
[Cancer Research 60, 1927-1933, April 1, 2000]
© 2000 American Association for Cancer Research
Resistance to Lysis by Cytotoxic T Cells: A Dominant Effect in Metastatic Mouse Prostate Cancer Cells1
Hon-Man Lee,
Terry L. Timme and
Timothy C. Thompson2
Scott Department of Urology [H-M. L., T. L. T., T. C. T.], Cell Biology [T. C. T.], and Radiology [T. C. T.], Baylor College of Medicine, and Veterans Affairs Medical Center (H-M. L., T. L. T., T. C. T.), Houston, Texas 77030
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ABSTRACT
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Better understanding of the immunology of prostate cancer is needed for
the development of new therapeutic approaches that can be used in
conjunction with current treatment methods. The present study was
designed to compare the immunological properties of a genetically
matched pair of primary tumor- and metastasis-derived prostate cancer
cell lines generated from the mouse prostate reconstitution (MPR)
model. Only the primary prostate cancer cells were immunogenic in that
prior immunization with irradiated primary but not the metastatic
prostate cancer cells delayed the growth of subsequently injected live
cancer cells. The lack of immunogenicity of the metastatic cells was
not attributable to their inability to induce antitumor cytotoxic T
cells. Both primary and metastatic cells induced antitumor CTLs in
syngeneic hosts, but unlike the primary cells, the metastatic cells
were resistant to CTL lysis. Differential resistance to cytolysis in
metastatic versus primary prostate cancer cells was not
attributable to the differential expression of molecules such as
transporter associated with antigen processing (TAP)-1, TAP-2, low
molecular weight protein of the proteasome complex (LMP)-2, and LMP-7
that contribute to antigen presentation by class I MHC. IFN-
induced
surface class I MHC expression, as well as gene expression of
TAP-1, TAP-2, LMP-2, and LMP-7 in the metastatic cells, yet the cells
remained resistant to cell lysis induced by CTLs. Interestingly,
although in comparison to the primary cells the metastatic cells were
resistant to cytolysis, both cell types were susceptible to DNA
fragmentation induced by CTLs. Cell fusion between primary and
metastatic cancer cells resulted in hybrids that also resisted the
cytolytic activity of CTLs. Therefore, there is a dominant factor(s) in
the metastatic prostate cancer cells that confers specific protection
against CTL cytolysis in this model system.
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INTRODUCTION
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Prostate cancer is now the most commonly diagnosed cancer in men
and leads to tens of thousands of deaths every year (1)
.
Current curative treatment options are only applicable to patients with
disease that is localized to the prostate, and there is a need to
develop new therapies that can more effectively control both local and
metastatic disease. Determination of the molecular basis of prostate
cancer progression and development of new therapeutic approaches
require studies in suitable model systems. Our laboratory has developed
a unique prostate cancer model, the
MPR3
model. Urogenital sinus tissues isolated from 17-day-old mouse fetuses
are transduced with the ras and myc oncogenes via
a replication-deficient recombinant retrovirus. Infected cells are then
grafted under the renal capsule of syngeneic adult male hosts where
primary carcinomas arise within the reconstituted prostate
(2)
. When ras and myc are transduced
into p53 null urogenital sinus tissues, the resulting primary tumors
are metastatic with organ specificity that closely resembles human
disease (3)
. The relevance of this model has been
supported by clinical studies demonstrating mutation or aberrant
activities of ras (and downstream signal transduction
components), myc, and p53 in human prostate cancer
(4, 5, 6, 7, 8)
. Genetically matched pairs of primary and
metastatic cell lines have been generated from primary tumors and their
spontaneous metastases from these MPR animals (3)
. Recent
studies have demonstrated that orthotopic tumors produced by
metastasis-derived cell lines tend to grow less rapidly but exhibit
greater spontaneous metastatic potential than their matched cell line
counterparts derived from the primary tumor (9)
. Overall,
this cell line-based model system of prostate cancer is highly suitable
for determining the unique characteristics of the metastatic phenotype.
