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Laboratoire dImmunologie Cellulaire, Institut National de la Santé et de la Recherche Médicale, Unité 543, Hôpital Pitié-Salpêtrière, Paris, France
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| Introduction |
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The immune systems rejection of cancer cells results from a series of events that include T lymphocyte activation, expansion, and infiltration of the tumor, and efficient cytotoxic effector functioning. Several CC chemokines are known to attract naive and effector T cells. Because receptors for CCL5 are expressed on effector Th1 CD4, CD8, and NK cells, and DC (12, 27, 28, 29, 30, 31), and because these immunocompetent cells are implicated in tumor immune surveillance, we investigated the role of CCL5 in the control of tumor growth. We and others have shown that activated/effector CD4 and CD8 cells that express CCR5 migrate to inflammatory sites after Ag priming in secondary lymphoid organs (32, 33, 34). Whereas naive cells are CCR5CCR7+, effector T cells are CCR5+CCR7 after Ag-induced cell differentiation, and they migrate out of the lymphoid organs in response to CCL5 (33). In addition, CCL5 is a chemoattractant for memory T lymphocytes in vitro (35). Together with CCL2 and CCL3, it affects the magnitude and polarity of the T cell response (28). It has also been suggested that a cell-mediated Th1 type response is promoted when T cell activation sites contain large quantities of CCL3, CCL4, and CCL5 (28).
In this study, we examined whether forcing tumor cells to produce CCL5 might promote antitumor immune response and T cell attraction at the tumor site. We studied the quantitative and qualitative effects of CCL5 production on tumor growth and immune cell recruitment. We approached this question by investigating two different gene therapy strategies: inoculating mice with CCL5-transfected tumor cells and directly injecting DNA coding for CCL5 fused with Ig into the tumor.
| Materials and Methods |
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Wild-type C57BL/6 females were obtained from Elevage Janvier (Le Genest, Saint Isle, France). C57BL/10 RAG-2 knockout (KO), C57BL/6 perforin KO, and C57BL/6 CCR5 KO mice were purchased from Charles River (Saint-Aubin les Elbeufs, France) and bred in our animal facility (Nouvelle Animalerie Commune of Pitié-Salpêtrière, Paris, France). All mice were housed under specific pathogen-free conditions and used for experiments at 610 wk of age. All experiments complied with local animal experimentation and ethics committee guidelines.
Tumor cell lines
All cell lines used in this study were obtained from the American Type Culture Collection (Manassas, VA) and were derived from C57BL/6 (H-2b) mice. The dimethylbenzanthracene-induced thymoma, EL-4, and its chicken OVA peptide-expressing derivative, EG-7, were maintained in RPMI 1640 (Invitrogen Life Technologies, Paisley, Scotland) supplemented with 10% heat-inactivated FCS (Seromed, Berlin, Germany), 2 mM L-glutamine, 1000 U/ml penicillin, 1 mg/ml streptomycin, 250 ng/ml amphotericin B (Invitrogen Life Technologies), and 3 µM 22-ME (Sigma-Aldrich, St. Louis, MO). We used Transfast (Promega, Madison, WI), in accordance with the manufacturers instructions, to transfect EL-4 and EG-7 cell lines with pBlast-human CCL5 plasmid (InvivoGen, Toulouse, France) and 10 µg/ml blasticidin (InvivoGen) to select transfectants, which were then maintained with 5 µg/ml blasticidin. Parental cell lines transfected with the empty plasmid pBlast were used as control tumor cell lines. We verified with flow cytometry that neither EL-4 nor EG-7 transfection affected MHC class I molecules, nor did they induce expression of costimulatory molecules such as CD70 and CD80 (data not shown). Proliferation assays measuring tritiated thymidine incorporation showed no significant differences in tumor cell growth in vitro between the transfected and control lines (data not shown).
