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Tumor Biology |
Laboratories of Molecular Neuro-Oncology [W. R., M. P., W. W., M. W.] and Neuroregeneration [S. I., M. B.], Department of Neurology, University of Tübingen, School of Medicine, 72076 Tübingen, Germany; Unit of Molecular Pathology, International Agency for Research on Cancer (IARC), 69008 Lyon, France [M. N., P. K., H. O.]; and Department of Molecular Oncology, Genentech Inc., South San Francisco, 94080 California [A. A.]
| ABSTRACT |
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| INTRODUCTION |
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Recently, a soluble decoy receptor for CD95L, DcR3 (also known as TR6 and M68), has been identified (10, 11, 12) . DcR3 is a 35-kDa protein that lacks a transmembrane domain and is secreted into the extracellular space. DcR3 binds to the ligands CD95L and LIGHT, thereby neutralizing their proapoptotic actions (10 , 12) . It has been demonstrated that DcR3 frequently is overexpressed by malignant tumors arising from lung and gastrointestinal tract (10 , 11) . Moreover, Pitti et al. (10) detected a high percentage of DcR3 gene amplifications in colon and lung carcinomas. Thus, it has been postulated that CD95/CD95L interactions might limit cancer growth and that cells expressing higher levels of DcR3 are more likely to escape elimination via the CD95/CD95L system.
In this study, we provide evidence that DcR3 may be involved in the progression of malignant glioma. We demonstrate that human malignant gliomas express DcR3 in vivo, that enhanced expression of DcR3 suppresses CD95L-induced apoptosis in vitro, and that DcR3-expressing glioma xenografts are less prone to immune cell infiltration in vivo.
| MATERIALS AND METHODS |
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Cell Culture, Transfections, and Cytotoxicity Assays.
The glioma cells were maintained as described (13)
. Doubling times were determined during logarithmic growth in 24-well plates; 103 cells were seeded per well, and cell counts were obtained daily for 7 days by trypan blue exclusion. Acute cytotoxic cell death assays were performed as described (16)
. Glioma cell sublines stably expressing human DcR3 were generated by cotransfecting the cells with the DcR3-pRK5 plasmid (10)
and the pcDNA3 neo control plasmid by the SuperFect method (Qiagen, Hilden, Germany). The cells were selected with G418 (500 µg/ml), starting 48 h after transfection. All experiments were carried out with pooled transfectants to avoid cloning or selection artifacts. Cell culture supernatants were harvested after incubating the cells for 24 h with serum-free DMEM medium. For some experiments, the conditioned medium was concentrated in centrifugal filter devices (Millipore, Eschborn, Germany). One unit of DcR3 activity was defined as the amount of DcR3-containing supernatant that neutralized the effects of one unit of CD95L, defined as the concentration required to induce half-maximal (50%) cell death in LN-18 cells (13)
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Preparation of Primary Glioma Cell Cultures.
Human brain tumors were obtained from patients with glioblastoma who underwent surgery for tumor resection. After tumor removal, the tissues were placed immediately in Petri dishes, minced mechanically, and digested enzymatically using collagenase (1 h, 37°C). Subsequently, the dissociated cells were filtered through 100 µm cell strainers to remove tissue debris. After centrifugation and lysis of erythrocytes by treatment with hypotonic water, the glioma cells were washed and resuspended in full medium (DMEM). Conditioned medium was harvested after no more than five passages.
Animal Studies.
