HLA class
I molecules are stable for
24 h (25). In
tobacco-treated cells, the amount of the W6/32 recognizable HLA class I
was similar to that of control cells at the beginning of the
experiment, but instead of continued assembly, HLA class I decreased
over time (compare the Endo H- lanes within each
gel in Fig. 7
, a,
b, and d). When normalized to total cell
labeling, there was a 2-fold increase in HLA class I in untreated
Jesthom compared with a 30% reduction in HLA class I in
tobacco-treated cells (Fig. 7
d). These data show that HLA
class I was less stable in tobacco-treated cells.
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Transfection with TAP1 cDNA restores HLA class I assembly, stability, maturation, and cell surface expression
If the alterations in HLA class I biosynthesis resulted from the
decrease in TAP1, then restoring TAP1 protein abundance should restore
HLA class I biosynthesis. We treated cells with tobacco extract to
reduce TAP1 protein levels (day 0). Tobacco-treated cells were then
transfected with TAP1 cDNA or the vector pRSVneo DNA (day 1). Two days
later (day 3), metabolic radiolabeling and immunoprecipitation were
done as described above. Transfection with TAP1 cDNA restored HLA class
I assembly (compare the Endo H- lanes in Fig. 7
, ac, and d. Because the HLA class I remained in
a form recognized by W6/32, these data show that the stability of HLA
class I was also restored (Fig. 7
, c and d).
There was a 3-fold increase in the Endo H-resistant form of HLA class I
in the TAP1-transfected cells over the 6-h chase period (Fig. 7
, c and e). Thus, these data show that HLA class I
maturation through the Golgi is restored by transfection with TAP1 cDNA
(Fig. 7
, ce). Transfection with TAP1 cDNA also restored
TAP1 protein abundance and membrane HLA class I as measured by Western
blot and flow cytometry, respectively (Fig. 8
). These data show that transfection
with TAP1 restored HLA class I assembly, stability, and maturation
through the Golgi.
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| Discussion |
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1 integrin. Multiple cell populations of
markedly different origins are susceptible to tobacco-induced
reductions in membrane HLA class I (Fig. 1
20 h, these
data show that the affect of tobacco extract persists beyond mitosis.
This result is supported by the transfection experiments (Fig. 7
Assembly of HLA class I molecules requires multiple proteins including
the TAP heterodimer (33) that transports peptides from the
cytosol to the endoplasmic reticulum. In the endoplasmic reticulum,
peptides combine with nascent HLA class I H
chain:
2-m polypeptides. Peptide is required
for stable assembly and transport to the cell surface (3).
Using flow cytometry, intracellular flow cytometry, and Western blot
analysis, tobacco extracts were examined for the ability to reduce
membrane Ig,
1 integrin, membrane HLA class I,
HLA class I H chain,
2-m, TAP1, TAP2,
LMP2, and LMP7 protein abundance. Tobacco extracts reduce TAP1 protein
abundance within 4 h (Fig. 2
and Table I
), but have no affect on
HLA class I H chain,
2-m, TAP2, LMP2, or LMP7
protein abundance even after 24 h in culture (Fig. 3
and data not
shown). Tobacco treatment does not alter membrane Ig,
1 integrin, or
-actin protein abundance
even after 24 h of treatment (Fig. 3
), showing that tobacco
extracts are not generally repressing cellular metabolism. The two
different techniques, Western blot and intracellular flow cytometry,
were performed using a polyclonal rabbit antisera and a murine mAb,
respectively. Although these Ab preparations were generated against
different epitopes, the results are similar, strongly suggesting that
the reductions in TAP1 protein abundance are not the result of a hidden
or altered epitope.
Tobacco is a highly complex mixture (18) containing heavy
metals, nitrates, alkaloids, polyphenols, carbonyl compounds, and
carcinogens as a partial list (34). Tobacco is a plant,
and dried preparations of tobacco will contain cellulose, proteins,
nucleic acids, carbohydrates, and lipids. Extracts of cigarette, loose
leaf, and snuff tobacco, but not extracts of other dried leaf or
lozenge, reduce TAP1 but not
-actin protein abundance, showing that
the effect is specific to tobacco (among the additives tested; Fig. 4
).
