
[Cancer Research 60, 1895-1900, April 1, 2000]
© 2000 American Association for Cancer Research
Experimental Therapeutics |
Antileukemic Activity of Flt3 Ligand in Murine Leukemia1
Abing Wang,
Stephen E. Braun,
Guru Sonpavde and
Kenneth Cornetta2
Departments of Microbiology/Immunology [A. W., S. B., K. C.], Medicine [G. S., K. C.], and Medical/Molecular Genetics [K. C.], Indiana University School of Medicine, Indianapolis, Indiana 46202
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ABSTRACT
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Flt3-ligand (Flt3-L) is an early acting costimulatory cytokine
that has been shown to possess antitumor properties in murine solid
tumor models. Flt3-L is a trans-membrane protein (tm)
but can be proteolytically cleaved to a soluble form, which is also
biologically active. In this study, the antitumor effect of both
soluble and tmFlt3-L was evaluated in a mouse leukemia model. To mimic
the multiorgan involvement characteristic of human leukemia, a
factor-dependent cell line FDC.P1 was made leukemogenic by transfection
with the human BCR/ABL gene. The resulting cell
line, AW, expresses BCR/ABL RNA and protein. It maintains a similar
in vitro growth rate as the parent cell line, but unlike
the parent cell line, AW cells are factor independent and tumorigenic.
Growth of FDC.P1 and AW cells are unaffected by the addition of soluble
human Flt3-L to the culture medium. Also, AW growth is unaltered after
transduction with a retroviral vector expressing the tm isoform of
human Flt3-L (AW/tmFlt3-L). When 105 AW cells were i.v.
injected into syngeneic DBA/2 mice, fatal leukemia developed in nine of
nine (100%) mice within 46 weeks with involvement of the blood, bone
marrow, spleen, and thymus. Systematic administration of soluble human
Flt3-L (500 µg/kg/day) for 10 days protected mice from leukemia, with
11 of 17 mice tumor free at week 8 (64.7%) The tm isoform of Flt3-L
also was protective. When 104 AW/tmFlt3-L cells were
injected i.v. into mice, only 35.7% (5 of 14) developed leukemia
versus 100% in control groups. Adoptive transfer of
immunity was also demonstrated; T cells obtained from tumor-free
animals conferred protection to 87% (seven of eight) naive mice
challenged with AW cells. These results demonstrate that both soluble
and membrane-bound human Flt3-L has antitumor activity in this leukemia
model.
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INTRODUCTION
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Flt3-L3
is an early-acting costimulatory cytokine that regulates proliferation
and differentiation of a number of blood cell lineages
(1, 2, 3)
. Its receptor, Flt3, belongs to a family of
receptors including receptors for colony-stimulating factor 1, steel
factor, and platelet-derived growth factor (4, 5, 6)
. Flt3-L
can synergize with a spectrum of other cytokines to stimulate
proliferation and differentiation of hematopoietic stem cells and
progenitor cells (7
, 8)
. In vivo and in
vitro studies have shown that Flt3-L plays an important role in
both multipotent stem and lymphoid cell differentiation
(9, 10, 11, 12, 13, 14)
.
Recently, Flt3-L was found to induce expansion of functional DCs
and NK cells in vivo (15, 16, 17, 18)
. Soluble Flt3-L
has been shown to possess antitumor activity in murine models
(19
, 20) . In a solid tumor model, our laboratory has shown
that transduction of cancer cells with retroviral vectors expressing
Flt3-L induces tumor rejection and generates CD8+ T cell-mediated tumor
immunity to the parent cancer cells (20
, 21)
. Because both
DC and NK cells are important mediators in the immune system, the DC
and NK cell stimulatory property of Flt3-L is one possible explanation
for the tumor prevention properties observed (21)
.
