Abstract
Free full text
Unopposed Production of Granulocyte-Macrophage Colony-Stimulating Factor by Tumors Inhibits CD8+ T Cell Responses by Dysregulating Antigen-Presenting Cell Maturation1
Abstract
Tumor cells gene-modified to produce GM-CSF potently stimulate antitumor immune responses, in part, by causing the growth and differentiation of dendritic cells (DC). However, GM-CSF-modified tumor cells must be γ-irradiated or they will grow progressively, killing the host. We observed that 23 of 75 (31%) human tumor lines and two commonly used mouse tumor lines spontaneously produced GM-CSF. In mice, chronic GM-CSF production by tumors suppressed Ag-specific CD8+ T cell responses. Interestingly, an inhibitory population of adherent CD11b(Mac-1)/Gr-1 double-positive cells caused the observed impairment of CD8+ T cell function upon direct cell-to-cell contact. The inhibitory cells were positive for some markers associated with Ag presenting cells, like F4/80, but were negative for markers associated with fully mature DC like DEC205, B7.2, and MHC class II. We have previously reported that a similar or identical population of inhibitory “immature” APC was elicited after immunization with powerful recombinant immunogens. We show here that these inhibitory cells can be elicited by the administration of recombinant GM-CSF alone, and, furthermore, that they can be differentiated ex vivo into “mature” APC by the addition of IL-4 and GM-CSF. Thus, tumors may be able to escape from immune detection by producing “unopposed” GM-CSF, thereby disrupting the balance of cytokines needed for the maturation of fully functional DC. Further, CD11b/Gr-1 double-positive cells may function as “inhibitory” APC under the influence of GM-CSF alone.
Every tumor that results in the death of its host is a tumor that was not destroyed by the immune system. Workers once speculated that tumors were not recognized by immune cells because they failed to express “recognizable” Ags, but the molecular identification of tumor-associated Ags (TAA)3 has largely disproved this hypothesis. Tumor cells indeed can express TAA that are specifically recognized by immune cells, and under some circumstances that have not yet been fully elucidated, the immune system can mediate the destruction of tumor cells in both mouse and man (1–8).
It now seems likely that tumors are not destroyed by immune cells because the tumor microenvironment is a poor site for the initiation of immune responses. Tumor cells generally do not express the requisite costimulatory and cytokine molecules that signal an inflammatory state. In this regard, tumors are like most normal tissues in the body. Activation of the cellular immune response appears to be largely effected by “professional” APC, including dendritic cells (DC) (9–12). Professional APC originate from granulocyte-monocyte lineage progenitors that have the ability to capture Ag but lack the requisite accessory signals for T cell activation (13, 14). Under the influence of cytokines, such as GM-CSF, IL-4, and TNF-α, progenitor cells undergo terminal differentiation to professional APC capable of presenting Ags in the context of immunostimulatory molecules that result in the activation T cell reactivities (9, 13, 15).
Local production of GM-CSF by γ-irradiated cDNA-transduced tumors is thought to recruit and expand professional APCs that present Ags released by apoptotic tumor cells (16–18). In the B16 mouse model, the presentation of tumor Ags by professional APCs to naive lymphocytes can result in memory T cell responses that prevent subsequent challenge with the wild-type tumor (18). Gene modification of tumor cells with GM-CSF in the absence of γ-irradiation, however, does not generally change the growth rate or lethality of tumor cells in their nonirradiated state. Thus, the induction of apoptosis by γ-irradiation in GM-CSF gene-modified tumor cells might be required to enhance the processing and presentation of TAA by DC (19, 20). Indeed, the production of GM-CSF in the absence of an apoptotic “danger signal” could have very different effects on DC recruitment and maturation. It is perplexing that some murine tumor cells spontaneously produce GM-CSF (21). Furthermore, the production of GM-CSF has been correlated with the ability of mouse tumor cells to spontaneously metastasize (22). Human prostate cancers (23) and human melanoma cells (our unpublished data) have been found to spontaneously produce GM-CSF.
In the present article, we attempt to delineate the role of GM-CSF production by tumors on the recruitment and maturation of APC. We studied a panel of human tumors for the production of GM-CSF and found that 31% of human tumors spontaneously secreted this cytokine. To characterize the immunological significance of this finding, GM-CSF-producing and -nonproducing murine tumors were grown in vivo. The production of GM-CSF by tumors was found to induce a population of cells that morphologically resembled granulocyte-monocyte progenitor cells and phenotypically expressed the granulocyte-monocyte markers C11b (Mac-1) and Gr-1 (Ly-6G). We have previously reported that these cells can cause apoptotic death of CD8+ T cells after immunization with powerful vaccinia virus-based immunogens. (24). We show here that these CD11b+/Gr-1+ cells could mature in vitro under the influence of GM-CSF and IL-4 to produce functional APCs that are capable of enhancing T cell responses in a mixed lymphocyte reaction. We explore the hypothesis that tumors may evade immune destruction by dysregulating the maturation of APC through the unopposed secretion of GM-CSF.
