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Immunology |
1 Gene Therapy Unit, Department of Medicine, Centro de Investigación Médica Aplicada and Clínica Universitaria, University of Navarra School of Medicine; 2 Department of Biochemistry, Clinica Universitaria, University of Navarra, Pamplona, Spain; 3 Department of Experimental Oncology, Immunotherapy and Gene Therapy Unit, Istituto Nazionale Tumori, Milan, Italy; and 4 Department of Oncology and Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland
Requests for reprints: Ignacio Melero, Centro de Investigación Médica Aplicada, University of Navarra School of Medicine, Avenida Pio XII, 55. 31008 Pamplona, Spain. Phone: 34-9-4819-4700; Fax: 34-9-4819-4717; E-mail: imelero{at}unav.es.
| Abstract |
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| Introduction |
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CD80 and CD86 molecules share their ligands on T cells (68). The T-lymphocyte surface molecules CD28 and CTLA-4 (CD152) bind to them, although with a conspicuously higher affinity in the case of CTLA-4 (100- to 1,000-fold higher; refs. 9, 10). CD28 is constitutively expressed on the membrane of resting T lymphocytes (6), whereas CTLA-4 expression is induced on stimulation (6) and retained in internal cell compartments (11). Upon T cell receptor engagement, CTLA-4 molecules are selectively directed to emerge at the immunologic synapse (11, 12). It has been also observed that when T cells meet a dendritic cell presenting cognate antigen, surface CD28 goes to the lipid raftrich central synapse (13). After the engagement of ligands, CD28 induces signaling cascades that enhance proliferation, intensify cytokine secretion, up-regulate antiapoptotic genes (14), and fuel metabolism for lymphoblast transformation (15). In fact, CD28's key role as a costimulatory molecule has been shown in CD28/ mice, in which both cellular and T celldependent humoral immunity are deficient in a certain degree (16).
On the contrary, CTLA-4 delivers a signal that decreases T cell activation by the recruitment of tyrosine (17, 18) and serine/threonine phosphatases (19). In fact, the function of CTLA-4 is inhibitory for T cell activation as illustrated in vivo by the uncontrolled lymphoproliferative/autoimmune syndrome observed in CTLA-4/ mice (20, 21). Recent genetic evidence using CD80/ dendritic cells strongly converge to suggest that the low level of surface CD80 expressed by immature (steady state) dendritic cells is involved in down-regulating the immune response (22, 23), by means of its interaction with CTLA-4 (24, 25). In contrast, some published observations have suggested that CD80 engagement on tumor cells by CTLA-4 would lead to a better T cellmediated destruction of malignant cells in certain mouse models (26, 27), whereas other authors sustain that B7-CTLA-4 interactions may shield target tumor cells against CTL-mediated destruction (28). The reason(s) for this set of discrepant results are unclear.
Nonetheless, the inhibitory function of CTLA-4 against tumor immunity is best illustrated by the potent immunotherapeutic effect of monoclonal antibodies (mAb) that interfere with the function of CTLA-4 (29) in such a way that they induce tumor rejection in a number rodent tumors (30) with the potential to induce autoimmunity (31). Interestingly, anti-CTLA-4 antibodies have been tested in early trials with patients suffering from melanoma and ovarian cancer, showing evidence of certain clinical efficacy and unwanted autoimmunity as a side effect (32, 33).
Other members of the CD28/CTLA-4 family, such as PD-1 and BTLA have also been described to mediate inhibitory effects for the activation of the lymphocytes on which they are expressed, suggesting a common theme in the regulation of immune responses (34, 35). Furthermore, other members of the B7 family such as B7-H1 and B7-H4 have been shown to inhibit T-cell activation (34, 36, 37). In the case of B7-H1, various mouse and human tumors express the molecule as a tumor escape mechanism (38), that if interfered with using blocking antibodies, fosters immunotherapy (39).
The expression of low levels of CD80 and CD86 has been detected on an important fraction of human melanomas (40, 41), myelomas (42), and acute myeloid leukemias (43). Moreover, low levels of expression of CD80 and CD86 detected by RT-PCR and surface staining has been reported in a series of cell lines derived from human carcinomas including some of colorectal origin (44). Interestingly, expression of CD86 was found to be associated with poor prognosis of leukemia and myeloma (42, 43). However, the mechanism underlying these clinical observations remains unknown.