Tobacco extracts exert a dose-dependent effect that saturates at 0.1%
(Fig. 5
), while higher doses can cause considerable cell death. A
saturating 0.2% final concentration of all extracts was used for our
experiments. We tested several common compounds including nicotine,
cancer-associated nitrosamines,
4-(Methylnitrosamino)-1-(3-pyridyl)-1-butone/N'-nitrosonornicotine,
and an active metabolite methyldiazonium ion over a wide range of
concentrations (1 x 10-31 x 10
-9 M) by culturing Jesthom for 24 h
followed by flow cytometry. None of the tobacco components reduced
membrane HLA class I levels (data not shown). Thus, future studies on
the identification of the substance in tobacco will likely require
testing fractions and subfractions for the ability to reduce membrane
HLA class I.
Tobacco-induced changes in transcription levels of TAP1 could underlie
the loss of HLA class I which would allow a cell to escape
immunosurveillance. We examined mRNA steady-state abundance
(30) after treatment with tobacco extract using Northern
blot analysis. These data show that tobacco extracts do not reduce TAP1
mRNA steady-state abundance (Fig. 6
). Thus, tobacco extracts reduce
TAP1 protein abundance without altering RNA levels, suggesting that
tobacco acts directly on TAP1 proteins.
HLA class I biosynthesis is disrupted in multiple TAP1-deficient cell
lines (10, 35, 36). To determine whether the
tobacco-mediated reduction in TAP1 caused similar changes in HLA class
I biosynthesis, we compared assembly, maturation, and stability in
tobacco-treated and untreated cells (Fig. 7
). These data show a
characteristic reduction in HLA class I assembly and stability in
tobacco-treated vs nontreated cells. In tobacco-treated cells, fewer
HLA class I molecules reach the Golgi compared with nontreated cells.
To demonstrate that the reduction in TAP1 protein abundance was
directly responsible for the reduction in HLA class I expression,
either TAP1 cDNA or vector DNA were transfected into tobacco-treated
cells. Transfection with TAP1 cDNA restores HLA class I biosynthesis.
This result also supports our conclusions that tobacco extracts do not
reduce HLA class I H chain,
2-m, TAP2, LMP2,
or LMP7. Thus, the mechanism by which tobacco putatively causes a loss
of immunosurveillance includes suppression of membrane HLA class I
through a reduction in TAP1 and not some intermediate molecule.
There is a correlation between loss of membrane HLA class I and loss of TAP proteins in several different systems. Cell lines derived from human melanomas have reduced TAP1 protein abundance with a concomitant reduction in membrane HLA class I (15). A cell line derived from a human small cell lung carcinoma also has reduced TAP1 protein abundance and membrane HLA class I, and transfecting TAP1 restores membrane HLA class I (10). In a murine system, Johnsen et al. (16) have shown that tumor cells deficient in TAP1 with reduced H-2 cell surface expression can avoid CTL-mediated immunosurveillance and are highly tumorigenic. In all of these systems, reduction in TAP1 is associated with a reduction in membrane HLA class I (or H-2), and when tested, a loss of immunosurveillance.
The mechanisms underlying the initial reduction in TAP1 protein abundance are unknown. Previously, it was assumed that decreases in membrane HLA class I are due to random mutations; cells with reduced HLA class I are selected because they can evade CTL-mediated immunosurveillance (16). Our novel findings show that tobacco extracts specifically reduce membrane HLA class I by reducing TAP1 protein abundance. As tobacco extracts reduce membrane HLA class I in vitro, these data show that the loss of HLA class I cell surface expression does not result from selection pressure. To the best of our knowledge, this is the first demonstration that a nonbiological reagent can cause reductions in membrane HLA class I. We speculate that the reduction in TAP1 protein abundance with the concomitant reduction in membrane HLA class I could permit cells to avoid immunosurveillance. The HLA class I-reduced population of cells would then be able to undergo tobacco-driven oncogenic changes and form tumors without being detected by the immune system.
| Acknowledgments |
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| Footnotes |
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2 Current Address: Section of Endodontics, Center for the Health Sciences, University of California Los Angeles School of Dentistry, 10833 Le Conte Avenue Room 23-086CHS, Los Angeles, CA 90095. ![]()
3 Address correspondence and reprint requests to Dr. Jane A. McCutcheon, 345 East 24th Street, Room 1006, New York, NY 10010. E-mail address: Jam2{at}nyu.edu ![]()
4 Abbreviations used in this paper:
2-m,
2-microglobulin; LMP, low m.w. protein; SCS, supplemented calf serum; MFI, mean fluorescence intensity. ![]()
Received for publication March 28, 2002. Accepted for publication September 4, 2002.
| References |
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2-microglobulin observed in cells with increased sensitivity to NK cell lysis. J. Immunol. 42:911.
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