All animal work was carried out in accordance with the NIH guidelines "Guide for the Care and Use of Laboratory Animals." F344 (Fischer) rats (Charles River, Sulzfeld, Germany) were anesthetized by i.p. injection of 7% chloral hydrate before all procedures. For intracranial implantation, the rats were placed in a stereotactic fixation device (Stoelting, Wood Dale, IL), and a burr hole was drilled in the skull 2.5 mm lateral to the bregma. The needle of a Hamilton syringe (Hamilton, Darmstadt, Germany) was introduced to a depth of 5.5 mm. Glioma cells (5 x 104 cells in 5 µl of PBS) were injected into the right striatum as described (17)
. Subsequently, the rats were observed at regular intervals, and all rats were sacrificed 14 days after the implantation of tumor cells. The brains of sacrificed rats were removed and quickly frozen on liquid N2 and stored at -80°C. Cryostat sections (10 µm) were stained with H&E or, alternatively, with thionine according to standard protocols. For the assessment of tumor volume, cryostat sections were obtained at regular intervals, routinely stained with H&E, and subjected to an analysis of tumor volumes by MCID software (Imaging Research Inc., Ontario, Canada).
Immunoblot Analysis.
Glioma cells (5 x 106) were cultured in serum-free DMEM for 24 h. The supernatants were harvested and subsequently concentrated by centrifugal filter devices (Millipore). The supernatants of freshly isolated ex vivo glioma cells were prepared accordingly. Proteins (10 µg/lane) were separated on polyacrylamide gels (15%) and blotted onto nitrocellulose by standard procedures. The membranes were washed, incubated with primary antibody (anti-hDcR3; 2 µg/ml), washed, and incubated with secondary antibody (antimouse IgG; Amersham, Braunschweig, Germany). Enhanced chemiluminescence reagents (Amersham) were used for detection. Several monoclonal antibodies were raised against DcR3 by immunizing mice with a human DcR3-Fc fusion protein. Specific interaction with DcR3 was confirmed by immunoblot with purified recombinant soluble polyhistidine-tagged human DcR35
and by confirming similar patterns of immunoreactivity obtained with the different clones of DcR3 antibody on immunoblot, and flow cytometric and immunohistochemical analysis of glioma cells.
Flow Cytometric Detection of DcR3 Expression.
For flow cytometric analysis of DcR3 expression, the glioma cells were detached from culture flasks by incubation with cell dissociation buffer (Life Technologies, Inc., Basel, Switzerland) and washed in PBS; 106 cells were then permeabilized with 1 ml of 75% ethanol for 10 min at 4°C and washed with PBS. Samples were resuspended in 150 µl of flow cytometry buffer [PBS (pH 7.4), 1% BSA, 0.01% sodium azide] containing 10% sheep serum and blocked for 20 min at 4°C. After two washes, the samples were incubated with different monoclonal DcR3 antibodies (10 µg/ml) or control mouse IgG (10 µg/ml). After two additional washes with PBS, the samples were incubated with sheep antimouse IgG-FITC (1:160) for 20 min at 4°C. Flow cytometric analysis was performed using a Becton Dickinson FACScalibur cytometer and CellQuest Software.
Immunohistochemistry.
The surgical specimens of brain tumors [11 diffuse astrocytomas (WHO grade II) and 18 glioblastomas (WHO grade IV)] were obtained from patients treated in the Department of Neurosurgery, University Hospital of Zurich, Switzerland. Tumors were fixed in buffered formalin and embedded in paraffin. Pathological diagnosis was made according to the WHO classification. After deparaffinization, sections were heated and boiled for 15 min (three times 5 min each) in a microwave oven in 10 mM sodium citrate (pH 6.0) buffer. The sections were incubated for 1 h at room temperature with monoclonal antihuman DcR3 antibody at a dilution of 1:20 (50 ng/ml) in antibody diluent (Tris-HCl buffer containing carrier proteins and 0.015 M sodium azide; DAKO, Glostrup, Denmark). The reactions were visualized using a Vecstain ABC kit and diaminobenzidine (Vector Laboratories, Burlingame, CA). Control experiments without primary antibody or with irrelevant primary antisera did not result in immunoreactivity (not shown). The sections were counterstained with hematoxylin.
