Abstract
Natural killer cells attack many tumor cell lines and have long been thought to play a critical role in anti-tumor immunity1-7, but the interaction between NK cells and tumor targets is poorly understood. The stimulatory lectin-like NKG2D receptor8-13 is expressed by NK cells, activated CD8+ T cells and activated macrophages in mice11. Several distinct cell surface ligands related to class I MHC molecules have been identified11-14, some of which are expressed at high levels by tumor cells but not by normal cells in adults11,13,15,16. However, no direct evidence links the expression of these “induced self” ligands and tumor cell rejection. Here we demonstrate that ectopic expression of the murine NKG2D ligands Rae1β or H60 in several tumor cell lines results in dramatic rejection of the tumor cells by syngeneic mice. Rejection is mediated by NK cells and/or CD8+ T cells. The ligand-expressing tumor cells induce potent priming of cytotoxic T cells and sensitization of NK cells in vivo. Strikingly, mice exposed to live or irradiated tumor cells expressing Rae1 or H60 are specifically immune to subsequent challenge with tumor cells lacking NKG2D ligands, suggesting application of the ligands in the design of tumor vaccines.
As demonstrated by staining with a tetramerized derivative of the extracellular portion of NKG2D, NKG2D ligands are expressed by the majority of tumor cells tested, including various lymphoid, myeloid, and carcinoma cell lines (ref. 12 and unpublished data). Northern blot analysis revealed that many of the positive cell lines express Rae1 transcripts, while H60 transcripts were limited to only one or two of the cell lines tested (data not shown). Rae1 transcripts have not been detected in normal cells from adult mice15, suggesting that these genes are specifically upregulated in tumor cell lines.
To investigate whether tumor cells expressing NKG2D ligands stimulate anti-tumor immune responses, we used a retrovirus expression system to ectopically express high levels of Rae1β or H60 in EL4, a thymoma, RMA, a T cell lymphoma and B16-BL6, a melanoma. These cell lines are all from C57BL/6 (hereafter B6) mice and do not normally express NKG2D ligands11. Ligand-transduced cells were selected based on staining with NKG2D tetramers. To serve as controls, tumor cells transduced with empty retrovirus vector (designated as EL4/−, B16/− and RMA/−) were selected by genomic PCR (see Methods).
For analysis of the response to EL4 and B16-BL6 tumor cells, groups of five B6 mice were inoculated subcutaneously with syngeneic tumor cell transductants. Control-transduced EL4 or B16-BL6 cells grew progressively at a rate similar to untransduced cells (Fig. 1a, c, d, data not shown), leading to uniform terminal morbidity by approximately 28 days. Strikingly, Rae1β- or H60-transduced tumor cells of both types were rejected rapidly and completely, as they failed to yield detectable tumors at any time point (Fig. 1a, c, d). A ten-fold increase in the dose of Rae1β- or H60-transduced EL4 cells (to 5 × 107 cells) did not change the outcome, while a higher dose (1×105 ) of Rae1β- or H60-transduced B16-BL6 cells resulted in progressive, though substantially delayed, tumor growth in all the mice compared to the control-transduced tumor cells (data not shown). Ligand-transduced tumor cells of both types also failed to grow in B6 mice that had been depleted of CD8+ T cells or in B6-Rag1−/− mice, which lack all T and B cells, but grew progressively in normal and B6-Rag1−/− hosts that had been depleted of NK1.1+ cells (Fig. 1a-e). Thus, these doses of Rae1β- or H60-transduced EL4 cells and B16-BL6 cells are rejected rapidly by conventional NK cells without a requirement for T and B cells, including NK1.1+ T cells or γδ T cells. Interestingly, Rae1β- or H60-transduced B16-BL6 cells reproducibly exhibited retarded growth in NK-depleted B6-Rag1−/− mice (Fig. 1e). It is possible that a residual response against these cells is mediated by non-lymphoid cells such as macrophages, or by small numbers of NK cells that survive antibody treatment.
Rae1β- or H60-expression by B16-BL6 cells also reduced the frequency of lung metastases by over 10-fold after i.v. injection (Fig. 1f). In another experiment where mice were examined at a later time point, control-transduced B16-BL6 cells formed massive contiguous lung metastases, but ligand-transduced B16-BL6 cells were almost completely rejected (Fig. 1g). NK1.1-depletion before tumor cell inoculation dramatically depressed the rejection of the metastases.
