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1 Department of Pathology, Massachusetts General Hospital, Boston, MA;
2 CytoCure LLC, Beverly, MA;
3 The Boston Biomedical Research Institute, Watertown, MA;
4 The Institute for Immunology and Allergy Research, ICPMR and 5 Department of Immunopathology, Westmead Hospital, Westmead, New South Wales, Australia; and
6 Catholic University, Largo A. Gemelli, Rome, Italy
Requests for reprints: Paul J. Durda, Department of Pathology, Massachusetts General Hospital, Warren 508, 100 Blossom St., Boston, MA 02114. Phone: (617) 724-1613; Fax: (617) 726-2365. E-mail: pdurda{at}partners.org
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| Introduction |
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In studies of the immune response to melanomas, several melanocyte lineage antigens have been identified as targets of T lymphocytes, including the MAGE antigens, Melan-A/MART-1, gp100, and tyrosinase (3, 8). Recognition that cell-mediated immunity against these antigens could be enhanced in vivo by vaccination with immunodominant antigens, such as the HLA-A2-restricted Melan-A/MART-1 peptide epitope (AAGIGILTV) (9), has been exploited in clinical trials by several groups (10, 11). However, escape from T-cell recognition of Melan-A/MART-1-negative tumors has limited the efficacy of protocols targeting this antigen (37).
The loss of melanocyte differentiation antigens represents one of several routes by which melanomas can escape immune destruction (36, 12, 13). Others include the loss of peptide-presenting HLA antigens (5, 6) and defects in the antigen-presenting machinery (4). Poor immunogenicity of tumors, due in part to lack of co-stimulatory molecules such as B7 (12, 13), has also been noted. Tumor heterogeneity and the variety of effector functions manifested by tumor-infiltrating lymphocytes (TIL) (1417) are indicative of the complex host-tumor interactions. Nevertheless, there is ample evidence that tumors can be immunogenic, and that it is possible to generate specific antitumor T-lymphocyte responses in vivo. In addition to vaccine-enhanced immunity (37), our own studies demonstrated that tumor-bearing patients can spontaneously produce tumor-specific T cells that proliferate, migrate, and accumulate in tumor deposits (18). The prognostic implications of an inflammatory infiltrate in melanomas were a seminal observation suggesting the salutary effects of the host response (19). The finding that tumor-specific cytotoxic T lymphocytes (CTL) can often be isolated from antigen-expressing tumors (20) suggests that such TIL may be responsible in part for the positive prognostic implications of intense lymphocytic infiltrates, even in metastatic melanomas. Conversely, the loss of critical tumor-associated antigens could result in the lack of lymphocytic infiltrates that has been associated with more aggressive diseases.
Still, a paradox remains: if the tumor-infiltrating lymphocytes include tumor-reactive T cells, how do tumors continue to grow and metastasize? Our previous finding that tumors can down-regulate expression of the very antigens recognized by infiltrating lymphocytes suggested that tumors have developed the ability to escape immune detection (14). In this report, we show that oncostatin M (OSM) is one of the cytokines controlling Melan-A/MART-1 expression, which may help explain the loss of lytic activity of TIL against autologous tumors. The identification of OSM as an agent that regulates antigen expression has allowed us to evaluate its effect on a panel of melanocyte lineage antigens, including Melan-A/MART-1, tyrosinase, gp100, tyrosinase-related proteins 1 and 2 (TRP-1, TRP-2), and a series of "control" proteins including HLA-A2, ß-actin, and glyceraldehyde-3-phosphate dehydrogenase (GAPDH). We have also evaluated the expression of the melanocyte lineage-specific microphthalmia transcription factor (MITF-M) as compared to the related, but more widely expressed, MITF-A isoform (2125). Because MITF-M is known to regulate the ability of pigmented cells to develop and survive, modulation of this specific isoform would provide evidence that such regulatory proteins participate in directing antigen expression and tumor cell differentiation (26). Transcription factors targeted by OSM may be responsible, at least in part, for the altered state of differentiation and antigen expression. Cytokine-driven silencing of a series of melanosome-associated antigen-encoding genes, present on different chromosomes, supports the hypothesis that the altered tumor phenotypes result from gene regulatory mechanisms ("antigen silencing"), as opposed to an accumulation of gene deletions and point mutations in each of the melanosome-associated genes.