Current models demonstrating the antitumor activity of Flt3-L use
solid tumors. Such models provide a concentrated collection of tumor
cells for an immune-mediated response and can also be affected by
nonimmunological mechanisms affecting tumor growth, such as
angiogenesis. To minimize the effect of these factors, we assessed the
role of Flt3-L in a liquid tumor model. We developed a murine leukemia
model by transfecting the human BCR/ABL gene into the
factor-dependent cell line FDC.P1 cells. The resulting cell line, AW,
is factor independent and tumorigenic (22
, 23)
. This model
provides a systemic leukemia similar to that seen in human. Using this
model, we show that both soluble and tm isoforms of Flt3-L have
antileukemia activity.
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MATERIALS AND METHODS
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Retroviral Vectors and Cell Lines.
Retroviral vectors used in this study have been described
previously (20)
and are shown in Fig. 1
. The L(tmFlt3-L)SN vector contains full-length cDNA sequence encoding
the human tm isoform Flt3-L (tmFlt3-L; provided by Immunex Corp.,
Seattle, WA) and the neomycin phosphotransferase gene 3' to
the SV40 early promoter. The LNL6 retroviral vector, which contains the
neomycin phosphotransferase gene, was used as a control
(24)
.

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Fig. 1. Retroviral vectors. A, LNL6 vector
containing the neomycin resistance gene
(NEO) 3' to the SV40 early promoter. B,
L(tmFlt3-L)SN vector containing the tm isoform of human
Flt3-L gene driven by long terminal repeat
(LTR) and the Neo gene 3' to the SV40
early promoter.
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The IL-3-dependent hematopoietic line FDC.P1 (25)
was maintained in RPMI 1640 supplemented with 10% FCS and 10% WEHI-3
CM (26)
. The BCR/ABL transformed FDC.P1 cells were named
AW. AW and retrovirally transduced cell lines, AW/LNL6 and AW/tmFlt3-L,
were maintained in RPMI 1640, 10% FCS, without WEHI-3 CM. Murine
IL-3-dependent hematopoietic cell line Baf3/Flt3, a subline of Baf3
that ectopically expresses human Flt3 receptor, was cultured in RPMI
1640 supplemented with 10% FCS and 0.1 ng/ml murine IL-3
(27)
. All cells used in this study were kept in continuous
culture for a maximum of 2 months. Cell viability was determined by
trypan blue exclusion.
Transfection and Transduction.
The AW cell line was generated by transfection of FDC.P1 cells
with the human BCR/ABL gene. pGDneo-,
a plasmid created by removal of the neomycin
phosphotransferase gene from the pGD210 plasmid (28)
using the
ClaI restriction enzyme contains the
P210bcr/abl cDNA driven by the myeloproliferative
sarcoma virus long terminal repeat and was linearized with
NdeI prior to electroporation. Electroporation was carried
out on Gene Pulser (Bio-Rad, Richmond, CA) using published methods
(29)
. WEHI CM was removed from culture medium 48 h
after transfection, and AW cells are the population of IL-3-independent
cells generated after culture of 2 weeks.
Retroviral vectors were introduced by supernatant transduction into the
AW cells. Briefly, 106 AW cells were incubated
with vector at 37°C for 2 h in the presence of Polybrene (8
µg/ml). These cells were cultured for 24 h and then placed in
selection for 14 days using G418 (400 µg/ml active compound).
Minimal Residual Disease Assay.
Two assays were used to assess minimal residual disease. A
single-cell suspension of 107 marrow, spleen, or
thymic mononuclear cells were placed in RPMI (10% FBS) without WEHI.
Assays were scored as positive if viable cells were detected after 3
weeks of culture initiation. The second assay used RT-PCR. Total RNA
was isolated using Tri-Pure isolation reagent from
106 cells. cDNA was synthesized using random
primers. Nested PCR primers were described previously
(30)
. First-round and second-round primers are
5'-AGCATGGCCTTCAGGTGCACAGCCGCAACGGCAA-3'/5'-TCACTGGGTCCAGCGAGAAGGTTTTCCTGGAGTT-3'
and
5'-GTTCCTGATCTCCTCTGACTATGAGCGTGCA-3'/5'-CTCAGACCCTGAGGCTCAAAGTCAGATGCT-3'
and amplify 390- and 299-bp fragments, respectively. Amplification of
murine ß-actin was used as an internal control.
Flow Cytometry.