Rae1β- or H60-transduced RMA tumor cells were also rejected by B6 mice (Fig. 2). Unlike the responses to the other tumor cells, however, the primary rejection of ligand-transduced RMA cells was mediated by both CD8+ T cells and NK cells, though the specific outcome depended on the dose of tumor cells. Depletion of both NK1.1+ cells and CD8+ T cells was necessary to abrogate rejection of the smallest inoculum of 104 ligand-transduced tumor cells, while depletion of either population allowed tumor growth in at least some animals injected with the largest dose of 106 tumor cells (Fig. 2a). With the intermediate dose of 105 tumor cells, depletion of CD8 cells allowed tumor cell growth, but NK cell depletion did not (Fig. 2a). Thus, either subset is sufficient for tumor rejection at the lowest tumor cell dose, CD8 cells (but not NK cells) are sufficient at the intermediate dose, and the two cell types must cooperate to achieve consistent rejection at the highest tumor cell dose. In B6-Rag1−/− mice, NK cells were sufficient to reject the Rae1β- or H60-transduced RMA cells at the two lower tumor doses (Fig. 2b), suggesting that NK cells are more active or effective in these B6-Rag1−/− mice than in B6 mice. Parallel analysis of mice inoculated with the RMA/S cell line, an MHC class Ilow version of RMA cells, confirmed previous reports that these cells are rejected by NK cells and not CD8+ T cells2, and demonstrated the efficacy of our NK cell depletion procedure (Fig. 2a, b).
The question arises why NKG2D ligand expression does not cause the rejection of the majority of tumor cell lines, which naturally express these ligands11. In some cases, the host response to the ligands may be overwhelmed by an excess tumor load. Furthermore, the response may critically depend on the levels of NKG2D ligands expressed by tumor cells, especially if the NK cells are also subject to inhibitory signaling via MHC-specific receptors. Notably, the levels of Rae1β and H60 expression in our transductants were substantially higher than the levels of endogenous NKG2D ligands on most of the naturally expressing tumor cell lines we tested (Fig. 2c). Indeed, a comparison showed that RMA-transductants that had intermediate ligand levels, comparable to most tumor cells11 (Fig. 2c, data not shown), were less efficiently rejected than were transductants with higher ligand levels (Fig. 2d). Therefore, the anti-tumor response to naturally arising tumor cells is likely to vary depending on the level of NKG2D ligands that are expressed.
To address whether prior immunization with tumor cells expressing NKG2D ligands induces protective immunity to ligand-negative tumor cells, mice that had previously rejected Rae1β- or H60-transduced tumor cells (EL4, B16-BL6 or RMA cells) were rechallenged with corresponding ligand-negative tumor cells 8-12 weeks after the first exposure. The ligand-negative tumor cells grew progressively in naïve B6 mice, but were rejected by the mice that had been previously exposed to the corresponding Rae1β- or H60-transduced tumor cells (Fig. 3a). The immunity was specific, since mice that had previously rejected ligand-transduced tumor cells of each type were immune only to untransduced tumor cells of the same type (Fig. 3b). Some delay was observed in the rejection of RMA cells by mice primed with ligand-transduced EL4 cells (Fig. 3b), and this may be in line with evidence indicating a common origin of EL4 and RMA cells in the distant past17,18. However, the cross-protection was only partial, and was absent or very weak in the reciprocal situation, suggesting that our lines have an independent origin or that most of the response is focused on antigens that are unique to each cell line. We conclude that ligand-expressing tumor cells specifically vaccinated the mice against ligand-negative tumor cells of the same type.
Primary rejection of ligand-transduced EL4 and B16-BL6 cells by naïve mice was mediated by NK cells (Fig. 1), but it was not expected that NK cells could provide a specific “memory” immune response. Indeed, no immunity to any of the tumor cells developed in Rag1−/− mice (Supplementary information Fig. 1). Furthermore, normal mice pretreated with anti-CD8 antibody before the initial exposure to all three types of ligand-transduced tumor cells were unable to reject ligand-negative tumor cells upon rechallenge (Fig. 3c), despite the fact that the ligand-transduced tumor cells had been rejected in each case (Fig. 1, 2). Pretreatment of mice with control Ig did not alter the memory response to ligand negative tumor cells. Thus, although CD8+ T cells were not required to reject the primary inoculum of ligand-transduced EL4 and B16-BL6 cells, they were essential for a protective immune response against untransduced tumor cells.
