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Immunology |
RI (CD64) and Fc
RI (CD89)1
Departments of Cell Biology/Immunology and Surgical Oncology, Vrije Universiteit, Amsterdam, the Netherlands [M. v. E.]; Department of Immunology [A. B. v. S., H. V., G. H., J. G. J. v. d. W.], Medarex Europe [A. B. v. S.], and Genmab [J. G. J. v. d. W.], University Medical Center Utrecht, Utrecht, the Netherlands; and Department of Pathology, Faculty of Veterinary Medicine, Utrecht, the Netherlands [E. v. G.]
| ABSTRACT |
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RI, CD64) and IgA (Fc
RI, CD89), which are potent cytotoxic trigger molecules. Both receptors, however, require the FcR
chain for signaling. In this study, we show that Fc
RI and Fc
RI can trigger function independently of one another and do not cross-compete for the FcR
chain. Fc
RI proved more efficient in initiating early signaling events and effector functions, such as redirected tumor cell killing and generation of superoxide. In addition, simultaneous engagement of Fc
RI and Fc
RI resulted in enhanced tumor cell lysis. These data support the development of concepts in which both Fc
RI and Fc
RI on PMN cells are targeted for tumor therapy. | INTRODUCTION |
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Both the class I receptors for IgG (Fc
RI, CD64) and IgA (Fc
RI, CD89) have been identified as candidate therapeutic targets (9, 10, 11)
. These receptors exhibit a myeloid-restricted cell distribution and potently trigger effector functions like phagocytosis and tumor cell lysis (12
, 13)
. PMN cells constitutively express Fc
RI and can be induced to express Fc
RI upon treatment with IFN-
or G-CSF (2
, 14)
. We thus posed the question whether it would be feasible to use both receptors simultaneously as trigger molecules for immunotherapy.
Both FcR classes, however, associate with the promiscuous FcR
chain signaling subunit and are dependent on this FcR
chain for stable surface expression (15, 16, 17, 18, 19)
. Consequently, it is conceivable that Fc
RI and Fc
RI "cross-compete" for the FcR
chain, which would hinder the possibility of using both receptors in immunotherapy. The aim of this study was, therefore, to determine whether both receptors can function independently, irrespective of (limiting amounts of) the FcR
chain. Furthermore, we analyzed whether simultaneous engagement of Fc
RI and Fc
RI on PMN cells facilitates destruction of malignant cells.
| MATERIALS AND METHODS |
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RI was detected with FITC-conjugated F(ab')2 fragments of CD89 mAb A77 (Medarex, Annandale, NJ) or PE-labeled CD89 mAb A59 (PharMingen, San Diego, CA). FITC-conjugated CD64 mAb 22 (Medarex) was used to determine Fc
RI expression. Mouse PMN cells were defined with PE-conjugated Gr-1 (PharMingen).
Fully human IgA1 antibodies targeting Ep-CAM were obtained by using phage display and engineering as described previously (20)
. BsAb Fc
RIxHER-2/neu (22x520C9; MDXH210), Fc
RIxHER-2/neu (A77x520C9), Fc
RIxHLA-II (22xF3.3), and Fc
RIxCD20 (A77x1F-5) were prepared as described in Ref. 21
. mAb 520C9 (Medarex) recognizes HER-2/neu, a proto-oncogene product overexpressed on human carcinoma cells. mAb 1F5 and mAb F3.3 are directed against CD20, and MHC class II antigens, respectively, and were a kind gift from Dr. M. Glennie (Tenovus Research Laboratory, Southampton, United Kingdom).
Flow Cytometry.
Whole blood of mice was incubated with mAb (10 µg/ml) for 15 min at room temperature and subjected to fluorescence-activated cell sorting lysing solution (Becton Dickinson, San Jose, CA). Human PMN cells (2 x 105), either freshly isolated or cultured overnight, were incubated with 22-FITC and A59-PE for 30 min at 4°C. Cells were analyzed on a FACScan (Becton Dickinson).
Tg Mice.