Surface expression of Flt3-L in AW/tmFlt3-L cells was measured by flow
cytometry. Briefly, AW and AW/tmFlt3-L cells were washed twice with PBS
and stained with either rat antihuman Flt3-L antibody (Immunex Corp.)
or isotype-matched control antibody (PharMingen, San Diego, CA). After
incubation at 4°C for 20 min, cells were washed twice in PBS/0.5%
BSA and further stained with PE-conjugated antirat secondary antibody
(Sigma). After incubation at 4°C for 20 min, cells were washed twice
in PBS/0.5% BSA and analyzed on a FACScan flow cytometer (Becton
Dickinson, Mountain View, CA).
Immunoprecipitation and Immunoblotting.
To measure BCR/ABL protein expression, cell lysates were prepared
from normal growing FDC.P1 and AW cells as described (27)
.
Equal amounts of cell lysates were separated by SDS-PAGE, transferred
to polyvinylidene difluoride membrane and immunoblotted with
anti-BCR/ABL antibody, Ab-2 (Oncogene, Cambridge, MA). Enhanced
chemiluminescence (Amersham Life Science, Little Chalfont,
Buckinghamshire, United Kingdom) was used for protein detection. For
immunoprecipitation studies, growth factor-starved Baf3/Flt3 cells
(2 x 106) were stimulated at
37°C for 5 min with human Flt3-L (100 ng/ml; Immunex Corp.), AW
(2 x 106), AW/LNL6 (2 x 106), or AW/tmFL cells (2 x 106). Flt3 were immunoprecipitated from
cell lysates using rabbit polyclonal anti-Flt3 antibody (Santa Cruz
Biotechnology, Santa Cruz, CA). The tyrosine phosphorylation of Flt3
was detected using the mouse monoclonal antibody 4G10 (Upstate Biotech,
Lake Placid, NY).
In Vivo Studies.
All animals were housed in the Laboratory Animal Resource Facility at
Indiana University School of Medicine in compliance with NIH guidelines
for the care and use of laboratory animals. To assess the
tumorigenicity of AW cells, female DBA/2 mice, 68 weeks of age (The
Jackson Laboratory, Bar Harbor, ME), were i.v. injected with AW
(106) or FDC.P1 cells (106)
through the tail vein. Four weeks after inoculation, surviving animals
were sacrificed and assessed for evidence of leukemia.
To study the effect of soluble Flt3-L on the formation of AW leukemia,
DBA/2 mice were injected i.p. with 500 µg/kg/day of recombinant human
Flt3-L suspended in PBS for 10 days. The control group received PBS. At
day 4, mice were injected i.v. with 105 AW cells.
Mice that survived after 8 weeks were sacrificed, and minimal residual
disease assays were used to assess bone marrow, spleen, and thymus for
leukemia.
To examine the effect of tmFlt3-L on the in vivo growth of
AW leukemia cells, DBA/2 mice were i.v. injected with
104 AW/tmFlt3-L cells, AW/LNL6 cells, or AW cells
and were monitored for survival and analyzed by minimal residual
disease assays when sacrificed. In a subset of mice alive 14 weeks
after the primary challenge, splenic T cells were harvested and
injected in to naive DBA/2 mice that simultaneously received
104 untransduced AW cells. Splenocytes were
enriched for T cells using IsoCell murine T-cell isolation kit (Pierce,
Inc., Rockford, IL).
Statistical Analysis.
Quantitative values are expressed as mean ± SE.
Statistical significance for two unpaired groups was assessed by the
Students t test. The log-rank test was used to determine
the statistical significance between survival curves.
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RESULTS
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Development of a Murine Leukemia Model.