Progressive tumor growth impairs immune responses in the host
(10)
, but at present the interaction between prostate
cancer cells and the host immune system during cancer progression and
therapy is not well defined. Determining the nature of immune responses
against prostate cancer cells would facilitate further understanding of
the mechanism(s) of tumor progression and may lead to the development
of more effective treatments for the disease. We used genetically
matched pairs of primary tumor-derived and metastasis-derived cell
lines generated from the MPR model to determine whether there are
differential immune responses against the cancer cells with respect to
tumor site derivation/metastatic potential. The results of this study
indicate that both primary and metastatic prostate cancer cells have
similar capacities to induce antitumor CTLs, but the metastatic cells
are resistant to cytolysis induced by CTLs. The resistant trait appears
to be dominant because hybrids of primary and metastatic cancer cells
are also resistant to CTL lysis. Interestingly, the metastatic cancer
cells remain susceptible to DNA fragmentation induced by CTLs. Data
reported in this study thus provide evidence that one of the mechanisms
for enhancing tumor metastasis is by the acquisition of a dominant
resistant phenotype against CTL cytolysis.
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MATERIALS AND METHODS
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Animals and Prostate Tumor Cell Lines.
BALB/c and C56BL/6 mice were purchased from Harlan Sprague Dawley
(Houston, TX) and The Jackson Laboratory (Bar Harbor, ME),
respectively. 129/Sv mice were maintained at our facility. Prostate
cancer cell lines were generated from 129/Sv mice using the MPR model
system (3)
. Primary prostate cancer cell line 148-1 PA
(PA, also designated 1A) and metastatic cancer cell line 148-1 LMD
(LMD), both derived from animal designated 148-1, were found to
originate from the same clone (3)
. Cancer cells were grown
in DMEM with 10% fetal bovine serum, and cultures were passaged by
trypsinization with 0.025% trypsin. Cell passages 810 were used in
experiments reported here. All mice were maintained in facilities
approved by the American Association for Accreditation of Laboratory
Animal Care, and all animal studies were conducted in accordance with
the principles and procedures outlined in the NIHs Guide for the Care
and Use of Laboratory Animals.
Reagents.
IL-2 and IFN-
were purchased from Genzyme (Cambridge, MA). T-cell
enrichment columns and anti-TGF-ß were purchased from R&D Systems
(Minneapolis, MN). Antibodies for flow cytometry were purchased from
PharMingen (San Diego, CA). Anti-Thy1.2 hybridoma (30-H12) was obtained
from American Type Culture Collection. Rabbit complement was purchased
from Accurate Chemical (Westbury, NY). Mitomycin C was purchased from
Sigma. Probes for Northern blots of LMP-2, LMP-7, TAP-1, and TAP-2 were
kindly provided by Dr. John Monaco (University of Cincinnati,
Cincinnati, OH).
Immunogenicity of PA and LMD Tumor Cells.
Fifty thousand PA or LMD prostate cancer cells were injected s.c. into
normal 129/Sv male mice, 12 weeks of age, or into mice immunized s.c.
with 5 x 105 irradiated PA or LMD
cells 2 weeks earlier. Tumor volume was calculated by the formula of a
rotational ellipsoid:
(m12 x m2 x 0.5236), where
m1 represents the shorter axis and
m2 the longer axis (11)
.
Induction of CTL in Vivo.
BALB/c mice were injected s.c. with 5 x 105 irradiated (35,000 rads) PA cells. Two to
three weeks after injection, spleen cells from primed mice were
cultured (8 x 106 cells/well)
with mitomycin C-treated cancer cells (5 x 105 cells/well) for 6 days in 24-well plates.
IL-2 (20 units/ml) and/or anti-TGF-ß (30 µg/ml) were added on day
0, and additional IL-2 (20 units/ml) was added on days 2 and 4. For the
induction of CTLs in syngeneic hosts, 129/Sv mice were injected s.c.
with 5 x 105 irradiated PA or LMD
cells (35,000 rads) on days 0 and 8. Twelve days after the last
immunization, spleen cells from injected mice were cultured
(7 x 106 cells/well) with
mitomycin C-treated PA or LMD cells (6 x 105 cells/well) in the presence of anti-TGF-ß
(30 µg/ml) for 5 days. IL-2 (20 units/ml) was added on day 2.