Generation of Fc
RI (22)
and Fc
RI (19)
Tg mice was described earlier. Briefly, Fc
RI Tg mice were generated by injection of an 18-kb human genomic DNA fragment into FVB/N oocytes. A 41-kb cosmid clone served as a Tg construct to create Fc
RI Tg mice. Both Tg mice expressed the human receptor solely on myeloid cells, which parallels the human situation. Fc
RI Tg males were crossed with Fc
RI Tg females to generate (Fc
RI x Fc
RI) double Tg (dTg) mice. Expression of transgenes was determined by flow cytometry of peripheral blood cells using anti-Fc
RI mAb 22-FITC and anti-Fc
RI mAb A77-FITC.
To induce Fc
RI expression on PMN cells and to increase PMN cell counts in blood, mice were injected s.c. with 1.6 µg/mouse/day murine G-CSF for 4 days (23)
.
Cell Culture.
Peripheral blood (heparin anticoagulated) from healthy volunteers was collected and PMN cells were isolated by Ficoll-Histopaque discontinuous gradient centrifugation. PMN cells were collected at the interface between Ficoll and Histopaque and the remaining erythrocytes were removed by hypotonic shock. Both purity of PMN cells and viability checked with trypan blue exceeded 95%.
The breast carcinoma cell line SK-BR-3, overexpressing HER-2/neu and the malignant B-cell line ARH-77 were obtained from the American Type Culture Collection (Manassas, VA). Cells were cultured in RPMI 1640 medium (Life Technologies, Inc., Grand Island, NY) supplemented with 10% FCS and antibiotics. SK-BR-3 cells were harvested using trypsin-EDTA (Life Technologies, Inc., Paisley, United Kingdom).
In culture experiments, human or mouse cells were cultured with human or mouse cytokines, respectively. Human PMN cells were cultured overnight at 37°C with IFN-
(300 units/ml; Boehringer Mannheim, Mannheim, Germany) to induce Fc
RI expression. Mouse bone marrow cells were cultured in DMEM medium, supplemented with 4.5 g/liter glucose, 10% FCS, and antibiotics, with or without granulocyte macrophage colony-stimulating factor (GM-CSF, 50 ng/ml) and tumor necrosis factor
(TNF-
, 50 ng/ml), or IFN-
(250 units/ml; Amgen, Thousand Oaks, CA). After 24 h, nonadherent cells were harvested and stained with A77-FITC or 22-FITC. Gr-1-PE was used to define mouse PMN. Dr. J. Andresen (Amgen) generously provided GM-CSF and G-CSF. TNF-
was kindly donated by Dr. W. Buurman (University Maastricht, the Netherlands).
Cytotoxicity Experiments.
51Cr release assays were used to evaluate the capacity of effector cells to lyse tumor cells (24)
. Either 1 x 106 SK-BR-3 or 1 x 106 ARH-77 tumor cells were incubated with 150 µCi of 51Cr (Amersham, Little Chalfont, United Kingdom) for 2 h at 37°C and washed three times.
In "cold target inhibition experiments," 2.5 x 103 51Cr-labeled SK-BR-3 cells were plated with 2.5 x 103 unlabeled ARH-77 cells (or vice versa) in 96-well round-bottomed microtiter plates. Fifty microliters of whole blood of G-CSF-treated dTg mice were added (E:T ratio, 120:1). Alternatively, 50 µl of RPMI 1640 medium containing 3 x 105 (E:T ratio, 60:1), 6 x 105 (E:T ratio, 120:1), or 9 x 105 (E:T ratio,180:1) IFN-
-treated human PMN cells were added. BsAb-mediated tumor cell lysis of 51Cr-labeled targets was compared with lysis of the same cells in the presence of a BsAb directed against competing unlabeled cells.
In an additional set of experiments, 51Cr-labeled SK-BR-3 or 51Cr-labeled ARH-77 cells (5 x 103/well) were incubated with effector cells and increasing amounts of anti-Fc
RI BsAb, anti-Fc
RI BsAb, or both types of BsAb. Cells were incubated at 37°C for 6 h, after which 51Cr release in supernatants was measured.
Respiratory Burst Experiments.
