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Departments of
* Immunology, and
Otorhinolaryngology, Mayo Graduate and Medical Schools, Mayo Clinic, Rochester, MN 55905
| Abstract |
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secretion, but not their cytolytic activity. Importantly,
CD137-stimulated NK cells promoted the expansion of activated T cells
in vitro, demonstrating immunoregulatory or "helper" activity for
CD8+CTL. Furthermore, tumor-specific CTL activity against
P815 tumor Ags was abrogated following anti-CD137 treatment in
NK-depleted mice. We further demonstrate that CD137-stimulated helper
NK cells expressed the high-affinity IL-2R and were hyperresponsive to
IL-2. Taken together with previous findings that CD137 is a critical
receptor for costimulation of T cells, our findings suggest that CD137
is a stimulatory receptor for NK cells involved in the crosstalk
between innate and adaptive immunity. | Introduction |
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and TNF-
(5, 7, 8). Although the mechanisms are
poorly understood, the NK cells role as an immunoregulatory cell
capable of modulating the adaptive immune response may be an equally
important contribution to the immune response (9). For
example, NK cell depletion studies in mice have demonstrated the
importance of NK cells in the induction of both influenza
virus-specific and B16 melanoma-specific CTLs (10, 11).
Furthermore, studies performed in vitro suggest that NK cells may be
required for the differentiation of fully competent effector CTLs in
mixed lymphocyte cultures (12). These studies highlight
the important role NK cells may play in modulating a CTL response. NK cell reactivity is controlled by both inhibitory and stimulatory receptors (13, 14). Identification of inhibitory receptors capable of binding MHC class I supports the "missing self" hypothesis which, simply stated, suggests that NK cells survey potential targets for MHC class I expression. Upon encountering cells that fail to express MHC class I, the loss of any inhibition renders the NK cell capable of initiating its activation program. Recent studies have also highlighted the importance of stimulatory receptors, like NKG2D, in NK killing (15, 16). NKG2D is a type II dimer with lectin-like domains capable of binding the HLA class Ib molecules MICA and MICB in the human, and H-60 and Rae1 in the mouse (15, 17, 18, 19). The ability of these ligands (preferentially expressed on many tumors but notably absent on normal cells) to stimulate NK cells was suggested by the finding that NK-insensitive targets were rendered sensitive to NK cell-mediated lysis upon transfection with either H-60 or Rae1 (18, 19).
CD137, also called 4-1BB, is a member of the TNF superfamily expressed by activated T cells, monocytes, and dendritic cells (20, 21). Interestingly, CD137 was also found on the surface of activated mouse NK cells (22). Studies performed with either agonistic mAbs against CD137 or with CD137 ligand (CD137L)3(4-1BBL) have shown that CD137 is a potent costimulatory molecule capable of stimulating T cell proliferation and cytokine production (23, 24, 25, 26). The importance of CD137 in the generation of a fully competent T cell response was shown in both graft vs host disease and in viral models using CD137 or CD137L-deficient mice (27, 28, 29). Administration of agonistic CD137 mAb either alone or following peptide vaccination is capable of stimulating a potent tumor-specific CTL response, leading to regression of established tumors in various mouse models (30, 31). Interestingly, tumor eradication by CD137 mAb is NK cell-dependent, as demonstrated in studies using mice depleted of either NK1.1+ or AsialoGM1+ cells (22). However, the effect of CD137 on NK cell function remains elusive. In this report, we examine the functional consequence of CD137 triggering on NK cells.
| Materials and Methods |
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Female C57BL/6 (B6) and B6D2F1 mice were purchased from the National Cancer Institute (Frederick, MD). Female C57BL/6J-Rag1tm1Mom mice (recombination-activating gene 1 knockout; RAG-1 KO) are deficient in T and B cells and were purchased from The Jackson Laboratory (Bar Harbor, ME). The OT-1 mice carrying TCR transgenic T cells specific for a H-2Kb-restricted CTL epitope were a generous gift from Dr. E. Celis (Mayo Clinic, Rochester, MN). Mock-transfected and mouse CD137L-transfected P815 (22), YAC-1, RMA-S, EL4, L1210, and C3 cells were maintained in a complete medium of RPMI 1640 (Life Technologies, Rockville, MD) supplemented with 10% FBS (HyClone Laboratories, Logan, UT), 25 mM HEPES, 2 mM glutamine, 100 U/ml penicillin G, and 100 µg/ml streptomycin sulfate.