The term antigen silencing refers to a form of gene silencing that results in the loss of expression of molecules targeted by the host immune response. There are multiple mechanisms mediating gene silencing in mammals as well as lower species, caused by such diverse processes as DNA hypermethylation (27), double-stranded RNAs (28, 29), altered promoter occupancy by transcription factor complexes (30), and recruitment of co-repressors to target gene promoters (31, 32). These gene-silencing events have diverse outcomes ranging from the prevention of unregulated cell division (33, 34), to the stimulation of cancer cell growth by inhibiting checkpoints to growth (35). Therefore, it is not surprising that some of the genes that are silenced are those related to cellular differentiation, and thereby to expression of lineage-specific antigens. Just as there is evidence that gene silencing is reversible with respect to loss of hormone receptors in tumor cells (36), the prevention and/or reversal of antigen silencing represents a potentially important goal for enhancing clinical immunotherapy.
| Results |
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0.03 A280 units) and bound material was then eluted with 1.5 M KCl in 20 mM KPO4 buffer (pH 7.4). Approximately 80% of the original activity was recovered from Red Sepharose in the eluate fractions. The A280 of the collected fractions was measured and fractions having an A280 > 0.05 were pooled, concentrated using a Centriprep YM-10 concentrator, and buffered exchanged with concanavalin A (ConA) binding buffer [20 mM Tris (pH 7.4), containing 0.5 M NaCl, 1 mM CaCl2, and 1 mM MnCl2]. After the Red Sepharose eluate was buffer exchanged and concentrated to 5 ml, it was loaded onto a ConA-Sepharose column. Again unbound material was collected as bulk fractions and the column was washed with binding buffer until the A280 was down to baseline. Bound material was eluted using 0.5 M methyl
-D-mannopyranoside in 20 mM Tris (pH 7.4) containing 0.5 M NaCl without divalent cations. Approximately 50% of the original MASA was recovered at this step. Fractions of the eluate having an A280 > 0.03 were pooled, concentrated, and buffer exchanged against PBS. Further fractionation by gel filtration on Sephadex G-50 partially resolved the MASA into fractions separate from the major protein peak that is at the void volume of this particular column (see Fig. 1). Antigen down-modulating activity (MASA) chromatographed at approximately Mr 22,000 (fractions 2830 in Fig. 1B). Active fractions such as #30 contained less than 0.1% of the protein in the starting samples.
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Mr 22,000 was cut from gels (e.g., fractions 28, 29, and 30 above) and subjected to high sensitivity, proteolytic, mass spectroscopic, amino acid sequence analysis (LC/MS) by the Harvard University Microchemistry Group, Cambridge, MA. Sequencing results indicated that peptides from seven known human proteins were present in the band that corresponded to the MASA: tissue inhibitor of metalloproteinases; collagen (type V); interleukin 6 (IL-6) precursor; thrombospondin 1 precursor; stanniocalcin; OSM; and tissue factor pathway inhibitor 2 (TFPI2). The peptides corresponding to OSM sequence were QTDLM*QDTSR and SGLNIEDLEK, which correspond respectively to amino acids 4554 and 126135 of the OSM precursor. In addition, peptides from three proteins of bovine origin were also found: prostaglandin-H2 D-isomerase precursor;
-1-microglobulin precursor; and prothrombin precursor.
Antigen Silencing by Recombinant Human OSM
Each of the human biomolecules identified by sequencing was tested at four different concentrations for the ability to down-modulate Melan-A/MART-1 expression in MU tumor cells. Only recombinant human OSM (rhOSM) showed antigen-silencing activity. rhOSM at 1020 ng/ml showed maximal Melan-A/MART-1 down-modulating activity that was comparable to activity present in the unfractionated EW supernatant (see Fig. 2, first panel versus second panel). In addition to Melan-A/MART-1, OSM also down-modulated gp100 expression (fourth panel, Fig. 2). An ELISA assay for OSM showed that EW supernatants contained approximately 1 ng/ml, while the supernatants from two other antigen-negative melanomas, A375 and IGR39-D, did not contain detectable OSM. It is noteworthy that approximately 10-fold more rhOSM was required to achieve antigen silencing comparable to that effected by EW supernatant containing 1 ng/ml. The EW-produced OSM was the only "natural" OSM we tested, but differences in bioactivity between recombinant and natural cytokines have frequently been observed (3739).