Polystyrene tubes were coated with 100 µg/ml human serum IgA (Cappel, Aurora, OH), 100 µg/ml human IgG (CLB, Amsterdam, the Netherlands), or PBS for 3 h at 37°C. After washing three times with PBS, all tubes were blocked with HEPES complete [20 mM HEPES (pH 7.4), 132 mM NaCl, 6 mM KCl, 1 mM MgSO4, 1.2 mM NaH2PO4, 1 mM CaCl2, 5.5 mM glucose, 0.5% BSA, and 1.5 mM MgCl2] for 1 h at 37°C. The luminol-enhanced chemiluminescence method was used for determination of real-time respiratory burst activity (25)
. Human PMN cells (2 x 105/0.2 ml HEPES) were gently centrifuged (400 rpm, 5 min, 4°C) and placed in a 953 LB Biolumat (Berthold, Wildbad, Germany). Luminol (150 mM) was injected in all tubes, and light emission was recorded continuously for 30 min at 37°C.
Statistics.
Results were analyzed by means of the unpaired two-tailed Students t test (comparison experiments described in Fig. 6
) or ANOVA tests (combination experiments; Fig. 5
). Differences in competition experiments were analyzed by Wilcoxon rank sum tests (Fig. 4)
. Results are expressed as mean ± SE, and significance was accepted at P < 0.05.
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| RESULTS |
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RI and Fc
RI crucially depend on the FcR
signaling chain for stable surface expression, we investigated whether these receptors "cross-compete" for the FcR
chain. We first checked expression of Fc
RI and Fc
RI under various conditions. Freshly isolated human PMN expressed Fc
RI, but not Fc
RI (Fig. 1A
RI, PMN cells were incubated with IFN-
. Fc
RI expression was up-regulated after 24 h (Fig. 1A
RI levels were unaffected (Fig. 1B)
RI expression on human PMN cells is difficult to manipulate experimentally, we created mice Tg for human Fc
RI or human Fc
RI. It was previously shown that human Fc
RI and Fc
RI physically interact with the murine FcR
chain (17
, 19)
and these Tg models enabled us to modulate receptor expression separately and in vivo. As described before (19
, 22)
, cell distribution patterns in Tg mice closely parallels the human situation; Fc
RI is constitutively expressed on monocytes and macrophages and induced on PMN cells by G-CSF or IFN-
treatment (22)
. Fc
RI Tg mice constitutively express Fc
RI on PMN, whereas expression can be induced on macrophages by culture with GM-CSF and TNF-
(19
, 26)
.
|
RI x Fc
RI) dTg mice with GM-CSF and TNF-
enhanced Fc
RI expression levels (Fig. 2A
selectively induced Fc
RI expression (Fig. 2A
RI expression was found between Fc
RI sTg and dTg PMN cells upon culture with GM-CSF/TNF-
, although the latter PMN cells expressed increased levels of Fc
RI (Fig. 2B
RI after culture with IFN-
did not affect Fc
RI expression levels (Fig. 2B
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RI was up-regulated on dTg PMN, whereas expression of Fc
RI was unaltered (Fig. 3A)
RI expression levels did not affect levels of Fc
RI (Fig. 3B
RI sTg mice showed identical Fc
RI expression levels, indicating that Fc
RI does not affect expression of Fc
RI either (Fig. 3B
RI and Fc
RI expression levels on resting and cytokine-stimulated PMN cells are comparable between sTg and dTg mice.