Hariharan et al. (22)
has shown
previously that FDC.P1 cells transfected with the BCR/ABL
gene cause tumors when injected s.c. and i.p. into mice. To test the
antileukemia effect of Flt3-L, we developed a murine leukemia model
using a similar strategy. FDC.P1 cells (8 x 106) were electroporated with the
BCR/ABL gene and selected in medium containing only 10%
FCS. The resulting cell population (AW) was factor independent, whereas
the culture of parental FDC.P1 without IL-3 resulted in no viable cells
after 7 day of culture (data not shown). RT-PCR (Fig. 2A
) and immunoblotting (Fig. 2B
) confirmed
expression of BCR/ABL mRNA and protein in AW cells. Expression of the
BCR/ABL gene did not alter the expression of T-cell, B-cell,
and myeloid cell surface markers (CD4, CD8, B220, and Gr-1,
respectively; data not shown).

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Fig. 2. Expression of BCR/ABL mRNA and protein in AW cells.
A, RT-PCR of FDC.P1 and AW cell mRNA showing BCR/ABL
mRNA expression in AW cells. AW cells were created by transfection of
FDC.P1 cells with the human BCR/ABL gene. Control K562
cells express BCR/ABL, whereas control KG1a cells do not express
BCR/ABL. B, immunoblot of FDC.P1 and AW cells showing
expression of BCR/ABL fusion protein, P210, in AW cells but not in
FDC.P1 cells. Equal amount cell lysates were separated by SDS-PAGE,
transferred to polyvinylidene difluoride membrane, and immunoblotted
with the Ab-2 anti-BCR antibody.
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We now show that i.v. injection of BCR/ABL-expressing FDC.P1
cells into syngeneic DBA/2 mice results in lethal leukemia
characterized by leukocytosis with circulating leukemic blasts,
splenomegaly, thymus enlargement, and development of hind limb
paralysis (Table 1
and data not shown). RT-PCR of spleen, thymus, and bone marrow for
BCR/ABL confirmed the presence of leukemic cells in AW-injected mice.
Table 1
showed the analysis of live mice 4 weeks after the injection of
106 AW cells. Injection of the parental cell line
FDC.P1 (106) did not cause leukemia after 12
weeks of observation. The survival of mice challenged with AW cells was
dose dependent, with lethal disease developing in a median of 6 weeks
after injection of 104 cells and
106 cells causing leukemia in 4 weeks (data not
shown).
To evaluate the intrinsic immunogenicity of the AW cells, we immunized
naive mice with 106 irradiated (3500 rads) AW
cells injected s.c. One week later, mice were challenged with
104 AW cells i.v., and four of four animals
developed tumor. In a subsequent experiment, 10 mice were vaccinated
with 106 irradiated AW cells on days 1, 4, and 8
with AW challenge (104 cells) on day 11. All 10
animals developed leukemia in the time frame seen with unimmunized
animals challenged with AW cells (data not shown), indicating that AW
cells are poorly immunogenic.
Systemic Administration of Soluble Human Flt3-L Reduced Leukemia
Development in Mice Challenged with AW Cells.
To evaluate the effect of antitumor activity of soluble Flt3-L on
leukemia development, DBA/2 mice were challenged with a single
injection of 105 AW cells during a 10-day course
of Flt3-L administration. The treatment group received i.p. Flt3-L at
500 µg/kg/day for 10 consecutive days, whereas the control group
received PBS for 10 days. Leukemic challenge was given on the fourth
day of the 10-day course. As depicted in Fig. 3
, 16 of 17 (94.1%) Flt3-L-treated mice were alive at 8 weeks, compared
with 1 of 9 (11.1%) in the control group. At 8 weeks, all PBS-treated
mice had evidence of leukemia, whereas 11 of 17 (65%) in the
Flt3-L-treated group were disease free, as assessed by RT-PCR and
in vitro culture of bone marrow, spleen, and thymus. The
differences between Flt3-L and PBS treatment were significant
(P < 0.05) by unpaired Students
t test. These results demonstrate that soluble Flt3-L can
protect mice from leukemia.
AW Cells Transduced with a Retroviral Vector Expressing the
tm Isoform of Flt3-L (tmFlt3-L) Have Biological Activity.