It was possible that immunity arose in this system because NK cell rejection of the transduced tumor cells resulted in excess tumor cell debris, enhancing “cross priming” of tumor specific CD8+ T cells19. Indeed, irradiated untransduced RMA cells, which are expected to die in vivo yielding considerable cell debris, are reportedly effective in vaccinating mice20. However, this was not the case with irradiated ligand negative B16-BL6 tumor cells21, since no immunity resulted when mice were vaccinated once or three times in succession with irradiated control-transduced B16-BL6 tumor cells (Fig. 3d). Mice vaccinated in parallel with irradiated ligand-transduced B16-BL6 cells did develop immunity to untransduced tumor cells, suggesting that ligand expression results in priming of tumor-specific T cells independent of the generation of cell debris by NK cells. Consistent with this conclusion, irradiated ligand-transduced B16-BL6 cells were effective at priming a tumor-specific CTL response, even in mice that had been previously depleted of NK cells, whereas control-transduced B16-BL6 cells failed to prime CD8+ T cell responses (see below and Supplementary information Fig. 2). Similar results were obtained in the RMA system (Fig. 4).
Consistent with the role of CD8+ T cells in responses to ligand-transduced tumor cells, irradiated Rae1β- or H60-transduced tumor cells were more effective than ligand-negative tumor cells in priming tumor-specific CTLs in vivo, as tested by restimulating with ligand-transduced cells and testing effector function in vitro. Priming with irradiated ligand-transduced RMA cells, for example, increased RMA target cell lysis substantially and augmented the percentage of RMA-specific IFN-γ producing CD8+ T cells several-fold (Fig. 4a, e). The effector cells were considerably more active against ligand-transduced RMA cells, and this enhancement could be completely blocked with anti-NKG2D antiserum (compare Fig. 4e, g with f, h), indicating that the NKG2D-ligand interaction enhances not only CTL induction in vivo, but also the effector activity of the CTL. The enhanced induction of CTL, which were conventional CD8+ NK1.1− cells (Fig. 4c-f), occurred even in mice that had been previously depleted of NK1.1+ cells (Fig. 4i), demonstrating that ligand-dependent augmentation of the CTL response does not depend directly or indirectly on NK cell activity.
Importantly, the CTL were tumor cell specific, as they did not lyse any of three other tumor cells (EL4, B16-BL6 or MC38), nor did they lyse Rae1β-transduced B16-BL6 cells (Fig. 4j). Furthermore, the CTL did not lyse syngeneic T cell blasts, suggesting that priming with ligand-transduced tumor cells does not break self-tolerance of CTL (Fig. 4j). Highly comparable results were obtained in the B16-BL6 tumor cell system, though the responses were generally weaker, probably because of the low expression of class I MHC molecules by these cells (Supplementary information Fig. 2). Similar results were also obtained with CTL derived from mice that had previously rejected live ligand-transduced tumor cells (data not shown). Thus, tumor cell expression of NKG2D ligands results in a significant enhancement in the priming of tumor specific CTL in vivo, as well as in the activation of preformed CTL. These data are in line with evidence that NKG2D engagement costimulates human CTL responses in vitro22, and extend these findings to in vivo responses to tumor cells.
Induction of NK cell activity in vivo by tumor cells expressing Rae1β or H60 was also demonstrable. When inoculated intraperitoneally in naïve mice, irradiated Rae1β- or H60-transduced RMA tumor cells increased the number of peritoneal NK cells 2-4-fold within two days (Fig. 5a), and substantially enhanced the cytotoxic activity of the cells versus YAC-1 target cells (Fig. 5b, left panel), whereas control-transduced RMA cells had no effect. A substantially higher fraction of these NK cells also produced IFN-γ after in vitro stimulation with YAC-1 tumor cells (Fig. 5c). As previously reported, class I-deficient RMA/S cells also induced the local accumulation of NK cells and enhanced their functional activity23 (Fig. 5a-c). In either case, the cytotoxic activity was nearly abolished by pretreatment of effector cells with anti-NK1.1 plus complement or by in vivo depletion of NK1.1+ cells before tumor cell inoculation (Fig. 5b, d). In contrast, depletion of CD8+ cells before tumor cell inoculation or immediately before the cytotoxicity assay had no effect (Fig. 5b, d), and similar cytotoxic activity was induced in Rag1−/− and wildtype mice (Supplementary information Fig. 3). Thus, the effector cells are conventional NK cells and do not depend on CD8+ cells for their induction. Similar cytotoxicity and cytokine data were obtained with ligand-expressing B16-BL6 and EL4 cells (Supplementary information Fig. 4). Thus, expression of NKG2D ligands, like MHC-deficiency, provokes NK cell recruitment and sensitization in vivo.