Materials and Methods
Tumor cell lines and GM-CSF determination
CT26.WT, the β-galactosidase (β-gal)-expressing CT26.CL25 clone, EL4 thymoma, and its lacZ transfectants E22 have been described (25, 26). The mouse mammary adenocarcinoma tumor, TS/A, was kindly provided by Dr. Guido Forni (University of Turin, Orbassano, Italy). MBL-2 and LSTRA are Moloney virus-induced lymphomas. Cell lines were maintained in culture media (CM) consisting of RPMI 1640, 10% heat-inactivated FBS (Biofluids, Rockville, MD), 0.03% L-glutamine, 100 μg/ml streptomycin, 100 μg/ml penicillin, and 50 μg/ml gentamicin sulfate (National Institutes of Health Media Center, Bethesda, MD). The following human tumor cell lines were obtained from American Type Culture Collection (Manassas, VA): BT474, MCF-7, SKOV3, MB 361, BT549, MDA 231, MS 751, SIHA, CASKI, IGROV-1, OVCAR-3, OV-1, WIDR, H508, COLO 205, SW480, LOVO, and SK23. The following human cells were provided by Suzanne Topalian (National Cancer Institute (NCI; Bethesda, MD): LNCaP, DU 145, PC-3, and 1542 CP3TX. The following human cell lines were generated in the Surgery Branch, NCI: 1312, 1338, 501A, 1143, 537, 1353, 553B, 677 II, 1173, 1402, 1290−2, 1199, 888, 1287, 1011, 624, 1359, 1363, 1495, 1280−1, 697, 1362, 526, 1308, 1335, 586, 1182, 1479, 1102, 836, 938, 1379, 624, 883, 1286, 397, 1123, 1390, 1448 Y, and 1195. The following human cell lines were generated in the Urologic Oncology Branch, NCI: Ce-RCC, M-RCC, Gr-RCC, R-RCC, Ca-RCC, Gi-RCC, N-RCC, P-RCC, Ba-RCC, Bu-RCC, and W-RCC. Cells were plated in duplicate in 96-well plates (Costar, Cambridge, MA) at a concentration of 105 cells/well in 250 μl of CM. Values are expressed as pg/ml produced in 16 h by 105 cells, unless otherwise stated. Genetic modification of B16 tumor cells to secrete GM-CSF was performed as follows. The E86 packaging cell line carrying the LmGM-CSFSN retroviral vector expressing the mouse GM-CSF was a gift of Mario Colombo (Istituto Nazionale Tumori, Milan, Italy). B16 melanoma was trans-infected with the supernatant of the packaging cell line in the presence of Polybrene (8 μg/ml) and then subcloned. Stable transfectants were screened for cytokine production after 2 wk of continuous in vitro passages in the presence of G418 (0.2 mg/ml). The subclones of the B16 tumor engineered with GM-CSF were plated at 106 cells in 1 ml of CM. ELISA kits for human IFN-γ and mouse GM-CSF were purchased from Endogen (Cambridge, MA), and kits for human GM-CSF were purchased from R&D Systems (Minneapolis, MN). All values refer to duplicate samples.
Peptides, Abs, and cytokines
The following synthetic peptides were synthesized by Peptide Technologies (Washington, DC) to a purity of >99% as determined by HPLC and amino acid analyses: TPHPARIGL (amino acids 876−884 of β-gal, H-2Ld-restricted (27)), DAPIYTNV (amino acids 96−103 of β-gal, H-2Kb-restricted (28)). Rat mAb recognizing NLDC-145 (DEC-205) and F4/80 were purchased from BMA Biomedicals (Augst, Switzerland). FITC- or PE-labeled mAb recognizing mouse CD3, CD8, CD4, CD11b (Mac-1), CD45R/B220, CD11c, CD80 (B7−1), CD86 (B7−2), Ly-6G (Gr-1), anti-H-2 I-Ed/I-Ad, Kd, and the isotype-matched controls were purchased from PharMingen (San Diego, CA). The mAb 24G.2 (CD16/CD23; PharMingen), which recognizes the extracellular domain of the mouse Fcγ-RIII and RII, was used to block the nonspecific mAb binding. Recombinant mouse GM-CSF and IL-4 were purchased from PreproTech (Rocky Hill, NJ) and resuspended in HBSS containing 1% mouse serum (Sigma, St. Louis, MO).
Isolation and depletion of Gr-1+ splenocytes
A panning technique employing flasks coated with mouse anti-rat Abs (T-25 AIS MicroCell; Applied Immune Sciences, Santa Clara, CA) was used to enrich or eliminate Gr-1+ splenocytes from either tumor-bearing mice or mice treated with recombinant GM-CSF. Briefly, spleens were depleted of RBC through ACK lysis buffer (Biofluids) and resuspended in HBSS containing 1 mM EDTA and 10% mouse serum (HBSS-EDTA-MS). Cells were transferred on ice, incubated for 30 min with anti-Gr-1 Ab at a concentration of 10 μg/107 cells, and washed with cold HBSS-EDTA. Cells were resuspended in ice-cold HBSS-EDTA-MS, transferred to flasks coated with the secondary Ab (anti-rat), and incubated for 1 h at 4°C. The nonadherent cells were then dislodged, and fluorescence labeling confirmed a >95% depletion. Cells that remained attached to the flasks were provided with CM and incubated for further studies. Adherent cells were usually recovered by gentle scraping in Versene solution (1:5000; Biofluids).