Chimeric CCL5-Ig constructs
PstI-tailed forward primer AAA ACT GCA GAT GAA GGT CTC CGC GGC A and NotI-tailed reverse primer ATA GGC GGC CGC GCT CAT CTC CAA AGA GTT were used to amplify the signal sequence and chemokine domain of CCL5 corresponding to aa 191 (enzyme recognition sequences are underlined). The modified mouse IgG2a Fc domain, corresponding to aa 97329 and derived from pVRC murine IL-2/Ig (36), a generous gift from Dr. D. Barouch (Division of Viral Pathogenesis, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA), was amplified with NotI-tailed primer ATA AGC GGC CGC ACA TCC CAG AGG GCC CAC AAT C and BglII-tailed primer GGA AGA TCT TCA TTT ACC CGG AGG CCG GGA GAA. Amplification reactions were performed in standard conditions with 1 U of Pfu DNA polymerase (Stratagene, La Jolla, CA). PCR cycling began at 95°C for 5 min, followed by 20 cycles of 95°C for 30 s, 55°C for 30 s, and 72°C for 1 min, and ended with 10 min at 72°C. PstI-NotI CCL5 and NotI-BglII Ig fragments were directly subcloned into a pVRC plasmid cloning site. Low endotoxin plasmid was prepared on a large scale (Tebu Biolaboratories, Le Perray en Yvelines, France). Flow cytometric analysis, ELISA, and immunoblotting with the cell lysate and supernatant of Chinese hamster ovary cells transfected with this construct all confirmed the expression of the chimeric protein, also produced and purified by Tebu Biolaboratories.
In vivo experiments
Five to 10 mice per group were injected s.c. in the right flank with 200,000 tumor cells in 100 µl of PBS. Tumor size was measured with a caliper three times a week, and tumor volume was estimated with the following formula: width x length x (width + length)/2. Mice were sacrificed when tumor volume reached
12 cm3. Five days after tumor inoculation, in vivo JetPEI transfecting reagent (Qbiogene, Illkirch, France) was used to inject 10 µg of CCL5-Ig DNA plasmid or control DNA at the tumor site. Reliable tumor establishment required injection of at least 200,000 EL-4 cells (data not shown).
To evaluate the cells recruited to the tumor site and to detect CCL5 expression, the tumor mass was surgically removed between days 1014, as indicated. The tumor and proximal lymph nodes were dilacerated and passed through a 70-µm cell strainer (BD Biosciences, San Diego, CA). Lymphocytes were collected and washed in PBS-2% FCS buffer. Red cells were eliminated with cell lysis buffer (155 mM NH4Cl, 10 mM KHCO3, 0.1 mM EDTA), and cells were washed in complete medium. They were analyzed after immunofluorescence staining.
RT-PCR analyses
Intratumoral mRNA expression of CCL5-Ig was detected by RT-PCR. Total RNA was extracted from each tumor with the QIAamp RNA Blood Mini kit (Qiagen, Courtaboeuf, France), and cDNA was generated with Promegas reverse transcription system. PCR amplification took place under the following conditions: 94°C for 3 min, followed by 35 cycles of 94°C for 30 s, 56°C for 30 s, and 72°C for 20 s. Primer sequences for CCL5-Ig detection were as follows: forward primer, 5'-GTG CCC ACA TCA AGG AGT AT-3', and reverse primer, 5'-GCT GTG TGT ACT TCC ACG TT-3'. Control HPRT primers were as follows: forward primer, 5'-CTT TGC TGA CCT GCT GGA TT-3', and reverse primer, 5'-TAT GTC CCC CGT TGA CTG AT-3'.
For the quantitative RT-PCR, we used PreDeveloped TaqMan Assay Reagents (primers and probes) for detection of human CCL5 and the Applied Biosystems TaqMan Master Mix (with uracyl-N-glycosylase) according to the manufacturers instructions (Applied Biosystems, Cheshire, U.K.). Control HPRT real-time PCR was used to standardize the results.
