Abstract
The natural killer group 2 membrane D (NKG2D) activating receptor plays crucial roles not only in host defense against tumors and viral infections, but also in autoimmune diseases. After NKG2D-mediated activation, Natural killer (NK) cells must be regulated to avoid potentially harmful reactivity. However, the negative regulation of these activated NK cells is poorly understood. Here, we reveal that the engagement of NKG2D by its ligand elicits not only target cell lysis, but also NK cell fratricide. Conventional mouse NK cells underwent cell death when cocultured with RMA cells expressing the NKG2D ligand retinoic acid early-inducible protein 1 (Rae-1), but not with RMA cells lacking MHC class I. NK cells from mice deficient for DAP10 and DAP12 or perforin did not undergo death, highlighting the importance of the NKG2D pathway for NK cell death. However, NKG2D does not transmit direct death signals in NK cells. Rather, the interaction between NKG2D and Rae-1 allowed NK cells to acquire tumor-derived Rae-1 by a membrane transfer process known as ”trogocytosis,” which was associated with clathrin-dependent NKG2D endocytosis. NK cells dressed with Rae-1 were lysed by neighboring NK cells through the NKG2D-induced perforin pathway in vitro and in vivo. These results provide the unique NKG2D function in negative regulation of activated NK cells.
Keywords: immunological synapse, intercellular membrane transfer, immune regulation
Natural killer (NK) cells are lymphocytes that mediate rapid response against virally infected cells and tumor cells without prior sensitization. Upon activation, NK cells proliferate and exert effector functions including perforin-mediated cytotoxicity against target cells and cytokine production such as IFN (IFN)-γ (1). In contrast to the pivotal role of NK cells in host defense, persistent expansion of activated NK cells in benign and malignant conditions is often associated with systemic autoimmune diseases (2–4). Therefore, NK cells themselves must be regulated after activation. However, the fate of activated NK cells has not been fully understood.
In IL-2–activated human NK cells, cross-linking stimulation of activating Fcγ receptor CD16 induces not only cytolytic function, but also suicide (5), indicating that activating receptor could transmit the death signal in NK cells under certain conditions. Additionally, a subpopulation of NK cells undergoes rapid apoptosis upon interaction with the NK-sensitive tumor cell line K562 (6, 7), although the molecular mechanism of NK cell death remains largely unknown. Given that K562 cells express natural killer group 2 membrane D ligand (NKG2DL) and are susceptible to NKG2D-mediated cytotoxicity (8), NKG2D as well as CD16 may also elicit activation-induced NK cell death.
NKG2D is an extensively characterized activating NK receptor (9). NKG2D is expressed on essentially all NK cells, and plays a crucial role in NK cell-mediated effector functions (10). Nevertheless, the involvement of NKG2D in activation-induced NK cell death remains unclear. NKG2D recognizes stress-induced self ligands on abnormal cells through a process known as “induced-self” recognition (11). These NKG2DLs include the retinoic acid early-inducible protein 1 (Rae-1), H60, and MULT1 in mice; as well as UL-16 binding proteins, and MHC class I (MHCI) chain-related molecules A (MICA) and B (MICB) in humans (10). Although NK cells had been considered to lyse cells that have lost MHCI expression through “missing-self” recognition (12), expression of NKG2DL renders cells susceptible to NK cytotoxicity, irrespective of MHCI expression (13). Upon recognition of NKG2DL, NKG2D recruits its adaptor proteins DNAX-activating protein 10 (DAP10) and DAP12 in conjunction with adhesion molecules at the cell–cell contact site called NK cell immunological synapse (NK-IS), which provides a platform for intracellular signal transduction leading to perforin degranulation (14–17).
Recently, unique functions of the NK-IS have been reported. We have demonstrated that upon NK-IS formation, NKG2D undergoes ligand-induced down-modulation for negative feedback regulation (18). In addition, upon NK-IS formation, human NK cells rapidly acquire MICA and MICB from tumor cells (19, 20). Such dynamic intercellular protein relocalization is mediated by the transfer of plasma membrane fragments from one cell to another during cell–cell contact; a process known as “trogocytosis” (21). The trogocytosed MICB masks NKG2D on NK cells and suppresses NKG2D-mediated NK cell functions (20). Given that the NKG2DL-expressing cells are susceptible to NK cytotoxicity by induced-self recognition, NK cells exogenously acquired NKG2DL might be lysed by other activated NK cells, called fratricide (22). However, this possibility has not previously been addressed, and the molecular mechanisms underlying NKG2D-mediated trogocytosis have not been previously defined.