NK cell isolation and FACS analysis
NK cells were isolated from RAG-1 KO mice as previously described (32). Briefly, splenocytes were incubated at 37°C for 12 h. Nonadherent cells were collected and determined to be at least 85% NK1.1+ by FACS analysis. IL-2-activated NK cells were also isolated from mice that had received 1 x 106 IU human IL-2 (Chiron, Emeryville, CA) each day for 3 days before NK cell isolation using the same method. In some experiments, mice were given 100 µg of rat IgG or CD137 mAb (clone 2A, rat IgG2a) i.p. 24 and 48 h before NK cell isolation. Freshly isolated NK cells were cultured overnight with 300 IU/ml human IL-2 or 20 ng/ml IL-15 (PeproTech, Rocky Hill, NJ). Cells were stained with FITC-conjugated isotype control rat Ig or CD137 mAb. Fluorescence was analyzed by a FACSCalibur flow cytometer with CellQuest software (both from BD Biosciences, Mountain View, CA). Alternatively, B6 mice were inoculated with 1 x 107 irradiated (10 Gy) RMA-S cells i.p., as previously described (33). Peritoneal exudate cells were isolated 3 days later and stained with both FITC-conjugated anti-NK1.1 and either anti-CD69, biotinylated rat IgG, or biotinylated anti-CD137 (2A). Cells were stained with streptavidin PE and analyzed by FACS.
Peptide and Abs
The OVA (258265) peptide (SIINFEKL) is a H-2Kb-restricted CTL epitope derived from chicken OVA. This peptide was synthesized by the Mayo Molecular Biology Core Facility and the purity of the peptide was >90% by reverse-phase HPLC purification. Preparation and growth of the hybridoma and purification of a rat IgG2a mAb specific for mouse CD137 has been described previously (30). Control rat IgG control Ab was purchased from Sigma-Aldrich (Gilbertsville, PA). The mAb specific for mouse CD137L was also described previously (21). Purified FITC-conjugated CD3, CD137, and isotype-matched control mAb were purchased from BD PharMingen (San Diego, CA). PE- and FITC-conjugated NK1.1 was purchased from BD PharMingen. Anti-CD132 was purchased from BD PharMingen and anti-CD25 (PC61) was a generous gift from Dr. S. Shu (Cleveland Clinic, Cleveland, OH). The depleting anti-NK1.1 mAb (PK136) and control mouse IgG mAb were previously described (22).
NK cell proliferation, IFN-
secretion, and cytolytic activity
Flat-bottom 96-well plates were coated overnight with 10 µg/ml
rat IgG, anti-NK1.1 mAb, or CD137 mAb. NK cells at 8 x
104/well were added to each well supplemented
with 150 IU/ml human IL-2. Alternatively, NK cells were cocultured in
triplicate with 3 x 104 irradiated (10 Gy)
mock- or CD137L-transfected P815 cells in the presence of 5 µg/ml rat
IgG or anti-CD137L mAb. Supernatants were collected after 48 h
and IFN-
concentration determined by sandwich ELISA following the
manufacturers instructions (BD PharMingen). NK cell proliferation was
assessed by the addition of 1 µCi/well
[3H]TdR during the last 15 h of the 3-day
culture. [3H]TdR incorporation was measured in
a MicroBeta TriLux liquid scintillation counter (Wallac, Turku,
Finland). For assay of cytolytic activity, NK cells were isolated from
RAG-1 KO mice that had received IL-2 and rat IgG or CD137 mAb, as
described above. NK cytotoxicity was measured in a standard 4-h
51Cr-release assay (30). Briefly, NK
cells were cocultured with 4 x 103
51Cr-labeled EL4, YAC-1, or C3 cells in a 96-well V-bottom
plate at various E:T cell ratios.