Flow cytometry
Cell surface Ags were characterized with a standard staining method and the following mAbs: FITC-conjugated anti-mouse CD3 (clone 145-2C11), PE-conjugated pan-NK (clone DX5), PerCP/Cy5.5-conjugated anti-mouse CD8 (clone Ly-2), biotin-conjugated anti-mouse CD4 (clone L3T4) plus allophycocyanin-streptavidin, PE-conjugated anti-H-2Kb (clone AF6-88.5), PE-conjugated anti-mouse CD49 (BD Pharmingen, Le Pont de Claix, France), and PE-conjugated anti-human CCL5 (clone 2D5; R&D Systems, Abingdon, U.K.).
For intracellular CCL5 staining, cells were washed and permeabilized with 1x PBS-5% FCS-0.1% saponin before intracellular staining with PE-conjugated anti-human CCL5 (clone 2D5).
The cells were incubated with appropriate fluorochrome-conjugated mAbs for 20 min at room temperature, and then washed in 1x PBS and fixed for 15 min at room temperature in 1 ml of 4% paraformaldehyde. Cells were run for four-color fluorescence staining on a cytofluorometer (FACSCalibur; BD Biosciences), and 10,000 live events were analyzed with ProCellQuest software.
Chemokine binding assay
Binding assays were performed with 125I-labeled CCL4 (Amersham Biosciences, Piscataway, NJ) in duplicate with 5 x 104 CCR5-expressing human embryonic kidney (HEK) cells, as previously described (37). Briefly, cells were incubated in a total volume of 200 µl of PBS containing 1 mg/ml BSA and 0.01% azide (pH 7.4) with 50 pM 125I-labeled CCL4 and increasing concentrations of unlabeled human CCL5 (PeproTech, Rocky Hill, NJ) or CCL5-Ig. After 2 h at 37°C, unbound chemokines were separated from cells by centrifugation in 1 ml of PBS with 10% sucrose. Gamma emissions were then counted in the cell pellet (1272 Clinigama; LKB Wallac, Saint Quentin en Yvelines, France).
In vitro chemotaxis assay
Chemotaxis was assayed in a 96-well chemotaxis chamber (NeuroProbe, Cabin John, MD). PBMC were labeled for 30 min at 37°C with 5-chloromethylfluorescein diacetate (Molecular Probes, Leiden, The Netherlands) in RPMI 1640 and resuspended in HBSS-BSA (106 cells/ml). Human rCCL5 (PeproTech) and CCL5-Ig were placed in the lower chamber. We then seeded 50,000 human PBL onto the membrane (5-µm pore diameters) and incubated the 96-well plate for 3 h at 37°C, 100% humidity, and 5% CO2. The filter top surface was rinsed with PBS, and the plate was centrifuged for 2 min at 1500 rpm. Fluorescence was measured with a Packard Fusion microplate analyzer (Perkin-Elmer Life Sciences, Boston, MA). Results are expressed as a chemotaxis index that represents the number of cells migrating in response to CCL5 or CCL5-Ig relative to the number migrating in the absence of the chemokine.
Statistical analysis
We used Prism 2.01 (GraphPad Software, San Diego, CA) for data handling, analysis, and graphic representation. Statistical analysis used the paired two-sample t test for means and the nonparametric Mann-Whitney U test. Statistical significance was set at p < 0.05.
| Results |
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The H-2b lymphoma EL-4 was transfected with plasmid encoding full-length CCL5 or an empty control vector. Chemokine expression was confirmed in the CCL5-EL-4 cell lines with intracellular staining (Fig. 1a). In addition, ELISA showed CCL5 in the supernatant of transfected cells, at a maximum level of
8 nM by day 4 of cell culture (data not shown). We assessed the ability of CCL5-transfected tumor cell lines to form solid tumors in C57BL/6 mice. In the conditions described above, all the mice (100%) developed a solid tumor that grew progressively under their skin (Fig. 1b): it was measurable by day 7 and grew over a period of 3 wk. Growth was significantly slower in the in vivo-transfected CCL5-EL-4 tumors than in control tumors. The mean volume of CCL5-EL-4 tumors was
6570% smaller than that of the control tumors between days 2025, before the control EL-4-inoculated mice were euthanized (Fig. 1b). Tumors that expressed CCL5 remained significantly smaller (p < 0.05) than control tumors until day 23 (Fig. 1b, *); thereafter, all CCL5-EL-4 tumors continued to grow at similar rates.