|
RI and Fc
RI require the FcR
chain for proper function (15, 16, 17, 18, 19)
, we investigated whether the FcR
chain preferentially interacts with either one of these receptors. For this purpose, we set up a cold target inhibition assay. Effector cells were incubated with a mixture of 51Cr-labeled target cells X and unlabeled target cells Y (Fig. 4A)
-treated human PMN cells (Fig. 4, B and C)
RI nor that via Fc
RI was influenced when BsAb directed against SK-BR-3 and the competing receptor were present (Fig. 4B)
RI-mediated tumor cell lysis were observed, either in the absence or presence of BsAb targeting Fc
RI and ARH-77 (Fig. 4C
RI-mediated lysis of 51Cr-labeled SK-BR-3 cell was unaffected in the presence of a BsAb targeting Fc
RI (Fig. 4C
RI- or Fc
RI-mediated lysis of either cell lines were observed when whole blood of dTg mice was used as effector population (Fig. 4D)
Next, tumor cell kill upon simultaneous engagement of Fc
RI and Fc
RI was assessed. Maximal lysis of ARH-77 cell was observed with either 1 µg/ml BsAb Fc
RIxHLAII or Fc
RIxCD20, which was not increased in the presence of higher BsAb concentrations. Tumor cell lysis was, however, enhanced upon incubation with two targeting BsAb, relative to either one of them separately (Fig. 5A)
. Comparable data were obtained with whole blood of G-CSF-treated dTg mice (data not shown, n = 3). We, furthermore, investigated whether the observed reduction in Fc
RI-mediated tumor cell lysis upon engagement of Fc
RI at E:T ratios of 60:1 would abrogate this enhancement in tumor cell lysis. Since BsAb Fc
RIxCD20 did not induce tumor cell lysis at the E:T ratio 60:1 (data not shown), SK-BR-3 cells expressing both HER-2/neu and Ep-CAM were used. Because an IgA Ab targeting Ep-CAM was available (20)
, BsAb Fc
RIxHER-2/neu and IgA anti-Ep-CAM Ab were used in these experiments. Maximal lysis of SK-BR-3 tumor cells was observed in the presence of 0.4 µg/ml Fc
RIxHER-2/neu or 2.0 µg/ml IgA anti-Ep-CAM, and again enhanced tumor cell lysis was observed upon addition of two (bispecific) Abs, relative to addition of only one (Fig. 5B)
.
Notably, Fc
RI proved more efficient in triggering tumor cell kill than Fc
RI (Fig. 6, A and B)
. Therefore, the capacity of Fc
RI and Fc
RI to initiate PMN cell signaling was investigated. Cross-linking of Fc
RI resulted in a more rapid induction of rises in intracellular free calcium levels than cross-linking of Fc
RI (Fig. 6C)
. Initiation of respiratory burst activity was tested as a more distal signaling event using a sensitive chemiluminescence method. No PMN oxygen radical production was evoked when PBS/HEPES-coated tubes were used. Tubes coated with either IgA or IgG activated the PMN NADPH-oxidase complex, but respiratory burst activity was consistently higher with IgA-coated tubes (Fig. 6D)
. This was observed with a range of IgA and IgG concentrations (data not shown, n = 2).
| DISCUSSION |
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RI and Fc
RI, because both are selectively expressed on myeloid effector cells which can easily be mobilized in vivo and potently trigger tumor cell lysis in vitro
(2
, 9
, 10
, 27) . Moreover, treatment with a combination of G-CSF and BsAb, targeting Fc
RI and idiotype, led to effective antitumor responses in lymphoma-bearing Fc
RI Tg mice, which were not observed in control mice (including treated nontransgenic litter mates) (28)
. Similarly, treatment of Fc
RI Tg mice with an anti-Fc
RI BsAb resulted in prolonged survival, compared with control mice (29)
.
A possible drawback of therapies engaging both Fc
RI and Fc
RI, however, may be the (limiting) amount of FcR
chain in effector cells restricting simultaneous triggering via two FcR
chain-dependent receptors (15, 16, 17, 18, 19)
. In the present work, however, no evidence was found that the FcR
chain limits expression of Fc
RI or Fc
RI, neither in vitro nor in vivo. Up-regulation of Fc
RI did not result in decreased expression of Fc
RI and vice versa (Figs. 1
2
3
). Furthermore, cold target inhibition experiments showed that in most circumstances both receptors function independently of each other without any cross-competition for the FcR
chain. Since BsAb targeting either HLA class II or HER-2/neu induced efficient tumor cell lysis, it is feasible that these BsAb induce maximal occupancy of receptors and associating FcR
chain. In one situation, where Fc
RIxHER-2/neu and Fc
RIxHLAII BsAb were used at an E:T ratio 60:1, Fc
RI-mediated tumor cell lysis was somewhat reduced upon engagement of Fc
RI, suggesting competition for the FcR
chain. No FcR
chain competition was observed when Fc
RIxHER-2/neu and Fc
RIxCD20 BsAb were added, which is likely attributable to less efficient tumor cell lysis via BsAb targeting CD20 than HLA class II. This indicates that FcR
chain cross-competition may occur in situations where both classes of receptors are maximally engaged, while numbers of effector cells are limited. However, at E:T ratios of 60:1 simultaneous triggering of both receptor classes still enhanced tumor cell killing (Fig. 5B)
, suggesting that even under these conditions only minimal FcR
chain competition occurs.