Transwell experiments and CTL assay
CD8+OT-1 cells were purified from the lymph nodes of OT-1 mice using magnetic anti-CD8 microbeads according to the manufacturers instructions (Miltenyi Biotec, Auburn, CA). OT-1 cells at 4 x 105/well were cocultured with 5 x 106 irradiated B6 splenocytes in triplicate wells of a 24-well plate. Cells were cultured in 1.2 ml complete RPMI alone or media supplemented with 1 ng/ml OVA peptide. A transwell insert (6.5-mm diameter, 0.4-mm pore size; Costar, Corning, NY) was added to each well. NK cells purified from RAG-1 KO mice that had received IL-2 and either rat IgG or CD137 mAb were added to the transwell insert at a density of 2 x 104 cells/well. [3H]TdR at 10 µCi/well was added to each well during the last 15 h of the 3-day culture. NK cells were isolated from the transwell insert and transferred into a new 96-well plate. Likewise, 180 µl of the OT-1/splenocyte cocultures was transferred into a separate 96-well plate, and thymidine incorporation in both the OT-1 cells and NK cells was measured.
B6D2F1 mice were given 1 x 106 P815 cells s.c. Mice were given either a control mouse IgG or anti-NK1.1 (0.5 mg) 24 and 48 h following tumor inoculation (NK cell depletion was confirmed by FACS in all experiments). On days 4 and 7, mice were given 100 µg anti-CD137 (2A). Two weeks later, the mice (two in each group) were sacrificed and their spleens and tumor-draining lymph nodes harvested. Cell suspensions (5.5 x 106/well) were restimulated with 2.5 x 105 irradiated (10 Gy) P815 cells in a 24-well plate for 4 days. Effector cells were cocultured for 4 h with 51Cr-labeled P815 or L1210 cells in 96-well, V-bottom plates at various E:T ratios.
| Results |
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Incubation of whole mouse spleen cells in the presence of IL-2
induces expression of CD137 on NK1.1+ cells
(22). However, this result could be interpreted as an
indirect effect mediated by IL-2-activated T cells. Therefore, whether
or not IL-2 may directly induce CD137 expression on NK cells was
examined. We reported in this study that freshly isolated NK cells
(>85% pure) from RAG-1 KO mice rapidly up-regulate CD137 expression
on the cell surface within 24 h in the presence of IL-2 (Fig. 1
A). A similar observation was
also obtained after incubation with IL-15, a potent activator of NK
cells (34). Our results suggest that CD137 is inducibly
expressed on NK cells in direct response to IL-2 or IL-15. However,
whether NK cells express CD137 in vivo remained unclear. To address
that question, CD137 expression was examined on NK cells present within
the peritoneal exudate of mice bearing an MHC class I-deficient tumor
(RMA-S). These NK cells are cytolytic (33) and express the
activation marker CD69 (Fig. 1
B). CD137 expression was also
observed on many of these NK cells (Fig. 1
C). Therefore,
activated NK cells inducibly express CD137 both in vitro and in
vivo.
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secretion
We next determined whether or not CD137 signaling directly
stimulates NK cell functions. Cross-linking of freshly isolated NK
cells from RAG-1 KO mice by CD137 mAb in the presence of IL-2 induced
proliferation of NK cells to an extent similar to that observed upon
cross-linking NK1.1 mAb (Fig. 2
A), a known NK cell
activating receptor (35). Significant NK cell
proliferation was also observed in the rat IgG control group, which may
be attributed to the cross-linking of FcRs on NK cells (36, 37). However, CD137 cross-linking led to a high-level IFN-
secretion from NK cells, whereas control rat IgG did not. CD137
stimulation led to a 4-fold increase in IFN-
production when
compared with those NK cells that had been stimulated with NK1.1 mAb
(Fig. 2
B).