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We next ascertained the receptor primarily involved in the antitumor properties of CCL5 in our model. CCL5 binds and activates at least three chemokine receptors, namely, CCR1 (35, 38), CCR3 (39), and CCR5 (40). Given that the latter is the CCL5 receptor primarily expressed on lymphoid cells, we tested its protective effect in CCR5 KO mice. The total loss of this protective effect in this strain demonstrates that the antitumor effect depends on CCR5 (Fig. 3a). These results further suggest that CCR1 and CCR3 are not key players in this phenomenon. We also observed that the control EL-4 tumors were smaller in CCR5 KO than in control mice (Fig. 3a). The absence of CCR5 may cause physiopathological differences relevant to this tumor type. However, the reason for this discrepancy is unknown. The continuing similarity of CCL5-EL-4 and control EL-4 tumor growth shows that the antitumor effect of CCL5 requires CCR5 expression. To confirm the role of CCR5-expressing immunocompetent cells in CCL5-mediated tumor delay, we conducted adoptive transfer experiments from C57BL/6 and CCR5 KO mice (Fig. 3b). When CCR5+ splenocytes were adoptively transferred into CCR5 KO mice inoculated with CCL5-EL4 tumor cells, the CCL5-mediated delay of tumor growth was restored. These data strengthen the evidence of the crucial role of CCR5-expressing immune cells in CCL5-mediated antitumor growth.
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Tumor-secreted CCL5 induces recruitment of CD4, CD8, and NK cells, and DC
We investigated the cells recruited into the tumors and the ipsilateral lymph nodes. Organs and tumors were harvested between days 1014, and the cell contents were analyzed by flow cytometry with mAbs directed against CD3, CD4, CD8, and NK cells. Typically, lymph nodes from control mice contained 2 ± 0.2% CD49b+CD3 NK cells, 15 ± 1.6% CD4+CD3+ cells, and 13.6 ± 1.5% CD8+CD3+ T cells (Fig. 4a). T and NK cell levels in the lymph nodes did not differ in the mice injected with control EL4 and those receiving CCL5-EL-4 (Fig. 4a). In contrast, representative flow cytometric analyses of the lymphocytes infiltrating the tumor site showed increased levels of NK (Fig. 4b, left panels) and T (right panels) cell infiltration. As Fig. 4c shows, lymphocyte-associated tumor cell content at the tumor site in the mice injected with CCL5-EL-4 tumor cells was composed of 26 ± 5% DX5+CD3 cells, 13 ± 2% CD4+CD3+ cells, and 18 ± 2% CD8+CD3+ cells (p < 0.005), compared with 5 ± 2% DX5+CD3 cells, 7 ± 1.5% CD4+CD3+ cells, and 4 ± 1% CD8+CD3+ cells for the control EL-4-injected mice. We also observed a significant increase in DC migration into the tumor site in mice inoculated with CCL5-EL-4 tumor cells (2.4 ± 0.4%) compared with control tumor cells (0.6 ± 0.3%; p < 0.005; n = 10). Thus, the CCL5-producing tumors contained significantly more NK, CD8, and CD4 cells, and DC, than did the control tumors.
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Functional characterization of CCL5-Ig chimeric molecule
It is nonetheless difficult to use transfected tumor cells in cancer therapy. For that reason, we generated a DNA construct that coded for a sequence fusing CCL5s chemokine domain with an Ig N-terminal domain, called pVRC-CCL5-Ig. We chose to fuse CCL5 to the Ig Fc domain, thereby extending the period of cytokine efficacy by the Ig half-life (41). We then investigated whether this new chimeric molecule maintained its receptor specificity and functions.