To assess whether tmFlt3-L has antileukemia activity, AW cells
were transduced with L(tmFlt3-L)SN vector or LNL6 vector as described
in "Materials and Methods." L(tmFlt3-L)SN vector encodes a tm
isoform of human Flt3-L that is expressed on the cell surface and can
be proteolytically cleaved to generate a soluble form in breast cancer
cell line C3L5 (20)
. Expression of the tm isoform of human
Flt3-L on infected AW cells (AW/tmFlt3-L) was confirmed by surface
staining and flow cytometry (Fig. 4A
). Transduction of AW cells with retroviral vectors did not
alter their in vitro growth characteristics (Fig. 4B
) and phenotype (data not shown). The secretion of the
soluble isoform of Flt3-L was not detectable in AW/tmFlt3-L cells in
contrast to other cancer cell lines we have studied (20)
.
It is known that expression of the protease required for proteolytic
cleavage of tmFlt3-L is not expressed in all cell types, and our
findings indicate that it is not expressed in AW cells.

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Fig. 4. Surface expression of human tmFlt3-L and the growth
characteristics of AW leukemia cells transduced with tmFlt3-L.
A, expression of human tmFlt3-L on AW/tmFlt3-L cells but not
on parental AW cells as analyzed by flow cytometry. Cells were stained
with PE-conjugated anti-Flt3-L antibody (heavy line) or
control antibody (tripled line); the logarithm of PE
fluorescence is displayed on the abscissa and relative cell
number on the ordinate. B, AW cells and
transduced AW cells were grown for 8 days in triplicate cultures.
Viable cell number was determined for parental cells (AW),
cells transduced with neomycin phosphotransferase gene
(LNL6), and cells transduced with the L(tmFlt3-L)SN
vector.
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To confirm that tmFlt3-L on the surface of AW/tmFlt3-L cells has
biological activity, we examined the ability of AW/tmFlt3-L to induce
tyrosine phosphorylation of the human Flt3 receptor on the surface of
Baf3/Flt3 cells. Incubation of AW/tmFlt3-L with Baf3/Flt3 for 5 min
induced stronger tyrosine phosphorylation of Flt3 on Baf3/Flt3 than
soluble Flt3-L (Fig. 5
). Neither AW nor AW/LNL6 cells stimulated tyrosine phosphorylation of
Flt3 on Baf3/Flt3. None of AW derivative cell lines expressed Flt3
receptor(data not shown). In Baf3/Flt3 cells, there is some background
tyrosine phosphorylation of Flt3. This is mostly attributable to low
level expression of murine Flt3-L by Baf3/Flt3 cells, which can
cross-react with human
Flt3-L.4
These results demonstrate that tmFlt3-L on AW/tmFlt3-L cells is
biological active.

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Fig. 5. tm isoform of human Flt3-L on AW/tmFlt3-L induces
tyrosine phosphorylation of Flt3 receptor in Baf3/Flt3 cells. Growth
factor-starved Baf3/Flt3 cells (2 x 106)
were incubated for 5 min with 2 x 106 AW,
AW/LNL6, or AW/tmFlt3-L cells or stimulated with human Flt3-L(100
ng/ml) for 5 min. Flt3 was immunoprecipitated from cell lysates and
immunoblotted with anti-phosphotyrosine antibody (pY).
The same membrane was stripped and reblotted with anti-Flt3 antibody.
Lane 1, AW; Lane 2, AW/LNL6; Lane
3, AW/tmFlt3-L; Lane 4, Baf3/Flt3 + AW; Lane 5, Baf3/Flt3 + AW/LNL6; Lane
6, Baf3/Flt3 + AW/tmFlt3-L; Lane 7,
Baf3/Flt3; Lane 8, Baf3/Flt3 + human Flt3-l.
IgH, immunoglobulin heavy chain; IP,
immunoprecipitation; IB, immunoblot.
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tmFlt3-L-transduced AW Cells Have Reduced Tumorigenicity, and
Naive Mice Were Protected from Tumor by Adoptive Transfer of Immunity.