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by NK cells, CD137L-transfected P815 stimulated
the production of IFN-
, and cytokine secretion was completely
abrogated by the inclusion of anti-CD137L mAb (Fig. 3
production, were also observed after stimulation by either mock-P815 or
CD137L-P815 in the total absence of control Abs (data not shown). We
concluded that CD137 signaling by either agonistic mAb or the
physiologic ligand enhances NK cell proliferation and IFN-
secretion.
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Our previous studies showed that depletion of
NK1.1+ cells completely eliminated the antitumor
effect of CD137 mAb in a mouse P815 tumor model (22).
Because P815 is resistant to NK-mediated cytolysis, it is possible that
NK cells in this system provided a "helper" function. We tested
this hypothesis by examining whether NK cells are required for the
generation of CD8+CTL specific for tumor Ags.
F1 mice (B6 and DBA/2) bearing a P815 tumor were
all treated with CD137 mAb and the mice were divided into two groups,
one group of the mice were injected with anti-NK1.1 mAb and another
group of the mice were treated with control Ig. Although CTL activity
was detected in control Ig-treated mice, P815-specific CTL activity was
not detected in NK cell-depleted mice (Fig. 4
). CTL activity in mice treated with
control Ig without anti-CD137 mAb was low (<10%, data not shown).
Our results support that NK cells may serve as helper cells in the
development of a P815 tumor-specific CD8+CTL
response.
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To determine whether soluble factors may mediate the helper
function of NK cells, we first activated NK cells in vivo by injecting
RAG-1 KO mice with CD137 mAb together with IL-2 before NK cell
isolation. Freshly isolated NK cells were plated into the upper chamber
of a transwell while OT-1 TCR transgenic T cells were plated in the
lower chamber. This system prevents the direct contact of NK cells and
OT-1 cells, allowing soluble factors to pass through the transwell
insert. Addition of OVA peptide in the presence of irradiated spleen
cells as APCs led to OT-1 proliferation as expected. Low levels of T
cell proliferation were observed in the cultures that did not contain
OVA peptide. However, inclusion of freshly isolated NK cells in the
upper well did not significantly increase proliferation of OT-1 T
cells, indicating that the ability of IL-2-stimulated NK cells to
enhance T cell proliferation is limited. A small increase in OT-1
proliferation was observed using NK cells from the mice that had been
treated with the control rat IgG. However, a significant increase in T
cell proliferation was observed by inclusion of NK cells from the mice
that had been treated with CD137 mAb. The ability of CD137
mAb-stimulated NK cells to augment T cell proliferation was abrogated
by irradiating (XRT) the NK cells before culture (Fig. 5
, left panel). Our results
thus indicate that CD137-triggered NK cells provide soluble factors to
augment the proliferation of OT-1 T cells.
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To examine whether CD137 stimulation also increased the cytolytic
function of NK cells, we activated NK cells in vivo by injecting RAG-1
KO mice with CD137 mAb as described previously (Fig. 5
). Freshly
isolated NK cells were tested for their cytolytic activity against
tumor cells in a standard 4-h chromium release assay. As shown in Fig. 6
A, NK cell cytolytic activity
against YAC-1 and C3, two NK-sensitive tumor lines, was unchanged. We
have also examined the NK activity of spleen cells against P815 cells
after exposure to anti-CD137 mAb. DBA/2 mice were inoculated with
P815 tumor cells and subsequently treated with anti-CD137 mAb.
Freshly isolated spleen cells were then examined for their NK activity
against P815 cells. NK activity of spleen cells against P815 again was
unchanged (Fig. 6
B). Therefore, despite an increase in
helper function, CD137 signaling does not modulate the cytolytic
activity of NK cells.
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(CD25) chain and
are hyperresponsive to IL-2
NK cell proliferation was also measured in the presence of
activated OT-1 T cells (Fig. 5
). Although low levels of NK cell
proliferation were measured in the cultures that did not contain
peptide, a significant (10-fold) increase in NK cell proliferation was
observed in the cultures containing OVA peptide, suggesting that
soluble factors from activated T cells induce NK cell proliferation.