Immunohistochemistry for rat brain sections was performed as follows: Cryostat sections (16 µm) were cut, air dried, and stored at -20°C. Sections of all tumors were routinely stained with H&E for morphological analysis. For immunocytochemical staining, frontal brain sections containing tumors were thawed, air dried, and fixed in 4% paraformaldehyde. Endogenous peroxidase activity was blocked by incubation in 0.3% H2O2. Nonspecific Fc binding was abrogated by preincubation with 10% normal goat serum and 1% BSA in PBS. Sections were incubated with monoclonal antibodies (Serotec, Kidlington, United Kingdom) directed against ED1 (membrane antigen of microglia/macrophages), OX4 (CD4+ T cells, perivascular microglia), or OX8 (CD8+ T cells).
Following incubation with the primary antibody (1:100) at 4°C overnight, sections were washed and reacted with a secondary biotinylated antiserum (1:200 in PBS/BSA; Dianova, Heidelberg, Germany) at room temperature for 30 min. Antibody binding was detected by incubation with an avidin-biotin-peroxidase complex (Vector Laboratories), according to the manufacturers instructions. Sections were processed with 3,3-diaminobenzidine (0.05%) and H2O2 (0.015%) in 10 mM Tris buffer for 35 min, and the reaction product was visualized under a Zeiss microscope (Deisenhofen, Germany). Immunolabeled cells within individual tumors were counted in four to six high-power fields of at least four sections per tumor (x40 lens). Data are given as mean ± SD. Statistical significance was assessed using a t test. Control sections treated in the same way, but omitting incubation with the primary antibody, showed no specific labeling. Rat thymus, lymph nodes, and spleen were used as positive controls for lymphocytes, monocytes, and macrophages. Sections were counterstained with DAPI (17 , 18) , and nuclear morphology was analyzed on the same sections using epifluorescence.
Chemotaxis Assay.
The migration of malignant glioma cells through 8 µm pores was assessed using a 48-well micro chemotaxis chamber (Neuro Probe Inc., Bethesda, MD) as described previously (19)
. CD95L-containing medium (30 µl) in the wells of the bottom chamber served as the chemoattractant. Medium lacking CD95L was used as a control. The filter membrane was placed between the top and bottom chambers and equilibrated for 30 min at 37°C. N9 microglial cells (5 x 103/well) in the absence or presence of DcR3 were applied to the upper wells and were allowed to migrate through the membrane at 37°C in humidified air with 5% CO2. After 24 h, the membrane was removed, and the nonmigrated cells were scraped off with a wiper blade. Migrated cells on the bottom side of the membrane were fixed in methanol and stained in thiazine/eosin using DiffQuick (Dade Behring AG, Düdingen, Switzerland). Cells migrated through the membrane pores were counted using a microgrid. The monoclonal anti-CD95 antibody SM1/23 that was used in some control experiments was purchased from Alexis (San Diego, CA).
| RESULTS |
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We next investigated whether human astrocytic brain tumors express DcR3 in vivo and whether the expression differs in low- and high-grade gliomas. DcR3 expression was detected in 15 of 18 (83%) glioblastomas (WHO grade IV) but in none of 11 diffuse astrocytomas (WHO grade II; low-grade gliomas). DcR3 expression was observed predominantly in areas surrounding large ischemic necrosis, which are a hallmark of high-grade gliomas (Fig. 2)
. Typically, positive staining for DcR3 was observed in the cell membrane and cytoplasm of neoplastic cells. DcR3 was not detected in normal brain tissue surrounding the tumors.
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DcR3 Does Not Interfere with Cytotoxic Drug-induced Cell Death and Does Not Participate in the Inhibition of Glioma Cell Fratricide.
The involvement of the CD95 system in cytotoxic drug-induced apoptosis is a controversial issue (21
, 22)
. If drug-induced cell death is mediated by CD95/CD95L interactions, enhanced DcR3 expression should confer protection against this type of cell death. We therefore compared the effects of cytotoxic drugs on DcR3 transfectants and control cells. DcR3 transfectants and neo control cells of diverse glioma cell lines were cultured for 12 h in DMEM and then treated for 24 h with lomustine (CCNU), teniposide, or cisplatin. Table 1
lists the EC25 drug concentrations (drug concentrations that led to death of 25% of the cells) in acute cytotoxicity assays. No statistically significant differences between the DcR3-producing cells and neo control cells were observed (P > 0.05, t test).