Cytolysis of PA and LMD Cells by CTLs.
Effector CTLs were either induced in vivo as described above
or generated in vitro by stimulating T-cell-enriched BALB/c
spleen cells with T-cell-depleted C57BL/6 or 129/Sv spleen cells for 5
days in 24-well plates. PA or LMD cancer cells that had been incubated
with or without 100 units/ml IFN-
for 2 days were used as target
cells in cytolytic assays. Target cells labeled with
[51Cr]chromium were used in standard
[51Cr]chromium release assay to determine cell
lysis, whereas target cells labeled with 5 µCi/ml of
[<3H]thymidine overnight were used in DNA
fragmentation assay as described (12)
.
Northern Blot Analysis.
PA or LMD cells were incubated with or without 100 units/ml IFN-
for
2 days, and total RNA was isolated by Ultraspec RNA (Biotecx, Houston,
TX). RNA was separated on a 1% SeaKemGT agarose gel by electrophoresis
and transferred to nitrocellulose as described previously
(3)
. The membranes were first probed with LMP-2, LMP-7,
TAP-1, or TAP-2, stripped, and reprobed with glyceraldehyde-3-phosphate
dehydrogenase as control.
Cell Fusion Studies.
PA or LMD cells were transfected with plasmids conferring resistance to
puromycin or hygromycin. Transfected cells were then fused with
polyethylene glycol and selected in DMEM containing 10% FCS, 25
µg/ml puromycin, and 600 µg/ml hygromycin. Double-resistant hybrid
cells were collected and used as target cells for allogeneic CTLs
derived from C57BL/6-stimulated BALB/c T cells.
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RESULTS
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Immunogenicity of Primary and Metastatic Mouse Prostate Cancer
Cells.
Tumor cells can evade immune responses through reduced expression of
tumor antigens; alternatively, tumor antigens may not be presented to T
cells because of defective MHC expression. To explore the possibility
of differential immunogenicity in primary tumor-derived mouse prostate
cancer cells compared with their metastasis-derived counterparts,
surface MHC expression was first examined by flow cytometry in a pair
of MPR primary and metastatic cancer cell lines (Table 1)
. In terms of mean fluorescence intensity, primary prostate cancer
cells (PA) had almost 3-fold higher class I MHC expression than the
metastatic prostate cancer cells (LMD). However, class I MHC expression
was increased in both cell lines after treatment with IFN-
, a potent
inducer of class I MHC expression. Thus, although MHC expression on LMD
cells was relatively lower than that of PA cells after IFN-
treatment, MHC expression was responsive to up-regulation in the
metastatic cells. On the other hand, class II MHC was not expressed on
either cell line before or after treatment with IFN-
. Similar
results were obtained from two other pairs of similarly derived primary
and metastatic mouse prostate cancer cell lines (data not shown).
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Table 1 Class I MHC expression on primary and metastatic prostate tumor cells
Primary (PA) or metastatic (LMD) prostate tumor cells were incubated
with or without different amounts of IFN- for 2 days. Surface class
I MHC expression was measured in mean fluorescence intensity, and the
percentage of positive cells is in parentheses.
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Immunogenicity of the primary and metastatic mouse prostate cancer
cells was examined using the immunization and challenge experiment.
Syngeneic 129/Sv hosts were immunized with irradiated PA or LMD cells
by s.c. injection. Immunized animals were then challenged 2 weeks later
with s.c. injected live cancer cells of the same type. An immunogenic
tumor would induce antitumor immunity that inhibits the growth of the
challenge tumor. As shown in Fig. 1
, the growth of PA cells was inhibited at early time points in immunized
animals, whereas prior immunization with LMD had no effect on the
growth of the subsequently injected LMD cells. Hence, primary cancer
cells, but not metastatic prostate cancer cells, were immunogenic in
this assay.