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OSM Production by Melanomas
As we have shown that Melan-A/MART-1-deficient melanoma cell lines, such as A375 and EW, produce soluble factors that down-modulate antigen expression in cells that would otherwise be constitutively positive for antigen expression (14), we determined the natural repertoire of gene expression of OSM in a series of antigen-positive and antigen-deficient cell lines. We assessed four Melan-A/MART-1-expressing melanoma cell lines (136.2, 453A, MM96L, and MU), and an additional four melanoma lines that have weak or virtually no Melan-A/MART-1 expression (MU-X, EW, IGR-39D, and A375), and the phorbol 12-myristate 13-acetate-activated myelomonocytic cell line U937 that secretes abundant OSM. Among the melanomas, only EW secretes measurable amounts of OSM protein (as determined in ELISA), but an additional three cell lines show detectable OSM mRNA expression [by reverse transcription (RT)-PCR], albeit weaker than EW (Fig. 3). On the other hand, MM96L, 453A, and A375 appear to be deficient for significant levels of OSM mRNA transcripts (Fig. 3). Also presented in Fig. 3 are data on gp130 and OSM receptor expression. All of the melanoma cell lines contained mRNA coding for those two proteins which constitute the OSM receptor complex (40). The control cell line Ramos showed gp130 but not OSM receptor expression. Primers encompassing the entire OSM coding sequence (confirmed by sequencing) also allowed amplification of a product from EW cells and stimulated U937 cells (data not shown).
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Down-Modulation of Multiple Melanocyte Lineage Antigens
In addition to the down-modulation of cytoplasmic protein expression of Melan-A/MART-1 and gp100 (Fig. 2), OSM down-modulated steady-state mRNA levels for these antigens as well as other melanocyte lineage proteins, including tyrosinase, TRP-1, and TRP-2 (see Fig. 5). These effects, monitored by RT-PCR, were highly reproducible (20 independent experiments). Titration of target amounts consistently showed reduction of product levels (for melanocyte lineage antigens) from OSM-treated cells relative to control cells (Fig. 5, bottom four panels). On the other hand, with titration of control targets such as MITF-A (shown in Fig. 5, lowest right panel) and ß-actin (not shown), no effect of OSM was observed. A similar OSM-induced differential was seen when amplification cycle number was systematically reduced until the threshold of product detection (not shown). These data indicate that OSM signaling results in negative modulation of mRNA levels for the melanocytic markers under scrutiny. However, OSM did not influence steady-state levels of mRNA for control genes: ß-actin and GADPH (Fig. 5). It is noteworthy that OSM induces selective down-modulation of the melanocyte-associated MITF-M isoform, but does not impact the level of the more widely expressed MITF-A isoform (see Fig. 5), thus indicating a level of specificity to the targeting of a melanocyte-specific transcription factor (42) by OSM. Titrations of MITF-M versus MITF-A target quantities in 2-fold decrements from untreated versus OSM-treated MU cells are shown in the bottom two panels of Fig. 5. Because it is known that dysfunction of Mitf in mice impacts the development and survival of melanocytes (21, 2326, 43), it is not surprising that an agent that can down-modulate expression of this transcription factor would have far-reaching effects on the state of differentiation of cells that lose expression of this protein. In addition, we found that Melan-A/MART-1-deficient cells: EW, IGR-39D, MU-X, and A375 are also relatively deficient in protein and mRNA for gp100 and tyrosinase, and are often lacking in TRP-1 and TRP-2 as well (not shown). We have also noted selective absence of MITF-M but retention of MITF-A expression in several of the Melan-A/MART-1-negative tumor lines, including EW, IGR-39D, and MU-X (not shown).
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| Discussion |
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OSM was originally reported to be a product of mononuclear inflammatory cells (45). That OSM is also a product of melanoma cells has recently been reported in a hamster model where unpigmented melanoma cells with enhanced malignant properties were shown to produce OSM, in contrast to their more indolent pigmented counterparts (46). To date, our report is the only other finding of OSM production by melanomas, and the only one in human melanomas. In fact, the anti-proliferative effects of OSM have been proposed as the basis for using OSM as a possible therapeutic agent (45, 47), although more aggressive tumors have been shown to lose responsiveness to OSM (i.e., they no longer slow their growth in the presence of OSM) (48). In contrast, our findings show that OSM may down-modulate a series of melanocyte-lineage antigens targeted by CTL, effectively producing cells with a phenotype expected to be more resistant to immune cytotoxic therapies. In addition to the tumor-produced cytokine, infiltrating inflammatory cells can also produce OSM (45). Ironically, cytokine from such inflammatory cells might actually decrease the expression of antigens that originally attracted them to the site of the tumor. The suggestion that inflammatory cells may influence antigen expression on melanomas was also noted by Giacomini et al. (49) and Le Poole et al. (50), who found that INF-
could down-modulate melanosome antigens. Our own studies confirmed that interferon gamma (IFN-
) could down-modulate Melan-A/MART-1 on 136.2 tumor cells, but did not impact antigen expression on five other melanomas we tested (data not shown), indicating that this cytokine has a differential effect of individual melanomas.