We therefore asked whether the interaction between NKG2D and NKG2DL is involved in NK cell death. Furthermore, we investigated the possibility that NKG2D-mediated trogocytosis is a trigger of NK cell fratricide.
Results
NK Cell Death Occurs in an NKG2D-Dependent Manner.
To investigate whether NKG2D and NKG2DL are involved in NK cell death, we addressed the relationship between NK cell cytotoxic activity and NK cell death. We used IL-2–activated C57BL/6 mouse NK cells as effector cells and three target cell lines: mouse T-cell lymphoma RMA cells (RMA), RMA lacking MHCI expression on their cell surface (RMA-S), and RMA stably expressing an NKG2DL, Rae-1δ (RMA/Rae-1δ). Consistent with previous reports (13, 23), NK cells effectively lysed both RMA-S and RMA/Rae-1δ but did not lyse parental RMA (Fig. S1). To address NK cell death, we labeled NK cells with 5-(and-6)-carboxyfluorescein diacetate succinimidyl ester (CFSE) and measured the percentage of propidium iodide (PI)-positive cells in CFSE+ NK1.1+ NK cells cocultured with tumor cells. Surprisingly, within 2 h, more than 20% of NK cells died only when cocultured with RMA/Rae-1δ (Fig. 1 A and B). CFSE− NK1.1− RMA/Rae-1δ were lysed by NK cells in an effector/target (E/T) ratio-dependent manner (Fig. 1C), whereas effector NK cell death was independent of the E/T ratio (Fig. 1B). Confocal microscopy showed that 5-(and-6)-carboxyfluorescein diacetate succinimidyl ester (TAMRA)-labeled NK cells turned to be annexin V-positive after cocultured with RMA/Rae-1δ (Fig. 1D). This NK cell death was significantly inhibited by anti-NKG2D blocking mAb (Fig. 1E). These results suggest that NKG2D and Rae-1 interaction induces not only tumor cell death but also NK cell death. Furthermore, NK cells deficient for NKG2D adaptor molecules DAP10 and DAP12 (DAP10−/−/DAP12−/−) did not undergo cell death (Fig. 1F). Perforin-deficient (Prf−/−) NK cells did not undergo cell death (Fig. 1F), suggesting that NK cell death occurs through the NKG2D-induced perforin pathway. Neither death-inducing ligand such as Fas ligand and TNF-related apoptosis-inducing ligand (TRAIL) (24) nor another NK activating receptor DNAX accessory molecule 1 (DNAM-1) (25) is involved in this process (Fig. 1E). RMA-S are well known to be recognized as missing-self cells to be killed through perforin by NK cells (23). However, NK cells did not die (Fig. 1 A and B) when lysed RMA-S (Fig. S1 and Fig. 1C), excluding the possibility that NK cells simply lyse themselves via self-released perforin. We next addressed the possibility that NKG2D directly transmits death signals in NK cells; however, cross-linking of NKG2D induced IFN-γ production (Fig. S2A), but not NK cell death (Fig. S2B), indicating that NKG2D per se does not transmit death signals. Collectively, these results indicate that NK cell death is mediated by the NKG2D-induced perforin pathway, but NKG2D ligation alone is insufficient to cause NK cell death.
Cell Surface Expression of Rae-1 on NK Cells Is Induced After Coculture with RMA/Rae-1δ.
We hypothesized that NK cells themselves could turn to be target cells after interaction with RMA/Rae-1δ and to be lysed by perforin. Thus, we evaluated alterations of the cell surface expression of NKG2DL on NK cells. Although Rae-1 was not expressed on NK cells, cell surface expression was dramatically induced 2 h after coculture with RMA/Rae-1δ (Fig. 2). MULT1, another NKG2DL, was not expressed on these tumor cells, and MULT1 was not induced on NK cells (Fig. 2). Thus, upon coculture with RMA/Rae-1δ, NK cells turn to be Rae-1δ–positive, which may be recognized by other NK cells, and undergo fratricide.
NK Cells Acquire Rae-1 from Target Cells via Trogocytosis.