Maturation of CD11b+/Gr-1+ cells in vitro
Gr-1+ splenocytes were isolated as described above. Isolated cells were grown for 6 days in culture with 100 ng/ml GM-CSF, 100 ng/ml IL-4, a combination of both GM-CSF and IL-4, or in media alone. After 6 days of culture, the adherent cells were analyzed for phenotypic markers or added to a 6-day mixed lymphocyte stimulation. In the mixed lymphocyte reaction, BALB/c splenocytes (H-2d) at 3 × 106 were incubated with 3 × 106 irradiated C57BL/6n splenocytes (H-2b) in the presence or absence of 0.18 × 106 Gr-1+ splenocytes (H-2d). After 6 days of stimulation, the BALB/c lymphocytes were tested in a standard chromium release assay against syngeneic (CT26 or LSTRA) or allogeneic (MBL-2) targets.
Enrichment of spleen-derived DC
Spleens were collected aseptically, minced, and incubated for 30 min at room temperature in HBSS containing collagenase (1 mg/ml; Sigma). Spleens were depleted of RBC through ACK lysis buffer and washed. The single cell suspension was resuspended in CM and plated in a 150 × 25-mm tissue culture dish (Falcon, Cockeysville, MD). Splenocytes were incubated for 2 h at 37°C, and the nonadherent cells were removed by gentle washing. Adherent cells were further incubated for 18 h in CM containing 3 ng/ml mouse GM-CSF. At the end of the incubation, the supernatant was collected, and DC were finally enriched by centrifugation (1900 × g) over a 45% Percoll cushion. At this point, >80% of the cells were B7−2+, B220−, class II MHC +, CD11c+.
Evaluation of CD8+ T cell responses
Eight- to twelve-week-old female BALB/c or C57BL/6 mice (Animal Production Colonies, Frederick Cancer Research Facility, National Institutes of Health, Frederick, MD) were immunized with 5 × 106 PFU/mouse of the construct VJS6, a recombinant vaccinia virus (rVV) expressing β-gal (β-gal-rVV) (25). Three weeks after immunization, two to three mice per group were injected s.c. with 0.1 ml of HBSS containing 106 TS/A tumor cells. Two to five weeks after tumor challenge, spleens were collected, separated into a single cell suspension, and cultured in CM containing 1 mg/ml of the immunodominant β-gal peptides (27, 28). After 6 days, cultures were tested for their ability to lyse β-gal-positive targets in a 6-h 51Cr release assay using target cells previously incubated with 200 μCi Na51CrO4 (51Cr) for 90 min (together with 1 μg/ml of peptide) (25).The amount of 51Cr released was determined by γ-counting, and the percentage of specific lysis was calculated from triplicate samples using the formula: [(experimental cpm – spontaneous cpm)/(maximal cpm – spontaneous cpm)] × 100. In some experiments, mice received a 3-day cycle of GM-CSF (5 μg/mouse, i.p. twice daily) 3 wk following immunization with β-gal rVV.
The calculation of LU was performed because it conveys the activity of the culture more effectively than simply showing a single E:T ratio. Calculations of LU per 106 effector cells were performed as follows: divide 106 by the number of cells giving 30% lysis of specific target cells (we used 2 × 103 β-gal peptide-pulsed EL4 cells). There was no lysis of unpulsed target cells in this assay.
In cell separation experiments, splenocytes were cultured at the same cell concentration in 24-well plates (Costar) containing a culture chamber insert with 0.4-μm pores (Millipore, Bedford, MA).
Results
Human tumor cell lines spontaneously produce GM-CSF
GM-CSF secretion by tumor lines has been sporadically described in the literature (29, 30), but to our knowledge, the prevalence of GM-CSF production by tumors has not been systematically studied. Thus, we evaluated a panel of 75 human tumor cell lines (Table I) and found that 23 produced levels of GM-CSF higher than the background (>10 pg/ml/105 cells), especially those lines originating from kidney and prostate cancers. Moreover, IFN-γ release during the same assay was not above the detection limit (12 pg/ml), indicating the specific release of GM-CSF. Thus, our finding that human tumors spontaneously produce GM-CSF is consistent with previous reports.