A nondepleting anti-NKG2D antiserum injected in vivo almost completely blocked the ligand-dependent induction of NK cytotoxicity and cytokine production against YAC-1 cells (Fig. 5e). The effect of the antibody was specific, since NK cell induction by class I-deficient RMA/S cells, which do not express NKG2D ligands, was unaffected by the anti-NKG2D antibody. Therefore, the induction process with ligand-transduced cells required interactions with the NKG2D receptor in vivo.
Our results demonstrate that NKG2D ligand expression and consequent activation of NK cells and CD8+ T cells can impose a substantial barrier to the establishment of tumors in vivo. The ligands activate NK cells and T cells via NKG2D, which associates in the membrane with KAP/DAP10, an adapter signaling protein that is thought to deliver costimulatory signals10. It is unknown whether NKG2D engagement in NK cells results in direct stimulation or supplies a costimulatory signal that acts in conjunction with signals from other stimulatory receptors24,25. Regardless, NKG2D receptor engagement clearly dramatically enhances the effective NK cell response against the three tumor cell lines tested. Furthermore, ligand expression by tumor cells also strongly enhanced the generation of tumor specific CD8 T cells. Since this enhancement also occurred in mice devoid of NK cells (Fig. 2a, Fig. 4), and activated CD8+ T cells express NKG2D, we propose that CD8+ T cell activation is enhanced as a consequence of direct interactions with ligand-expressing tumor cells. It remains possible that the priming of CD8+ T cells is accomplished indirectly as a result of ligand-expressing tumor cells interacting with NKG2D-expressing macrophages11. In either case, the results suggest that NKG2D ligands provide an example of innate immune stimuli that function to enhance the adaptive immune response26. The effectiveness of ligand transduction of tumor cells in stimulating an anti-tumor response and protective immunity to tumor rechallenge suggests that ligand-expressing cells may have applications in tumor therapy and the development of tumor vaccines. The strong response against B16-BL6 cells is particularly notable in this regard, given that the BL6 variant was selected for high invasiveness and is poorly immunogenic27. Indeed, other manipulations such as ectopic B7 expression or CTLA4-blockade do not, by themselves, result in rejection of B16-BL6 cells28. The finding that typical levels of NKG2D ligands naturally found on most tumor cell lines are suboptimal in inducing anti-tumor immunity (Fig. 2c, d) raises the possibility that immunity to such tumors can be boosted by engineering cells with higher levels of ligands. The effectiveness of this approach against preestablished tumors and naturally arising tumors remains to be established.
Methods
Ectopic expression of NKG2D ligands
Three NKG2D ligand negative cell lines (EL4, a B6 thymoma; RMA, a B6 T lymphoma derived from the Rauscher virus-induced RBL-5 cell line2 and B16-BL6, a B6 melanoma derived from the B16-F0 cell line27) were retrovirally transduced as described11. The retroviral vectors containing the H60 or Rae1β cDNAs used for these experiments did not direct synthesis of GFP or any other selection marker. Transduced cells expressing equivalent high levels of the NKG2D ligands were sorted after staining with a tetrameric soluble version of NKG2D11. Control staining was performed with an irrelevant tetramer of the T22 class Ib molecule. Control tumor cells were infected with “empty” retrovirus, and transduced clones were identified by PCR with primers corresponding to the MSCV 5′ and 3′ LTR (5′ primer: GTCCTCCGATAGACTGCGTCGCCCGGG; 3′ primer: GCTTGCCAAACCTACAGGTGGGG). Approximately 100-150 clones with integrated provirus were pooled and used as control tumor cells (designated as EL4/−, B16-BL6/− and RMA/−).