We next examined whether tmFlt3-L transduction of AW cells would
have any effect on their ability to cause leukemia. DBA/2 female mice
received i.v. injections with 104 AW/tmFlt3-L
cells, AW/LNL6 cells, or AW cells. As shown in Fig. 6
, tmFlt3-L has a statistically significant effect on survival. Mice
received AW/tmFlt3-L had delayed onset of leukemia compared with mice
that received AW cells. Nine of 14 (64%) mice that received
AW/tmFlt3-L were alive after 12 weeks, whereas 0 of 14 (0%) were alive
in the control group. Mice alive that survived AW/tmFlt3-L cell
challenge appeared to be leukemia free; no leukemia cells were detected
by in vitro culture assay of bone marrow, thymus, and spleen
cells from these mice (data not shown).
To measure whether AW/tmFlt3-L-injected mice develop immunity to
AW cells, adoptive transfer of T cells was performed. T cells were
obtained from mice 14 weeks after injection with AW/tmFlt3-L.
Splenocytes from untreated mice were used as control. As shown in Fig. 7
, T cells from AW/tmFlt3-L-treated mice provided a significantly higher
protection in mice (87%; seven of eight) challenged with the parent AW
cells as compared with T cells from naive mice (0%; 0 of 10).
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DISCUSSION
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Flt3-L have been shown to have antitumor activity in murine
solid tumor models (19
, 20)
. Our studies show that Flt3-L
is the most potent cytokine among those possessing antitumor activity
in a murine breast cancer model (20
, 21)
. We now
demonstrate the therapeutic efficacy of Flt3-L in a mouse leukemia
model. Similar to observations in localized solid tumor, systemic
administration of soluble Flt3-L inhibited the development of
malignancy. We also demonstrate that Flt3-L-transduced leukemia cells
promote tumor rejection and lead to antitumor immunity that can be
conferred on naive mice by adoptive transfer of T cells.
Flt3-L stimulates proliferation and differentiation of a wide variety
of hematopoietic cells including primitive progenitor cells, dendritic
cells, B cells, and NK cells (7, 8, 9, 10, 11, 12, 13, 14)
. Human and murine
Flt3-L share 72% amino acid homology, have cross-species reactivity
(2
, 3
, 7
, 31
, 32)
, and have similar immunizing properties
in a murine breast cancer model (20)
. The primary
translation products of Flt3-L are tm proteins that can be
proteolytically cleaved to generate a soluble isoform (1
, 3)
. Not all cells expressing tmFlt3-L generate the soluble
isoform because activity of the protease required for cleavage of the
tm form varies among different cell types (7)
. It appears
that the protease is not active in AW cells because only tmFlt3-L was
detected. In our leukemia model, expression of the soluble form on AW
cells was not required for immunizing activity. This is consistent with
our finding in murine breast cancer, using retroviral vectors that
provided selective expression of the tmFlt3-L isoform (using an isoform
that lacks the proteolytic cleavage site), had similar antitumor
activity compared with vectors that produced both tmFlt3-L and soluble
Flt3-L (20)
.
Because Flt3-L has known stimulatory activity in hematopoietic
cells, we evaluated the effect of soluble and tmFlt3-L on the growth of
the leukemic AW cells. In vitro growth of AW cells was not
altered. Expression of tmFlt3-L from our retroviral vector led to
detectable protein on the surface of transduced cells (as assessed by
flow cytometric staining). The tmFlt3-L was biologically active because
AW/tmFlt3-L cells induced tyrosine phosphorylation of Flt3 receptor in
Baf/Flt3 cells.
In this study, we found that both soluble and tm isoforms of Flt3-L
prevent development of leukemia in the majority of mice. In addition,
tumor-free animals treated previously with tmFlt3-L-expressing AW cells
conferred adoptive immunity to naive mice, implying that
leukemia-specific immunity developed in tumor-free
AW/tmFlt3-L-treated mice. Immunizing properties have been described
for a wide variety of cytokines including IL-2, IL-4, IL-12, IFN-
,
tumor necrosis factor, and granulocyte-macrophage colony-stimulating
factor (33, 34, 35, 36, 37)
. The wide variety in structure and
function of these cytokines suggest that several pathways may lead to
tumor immunization. Because Flt3-L has been shown to mobilize and
stimulate hematopoietic progenitor cells (11
, 14
, 38)
and
to stimulate DC and NK cells (15
, 16
, 18
, 39)
, the
antitumor activities of Flt3-L are potentially mediated through DC and
NK cells (21
, 40 , 41)
. Recent studies by our group
indicated that tumor rejection involves NK cells because in
vivo depletion of NK cells negates the antitumor activity of
Flt3-L (21)
. This confirms a previous report by Peron
et al. (40)
, suggesting Flt3-L may stimulate
the antitumor activity of NK cells.