Table I
Tumor Cell Line | GM-CSF | IFN-γ | Tumor Cell Line | GM-CSF | IFN-γ |
---|---|---|---|---|---|
Breast cancer | Melanoma | ||||
BT474 | 0 | 0 | 1312 | 0 | 0 |
MCF-7 | 0 | 0 | 1338 | 0 | 0 |
SKOV3 | 0 | 0 | 501A | 0 | 0 |
MB361 | 4 | 0 | 1143 | 0 | 0 |
BT549 | 5 | 0 | 537 | 0 | 0 |
MDA231 | 668 | 0 | 1353 | 0 | 0 |
553B | 0 | 0 | |||
Cervical cancer | 677II | 0 | 0 | ||
MS751 | 0 | 0 | 1173 | 0 | 0 |
SIHA | 16 | 0 | 1402 | 0 | 0 |
CASKI | 488 | 12 | 1290−2 | 0 | 0 |
1199 | 0 | 0 | |||
Ovarian cancer | 888 | 0 | 0 | ||
IGROV-1 | 0 | 0 | 1287 | 0 | 0 |
OVCAR-3 | 0 | 0 | 1011 | 0 | 0 |
OV-1 | 17 | 0 | 624 | 0 | 0 |
1359 | 0 | 0 | |||
Prostate cancer | 1363 | 0 | 0 | ||
LNCaP | 0 | 0 | 1495 | 0 | 0 |
Du 145 | 45 | 0 | 1280−1 | 0 | 0 |
PC 3 270.4 | 270 | 0 | 697 | 0 | 0 |
1542 CP3 | 1,035 | 0 | 1362 | 0 | 0 |
Tx | |||||
526 | 0 | 0 | |||
Colon cancer | 1308 | 0 | 0 | ||
WIDR | 0 | 0 | 1335 | 0 | 0 |
H508 | 3 | 0 | 586 | 0 | 0 |
COLO 205 | 7 | 0 | 1182 | 0 | 0 |
SW480 | 34 | 16 | 1479 | 0 | 0 |
LOVO | 36 | 0 | 1102 | 0 | 0 |
836 | 0 | 0 | |||
Renal cancer | 938 | 0 | 0 | ||
Ce-RCC | 0 | 0 | 1379 | 0 | 0 |
M-RCC | 25 | 0 | SK23 | 0 | 0 |
Gr-RCC | 29 | 0 | 624 | 0 | 0 |
R-RCC | 98 | 0 | 883 | 0 | 0 |
Ca-RCC | 125 | 0 | 1286 | 0 | 0 |
Gi-RCC | 675 | 0 | 397 | 4 | 0 |
N-RCC | 1,125 | 120 | 1123 | 30 | 0 |
P-RCC | 1,134 | 0 | 1390 | 43 | 0 |
Ba-RCC | 1,723 | 0 | 1448Y | 277 | 0 |
Bu-RCC | 1,707 | 0 | 1195 | 280 | 0 |
W-RCC | 39,390 | 0 |
GM-CSF-producing tumors induce CD11b+/Gr-1+ splenocytes that inhibit CD8+ T cells
To test the immune consequences of spontaneous GM-CSF production by tumors on the maturation of APC, two experimental tumor lines were grown in vivo. The colon adenocarcinoma, CT26.WT, and the mammary adenocarcinoma, TS/A, spontaneously produced significant levels of GM-CSF (average 50 and 250 pg/ml/106 cells/day, respectively). Mice bearing unmanipulated s.c. TS/A tumors ~1 cm in diameter were splenectomized. A representative cytofluorometric analysis of spleen cells (shown in Fig. 1A) demonstrates an increase in the numbers of CD11b+/Gr-1+ cells. These cells comprised a mean of 22.3 ± 1.83% of all splenocytes in five independent experiments, compared with an average of 2.4 ± 0.43% in mice with a small but palpable tumor. Evaluation of splenocytes from tumor-bearing mice did not reveal substantial changes in the percentages of lymphocytes with T or B cell markers (31).
We sought to explore whether or not the growth of a GM-CSF-producing tumor had any impact on CD8+ T cell responses. Therefore, we immunized mice with an rVV encoding lacZ under the control of a strong promoter (25). This immunization has been previously shown to induce strong CD8+ T cell responses to the model Ag, β-gal (β-gal rVV). Mice were then allowed to develop a “memory” immune response. After 3 wk, mice were randomized to receive TS/A tumor cells that were allowed to grow s.c. for either 35 days, which resulted in tumor nodules >1 cm2, or for only 15 days, which resulted in small but palpable tumor nodules. Mice with small but palpable tumors mounted a vigorous Ag-specific immune response to targets expressing the Ld-restricted, β-gal epitope (Fig. 1B, control). However, mice bearing large tumors failed to mount an anamnestic, β-gal-specific CD8+ T cell response.
To determine whether or not the Gr-1+ population that was so prevalent in mice bearing large tumors was responsible for the observed inhibition of Ag-specific CD8+ T cell responses, a fraction of the splenocytes from mice bearing large tumors was depleted with a Gr-1-specific Ab, or an isotype-controlled (IgG2b) Ab before restimulation. The simple depletion of Gr-1+ cells normalized CD8+ T cell function. Indeed, the lytic levels observed were nearly as great as those seen in β-gal-immune mice bearing small, but palpable, tumors (Fig. 1B, compare anti-Gr-1 and control). Isotype-matched mAb did not normalize T cell function (Fig. 1B, IgG2b). Experiments with the CT26 tumor cell line, which also naturally produces GM-CSF, yielded similar results (data not shown). Our results with mice bearing CT26 are consistent with those previously published by G. Nabel and colleagues (32) in which mice bearing this tumor were found to have large numbers of CD11b+ cells in their spleens and inhibition of allospecific responses. Therefore, the newly induced population of CD11b+/Gr-1+ cells appeared to be responsible for the abrogation of CD8+ T cell function.