Mice, antibody depletion, tumor inoculation and rechallenge
All tumor rejection experiments employed five mice per group. C57BL/6J (B6) and B6-Rag1−/− mice were purchased from Jackson Laboratories and the latter mice were bred in our animal facilities under specific pathogen free conditions. All mice were used between 8 and 18 weeks of age. NK cells and CD8+ T cells were depleted28 by i.p. injection of 200 μg of monoclonal antibody (PK136 against NK1.1 and 2.43 against CD8) at day −1, 1, 8, 15, and 22. Control mice received the equivalent amounts of normal mouse IgG. Depletions were confirmed in lymph node and spleen cells 3 weeks after tumor challenge by flow cytometry using non-competing antibodies. In general, less than 1.5% of the depleted cell population could be detected in spleen and lymph nodes. Tumor cells were injected subcutaneously in 100μl of PBS in the right flank. Tumor development was monitored by measuring the tumor size twice weekly with a metric caliper. For the metastasis assay, 3×105 B16-BL6 cells were injected intravenously via the tail vein in groups of five mice, and lung metastases were examined 14-21 days later. For the rechallenge experiments, groups of five mice that had completely rejected the initial tumor (8-12 weeks after initial tumor challenge) were injected in the opposite flank with the respective untransduced or control transduced tumor cells (i.e., lacking NKG2D ligands).
Tumor cell vaccination and and ex vivo analysis of CTL activation
Transduced B16-BL6 tumor cells were irradiated (16,000 rad) and 5×106 cells were injected in groups of five mice in 100μl PBS subcutaneously in the left flank either once at day −10 or three times at day −10, −7 and −4 as indicated. Some mice received injections of unirradiated tumor cells at day −10. At day 0, mice were challenged with 104 untransduced B16-BL6 cells in 100μl PBS in the opposite flank. For the ex vivo analysis of CTL activity, groups of five mice received two vaccinations (day 0 and 3) with irradiated (16,000 rad) RMA or B16-BL6 tumor cell transductants. 2-3 weeks after vaccination, mice were sacrificed and pooled splenocytes were restimulated for 5 days with the respective Rae1β-transduced tumor cells. The cells were expanded for another three days before testing cytotoxicity and IFN-γ production. In some experiments NK1.1+ or CD8+ T cells were depleted prior to the cytotoxicity assay by complement-mediated lysis as described29. In vitro blocking of NKG2D was as described previously, using a rat anti-NKG2D antiserum and a control rat serum11.
Ex vivo analysis of NK cell activation
Tumor cells were irradiated (12,000 rad) and injected intraperitoneally as described23. After 72h peritoneal cells were harvested23. The percentages (± s.d.) of NK cells in the peritoneal cavity of individual mice were quantified by flow cytometry and electronic gating on lymphocytes (FSClo/SSClo ). Peritoneal wash cells were pooled for cytotoxicity and IFN-γ assays. In some experiments NK1.1+ or CD8+ T cells were depleted prior to the cytotoxicity assay by complement-mediated lysis as described29. For the in vivo blocking experiments 100μl of a non-depleting antiserum specific to NKG2D or a control antiserum11 were injected i.p. As determined by flow cytometry, the antibody did not deplete NK1.1+ cells from the peritoneal cavity (data not shown).
Assays
Cytotoxicity was tested in a standard 4h 51Cr release assay11. Data are given as the mean of triplicate measurements. Standard deviations were generally less than 5% and are omitted from the figures for reasons of clarity. IFN-γ production was assayed by stimulating CTLs or NK cells with an equal number of target cells for 5-7 hours and staining intracellular IFN-γ as described30, with gating on CD8+ CD3+ cells or NK1.1+ CD3− cells. Data are presented as the mean (±s.d.) of triplicate measurements.
Supplementary Material
Acknowledgements
We thank C. W. McMahon, and N. Fernandez for critical reading the manuscript; J. Egen for help with the retroviral transfection system; H. Nolla for cell sorting; J. Hsia and C. White for expert technical assistance; the members of the Raulet lab for discussions; J. P. Allison, M. Fasso, Y. H. Chien, and B. Sha for their kind gift of reagents and cell lines. Supported by grants from the National Institute of Health (to DHR). AD is a Physician Postdoctoral Fellow of the Howard Hughes Medical Institute.
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