As shown in our previous report, when the MASA-containing conditioned medium was removed from the Melan-A/MART-1-expressing tumor cells, cellular antigen expression was restored (14). Similar recovery of antigen expression was noted following removal of OSM (not shown). Furthermore, as was previously shown using unpurified MASA (14), OSM down-modulation of Melan-A/MART-1 for 3 days results in the cells being less susceptible to T-cell cytolysis (not shown). The addition of Melan-A/MART-1 peptide restores CTL recognition of antigenically down-modulated tumor targets (14), indicating that cytokine-mediated reduction in antigen expression renders these tumor cells less susceptible to recognition by CTL.
Although we have shown that OSM acts through the gp130 receptor, we have not yet confirmed that the binding also requires a second receptor chain as described previously (40). We have, however, tested the other cytokines which signal via the IL-6 receptor gp130 chain (i.e., IL-6, IL-11, CNTF, LIF, and cardiotrophin), and found that none demonstrated antigen down-modulating activity.
In addition to OSM, there are obviously other factors that can regulate the expression of melanocyte differentiation antigens. We have previously shown that EW tumor cell line supernatants manifest antigen silencing by down-modulating the activity of the promoter for the Melan-A/MART-1 gene (14); OSM induces similar promoter down-modulation using the identical luciferase reporter system used for assessment of EW supernatants (not shown). The ability of additional OSM-deficient melanoma supernatants to down-modulate antigen expression, acting via receptor interactions distinct from the gp130 chain of the OSM receptor, demonstrates that there is more than one entry point in the antigen-silencing pathway. As we have not yet purified the molecule(s) present in MASA-2, we do not yet know if there is any structural relationship to OSM, but the lack of activity of MASA-2 via gp130 (shown by the failure of gp130 neutralizing Ab to inhibit MASA-2) suggests that MASA-2 is not a member of the IL-6 family of cytokines that includes OSM (41). Development of more than one mechanism for regulating differentiation and antigen expression indicates the potential importance of antigen silencing for survival of tumor cells in the face of the host immune response.
The data we have presented indicate that tumor cell phenotype is affected by cytokines produced by the tumors themselves, and by host inflammatory cells. Importantly, the OSM-induced loss of antigen expression appears to be the result of regulatory events that lead to the down-modulation of promoter activity for genes encoding T-cell-recognized structures. As the removal of OSM and other cytokines results in the restoration of antigen expression (14), we suggest that potentially reversible regulatory events, rather than presumably irreversible mutational events, lie at the heart of antigen silencing and the immunoselection than ensues.
Furthermore, tumors that have spontaneously lost Melan-A/MART-1 expression generally are low or deficient in other melanocyte-associated antigens, suggesting that these genes (and others) may be controlled in concert. Indeed, the finding that MITF-M (but not MITF-A) can be down-modulated by OSM indicates that selective targeting of the melanocyte-restricted isoform of this transcription factor may prove to be one of the critical regulatory proteins involved in antigen silencing. This is further supported by the finding that melanocyte-restricted transcription factor MITF-M (2125) is selectively absent in several antigen-negative tumor cells, but expressed among the antigen-positive tumor cells. While the altered differentiation induced by OSM affects several melanocyte lineage markers, it is important to note that this cytokine-induced antigen silencing has specificity, because MITF-A, as well as several "housekeeping" genes and HLA Class I antigens, appear to be unchanged. Although there are undoubtedly additional regulatory interactions resulting from OSM-induced changes, it is tantalizing to suggest that diminished MITF-M expression could play a central role in subsequent phenotypic changes in the tumor cells we have studied.
The ability to intervene with agents known to block OSM-activation pathways may provide potential targets for pharmacological intervention to restore melanocyte differentiation to enhance tumor cell antigen expression, and hopefully to improve the outcome of immunotherapies.