We have previously shown that purified CD8+ T lymphocytes obtained from splenic preparations of mice with high levels of CD11b (Mac-1)+/Gr-1+ suppressor cells are normally responsive (24). Thus, the inhibition observed is not a quality of the CD8+ T cells, but is solely a quality of the CD11b/Gr-1 double-positive population.
GM-CSF, not the tumor-bearing state, drives the production of CD11b+/Gr-1+ cells
To determine whether or not the CD11b+/Gr-1+ cells were induced by GM-CSF or some other stimulus from the tumor, the murine melanoma, B16, which does not normally produce GM-CSF, was retrovirally transduced with the cDNA for mouse GM-CSF. Immediately following transduction, transduced B16 were cloned. To minimize clonotypic variability, several clones were isolated that released comparable amounts of the cytokine (600−900 pg/ml; Table II).
Table II
Tumor | Tumor Size (mm)b | GM-CSF in vitro (pg/ml)a | GM-CSF in Vivo (pg/ml)b | CD11b+ Splenocytesb | Anti-β-Gal Response (LU30/106 Cells)c |
---|---|---|---|---|---|
No tumor | Negative | — | ND | 1.8 | 213 |
B16 wt | 17 × 16 | 0 | 0 | 3.0 | 196 |
GM42 | 17 × 16 | 671 | 84.5 | 12.2 | <10 |
GM32 | 13 × 13 | 719 | 301.2 | 12.0 | 15 |
GM15 | 17 × 14 | 894 | 800.7 | 17.4 | <10 |
GM19 | 11 × 10 | 868 | 115.2 | 9.3 | <10 |
GM37 | 17 × 13 | 690 | 158.5 | 13.1 | <10 |
GM34 | 10 × 10 | 877 | 146.0 | 7.5 | 14 |
GM12 | 18 × 12 | 702 | 11.7 | 8.3 | 10 |
GM47 | 18 × 15 | 626 | 172.1 | 11.2 | 10 |
Mice were vaccinated with β-gal rVV to establish β-gal-specific memory T cells (33, 34). Three weeks later, they were inoculated s.c. with either parental B16 (B16 wt) or one of the GM-CSF-producing clones. Tumors were allowed to grow for 14 days. Interestingly, no significant difference in the growth rate was observed between any of the GM-CSF-producing clones and the parental tumor, indicating that the levels of GM-CSF secretion were not sufficient to cause tumor rejection (Table II). Two weeks after tumor inoculation, we were able to detect increased serum levels of GM-CSF in mice bearing gene-modified tumors but not in mice bearing parental tumor, indicating that cytokine production had not been silenced in vivo (Table II). As seen with CT26 and TS/A, cytofluorometric analysis of spleens from mice bearing GM-CSF-transduced tumors demonstrated an increase in the percentage of the CD11b+ cells (Table II).
The lytic activity against β-gal after in vitro stimulation of the spleens with the Kb-restricted β-gal peptide in control mice were similar to those found in mice bearing the B16 wild-type tumor (B16 wt). In sharp contrast, growth of all the subclones producing GM-CSF (GM15−47) resulted in the inhibition of the anamnestic CD8+ T cell responses, as indicated by the reduction of the lytic units in the peptide-stimulated cultures. These data suggest that GM-CSF production by tumors cells can inhibit CD8+ T cell responses.
Recombinant GM-CSF administered alone induces CD11b+/Gr-1+ cells and inhibits CD8+ T cell function
To further test the hypothesis that GM-CSF was directly responsible for the increase in CD11b+/Gr-1+ cells, a 3-day cycle of recombinant mouse GM-CSF was administered twice daily to β-gal immune mice and naive controls. The administration of GM-CSF caused an increase in CD11b+/Gr-1+ cells in the spleens of treated mice (Fig. 2A) and inhibited the immune responses observed after stimulation with β-gal peptide (Fig. 2, B and C). These data demonstrated that a exposure to GM-CSF was sufficient to induce both the appearance of a distinct population of CD11b+/Gr-1+ cells and to induce CD8+ T cell inhibition.
Inhibitory cells express some immature APC markers such as CD11b and F4/80 and are CD11clow but lack the expression of costimulatory molecules and MHC class II
To characterize the inhibitory population of CD11b+ cells in greater detail, splenocytes were positively selected from the spleens of TS/A-bearing mice with anti-Gr-1 mAb and were cultured in vitro in standard medium. After 7 days of culture, a homogenous population of weakly adherent cells was isolated that retained its ability to inhibit T lymphocyte function (see Fig. 4A, “no cytokine”). We sought to characterize the phenotypes of these cells in more detail. For comparison, we simultaneously prepared a population of “classical” DC from naive mice using an established protocol (compare Fig. 3A with granulocyte-monocyte progenitor cells, Fig. 3B).
Immature markers for APC in the granulocyte-monocyte lineage stained positive including F4/80 and CD11b (also known as CD11b, integrin αM chain and Ly-40) (Fig. 3B). The expression of CD11c (integrin αχ chain) in the purified inhibitory cell was low, and cytofluorometric quantification of these cells varied somewhat from experiment to experiment with CD11cdim cells comprising between 25 and 60% (compare with Fig. 4B, “no cytokine”). Interestingly, expression of Gr-1 (Ly-6G), another granulocyte-monocyte lineage marker, was present early but was consistently lost both when the cells were prepared from tumor-bearing mice or from mice that received a short course of GM-CSF.