The chimeric CCL5-Ig was first tested in a conventional binding assay with CCR5-transfected HEK cells (Fig. 5a). CCL5-Ig potently competed with receptor-bound radiolabeled CCL4 and showed 12 log less affinity for CCR5 than did rCCL5. CCL5-Ig was CCR5 specific and did not interact with other chemokine receptors tested, including CX3CR1, CCR2, or CXCR2 (data not shown). To test the functional potency of CCL5-Ig further, we compared CCL5 and CCL5-Ig in chemotaxis assays with human PBMC. Cells responded to both ligands dose dependently, according to the expected bell curve. Maximal responses were observed at
1 nM for CCL5 and
10 nM for CCL5-Ig (Fig. 5b). Although CCL5-Ig had less affinity and sensitivity than CCL5, it remained CCR5 specific and fully functional.
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We then determined the in vivo antitumor activity of the CCL5-Ig by injecting plasmid coding for it or empty vector into growing tumors at day 5 after tumor inoculation (Fig. 6). Because in vivo transfection of naked DNA provides inefficient protein expression, DNA associated with polyethylenimine (PEI) particles was injected in vivo. Because changes in the stability and size of DNA/PEI particles that rely in part on glucose concentration have proved to affect the efficiency of in vivo gene transfer (42), we chose to study tumor growth after injection of DNA/PEI complexes in two different formulations, with high (8%) and low (5%) glucose levels (Fig. 6). We found that both formulations induced a significant decrease in tumor size in all mice injected with pVRC-CCL5-Ig compared with the mice receiving the control plasmid (Fig. 6). Tumor reduction was more efficient at high (
80% tumor size reduction at day 17) than at low (
50%) glucose concentrations. Glucose concentration had no effect on tumor growth after control plasmid injections (Fig. 6). This delayed tumor growth observed after CCL5-Ig DNA/PEI injection was lost in RAG-2 KO mice (data not shown). Thus, intratumoral injection of CCL5-Ig DNA induced effective in vivo gene therapy.
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| Discussion |
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We also showed that the amount of CCL5 expressed at the tumor site determined the effectiveness of the antitumor response. Solid EL-4 and EG-7 tumors also express CCL5 mRNA (data not shown), but this in vivo expression seems insufficient to cause tumor regression of the strength observed in our model. A previous study reported that fibrosarcomas expressing CCL5 grow at a reduced rate, although the mechanism remains unknown (24), and another reported that adenoviruses expressing a combination of Ag and various chemokines such as CCL5 and CCL4 can induce tumor rejection (13). We thus confirmed in this study the general capacity of CCL5 to inhibit immunogenic tumor growth, and we extended this work to specify some of the cells involved in this phenomenon, thereby moving closer to the development of therapeutic approaches. CCL5s antitumor effect depends on the expression of CCR5 by immunocompetent host cells. We demonstrated that CCL5 directly affects immune cell trafficking, and that tumor growth is controlled by recruitment of such immunocompetent host cells as T and NK cells, and DC. In addition, we (26) recently reported that another chemokine, CX3CL1, mediates antitumor effects through innate response (NK cells, but not T and B cells, express CX3CR1, whereas CCR5 is expressed on T/NK cells and DC). The antitumor effect was maintained in RAG-2 KO mice deficient for T/B cells but not in NIH III mice deficient for NK/T/B cells. We showed that CX3CL1-expressing EL-4 and EG-7 cells reduced tumor growth by increasing NK cell recruitment, but we observed no increase in T cell recruitment. Thus, NK cells are involved in the control of EL-4 and EG-7 tumor cells in vivo. For tumors expressing CCL5, delayed tumor growth appears to be mediated principally through the adaptive immune response, but the increased NK cell recruitment in these tumors indicates that innate immune response may also be involved. Similar increases in T, NK, and DC migration were obtained after injection of CCL5-Ig DNA at the tumor site compared with control DNA injection. Together, these results are concordant with findings that CCR5 is expressed on NK and T effector cells (12, 27, 28).