We have previously addressed the mechanism permitting adoptive transfer
of immunity after immunization with Flt3-L-expressing tumor cells. In a
murine breast cancer model, naive mice were protected from tumor
challenge after receiving unfractionated splenocytes or splenic T cells
but not splenic CD4-positive T cells, consistent with a CD8-mediated
immunity (20)
. We have now shown that expression of Flt3-L
on liquid tumor cells can also promote tumor rejection and elicit T
cell-mediated immunity.
The leukemia model developed for this work has a number of interesting
properties. Hariharan et al. (22)
and others
has shown previously that expression of BCR/ABL in FDC.P1 cells
abrogated the need for exogenous growth factors (22
, 23)
.
BCR/ABL transforms the nontumorigenic FDC.P1 cells,
leading to tumor nodules when cells are injected s.c. and ascitic
tumors when injected i.p. (22)
. We now demonstrate that
i.v. injection of BCR/ABL-expressing FDC.P1 cells leads to a systemic
leukemia with infiltration of bone marrow, spleen, thymus, and
peripheral blood. The initial indication of overt leukemia is most
often hind leg paralysis, and autopsy revealed infiltration of the
central nervous system with leukemic cells. This model may be suitable
for evaluating the treatment of systemic leukemia, including the
efficacy of treatment in protected sites such as the central nervous
system. Another advantage of this model is the ability to detect
minimal residual disease. We and others have described the sensitivity
of the PCR in detecting the BCR/ABL translocation, which can detect one
BCR/ABL-expressing cell in one million cells that do not express this
oncogene (42)
. The ease with which these cells can be
rescued from organs by placing splenocytes or bone marrow cells in
cultures allows screening of a large number of cells for the presence
of leukemia. These methods extend the relative period of observation
beyond the 8-week assay period. Although it is possible that
PCR-negative animals may harbor leukemic cells that will eventually
lead to overt leukemia, the current system of PCR detection combined
with culture assays for residual leukemia improves the sensitivity of
disease detection, compared with animal observation, by many orders of
magnitude. The ability to adoptively transfer immunity also suggests
that the animals vaccinated with AW/tmFlt3-L are leukemia free.
In summary, we developed a BCR/ABL-expressing murine leukemia model
with similar characteristics to human acute leukemia. Our data indicate
that both soluble Flt3-L and tmFlt3-L protect mice challenged with
BCR/ABL-expressing leukemia cells. Transduction of leukemia cells with
tmFlt3-L generates antileukemia immunity against parent leukemia cells.
We believe that antitumor effect of Flt3-L in this BCR/ABL-expressing
leukemia model will be useful in human leukemia immunotherapy.
ACKNOWLEDGMENTS
We thank Dr. Michael J. Robertson for helpful comments on this
project and the manuscript.
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FOOTNOTES
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Funded in part by the Catherine Peachy
Foundation. Additional support was provided for vector production
through Grant P50 DK49218 from the Centers of Excellence in Molecular
Hematology. 
2 To whom requests for reprints should be
addressed, at Department of Medicine (Hematology/Oncology), Indiana
University School of Medicine, 1044 West Walnut Street, R4-202,
Indianapolis, IN 46202. Phone: (317) 274-0843; Fax: (317) 278-2262;
E-mail: KCornett{at}iupui.edu 
3 The abbreviations used are: Flt3-L, Flt3-ligand;
DC, dendritic cell; NK, natural killer; tm,
trans-membrane; IL, interleukin; CM, conditioned medium;
RT-PCR, reverse transcription-PCR; PE, phycoerythrin. 
4 K. Brasel, personal communication. 
Received 11/ 2/99.
Accepted 2/ 1/00.
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