Interestingly, a further increase in proliferation was observed in the
CD137-stimulated NK cells compared with the control NK cells (Fig. 5
, right panel). Therefore, CD137-stimulated NK cells not only
provide "help" to activated T cells, but also become
hyperresponsive to factor(s) secreted by activated T cells.
To identify this factor(s), we first prepared cell-free supernatants of
OT-1 cells activated for 48 h in the presence of an optimal
concentration of OVA peptide in the presence of irradiated spleen cells
as APC. NK cells that had been treated by CD137 mAb or control rat IgG
in vivo were cultured in the presence of purified IL-2 or OT-1
supernatant. The proliferation of NK cells was measured. As shown in
Fig. 7
, while NK cells isolated from
control Ig-treated mice responded to OT-1 supernatant, proliferation of
the CD137 mAb-treated NK cells was at least 4-fold higher than that
observed in the control Ig-treated NK cells. Inclusion of neutralizing
mAb to mouse IL-2 completely neutralized the proliferation (Fig. 7
A). Similar results were also observed in the cultures
using recombinant mouse IL-2 (Fig. 7
B). FACS analysis
indicated that the IL-2R
chain (CD25), but not IL-2R
(CD122) or
IL-2R
c (CD132), was up-regulated in the NK cells that were treated
with CD137 mAb (Fig. 7
C). Furthermore, neutralizing mAb
against IL-2R
and IL-2R
blocked the stimulatory effect of rIL-2
on CD137-stimulated NK cells (Fig. 8
). We
concluded that responsiveness to IL-2 is the mechanism by which
CD137-stimulated NK cells proliferate in the presence of activated T
cells.
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| Discussion |
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secretion in mouse
NK cells, indicating that CD137 ligation delivers a signal for
activation of NK cells. More importantly, by depleting
NK1.1+ cells in vivo, we demonstrate that NK
cells are required for the generation of P815 tumor-specific CTL.
Because P815 tumor cells are resistant to NK-mediated lysis, our
results suggest a helper cell function for CD137-stimulated NK cells in
the induction of CTL. We further demonstrate by in vitro transwell
experiments that CD137-stimulated NK cells support the growth of
activated CD8+OT-1 CTL through soluble factors.
High-affinity IL-2 receptor is up-regulated on CD137-stimulated NK
cells that become hyperresponsive to IL-2. Our results suggest an
important role for CD137 signaling in the activation of NK cells and
crosstalk between NK cells and CTL.
NK cells express a rich array of natural cytotoxic receptors that
trigger cytolytic activity (13), a function believed to be
involved in cancer surveillance and the control of viral infection. Our
results indicate that CD137 receptor on NK cells, upon ligation, also
delivers an activation signal, as demonstrated by increased
proliferation and secretion of IFN-
from NK cells (Fig. 2
). However,
CD137-mediated signaling is fundamentally different from natural
cytotoxic receptor since cytolytic activity of NK cells following CD137
ligation did not increase (Fig. 6
). Rather, CD137 signaling supports a
helper function of NK cells for the generation of
CD8+CTL.