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Fig. 1. Immunogenicity of PA and LMD cancer cells. 129/Sv mice
were immunized s.c. with irradiated PA or LMD cancer cells. Two weeks
later, live PA or LMD cells were injected s.c. into normal control
animals () or into immunized animals ( ). Tumor volume was
measured as described in "Materials and Methods." Each
line represents an individual mouse. Data were pooled
from two experiments.
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Role of TGF-ß in the Induction of Antitumor CTLs.
The above results indicate that PA and LMD cells evoke different immune
responses; however, these experiments did not address whether there is
differential reaction in the induction phase and/or the effector phase
of CTL activities. Initial attempts to induce antitumor CTLs by
coculture of spleen cells and cancer cells were not successful. Because
these cancer cells secrete a significant amount of TGF-ß
(13)
, we tested whether cancer cell-derived TGF-ß may
inhibit the generation of CTLs. To examine the effect of TGF-ß in the
induction of antitumor CTLs, spleen cells from allogeneic BALB/c mice
immunized with s.c. injection of irradiated PA cells were restimulated
in vitro in the presence or absence of anti-TGF-ß
antibody. The resulting effector cells were tested in the CTL assay
using IFN-
-treated PA cells as targets (IFN-
-treated tumor cells
are better target cells, as shown below). Results in Fig. 2
show that minimal CTL activities were generated in the presence or
absence of exogenous IL-2, whereas the addition of anti-TGF-ß
antibody led to a high level of CTL activities. These results thus
demonstrated a role of cancer cell-derived TGF-ß in suppressing CTL
induction in vitro. Consequently, anti-TGF-ß antibody was
added to all subsequent cocultures of spleen cells and prostate cancer
cells.

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Fig. 2. The role of TGF-ß1 in the induction of antitumor CTLs.
Spleen cells from BALB/c mice injected with irradiated PA cancer cells
were cultured with mitomycin C-treated PA cells in the presence or
absence of IL-2 (20 units/ml) or anti-TGF-ß1 (30 µg/ml). Additional
IL-2 (20 units/ml) was added on days 2 and 4, and CTL activity was
determined on day 6. Target cells in the CTL assay were PA cells that
had been incubated with 100 units/ml IFN- for 2 days. Data shown are
representative of two independent experiments.
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Induction of Syngeneic and Allogeneic Antitumor CTLs.
The differential immunogenicity reported above suggests that PA and LMD
cells may have different capacities in inducing CTL responses. To
address this issue, antitumor CTL activities were examined in syngeneic
mice immunized with irradiated PA or LMD cells. Effector CTLs were then
tested on target cells treated with or without IFN-
. As shown in
Fig. 3
, immunization with both PA and LMD cells induced CTLs that had
lytic activities on PA target cells, especially on PA cells that had
prior IFN-
treatment. These results indicated that both primary and
metastatic cancer cells are capable of inducing antitumor CTLs, and
incubation with IFN-
makes the cancer cells more susceptible to CTL
lysis. However, the same CTLs were not effective against LMD target
cells, regardless of IFN-
treatment. Thus, the apparent lack of
immunogenicity in LMD cells is not attributable to the inability to
induce CTL responses; rather, the metastatic cells are resistant to
cytolysis.

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Fig. 3. Induction of syngeneic CTLs by PA and LMD cancer cells.
Spleen cells from 129/Sv mice immunized s.c. twice with irradiated PA
(square symbols) or LMD cells (triangle
symbols) were cultured with mitomycin C-treated PA or LMD cells
in the presence of anti-TGF-ß (30 µg/ml). IL-2 (20 units/ml) was
added on day 2, and CTL activity was determined on day 5. Target cells
in the CTL assay were PA or LMD cells that had been incubated with or
without 100 units/ml IFN- for 2 days. Each line
represents an individual animal, and the same symbol represents the
same mouse.