We observed no other modifications in cell types at the tumor site. Similar experiments in which CCL5-EL-4 cells were injected into perforin KO mice showed loss of antitumor effect, but only partial (tumor size reduced by 50% in perforin KO mice at day 18 compared with 70% in C57BL/6 mice). These results suggest that CCL5-mediated delay in tumor growth involves in part perforin-mediated cytotoxicity and depends on a local increase in the number of CTLs, such as NK, CD8, CD4 Th cells, and DC.
Several investigations have attempted to prevent tumor development by creating a microenvironment that promotes innate and acquired immune mechanisms through the introduction of cytokine and chemokine genes into tumor cells (4, 5, 6, 7, 8, 15). Although one report showed CCL5 to reduce fibrosarcoma growth (24), elevated levels of autologous CCL5 production have been correlated with advanced breast carcinoma (21) and with massive monocyte recruitment there (20). Accordingly, the effect of CCL5 overexpression may be specific to the type of tumor and the type of antitumor immune response. Several chemokines have been shown to be promising anticancer therapeutic tools: CCL19 and CCL21, which bind to CCR7, mediate tumor rejection by recruiting effector T cells (15, 17), and elicit tumor immunity by inducing local T cells and DC accumulation (15, 43). In our model, the protective effect of CCL5 appeared to be mediated through increased recruitment of immunocompetent cells, specifically, NK and T cells.
We also found that intratumoral injection of DNA that codes for CCL5-Ig induced a potent antitumor effect that depended on the intensity of CCL5-Ig expression in vivo. This study used several different methods to demonstrate that increasing the in vivo concentration of CCL5, either in stable transfectants or after injection with DNA coding for CCL5-Ig, decreased tumor growth. Quantitative RT-PCR after CCL5 DNA injection demonstrated a significant correlation between high levels of CCL5 mRNA expression and small tumor size (p < 0.0001). These data are consistent with the CCL5-induced delay in EG-7 tumor growth where a high level of CCL5 expression in this cell line appeared to prevent EG-7 growth in 70% of the mice. Taken together, these data support the use of DNA coding for chimeric CCL5-Ig as a potential strategy for reducing the size of solid encapsulated tumors. The use of intratumoral CX3CL1-Ig DNA injection for reducing tumor growth in vivo, has been recently described by our group (26).
The large panel of chemokines with potent antitumor activity together with recent advances in protein engineering may thus lead to therapeutic tools that induce both humoral and cellular immune responses and may be very effective in the treatment of cancer. These findings provide the first evidence of the potential use of a chimeric CCL5-Ig as anticancer therapy.
| Footnotes |
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1 E.L. and A.B. were recipients of the fellowship from the French Ministry of Research and Technology and La Fondation pour la Recherche Médicale. M.I. was a recipient from Objectifs Recherche de Vaccin SIDA. This work was supported by grants from Association pour la Recherche sur le Cancer and from La Ligue Nationale Contre le Cancer. ![]()
2 E. L. and C.C. contributed equally to this work. ![]()
3 Address correspondence and reprint requests to Dr. Behazine Combadiere, Laboratoire dImmunologie Cellulaire, Institut National de la Santé et de la Recherche Médicale, Unité 543, Faculté de Médecine Pitié-Salpétrière, 91 Boulevard de lHôpital, 75013 Paris, France. E-mail address: combadie{at}ccr.jussieu.fr ![]()
4 Abbreviations used in this paper: DC, dendritic cell; KO, knockout; HEK, human embryonic kidney; PEI, polyethylenimine. ![]()
Received for publication December 5, 2003. Accepted for publication July 2, 2004.
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