In this study, we found CD80 surface expression at relatively low levels in various colon carcinoma cells that are widely used as cancer therapy models upon grafting onto immunocompetent syngeneic mice, as well as in other mouse malignant cell lines. We carried out experiments in immunocompetent versus immunodeficient mice to assess the relative immunogenicity displayed by carcinoma cells that express CD80 spontaneously, or the same cell lines transfected either to specifically silence or to overexpress CD80. Our results suggest that a low level of CD80 expression confers an advantage for tumor growth, thus helping to avoid tumor rejection, whereas high-level CD80 induces immune-mediated tumor regression.
| Materials and Methods |
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Five murine colon adenocarcinoma cell lines were used. Three of BALB/c origin (CT26, C26, and C51) and two of C57BL/6 origin (MC38 and C38). C51 and MC38 cells were transfected with a previously described recombinant retrovirus expressing murine b7-1 gene (3, 45). Transfections were done by incubating supernatant of the packaging
-2 lines in the presence of polybrene as previously described (46). B7+-transfected cells were positively-selected by immunofluorescence-activated cell sorting (using an EPICS-C, Coulter, Fullerton, CA) and drug selection as previously described (3). Transfectants were routinely cultured in the presence of selecting drug. Cell lines were cultured at 37°C in 5% CO2 in DMEM with 2 mmol/L L-glutamine, 100 units/mL streptomycin, 100 µg/mL penicillin and supplemented with 10% heat-inactivated fetal bovine serum. All cell culture reagents were from Life Technologies (Basel, Switzerland). For transfectant selection, hygromycin and puromycin were from Sigma-Aldrich (Madrid, Spain) and geneticin from Life Technologies. RENCA (renal cell carcinoma) and B16OVA melanoma were a kind gift from Dr. Allan Melcher (Leeds, United Kingdom), Lewis lung carcinoma was obtained through Dr. Lea Eisenbach (Rehovot, Israel), BNL (hepatocellular carcinoma) was obtained from Dr. Cheng Qian (Pamplona. Spain), and HOPC (myeloma) was obtained through the American Type Culture Collection (Manassas, VA). Dr. Paola Ricciardi-Castagnoli kindly provided us with the D1 dendritic cell line cultured as previously described (47). A cell line from a spontaneous T cell lymphoma arising from a peripheral lymph node of an elderly C57BL/6 mouse has been derived in our laboratory.5
CD11c+ splenic cells were purified (>98%) with immunomagnetic beads from Miltenyi Biotech (Gladsbach, Germany) according to manufacturer-recommended procedures in an Automacs instrument. Dendritic cell maturation was induced with 24 hours of culture in the presence of 10 µg/mL of lipopolysaccharide (Sigma-Aldrich).
Tumor model and in vivo experiments. For assessment of the tumorigenicity of the CT26 cell line, 5 x 105 cells were injected s.c. in the right flank of BALB/c, Rag2/, and athymic nude mice. Similarly, 5 x 105 MC38 and MC38-B7 cells were injected into C57BL/6 mice. Tumor growth was monitored weekly by measuring two perpendicular diameters using a Vernier caliper. Tumor explants were obtained after animal sacrifice by grinding a minced fragment of solid tumor and plating it in 24-well plates.
Immunofluorescence and flow cytometry. Cells were washed and labeled with FITC rat anti-mouse CD80 (BD PharMingen, San Diego, CA) for 30 minutes at 4°C. Unbound mAb was removed by washing twice with ice-cold PBS and immunostaining was determined by flow-cytometry (FACScalibur, Becton Dickinson, San Jose, CA). An isotype-matched FITC-tagged mAb was used as a negative control. CD28Ig and CTLA-4Ig were purchased from R&D (Abingdon, United Kingdom) and used in indirect immunofluorescence staining with the appropriate FITC-tagged secondary antibody purchased from Caltag (Burlingame, CA). Anti-CD45 mAb (BD PharMingen) was used to gate out myeloid-derived cells in cell suspensions of explanted tumors.
Northern blot and probe preparation. Total cellular RNA was extracted by the guanidineisothiocyanate technique, run in 20 µg aliquots on 1.0% agarose-formaldehyde gel, transferred onto nylon membrane (Hybond-N; Amersham, United Kingdom) by Northern blot. Blots were hybridized with the HpaI-XhoI fragment of pLmB7-1SH plasmid, containing the murine B7-1 cDNA and labeled with 32P-dCTP by means of Multiprime kit from Amersham.
Cloning and sequencing of murine CD80. Tumor RNA was extracted by ULTRASPEC-II RNA isolation system (Biotecx, Houston, TX) and cDNA obtained by reverse transcription using random primers. A DNA fragment encoding the open reading frame of murine B7-1 was amplified by PCR using the primers: 5'CCCCATCATGTTCTCCAAAGC3', 5'ACTAAAGGAAGACGGTCTGTTCA3'. Another pair of primers was used for B7-1 detection as described (48). In this series of PCRs, the antisense primer was located in exon 3, which is spliced off to generate a B7-1a molecule. Therefore, these primers only amplified mCD80 cDNA but not B7-1a cDNA. PCR products were analyzed by 1% agarose gel electrophoresis and DNA bands were isolated using Concert Rapid Gel Extraction System (Life Technologies, Eggestein-Leopoldshafen, Germany) and TA-cloned into pcDNA3.1/V5-His-TOPO (Invitrogen, Groningen, the Netherlands). Ten clones were selected and plasmids were isolated using QIAprep Spin Miniprep Kit (Qiagen, Hilden, Germany) and fully sequenced (ABI PRISM 310 Genetic Analyzer, Applied Biosystems, Foster City, CA).