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The susceptibility of PA and LMD cells to CTL lysis was further tested
in an allogeneic system. Effector CTLs generated from
C56BL/6-stimulated BALB/c T cells were tested on cancer cell targets
incubated with or without IFN-
. Compared with significant lysis of
PA cells, there was only minimal lysis of LMD cells (Fig. 4
). Incubation with IFN-
led to enhanced lysis of both PA and LMD
cells; nevertheless, lysis of LMD cells was still significantly lower
than that of PA cells. Therefore, even after a high level of class I
MHC expression was induced, the metastatic cancer cells remained
relatively resistant to CTL lysis. Taken together, these data indicate
that differential immune activities to PA and LMD cells were
attributable largely to the differences in the effector phase of CTL
response.

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Fig. 4. Cytolysis of PA and LMD cells by allogeneic CTLs. Effector
CTLs were generated from C57BL/6-stimulated BALB/c T cells as described
in "Materials and Methods." Target cells in the CTL assay were PA
or LMD cells that had been incubated with or without IFN- (100
units/ml) for 2 days. Data shown are representative of two independent
experiments.
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Characterization of Resistance to CTL Lysis.
Defective expression of class I antigen processing machinery has been
reported in metastatic human prostate cancer cells and renal carcinoma
cells (14
, 15)
, thus raising a possible explanation for
the differential immune responses against PA and LMD cells reported
here. We thus examined the gene expression of antigen processing
components including TAPs (TAP-1 and TAP-2) and the LMPs (LMP-2 and
LMP-7) in PA and LMD cells. Total RNA was isolated from PA and LMD
cells after being cultured in the presence or absence of IFN-
for 2
days. As shown in Fig. 5
, there was no significant differential expression in PA
versus LMD cells. Neither cell line expressed TAP-1, TAP-2,
LMP-2, or LMP-7 constitutively, but a high level of gene expression was
induced by IFN-
in both PA and LMD cells. Therefore, a high level of
gene expression for the antigen presentation components, as well as
class I MHC surface expression, was induced by IFN-
in LMD cells,
yet the cancer cells remained resistant to CTL lysis. These data thus
indicate that the resistant phenotype is independent of class I MHC
expression.

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Fig. 5. Gene expression for class I antigen presentation
components in PA and LMD cells. RNA was isolated from PA or LMD cells
that were incubated with or without IFN- (100 units/ml) for 2 days.
Gene expression was examined using probes for LMP-2, LMP-7, TAP-1,
TAP-2, and glyceraldehyde-3-phosphate dehydrogenase
(GAPDH) as control.
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Because LMD cells secreted a higher level of TGF-ß than PA cells
(13)
, it was of interest to examine whether target
cell-derived TGF-ß would interfere with the activities of effector
CTLs. As shown in Fig. 6
, addition of up to 100 µg/ml of anti-TGF-ß antibody did not have a
significant effect on allogeneic CTL responses against PA or LMD cells.
To further address whether the metastatic cancer cells resist CTL lysis
by secretion of soluble inhibitory factors, the effect of conditioned
culture medium from PA or LMD cells on CTL activities was examined.
Lytic activities on PA target cells were not affected by the addition
of culture supernatant from either PA or LMD cells (Fig. 7
, top). Therefore, it seems unlikely that resistance to
cytolysis is the result of differential secretion of TGF-ß or other
inhibitory factors.

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Fig. 6. Effect of TGF-ß in the effector phase of CTL responses.
Effector CTLs were generated from C57BL/6-stimulated BALB/c T cells as
described in "Materials and Methods." Target cells in the CTL assay
were PA or LMD cells that had been incubated with IFN- (100
units/ml) for 2 days. Anti-TGF-ß1 antibody or control rabbit antibody
were added in the beginning of the assay. Data shown are representative
of two independent experiments. Bars, SE.
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Fig. 7. The role of soluble factors and cell-cell contact in
resisting CTL lysis. Allogeneic CTLs were generated as described in
"Materials and Methods." Target cells were PA prostate cancer cells
that had been incubated with IFN- (100 units/ml) for 2 days.