| Materials and Methods |
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Reagents
Antibodies: anti Melan-A/MART-1 (clone A103) (51) was generously provided by Dr. Lloyd J. Old, Ludwig Institute of Cancer Research (New York, NY); anti-gp100 Ab (HMB45) was from DAKO Corp. (Carpinteria, CA); monoclonal anti-hOSM (#MAB295) was from R&D Systems (Minneapolis MN); and anti-gp130 (clone B-K5) was from Cell Sciences (Norwood, MA). rhOSM, LIF, CNTF, IL-6, IL-11, and the Quantikine ELISA for measuring OSM were from R&D Systems. Blue Sepharose CL-6B, Red Sepharose CL-6B, activated CH-Sepharose 4B and ConA linked to Sepharose, Heparin-Sepharose, and G-50 Sephadex were from Amersham-Pharmacia Biotech (Piscataway, NJ). Chemicals and other reagents were Analytical Grade from Sigma-Aldrich (St. Louis, MO). Ultra-filtration membrane units, Centricon Plus-20 (with various molecular weight cutoffs) and Centriprep YM-10 and YM-30 were from Amicon/Millipore (Bedford, MA). Oligonucleotides (listed below under "PCR Analysis") were obtained from Sigma-Genosys (The Woodlands, TX).
Tissue inhibitor of metalloproteinase 1 (TIMP-1) was obtained from Oncogene Research Products (Boston, MA). Collagen (type V) was purchased from Research Diagnostics, Inc. (Flanders, NJ). Thrombospondin constructs consisting of residues 1356 and 1359 were obtained from Dr. Deane Mosher of the University of Wisconsin, Madison, WI. These constructs are predicted to contain all of the thrombospondin 1 precursor peptides found on sequencing. Stanniocalcin was the generous gift of Dr. Roger R. Reddel, of the Children's Medical Research Institute, Westmead, Sydney, Australia. rhOSM and recombinant human IL-6 were purchased from R&D Systems. Recombinant human tissue factor pathway inhibitor 2 (TFPI-2) was graciously provided by Dr. Stavros Topouzis of Zymogentics (Seattle, WA).
Solid-phase anti-hOSM was produced by linking anti-rhOSM mAb (R&D Systems) to activated CH-Sepharose 4B according to the manufacturer's protocol.
Treatment of Cells for Evaluation of Antigen Expression
The cell line MU was cultured in DMEM containing 5% fetal bovine serum (14); concentrated supernatants, cytokines, or other biomolecules were added to the medium such that their maximum contribution to the volume was 10%. Cytokines or other biomolecules (the presence of which was determined by protein sequencing) were tested at serial 10-fold dilutions as follows: human thrombospondin (2000 ml to 2 ng/ml); human TIMP-1 (2000.2 ng/ml); human collagen type V (20002 ng/ml); human IL-6 (2000.2 ng/ml); human TFPI-2 (10.01 µg/ml); human stanniocalcin (10.01 µg/ml); and hOSM (1000.01 ng/ml). The other cytokines that signal through the IL-6 family receptor, IL-6, LIF, CNTF, IL-11, and cardiotrophin were tested at 1000.1 ng/ml.
Medium supplemented 1 part in 10 with PBS (the maximum concentration of this diluent for the various agents tested) was always included as a control.
Flow Cytometric Analysis
Flow cytometric analysis of cytoplasmic Melan-A/MART-1 expression was performed as described previously (14). Analyses for gp100 and tyrosinase were performed similarly.
Electrophoretic Analysis
SDS-PAGE was performed under reducing conditions; reagents and 12% gels from Bio-Rad (Hercules, CA) were used according to the manufacturer's directions. Colloidal Coomassie Blue Stain from Novex (San Diego, CA) was used to stain gels to visualize protein bands.
PCR Analysis
Equal quantities of oligo-(dT)18 reverse-transcribed RNAs were subjected to RT-PCR analyses, as previously described (14), using multiple dilutions to establish conditions where initial amounts of control mRNAs resulted in subsaturating amounts of products, with representative template concentrations shown. Primers were designed from appropriate Genbank mRNA and genomic entries and designed to be intron spanning to prevent simultaneous amplification of traces of genomic DNAs. Primer sequences: (Forward {sense}/reverse {anti-sense} pairs) ß-actin (14);
Note that MITF-M and MITF-A share a common reverse primer owing to their shared mRNA 3' regions. Product identities were confirmed by automated sequencing.
Cell-Mediated Lysis
For assessment of Melan-A/MART-1 specific lysis, MU tumor cells were labeled with 51Cr, and cocultured for 4 h with varying numbers of cloned CTLs specific for this antigen, as previously described (14).
| Acknowledgements |
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| Notes |
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Received September 30, 2002; revised February 14, 2003; accepted February 25, 2003.
| References |
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reduces melanosomal antigen expression and recognition of melanoma cells by cytotoxic T cells. Am. J. Pathol., 160: 521528, 2002.This article has been cited by other articles:
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