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Suppression of Immune Cell Infiltration in Glioma Xenografts by DcR3 Expression.
Because neutralization of CD95L may predominantly affect functions in the immune system, we investigated DcR3-mediated effects on glioma growth in vivo. DcR3 transfectants and neo control cells of the rat gliosarcoma cell line 9L were stereotactically implanted into the brains of immunocompetent F344 rats. At 14 days after inoculation of tumor cells, the animals were sacrificed, and cryosections of the brains were produced. Histological analysis of H&E-stained sections showed large, solid tumors, with rather distinct margins toward the surrounding brain tissue. There was no diffuse infiltration of tumor cells into the surrounding brain; however, smaller, solid bundles of tumor cells grew into the surrounding brain at a margin of several hundred µm. There were several small areas of necrosis present in almost every tumor, with surrounding macrophages (not shown). DAPI staining of cell nuclei did not reveal any gross difference in size, shape, or density of tumor cells between DcR3-transfected and control tumors (Fig. 5, A and E)
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We next examined whether the modified immune reaction to DcR3-expressing gliomas was also accompanied by a decrease in glioma growth. Again, 2 weeks after inoculation of glioma cells into the brains of Fischer rats, the animals were sacrificed, and cryosections were stained with H&E. Volumetric analysis of tumor volumes showed that DcR3-producing 9L glioma cells tended to form larger tumors (44.2 ± 9.8 mm3) than neo control cells (32.2 ± 9.3 mm3); however, this difference was not statistically significant as assessed by Students t test (P = 0.07; Fig. 5J
). Of note, the generation times of these cell lines were also not statistically different in vitro, indicating that ectopic expression of DcR3 did not substantially interfere with growth kinetics or cell cycle regulation (30 ± 3 h for 9L neo, 33 ± 4 h for 9L DcR3).
DcR3 Inhibits the Chemotactic Activity of CD95L against Microglial Cells in Vitro.
Prompted by these in vivo findings, we investigated whether CD95L-mediated chemotactic locomotion of microglial cells was inhibited by DcR3. We first examined the chemotactic effects of CD95L-containing cell culture supernatant on N9 cells. N9 cells are transformed mouse microglial cells (15)
that resist the proapoptotic effects of CD95L. As depicted in Fig. 6
, the migration of microglia was substantially increased after the addition of 100 units/ml CD95L to DMEM medium compared with medium lacking CD95L. In the presence of 150 units/ml DcR3, the increase in motility was abolished. As a control, we incubated the cells with an antagonistic CD95 antibody (1 µg/ml) and assessed the cellular motility after CD95L stimulation. Interference with CD95/CD95L interactions by this antibody also resulted in prominent inhibition of migration.
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| DISCUSSION |
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To investigate whether DcR3 has oncogenic properties in malignant gliomas, we first examined DcR3 expression in long-term human malignant glioma cell lines, in freshly prepared ex vivo glioma cells, and in surgical glioma specimens in vivo (Figs. 1
and 2
). DcR3 was detected in the supernatants of the majority of glioma cells in vitro. The immunohistochemical examination of DcR3 in gliomas with different grades of malignancy led to the interesting finding that diffuse astrocytomas (i.e., low-grade astrocytomas; Ref. 29
) lack DcR3 expression, whereas the vast majority of high-grade gliomas are positive for DcR3 expression. These results confirm and extend the data on preferential expression of DcR3 in malignant tissues (10
, 11)