To address whether NK cells become Rae-1–positive after Rae-1–expressing tumor cells in vivo, we inoculated wild-type (WT) C57BL/6 mice s.c. with B16/Rae-1ε (Fig. 3A) or RMA/Rae-1δ (Fig. 3B). Two weeks after the inoculation, we observed that DX5+ NK cells infiltrated into tumors, and that these NK cells become Rae-1–positive (Fig. 3 A and B). Because NK cells turn to be Rae-1–positive at 2 h coculture with RMA/Rae-1δ in vitro (Fig. 2), we next performed the short-term in vivo study. Specifically, we injected RMA/Rae-1δ into spleen of recombination activating gene-1–deficient (Rag-1−/−) mice that lack mature T and B lymphocytes, and found that splenic NK cells turned to be Rae-1–positive at 2 h after injection (Fig. 3C). We further aimed to elucidate the mechanism underlying Rae-1 induction on the NK cell surface in vitro. First, we investigated the kinetics of cell surface expression of Rae-1 on NK cells and found it to occur on both freshly isolated NK cells (Fig. S3) and IL-2–activated NK cells (Fig. 3D) within 10 min after coculture. Although Rae-1 transcript was very low but detectable in NK cells (Fig. S4) as well as a wide variety of normal cells (26, 27), the rapid appearance of Rae-1 (Fig. 3D) lead us to address the possibility that NK cells acquire Rae-1 from target cells, rather than through de novo synthesis. We and others have recently reported that NK cells have the ability to acquire cell surface proteins from target cells in a cell–cell contact-dependent manner, referred to as trogocytosis (21, 28, 29). Likewise, acquisition of Rae-1 expression occurred only with direct cell–cell contact and did not occur on NK cells cultured with RMA/Rae-1δ in Transwell plates (Fig. 3E). Notably, C57BL/6 mouse NK cells turned to be BALB/c allele Rae-1γ–positive when cocultured with RMA/Rae-1γ, reinforcing the fact that NK cells acquire tumor-derived Rae-1 (Fig. 3F). Confocal microscopy revealed that NK cells acquired Rae-1 from RMA/Rae-1δ in a cell–cell contact-dependent manner (Fig. 3G). We next evaluated whether NK cells acquire the naturally processed soluble form of NKG2DL, which has been reported in human, but not in mouse (10). Human NK cells also acquire MICA in a cell–cell contact-dependent manner, but not soluble MICA (Fig. S5), suggesting that NK cells acquire only the membrane-bound form of NKG2DL. Collectively, these results indicate that NK cells acquire tumor-derived Rae-1 via trogocytosis.
Trogocytosis of Rae-1 Is Coupled with Clathrin-Dependent NKG2D Endocytosis.
Upon ligation, NKG2D accumulates at the NK-IS, which provides a platform not only for signal transduction, but also for trogocytosis (20). Therefore, we examined the involvement of NK-IS components in trogocytosis. DAP10 and DAP12, which associate with NKG2D at the NK-IS (17), were involved in the trogocytosis of Rae-1 (Fig. 4A). Intercellular adhesion molecule-1 (ICAM-1), which is recruited to NK-IS (30), was not involved in the trogocytosis (Fig. 4B). At NK-IS, a coactivation receptor, 2B4 is engaged by CD48 on target cells (31). Both ligand and receptor is involved in the trogocytosis (Fig. 4B). We next investigated NKG2D signaling leading to trogocytosis by using chemical inhibitors listed in Fig. S6A. DAP10 and DAP12 recruit PI3-kinase (PI3K) and spleen tyrosine kinase (Syk), respectively (10). Combined inhibition of both pathways by LY294002 (PI3K inhibitor) with piceatannol (Syk inhibitor) markedly inhibited the trogocytosis, although LY294002 alone also inhibited at high dose (Fig. 4C). U0126 [mitogen-activated protein kinase kinase/extracellular signal-regulated kinase (MEK/ERK) inhibitor] or PP2 (Src inhibitor) significantly inhibit the trogocytosis only at high dose (Fig. S6B).
Because we have previously demonstrated that ligand-induced down-modulation of NKG2D is mediated by clathrin-dependent endocytosis (18), we next examined the effect of various endocytosis inhibitors (32–34) on trogocytosis (Fig. 4 C and D). Both cytochalasin D (actin polymeization inhibitor) and methyl-β-cyclodextrin (broad endocytosis inhibitor) inhibited Rae-1 trogocytosis (Fig. 4 D and E and Fig. S6D). Interestingly, chlorpromazine (an inhibitor of clathrin-dependent endocytosis), but not filipin (an inhibitor of caveolae-dependent endocytosis), inhibited both NKG2D down-modulation and trogocytosis of Rae-1 (Fig. 4 D and E, and Fig. S6D). In addition, hypertonic media that block clathrin-coated pit formation (35, 36) showed both inhibitions (Fig. 4 D and E and Fig. S6D). These results suggest that NKG2D-mediated trogocytosis is coupled with clathrin-dependent NKG2D down-modulation.