Twenty-five or 50% final concentration of conditioned medium (SN,
supernatant) from 2-day culture of PA or LMD cells was added in the
beginning of the CTL assay (top). Ten-, 50-, or 100-fold
more cold PA or LMD cells versus labeled target cells
was also added (bottom). P815 cells, which are syngeneic
to the effector CTLs, were added as control. Bars,
SE.
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The metastatic cancer cells may resist CTL lysis by evading recognition
and binding to effector CTLs. We thus performed a cold target
competition assay to determine whether there was a difference in
cell-cell contact between the cancer cells and effector CTLs. Unlabeled
PA cells effectively competed for CTL recognition and inhibited lysis
on labeled PA cells in a dose-dependent manner (Fig. 7
, bottom
panel). Addition of unlabeled LMD cells also led to similar level
of lysis inhibition, indicating that effector CTLs had a comparable
level of cellular interaction with the PA or LMD cells. P815 cells,
which are syngeneic to the effector CTLs, were added as control and did
not inhibit lysis on the primary cancer cells. Therefore, these data do
not support the notion that the metastatic cancer cells resist
cytolysis by evading recognition by effector CTLs.
Effector CTLs destroy target cells by inducing rapid apoptosis,
followed by cell lysis and cell death. The extent of cell lysis and DNA
fragmentation induced by CTLs were examined in PA and LMD cells (Fig. 8
). Compared with PA cells, LMD cells treated with or without IFN-
resisted cell lysis by CTLs; however, a significant and high level of
DNA fragmentation was induced in both cell types. Although LMD cells
sustained substantial level of DNA damage induced by the CTLs, they
remained highly resistant to lysis by CTLs. These results indicated
that cell death and apoptosis signals were transmitted to the cancer
cells, yet the metastatic cancer cells resisted cytolytic activities
induced by CTLs.
To further characterize the genetic basis of cytolysis resistance in
LMD cells, the susceptibility of PA and LMD cell hybrids to CTL lysis
was examined. Puromycin- or hygromycin-resistant PA or LMD cells were
polyethylene glycol fused, and double-resistant hybrid cells were
selected and used as target cells for allogeneic CTLs generated from
C57BL/6-stimulated BALB/c T cells (Fig. 9
). In contrast to a significant level of lysis on PA parental cells,
cell hybrids derived from two independent fusions of PA and LMD were
resistant to CTL lysis. There were only low levels of lysis on the
fused cells and parental LMD cells. Resistance to lysis in the fused
cells was not overcome by IFN-
, because lysis on IFN-
-treated
hybrid cells was still significantly lower than that on similarly
treated PA parental cells. Hence, these results suggest the presence of
dominant factor(s) in metastatic mouse prostate cancer cells that
confers protection to CTL lysis.
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DISCUSSION
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In this report, we have examined the immunological properties of a
pair of primary tumor- and metastasis-derived mouse prostate cancer
cell lines in the induction and effector phases of CTL responses. These
prostate cancer cell lines are clonally related and have been used
extensively as a model for metastatic prostate cancer in our
laboratory. Results reported above indicate that there were
differential immune responses to these cells. Primary (PA) and
metastatic prostate cancer cells (LMD) had significant functional
differences, specifically at the effector phase of CTL cytolysis.
Immunization with both irradiated PA and LMD cells induced CTL
activities in syngeneic hosts. The PA cells were modestly susceptible
to CTL lysis; however, they became highly susceptible to CTL lysis when
a high level of class I MHC expression was induced. On the contrary,
LMD cells were resistant to CTL lysis, although similar levels of DNA
fragmentation was induced in both cell types. Resistance to CTL lysis
was dominant because cell hybrids of PA and LMD were also resistant to
cytolysis. Therefore, these results suggest that prostate cancer cells
acquire a phenotype that confers protection against CTL lysis as the
tumor cells progress and metastasize. Further characterization of this
phenotype may provide insight into prostate cancer progression and
possibly lead to new targets for therapeutic intervention.