Clearly, these inhibitory cells differed from “classical” mature DC and activated monocytes and macrophages most significantly by their lack of uniform expression of the costimulatory molecule B7−2 (CD86/B70/Ly-58). They also lacked the expression of DEC 205 (NLDC-145), a protein involved in carbohydrate endocytosis and Ag presentation (Fig. 3A vs 3B) (35). “Classical” DC, and activated macrophages for that matter, express high levels of MHC class II, whereas the inhibitory cells were consistently negative. While the cell surface marker CD16 (FcγRIII) is found in low quantities on DC and is a developmental marker on monocytes and macrophages, the inhibitory cells were negative. Normal levels of MHC class I were present, and there was no expression of T and B lymphocyte markers (data not shown), excluding the possibility that these CD11b+/Gr-1+ were CD8a+ as recently described for a subpopulation of DC with a suppressive function (36, 37). Cells with similar granulocyte-monocyte progenitor markers were found in C57BL/6n and BALB/c after induction, in vivo, with twice daily regimen of GM-CSF alone given for 3 days (data not shown).
Inhibitory cells prevent CD8+ T cell generation through a contact-dependent mechanism
We next investigated the mechanism used by CD11b+/Gr-1+ cells to inhibit CD8+ cell function. To determine whether soluble factors were responsible for the suppression, we did experiments in which inhibitory APC were cultured either together with, or in close proximity to, an allogeneic MLC. The anti-H-2b MLC was generated by admixing BALB/c (H-2d) splenocytes with irradiated C57BL/6n (H-2b) splenocytes. Inhibitory cells, which were enriched from mice bearing TS/A tumors, were allowed to differentiate in vitro in medium devoid of exogenously added cytokines. These inhibitory cells were then added to MLC, either in the same well, or in a transwell. The effectors were then tested in a micro-cytotoxicity assay against syngeneic (LSTRA) or allogeneic (MBL-2) targets.
The secretion of soluble factors, such as inhibitory cytokines, by the CD11b+/Gr-1+ population may be expected to inhibit the allo-MLC reaction when the inhibitory cells were placed in diffusion chambers. However, as shown in Fig. 4, no such inhibition was observed, and the MLC functioned normally when the inhibitory cells were in transwells. Indeed, it appeared from this experiment that cell-cell contact was required for the immunosuppressive activity of the inhibitory cells, since suppression of allospecific cytolysis was observed only when the Gr-1+-derived population was not separated by a membrane from the population responsive to stimulation with allogeneic cells.
Inhibitory cells can be differentiated into fully functional APC when GM-CSF is given in combination with IL-4
Based on their phenotype, we hypothesized that these cells were immature APC in the granulocyte-monocyte lineage, developmentally blocked in their ability to mature into function APC capable of activating T lymphocytes. One way of measuring the T cell stimulatory capacity of APC is the use of a MLR (9, 38).
To test the hypothesis that these inhibitory cells were APC progenitors, arrested in their development, we did an experiment in which we isolated cells previously shown to be inhibitory (see Fig. 2), as described above, from TS/A-bearing mice. These inhibitory cells were then exposed to either no cytokines, GM-CSF alone, IL-4 alone, or to a combination of GM-CSF and IL-4. After 6 days of differentiation, these cells were tested for their function and phenotype. The cells were cytofluorometrically analyzed for three markers (MHC class II, B7−2, and CD11c) of “mature” APC and simultaneously added to a MLC to test their function. Specifically, these cytokine treated cells comprised 3% of the total cells in a MLC in which BALB/c splenocytes (H-2d) were mixed with γ-irradiated C57BL/6n splenocytes (H-2b).
Phenotypically, cells partially differentiated under the influence of GM-CSF alone had an up-regulation of B7−2 expression (Fig. 5B). Functionally, these cells retained their ability to inhibit T cells, although some variability was observed (Fig. 5A). Addition of IL-4 alone resulted in a high level of CD11c expression but a low level of B7−2. Again, these cells remained inhibitory. But when the cells were differentiated with a combination of GM-CSF and IL-4, we observed a significant up-regulation of B7−2 and CD11c, but no significant MHC class II was induced (I-Ad/I-Ed). More importantly, cells differentiated under the combined effects of GM-CSF and IL-4 resulted in an enhanced anti-H-2b response.
These data indicated that the CD11b+/Gr-1+ cells could be differentiated into functional APC when placed in the appropriate cytokine environment. Nevertheless, coinoculation of 5 μg of mouse IL-4, twice daily for 3 days, together with GM-CSF, was not sufficient to revert suppression of CD8+ T lymphocyte anamnestic response to β-gal, despite a 40−50% reduction in the number of CD11b+/Gr-1+ splenocytes (V.B. and N.P.R., unpublished data). Apparently, the in vivo effect of GM-CSF on recruitment and maturation of suppressor cell precursors was dominant.