NK Cells Eliminate Rae-1–Dressed NK Cells in Vitro and in Vivo.
To address the fate of Rae-1–dressed (Rae-1acq+) NK cells in vivo, we injected CFSE-labeled Rae-1acq+ NK cells or Rae-1acq− NK cells into spleen of Rag-1−/− mice. After 4 h, we found a significant decrease in the percentage of transferred Rae-1acq+ NK cells in spleen, suggesting that Rae-1acq+ NK cells are eliminated in vivo (Fig. 5 A and B). We next adoptively transferred Rae-1acq+ NK1.1− BALB/c NK cells into C57BL/6 mice or NK-depleted C57BL/6 mice that had been injected with anti-NK1.1 mAb. These Rae-1acq+ BALB/c NK cells were eliminated in C57BL/6 mice, but not in NK-depleted C57BL/6 mice (Fig. S7), suggesting that Rae-1acq+ NK cells are eliminated by NK cells in vivo. To further address whether Rae-1acq+ NK cells directly lysed by other activated NK cells, called fratricide, we next performed in vitro cytotoxicity assay using sort-purified Rae-1acq+ NK cells (Fig. S8A) as target cells on which Rae-1 remains until 24 h after trogocytosis (Fig. S8B). As we expected, Rae-1acq+ NK cells were lysed by WT NK cells, but not by NK cells from DAP10−/−/DAP12−/− or Prf−/− mice, in an E/T ratio-dependent manner, (Fig. 5 C and D). We next addressed whether cell surface expression of Rae-1 is sufficient for NK cell fratricide by using NK cells from Rae-1 transgenic mice (tg) (Fig. S9A) as target cells. Rae-1 tg NK cells are lysed by NK cells in an E/T ratio-dependent manner, but not by NK cells from DAP10−/−/DAP12−/− or Prf−/− (Fig. S9B). Overall, these results suggest that NK cell fratricide is mediated via the NKG2D-induced perforin pathway (Fig. 5E).
Discussion
In this study, we revealed a unique pathway for NK cell fratricide: NK cells acquire NKG2DL from target tumor cells via trogocytosis and are subsequently lysed by other NK cells through the NKG2D-induced perforin pathway (Fig. 5E). Our findings may explain the previously observed phenomena that NK cells undergo death when they interact with tumor cells (6, 7). We further showed that trogocytosis of Rae-1 is coupled with clathrin-dependent NKG2D endocytosis.
Trogocytosis was first observed 40 y ago on mouse T cells, which acquire MHCII from B cells (37). However, the molecular mechanism and physiological relevance of trogocytosis remained unknown for a long period. Recently, it was revealed that the trogocytosis of MHCII by T-cell receptor (TCR) requires the driving force of clathrin-independent TCR internalization, which is dependent on small GTPases TC21 and Rho G-mediated phagocytic machinery (38, 39). Unlike TCR trogocytosis, NKG2D trogocytosis may require the clathrin-dependent NKG2D internalization. In contrast to rapid internalization of NKG2D, the trogocytosed ligand Rae-1 remains on the NK cell surface at a substantial level for at least 24 h (Fig. S8B). Therefore, tumor-experienced NK cells probably lose NKG2D-mediated effector function and are subsequently lysed by other NK cells. Indeed, sort-purified Rae-1–dressed NK cells alone do not die (Fig. 5C; E/T ratio of 0), and these NK cells were lysed by newly added NK cells in an E/T ratio-dependent manner (Fig. 5C), suggesting that Rae-1–dressed NK cells do not attack each other. NK cells that committed fratricide may sequentially acquire Rae-1 and turn to be target cells, generating a negative feedback loop. When NK cells were cocultured with RMA/Rae-1δ, NK cells died most at E/T ratio of 1 (Fig. 1B). The trogocytosis and fratricide may occur most efficiently at E/T ratio of 1. A previous study showed that human NK cell death occurred in an E/T ratio-independent manner when cocultured with K562 (6). It is possible that trogocytosis-mediated NK cell fratricide may be one of the mechanisms of the NK cell death.