One of the mechanisms for the immune escape phenotype in tumor cells is
loss or reduction of class I MHC expression (16, 17, 18)
. LMD
cells expressed reduced levels of cell surface class I MHC compared
with PA cells. Defective class I MHC expression has been attributed to
functional deficiencies of the genes of the antigen-processing
machinery (14
, 15)
. Suppression of TAP-2 gene
expression in one human metastatic prostate tumor cell line resulted in
loss of class I MHC expression. IFN-
restored class I MHC expression
and function in that cell line by enhancing the expression of TAP-2
(14)
. In metastatic renal tumor cells, a decrease in class
I MHC expression was associated with reduced TAP-1, TAP-2, LMP-2, and
LMP-7 expression, as well as decreased antigen transporter function
(15)
. Data presented in this report indicate that class I
MHC was expressed on the surface of the prostate cancer cells in the
absence of mRNA expression for TAP-1, TAP-2, LMP-2, and LMP-7. IFN-
induced expression of these four antigen-processing molecules and
enhanced class I MHC expression on both PA and LMD cells. This is in
agreement with other studies that show a relationship between class I
MHC expression and gene expression for antigen presentation (19
, 20)
. However, class I MHC expression did not play a major role
in the differential responses to CTL cytolysis. IFN-
-treated PA
cells became highly susceptible to CTL lysis, whereas similarly treated
LMD cells expressing a high level of class I MHC remained resistant to
CTL killing. Thus, resistance to CTL cytolysis was independent of class
I MHC expression.
The apparently dominant phenotype of cytolysis resistance in LMD cells
is intriguing. Compared with their nonmetastatic counterparts, LMD
cells were more resistant to lysis induced by CTLs. Cell hybrids
between PA and LMD cells were also resistant to CTL cytolysis. It has
been reported that tumor cells may acquire mechanisms to suppress
apoptosis as they progress and metastasize. A metastatic variant of the
LNCaP human prostate carcinoma line was more resistant to apoptosis
than the nonmetastatic variant. Apoptosis resistance was associated
with higher levels of expression of the cell death suppressor BCL-2 and
lower levels of the death promoters BAX and BAK (21)
.
Moreover, apoptosis resistance can be regulated by a dominant apoptosis
suppressor factor (22)
. Cell hybrids between
apoptosis-resistant and apoptosis-sensitive human prostate cancer cell
lines were found to be also resistant to Fas- and tumor necrosis
factor-mediated apoptosis. Presumably, the inhibitory protein that
suppresses apoptosis in Fas-resistant cell lines acts at the apex of
the apoptosis cascade by preventing the activation of caspase-8
(23)
. A lymphoid-specific apoptosis regulator that
inhibited apoptosis mediated by members of the TNF receptor family also
inhibited the processing of caspase-8 (24)
. However, the
cell death pathways induced by cytotoxic T cells and the mechanism of
resistance to the cytotoxic activities of CTLs demonstrated here may be
different from these studies. CTLs can destroy target cells through one
of two major pathways, i.e., the perforin/granzyme pathway
and the Fas pathway (25)
. CTLs derived from mice deficient
in Fas ligand have no measurable defect in cytolysis against allogeneic
target cells (26)
, and target cell killing mediated by
allospecific CD8+ CTLs is nearly completely
dependent on the perforin/granzyme pathway (25)
.
Therefore, cytotoxic activities reported in this study were most likely
mediated through the perforin/granzyme pathway. This is further
supported by the finding that showed a minimal level of Fas surface
expression on the cancer cells we used, and anti-Fas antibody induced
<10% of DNA fragmentation (data not shown). We presented evidence
indicating that metastatic mouse prostate cancer cells resisted cell
lysis but not DNA fragmentation. It seems unlikely that resistance to
cytolysis is attributable to a defect in cellular interaction between
effector CTL and cancer cells. PA and LMD cells competed equally well
for CTL recognition and inhibited CTL activities to a similar extent.