Discussion
Our results indicate that some tumor cells can inhibit CD8+ T cell function through their production of GM-CSF and its effects on the development of cells in the granulocyte-monocyte lineage. Initially, this finding appears to conflict with the previously described adjuvant effects of tumor cells gene-modified with GM-CSF (18). Like many other investigators, we have independently confirmed that γ-irradiated B16, gene-modified to produce GM-CSF, can induce long-lasting CD8+ T cell responses against the parental tumor (data not shown).
It is puzzling that the growth of B16 clones secreting GM-CSF inhibited CD8+ T cell function while the same tumor cells, irradiated and administered s.c., protected from a challenge with the parental B16. One of several possibilities is that when tumor cells are lethally irradiated, their GM-CSF production may be limited in duration compared with nonirradiated tumors that grow progressively. Short-term, local expression of GM-CSF might allow for the terminal differentiation of dermal DC (Langerhans cells) (39), whereas, the more sustained or systemic presence of GM-CSF alone may cause the egress of inhibitory granulocyte-monocyte progenitors from the bone marrow. Indeed, our data demonstrate that a GM-CSF-producing tumor must grow for 2−5 wk in vivo before CD11b+/Gr-1+ cells appear in the spleen (see Fig. 1A). There is also likely to be a threshold serum level at which GM-CSF acts in this fashion. Furthermore, γ-irradiation of cells has been linked with the induction of caspase-dependent apoptotic death (40–42). Apoptotic death of tumor cells may elicit the production of inflammatory cytokines by resident macrophages. IL-1β, in particular, is activated by caspase-1, also known as ICE (IL-1β converting enzyme), the homologue of CED-3 (43). Together with other inflammatory cytokines, the microenvironment of the dying GM-CSF gene-modified tumor may stimulate the maturation of APC (15). In addition, apoptotic death may result in the selective uptake of fragmented cells by mature DC and other activating APC (44).
The main reason why we should be concerned about the ectopic release of GM-CSF by tumors relates to our current efforts to develop effective therapeutic cancer vaccines (45). Although these efforts have met with some real success in the clinic, most patients do not respond to our attempts at intervention (3).
GM-CSF can act effectively in concert with other cytokines to induce the maturation of APC (9). However, we found that GM-CSF given alone appears to elicit granulocyte-monocyte progenitor cells from the bone marrow that fail to develop into functional APC in the periphery. Other reports are consistent with these observations. The daily administration of GM-CSF (at doses similar to those used in this study) had virtually no effect on the splenocytes with a DC phenotype (46). In another study, transgenic mice overproducing GM-CSF exhibited only a modest increase in the number of DC in the thymus and spleen (47). Bone marrow cell cultures stimulated with GM-CSF alone do not induce mature DC, but induce a population of what Starzl and colleagues (48) call “DC-progenitors.” These bone marrow cells, phenotypically characterized as class IIlow, B7−1dim, B7−2 negative, functionally induce hyporesponsiveness in allogeneic T cells (48). Further, these cells were able to significantly prolong cardiac allograft survival when transferred to graft recipients (49). Finally, the addition of IL-4 to the GM-CSF regimen corrected the defects in class II and costimulatory molecule expression and eliminated the anergizing capability of these “dendritic precursor” cells (48). Thus, GM-CSF appears to have an important, but not singular influence on APC homeostasis and differentiation.
Other cytokines produced by tumors may act in concert with GM-CSF to dysregulate the maturation of APCs and inhibit T cell activity. TGF-β interferes with the development and function of DC (9). IL-10 can suppress DC function and differentiation in addition to shifting the balance of a Th1 response toward the Th2 type response (50–53). Vascular endothelial growth factor (VEGF) has also been shown to impair the generation of mature DC from granulocyte-monocyte progenitor cells (53, 54). TS/A tumor cells used in this study have been shown to produce VEGF and TGF-β, in addition to various CSF (55, 56). In addition, tumor cells have been shown to evade immune recognition by a variety of mechanisms that include poor Ag processing, loss of β2-micro-globulin, loss of Ag, and production of immunoinhibitory cytokines (57–59). The expression of Fas ligand by tumor cells is still controversial (60, 61). In any case, tumor cells may use one or more of these mechanisms to subvert immune responses, although the administration GM-CSF by itself was sufficient to abrogate the development of mature APC.
The mechanism used by the granulocyte-monocyte progenitor cells to inhibit the effector function of CD8+ T cells is unknown. However, we are currently investigating several potential mechanisms. It has been reported that inhibition of T lymphocyte reactivity could be induced by a subclass of CD8a+ lymphoid-derived DC. This inhibition could be reversed with exogenous IL-2 (36). Recently, these authors went on to demonstrate that the apoptotic death of CD4+ T cells induced by this subpopulation of DC was mediated by Fas (CD95/Apo-1) ligand (37). The cells described in this report are phenotypically quite different from the CD8a+ DC described above, but they have a striking resemblance to the bone marrow-derived “DC-progenitors” that develop under the influence of GM-CSF (48, 49). The T cell defects induced by these previously reported “DC-progenitors” could be reversed by the addition of an anti-CD28 mAb or with exogenous IL-2 (48). Thus, the unresponsiveness of the CD8+ T lymphocytes upon stimulation through their clonotypic receptors may result from a deficit in costimulation and cytokine signaling.