NK cells and cytotoxic T lymphocytes (CTLs) were considered to be perforin resistant (40, 41), whereas perforin-mediated fratricide of CTLs was frequently observed (42–44). Therefore, besides Fas ligand, perforin may also play an important role for activation-induced cell death, in particular fratricide. Fratricide is proposed to contribute to memory T-cell homeostasis (45). For instance, CTLs acquire MHCI from their targets (42), and this trogocytosis is considered to promote self-recognition by CTLs, which may be involved in down-regulating the immune response (46). Likewise, we propose that NKG2D trogocytosis-mediated NK cell fratricide could contribute to maintenance of NK cell homeostasis. If tumor cells actively give their NKG2DL to NK cells for immune escape, the perturbation of NKG2D trogocytosis-mediated NK cell fratricide may enhance NK cell-mediated antitumor immunity. However, it may also cause NK cell-mediated host injury. Given that trogocytosis of Rae-1 requires NKG2D signal leading to generation of the pulling force, NK cells may intentionally acquire tumor-derived Rae-1 for the purpose of activation-induced regulation. Although the specific inhibition of trogocytosis is impossible at this moment, identification of a specific molecule that regulates trogocytosis would reveal the physiological relevance of trogocytosis.
Materials and Methods
Mice.
C57BL/6 and BALB/c female mice (6 wk old) were obtained from CLEA Japan. Toshiyuki Takai (Tohoku University, Sendai, Japan) kindly provided DAP10 and DAP12 double-deficient mice. Perforin-deficient mice and Rag-1–deficient mice were obtained from The Jackson Laboratory. Rae-1ε transgenic mice were generated as previously described (47). These mice were maintained under specific pathogen-free conditions and used according to the guidelines of the Tohoku University Institutional Animal Care and Use Committee.
Isolation of Mouse NK Cells.
NK cells were prepared from mouse splenocytes as described previously (28). In brief, splenocytes were incubated with anti-CD4 mAb (clone GK1.5) and anti-CD8 mAb (clone 53-6.7), followed by magnetic beads coated with goat anti-mouse Ig and goat anti-rat Ig Abs (Qiagen). Then CD4-positive cells, CD8-positive cells, and surface Ig-positive cells were removed by magnetic cell sorting. Subsequently, NK cells were positively selected by using phycoerythrin (PE)-labeled DX5 (anti-CD49b) mAb (BioLegend) and anti–PE-conjugated MACS beads (Miltenyi Biotec). Purified NK cells were cultured in growth medium supplemented with recombinant human IL-2 (rhIL-2; 1,000 units/mL; Wako) for 5 d.
Cell Lines.
James C. Ryan (University of California, San Francisco) kindly provided the RMA (H-2b-positive) lymphoma cells and the RMA-S (H-2b-deficient) cells. RMA cells stably expressing Rae-1γ (RMA/Rae-1γ) or Rae-1δ (RMA/Rae-1δ), and B16 melanoma stably expressing Rae-1ε (B16/Rae-1ε), were established as previously described (13).
Trogocytosis and NK Fratricide Assay.
CFSE-labeled IL-2–activated NK cells (1 × 105 per well) and Rae-1–expressing target cells (1 × 105 per well) were cocultured in a 96-well flat-bottom plates for indicated periods at 37 °C. Cells were stained with anti–Rae-1 mAb (186107; R&D Systems), and acquisition of Rae-1 by CFSE+ NK cells was analyzed by FACSCanto II (BD Biosciences). As for the NK fratricide assay, the cytotoxic activity against sort-purified Rae-1–dressed NK cells was analyzed.
Further details for materials and experimental procedures are described in SI Materials and Methods.
Supplementary Material
Acknowledgments
We thank Dr. Lewis Lanier for helpful suggestions, Chika Takahashi and Madoka Itabashi for technical assistance, and Hiromi Yoshida for cell sorting. This work was supported by Grants-in-Aid for Scientific Research from the Japanese Ministry of Education, Culture, Sports, Science, and Technology (to K.O., M.K., and M.N.); and Grants-in-Aid for Scientific Research from the Ministry of Health, Labor, and Welfare of Japan [H22-meneki-ippan-004 (to K.O.) and 005 (to M.N.)].
Footnotes
The authors declare no conflict of interest.
*This Direct Submission article had a prearranged editor.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1300140110/-/DCSupplemental.
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