Hence, reduced class I MHC expression did not enable LMD cells to evade
CTL recognition. It is possible that differential responses to CTL
cytolysis are related to the function of perforin. Studies on CTLs,
which are protected from their lytic components, indicate that there
are mechanisms for inhibiting the activities of perforin
(27)
. There was no correlation between perforin binding
and susceptibility to lysis, but there were structural differences in
perforin bound to resistant versus susceptible cell lines
(27)
. These results provide indirect evidence for the
presence of a perforin-inhibitory protein that permits perforin binding
but prevents functional pore formation. However, our data indicated
that LMD cells had DNA fragmentation after incubation with CTLs,
suggesting that there was perforin pore formation and transmission of
granzymes to the cancer cells. The role of perforin in resisting CTL
cytolysis can be clarified in further studies using purified or
recombinant perforin to examine perforin membrane binding, insertion,
and pore formation. Alternatively, the resistant phenotype may be
attributable to the function of an intracellular suppressor factor(s)
that regulates the cell death signals initiated by CTLs through the
granzyme pathway. Signaling pathways leading to apoptotic cell death
and cell lysis induced by CTLs are transduced through both
caspase-dependent and caspase-independent pathways
(28, 29, 30)
. It is proposed that granzymes released from CTLs
cause nuclear damage such as DNA fragmentation and chromatin
condensation through a caspase-dependent pathway, whereas cytoplasmic
apoptotic damage such as prelytic phosphatidylserine externalization,
mitochondrial potential loss, and target cell lysis are induced by
granzymes via a caspase-independent pathway (29)
. It is
possible that suppressor factor(s) in LMD cells may inhibit signaling
in this caspase-independent cytoplasmic cell death pathway. Obviously,
it is of interest to determine the molecular basis of dominant
resistance to cell lysis but not nuclear damage induced by CTLs in
metastatic cancer cells.
The underlying premise of tumor immunology is that the immune system is
capable of recognizing cancer cells and that immune recognition can
lead to rejection of tumors by the host (31)
. Recent
molecular identification of tumor antigens that are recognized by T
cells further bolster the prospect of cancer immunotherapy
(32
, 33) . However, malignant transformation is often
associated with genetic alterations, providing tumor cells with
mechanisms for escape from immune surveillance. Overcoming these immune
escape phenotypes is crucial for successful application of cancer
immunotherapy. There is increasing evidence to suggest that a large
proportion of human cancers escape CTL-mediated immune surveillance by
selectively down-regulating the expression of MHC class I molecules
(14, 15, 16)
, and strategies to overcome this escape phenotype
by enhancing MHC class I expression in vivo are being
evaluated (34)
. Nevertheless, results reported in this
study indicate that metastatic cancer cells acquire, during tumor
progression, an additional mechanism to evade cellular destruction by
CTLs. Although class I MHC expression is restored on tumor cells,
metastatic cancer cells remain resistant to CTL-induced cell lysis.
Therefore, immune responses induced by immunotherapy may eliminate a
majority of primary cancer cells, but a population of metastatic cancer
cells could remain resistant to the immune attack. These results
indicate that additional intervention strategies are required for the
eradication of metastatic cancer cells. Further characterization of
this cytolysis-resistant trait in metastatic prostate cancer cells
would give us clues in the development of strategies that bypass the
blockage in apoptotic cell death and sensitize metastatic tumor cells
to anticancer therapy.
 |
FOOTNOTES
|
|---|
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 Supported by Grants RO1-CA50588 and P50-CA58204
from the NIH. 
2 To whom requests for reprints should be
addressed, at Scott Department of Urology, Baylor College of Medicine,
6560 Fannin Street, #2100, Houston, TX 77030. Phone: (713) 799-8718;
Fax: (713) 799-8712; E-mail: timothyt{at}www.urol.bcm.tmc.edu 
3 The abbreviations used are: MPR, mouse prostate
reconstitution; TAP, transporter associated with antigen processing;
LMP, low molecular weight protein of the proteasome complex; IL,
interleukin; TGF, transforming growth factor. 
Received 10/ 4/99.
Accepted 2/ 3/00.
 |
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