and suggest a role for DcR3 in the progression from low- to high-grade glioma. Similarly, the expression of CD95 was shown to correlate with the grade of malignancy of astrocytomas (26)
. In our study, DcR3 expression was localized mainly in glioma cells in areas surrounding large ischemic necrosis. Interestingly, this expression pattern is similar to the pattern of CD95 expression (30
, 31)
, suggesting coregulation of CD95 and DcR3 expression. DcR3 up-regulation may reflect a protective mechanism from CD95-mediated cell death. Our data are consistent with the findings of Bai et al. (11)
, who also reported a coexpression of DcR3 and CD95 in colon adenocarcinoma. However, further studies on the regulation of DcR3 expression are needed to understand this remarkable expression pattern. Examination of the subcellular localization of DcR3 revealed positive staining in cell membranes and cytoplasm. Because DcR3 lacks a transmembrane domain, it may associate as an externally binding receptor with the membrane-bound CD95L of glioma cells in vivo. Taken together, the strong DcR3 immunoreactivity observed in 83% of high-grade gliomas, the colocalization with CD95 expression, and the lack of DcR3 expression in diffuse low-grade astrocytomas support a possible role of this decoy receptor in glioma progression. Bai et al. (11)
reported DcR3 overexpression in 44% of human adenocarcinomas of the gastrointestinal tract, whereas DcR3 immunoreactivity was absent or very weak in normal gastrointestinal tissue. Furthermore, it will be interesting to investigate whether overexpression of DcR3 in malignant glioma is associated with gene amplification, as demonstrated for lung and colon cancers (10)
, or occurs independently of genomic amplification, as shown for a series of gastrointestinal carcinomas (11)
.
We further demonstrated that ectopic expression of DcR3 renders human malignant glioma cells resistant to the proapoptotic effects of CD95L. Protection from CD95L-induced cell death was specific because there was no protection from Apo2L/TRAIL-mediated apo ptosis and because the protection was completely abrogated by coincubation with specific anti-DcR3 antibodies. Several authors have suggested that cytotoxic drug-induced apoptosis is mediated by CD95/CD95L interactions (21) . However, drug-mediated cell death of glioma cells and other malignant tumor cells has also been postulated to be independent of the CD95 system (22 , 32) . Here we report that DcR3 does not interfere with cytotoxic drug-induced apoptosis, which indicates that this type of glioma cell death occurs independently of CD95.
The question of why some tumor cells are highly susceptible to exogenous soluble or membrane-bound CD95L but completely resistant to CD95L expressed on their own or adjacent cell surfaces remains unresolved. Even highly susceptible glioma cell lines such as LN-18 can be grown to tight confluency without any signs of apoptosis, despite coexpression of CD95 and CD95L (23) . This kind of coexpression has been described in vivo and in vitro (24 , 25) . Thus, potent inhibitory mechanisms to suppress this route of cell death initiation must exist. It has been speculated that coexpressed inhibitory cell surface proteins or potent intracellular inhibitory factors are responsible for the resistance. Because DcR3 is a promising candidate for acquiring CD95L resistance, we investigated whether blocking the activity of endogenous DcR3 would result in CD95-dependent suicide or fratricide. However, we did not detect a decrease in cell survival in anti-DcR3 antibody-treated glioma cells. This supports the hypothesis that the mechanisms for this type of resistance are localized intracellularly. For example, a CD95-specific homologue of a silencer of death domains might contribute to this type of resistance (33) .