Notably, earlier data in mast cells supported strong competition between Fc
RI and FcR
IIIa for the FcR
chain (30
, 31)
. It may, thus, be possible that differences exist between FcR
chain levels in PMN cells versus mast cells or that expression of Fc
RI and Fc
RIIIa is more strictly regulated than expression of Fc
RI and Fc
RI. Additionally, in mast cells, Fc
RIIIa and Fc
RI exist as multisubunit complexes consisting of FcR ß chain and FcR
signaling units (32)
. Rather than FcR
chain, the FcR ß chain might, therefore, be limiting.
Since Fc
RI was capable of triggering early and late signaling events more potently than Fc
RI (Fig. 6
; Refs. 33
and 34
), it is conceivable that different signaling pathways are initiated upon either Fc
RI or Fc
RI cross-linking. Simultaneous engagement of both pathways may, therefore, amplify effector functions. The higher capacity of Fc
RI to initiate PMN cell activation might well be attributable to the presence of the positively charged amino acid (Arg209) in the transmembrane region of Fc
RI (18)
. Because the FcR
signaling chain bears a negatively charged amino acid in its transmembrane region, we hypothesize that this results in a stronger association of the FcR
chain with Fc
RI than with Fc
RI (which lacks such a positively charged amino acid) (15)
. Alternatively, it is possible that the increased number of tumor antigens bound by effector cells resulted in enhanced tumor cell lysis.
Whereas BsAb targeting Fc
RI and CD20 were reported unable to initiate Ab-dependent cellular cytotoxicity, tumor cells were lysed in the presence of BsAb targeting Fc
RI and CD20 (35)
. Also, in our experiments, Fc
RI proved more efficient in initiating tumor cell killing. An attractive feature of Fc
RI as target molecule, however, is the ability of this receptor to induce a "vaccine" effect. Fc
RI was shown to initiate efficient antigen presentation in vitro and in vivo
(22
, 36)
, and recently a unique motif for antigen presentation has been identified in its cytoplasmic tail (37)
. We, therefore, speculate that targeting to Fc
RI might induce a memory response to recirculating tumor cells. Indeed, Fc
RI Tg mice with lymphoproliferative disease injected with BsAb (targeting Fc
RI) were not only cured, but also protected against tumor rechallenge (28)
.
In conclusion, this study documents the FcR
chain not to be limiting for either expression or function of Fc
RI or Fc
RI on PMN cells. Because of this, Fc
RI and Fc
RI can be simultaneously engaged for induction of cell lysis, resulting in improved tumor cell killing. Importantly, it was shown that IgA1 and IgG1 anti-Ep-CAM Abs do not synergize (20)
. This has been attributed to binding of IgG1 anti-Ep-CAM Abs to inhibitory Fc
RIIb (CD32) receptors on PMN cells, which would inhibit rather than enhance Fc
RI-mediated killing. The usage of BsAb, selectively targeting to activatory PMN FcR, would overcome this problem and may thus be a prerequisite for combined treatment. Moreover, whereas Fc
RI was shown to be more active in killing malignant cells, Fc
RI might more potently induce a vaccine response. Immunotherapy, involving combined engagement of Fc
RI and Fc
RI, may, therefore, constitute an attractive option for the treatment of malignant disorders.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by National Organization for Scientific Research Grant 901-12-214. ![]()
2 To whom requests for reprints should be addressed, at Department of Immunology, University Medical Center Utrecht, KC.02-085.2, Lundlaan 6, 3584 EA Utrecht, the Netherlands. E-mail: j.vandewinkel{at}lab.azu.nl ![]()
3 The abbreviations used are: PMN, polymorphonuclear; G-CSF, granulocyte colony-stimulating factor; Ab, antibody; mAb, monoclonal Ab; BsAb, bispecific Ab; Tg, transgenic; dTg, double Tg; FcR, Fc receptor; GM-CSF, granulocyte macrophage colony-stimulating factor; sTg, single Tg; TNF-
, tumor necrosis factor
; PE, phycoerythrin. ![]()
Received 2/24/00. Accepted 3/14/01.
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