The generation of Ag-specific cytolytic T cells is a complicated
process involving Th cells and many cytokines. It was reported that
generation of CTL against alloantigens and influenza virus required
regulatory NK cells for differentiation of effector CTL (11, 12). We have shown that eradication of established P815 tumors
in syngeneic mice following anti-CD137 mAb administration is
entirely NK cell-dependent (22). Similarly, eradication of
the HPV-16-transformed C3 tumor by CD137 mAb was also largely dependent
upon NK cells (30). However, P815 tumor cells express high
levels of MHC class I and are resistant to lysis by freshly isolated NK
cells from normal mice (22) or from the mice treated with
CD137 mAb (Fig. 6
B). By in vivo depletion and in vitro
cytotoxic T cell assay, we demonstrated that
CD8+CTL are key effector cells for tumor
eradication (22, 30, 31). These findings support the
contention that CD137 signaling stimulates helper or regulatory
activity in NK cells required for the generation of effector CTL
following CD137 stimulation. In this study, we present direct evidence
that depletion of NK cells in vivo prevents the generation of CTL
against P815 cells. However, it should be noted that a role for NK T
cells might not be excluded, as these cells could also express
NK1.1+. We showed previously that administration
of anti-AsialoGM-1 Abs, which do not deplete NK T cells, also
eliminated antitumor effect of CD137 mAb (22), suggesting
that NK cells are likely the target cells in our experiments. Our
results thus establish a helper function of CD137-stimulated NK cells
in the induction of tumor-reactive CTL in vivo.
Using a transwell culture system to separate NK and T cells, we provide
evidence that helper function of NK cells is largely mediated by
soluble factors. Although the identities of these factors remains to be
characterized, a significant increase in T cell proliferation was
observed in those cultures containing CD137 mAb-stimulated NK cells. NK
cells exposed to control rat IgG exhibit some helper activity, albeit
to a lesser extant than that observed by CD137-stimulated NK cells. A
nonspecific stimulatory role for control rat Ig was demonstrated in
vitro (Fig. 2
A) using various control Abs (data not shown)
from various sources. It was reported that FcR ligation on NK cells may
stimulate NK cell activity; our results suggest this possibility.
Despite the possible effect of FcR ligation, our results support a
unique role for CD137 signaling in the stimulation NK cells, as CD137
mAb stimulated NK cell proliferation, IFN-
secretion (Fig. 2
), and
helper function (Fig. 5
). More importantly, CD137L transfectants are a
potent stimulator of NK cell proliferation and IFN-
secretion. This
effect could be completely neutralized upon inclusion of CD137L
mAb.
Interestingly, CD137-stimulated NK cells, in contrast to the control
cells, were able to up-regulate the expression of CD25, a component of
the high-affinity IL-2R, in the presence of IL-2. Both groups of NK
cells also expressed components of the intermediate affinity IL-2R,
including CD122 and CD132. However, only those NK cells that had been
previously stimulated with CD137 mAb were capable of expressing CD25.
Expression of CD25 led to their hyperresponsiveness to IL-2, as
confirmed in subsequent blocking experiments (Fig. 8
). Proliferation of
the CD137-stimulated NK cells was partially inhibited at 600 U/ml IL-2
by either the anti-CD25 or anti-CD132 mAbs. However, inclusion
of both Abs in the culture almost completely inhibited NK cell
proliferation at both the high and low doses of IL-2. In contrast,
anti-CD25 completely blocked NK cell proliferation at a low
concentration of IL-2 (60 U/ml), suggesting that expression of the
high-affinity IL-2R is required for NK cell proliferation at this lower
concentration of IL-2. Therefore, the ability of CD137-stimulated NK
cells to proliferate in response to IL-2 may be attributed to the
up-regulation of CD25 following CD137 stimulation.
In summary, in addition to providing costimulatory activity for T cells, the data presented in this study demonstrate that ligation of CD137 on NK cells also delivers an activation signal leading to growth, cytokine secretion, and enhanced regulatory function for CD8+ T cells. Taken together with recent studies that ligation of CD137 also promotes the ability of dendritic cells to stimulate T cells and to secrete cytokines including IL-6 and IL-12 (21), our findings support the notion that CD137 receptor-ligand interactions regulate innate immune responses and may bridge the innate and adaptive immune responses.
| Footnotes |
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2 Address correspondence and reprint requests to Dr. Lieping Chen, Department of Immunology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905. E-mail address: chen.lieping{at}mayo.edu ![]()
3 Abbreviations used in this paper: CD137L, CD137 ligand; RAG-1 KO, recombination-activating gene 1 knockout. ![]()
Received for publication April 9, 2002. Accepted for publication August 12, 2002.
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