CD95L/CD95 interactions may play an important role in the confrontation between the immune system and malignant tumors (3)
. Because an oncogenic role of DcR3 would most likely become evident by immune-mediated mechanisms, we investigated the effects of glioma-derived DcR3 secretion on the immune response in an immunocompetent rat glioma model. Interestingly, 9L gliosarcomas with enhanced DcR3 expression exhibited a prominent decrease of immune cell infiltration (Fig. 5, AH)
. Immunohistochemical analysis demonstrated that microglia/macrophages, and CD4+ and CD8+ T cells infiltrated neo gliomas to a significantly higher extent than DcR3 gliomas. In general, this finding raises the intriguing possibility that DcR3 might favor glioma growth by suppressing the immune-mediated infiltration of cytotoxic T cells and microglia/macrophages, suggesting a new mechanism of immune evasion of malignant gliomas. It has been shown that CD95L exerts strong chemotactic effects on monocytes and neutrophils (4
, 34
, 35)
. Therefore, we have modeled the chemotactic activity of CD95L against microglial cells in a chemotaxis assay in vitro. In fact, DcR3 inhibited the CD95L-mediated locomotion of N9 microglial cells, suggesting that, in vivo, DcR3 may counteract the migration of immune effector cells toward glioma cells by inhibiting the chemotactic activity of CD95L. Our finding is the first evidence that, apart from its antiapoptotic function, DcR3 also inhibits CD95L-mediated chemotaxis. Another possible mechanism of DcR3-mediated inhibition of immune response is suggested by the identification of a second ligand for DcR3, LIGHT (12)
. LIGHT is expressed by activated T lymphocytes and was characterized as a ligand for HVEM/TR2 and LTßR. Signaling via LTßR triggers cell death in various malignant tumor cells, and thus, DcR3 may act as an inhibitor of LIGHT-induced apoptosis by blocking its interaction with LTßR or HVEM/TR2 (12)
. Alternatively, DcR3 may weaken the activation of cytotoxic T cells and other immune cells by preventing CD95/CD95L interactions. It has been shown that cytotoxic T cells become activated by reverse signaling when T-cell surface-bound CD95L binds to CD95 on target cells (36)
. Finally, DcR3 might bind to as yet unidentified ligands that, under normal conditions, promote antitumoral immune responses.
In this study, the decreased immune response against DcR3- expressing gliomas resulted in only marginally increased tumor growth that did not reach statistical significance. This may be the result of overall resistance of 9L cells to the normal immune response in this animal model. We suppose that, in an immunocompetent animal model with a partially effective immune response to the tumor (xenograft), DcR3 expression would lead to enhanced tumor growth via suppression of the antitumor activity of immune effector cells. To our knowledge, no currently available glioma animal model exhibits the immunological features that would allow reliable testing of this hypothesis. Alternatively, the lack of significant effect on tumor growth may be attributable to a weaker interaction of human DcR3 with rat CD95L compared with human CD95L. This is supported by the observation that human DcR3 binds with lower affinity to murine than human CD95L.6
Finally, the lack of a more significant difference between tumor sizes may be attributable to the comparatively weak expression of the DcR3 transgene in the animal model in this study (not shown). As shown for human malignant gliomas (Fig. 2)
and human malignant gastrointestinal tumors (11)
, DcR3 can be strongly expressed in vivo, raising the possibility of accumulation in the tumor interstitium.
In this study, we present further evidence for the promotion of tumorigenesis by DcR3. We observed that DcR3 is expressed by the majority of malignant gliomas in vitro and in vivo. The correlation of DcR3 expression and grade of malignancy of astrocytic tumors suggests a role for DcR3 in glioma progression. The findings that CD95L-induced cell death can be blocked by enhanced DcR3 expression in vitro and that immune cell infiltration is substantially decreased in DcR3-producing gliomas in vivo supports the possibility that this decoy receptor may be involved in immune evasive mechanisms that protect malignant gliomas from an effective antitumor response.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by grants from the Fortüne-Programm of the University of Tübingen (Grant 623-0-0 to W. R.) and the Deutsche Forschungsgemeinschaft (Grant We 1502/8-1). ![]()
2 Present address: The Burnham Institute, La Jolla, CA 92037. ![]()
3 To whom requests for reprints should be addressed, at Laboratory of Molecular Neuro-Oncology, Department of Neurology, University of Tübingen, Medical School, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany. Phone: +49 7071 2982141; Fax: +49 7071 295260; E-mail: michael.weller{at}uni-tuebingen.de ![]()
4 The abbreviations used are: CD95L, CD95 ligand; DcR, decoy receptor; DAPI, 4,6-diaminido-2phenylindole; HVEM, herpes virus entry mediator; LTßR, lymphotoxin ß receptor; TR2, TNFR-related 2. ![]()
5 K. J. Kim and A. Ashkenazi, unpublished data. ![]()
6 A. Ashkenazi, unpublished data. ![]()
Received 3/24/00. Accepted 1/10/01.
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