The beneficial effect of GM-CSF administration in immunocompromised patients after bone marrow or stem cell transplantation has been documented since the late 1980s (62). This effect may be in apparent conflict with our results. However, GM-CSF is thought to accelerate the recovery of mature granulocytes, a component of the innate immune system. Granulocytes and other phagocytes are the first line of defense in the nonspecific neutralization of infectious agents. Our results suggest that GM-CSF may inhibit the adaptive immune system, including CD8+ T cell function, while favoring the function of the innate immune system.
On the basis of our findings, we propose that the alterations in the immune response induced by some malignancies are a consequence of the induction of granulocyte-monocyte progenitor cells that are unable to mature into functional APC due to the unopposed secretion of GM-CSF. In the absence of costimulation and the appropriate cytokine mileu provided by mature APC, it may not be possible to initiate or sustain immune reactivity at the tumor site. Additional experiments are needed to evaluate whether or not these CD11b+/Gr-1+ cells are recruited when GM-CSF is employed as immune or hemopoietic adjuvant, especially when large doses of this cytokine are administered systemically. The induction and isolation of granulocyte-monocyte progenitor cells may represent a powerful therapeutic tool to control the unrestrained immune reactivity associated with autoimmune diseases and transplant rejections.
Acknowledgments
We thank P. Segato for editing the manuscript, D. R. Surman for help and advice with many aspects of the work presented here, P. Spiess and D. Jones for help with the animal experiments, M. Blalock for expert graphics, E. P. Shulman and K. R. Irvine for tissue culture preparations, and A. Mixon for the flow cytometry experiments.
Footnotes
1This work was supported in part by the Strong Children's Research Center (Rochester, NY) (to M.W.) and by the Istituto Superiore Sanità (ISS) Italy-US cooperation program for the therapy of cancer, Grant 981/A.14 (to V.B., E.A., and A.C.).
3Abbreviations used in this paper: TAA, tumor-associated Ags; DC, dendritic cell; β-gal, β-galactosidase; CM, culture medium; rVV, recombinant vaccinia virus.
References
Full text links
Free after 12 months at www.jimmunol.org
http://www.jimmunol.org/cgi/content/full/162/10/5728
Free after 12 months at www.jimmunol.org
http://www.jimmunol.org/cgi/reprint/162/10/5728
Free to read at www.jimmunol.org
http://www.jimmunol.org/cgi/content/abstract/162/10/5728
Citations & impact
Impact metrics
Article citations
Convergent inducers and effectors of T cell paralysis in the tumour microenvironment.
Nat Rev Cancer, 24 Oct 2024
Cited by: 0 articles | PMID: 39448877
Review
Tissue- and Temporal-Dependent Dynamics of Myeloablation in Response to Gemcitabine Chemotherapy.
Cells, 13(16):1317, 07 Aug 2024
Cited by: 0 articles | PMID: 39195207 | PMCID: PMC11352862
Dysfunction of dendritic cells in tumor microenvironment and immunotherapy.
Cancer Commun (Lond), 44(9):1047-1070, 25 Jul 2024
Cited by: 1 article | PMID: 39051512 | PMCID: PMC11492303
Review Free full text in Europe PMC
Chemoradiotherapy and Lymph Node Metastasis Affect Dendritic Cell Infiltration and Maturation in Regional Lymph Nodes of Laryngeal Cancer.
Int J Mol Sci, 25(4):2093, 08 Feb 2024
Cited by: 1 article | PMID: 38396770 | PMCID: PMC10888629
Dose-Specific Intratumoral GM-CSF Modulates Breast Tumor Oxygenation and Antitumor Immunity.
J Immunol, 211(10):1589-1604, 01 Nov 2023
Cited by: 3 articles | PMID: 37756529 | PMCID: PMC10656117
Go to all (244) article citations
Similar Articles
To arrive at the top five similar articles we use a word-weighted algorithm to compare words from the Title and Abstract of each citation.
Identification of a CD11b(+)/Gr-1(+)/CD31(+) myeloid progenitor capable of activating or suppressing CD8(+) T cells.
Blood, 96(12):3838-3846, 01 Dec 2000
Cited by: 312 articles | PMID: 11090068 | PMCID: PMC2734459
Dendritic cells generated in the presence of granulocyte-macrophage colony-stimulating factor and IFN-alpha are potent inducers of HIV-specific CD8 T cells.
AIDS, 17(12):1731-1740, 01 Aug 2003
Cited by: 32 articles | PMID: 12891059
Competent antigen-presenting cells are generated from the long-term culture of splenocytes with granulocyte-macrophage colony-stimulating factor.
Immunol Lett, 188:96-107, 30 Jun 2017
Cited by: 5 articles | PMID: 28673654
Immature myeloid cells and cancer-associated immune suppression.
Cancer Immunol Immunother, 51(6):293-298, 24 Apr 2002
Cited by: 189 articles | PMID: 12111117 | PMCID: PMC11034227
Review Free full text in Europe PMC
Funding
Funders who supported this work.
Intramural NIH HHS (2)
Grant ID: Z99 CA999999
Grant ID: Z01 BC010763-01