Gene silencing of CD80. pMSCVpuro (Clontech, Mountain View, CA) was modified to accommodate the small interfering RNA (siRNA) expression cassette by sequential digestion and religation of BglII and HindIII sites (all restriction enzymes were from New England Biolabs, Ipswich, MA). The expression cassette of pSUPER (49) was extracted by EcoRI-XhoI digestion and directionally cloned into the modified retroviral plasmid to yield pMSCV3SUPER. The target sites for CD80 siRNA were selected using the criteria proposed by Tuschl et al. (50). Three target sites were selected, and the following oligonucleotides (ordered from Sigma-Genosys, Cambridge, United Kingdom) were phosphorylated and cloned into the HindIII-BglII sites of pMSCV3SUPER. Sequences of the primers synthesized were (from 5' to 3'): 273+, GAT CCC CAC ATG ACA AAG TGG TGC TGT TCA AGA GAC AGC ACC ACT TTG TCA TGT TTT TTG GAA A; 273, AGC TTT TCC AAA AAA CAT GAC AAA GTG GTG CTG TCT CTT GAA CAG CAC CAC TTT GTC ATG TGG G; 424+, GAT CCC CAA GAA GGA AAG AGG AAC GTT TCA AGA GAA CGT TCC TCT TTC CTT CTT TTT TTG GAA A; 424, AGC TTT TCC AAA AAA AGA AGG AAA GAG GAA CGT TCT CTT GAA ACG TTC CTC TTT CCT TCT TGG G; scr+, GAT CCC CCT ACA GTA ACT CCG TCA CTT TCA AGA GAA GTG ACG GAG TTA CTG TAG TTT TTG GAA A; scr, AGC TTT TCC AAA AAC TAC AGT AAC TCC GTC ACT TCT CTT GAA AGT GAC GGA GTT ACT GTA GGG G.
Plasmids were transfected into CT26 cells by using a 22-kDa linear polyethylenimine from Polyplus Transfection (Illkirch, France) as described (51). Twenty-four hours posttransfection, the medium was removed, cells were washed and fed with fresh medium containing 8 µg/mL of Puromycin (Sigma-Aldrich). Stable transfectants were picked 10 days later and subcultured for analysis.
| Results |
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-stimulated macrophages (Fig. 2A).
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Full-length CD80 cDNA was TA-cloned in pCDNA3.1 in order to verify its sequence. The sequence of at least two independent clones from CT26 total cDNA was identical to the one published. The shorter alternative splicing isoform (B7-1a; ref. 53) was also cloned and sequenced without finding any change when compared with the published sequence (data not shown). These experiments conclude that the unmutated, wild-type, and alternative splicing forms of the cd80 gene are expressed on three murine colon carcinoma cell lines widely used in tumor immunology experiments on transplantation to syngeneic mice.
Selective binding of CTLA-4 by spontaneously expressed CD80 on CT26 colon cancer cells. CT26 cells were brightly stained at the cell surface by chimeric proteins containing the extracellular portion of CTLA-4 and an immunoglobulin tail, indicating that the tumor molecule was functional at least for binding this inhibitory ligand (Fig. 3A). However, a similar chimeric protein containing the extracellular domains of CD28 barely bind CT26 cells even at 100 µg/mL, whereas readily stained MC38 cells that had been retrovirally transfected to stably express high levels of CD80 (Fig. 3B). These data indicate that CD80 at the levels displayed by CT26 cell shows selective binding for the inhibitory receptor CTLA-4 if compared with CD28. The CD80 levels on CT26 resemble those detected on immature dendritic cells, represented in Fig. 3C by the D1 immortalized dendritic cell line that also preferentially binds CTLA-4Ig. By contrast, splenic mature dendritic cells express high levels of CD80 that bind both CTLA-4Ig and CD28Ig (Fig. 3D). Our observations on tumor cells echo those by other authors that strongly suggest a role in immune down-regulation for low, but not completely negative, levels of CD80 and CD86 expression on immature dendritic cells (2325).
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Silencing of CD80 expression in CT26 results in lack of tumorigenicity. To study the role of CD80 endogenous expression in the ability of CT26 colon carcinoma to graft as progressive tumors, stable transfectants were generated to express siRNAs targeted to different regions of the CD80's mRNA in order to silence its expression. For this purpose, we cloned the pSUPER expression cassette (49) into retroviral plasmid pMSCV3puro, and in this new vector, we cloned a hairpin encoding oligonucleotides that would yield siRNA directed to CD80 mRNA (Fig. 5A). As a control, we used a scrambled sequence of roughly the same GC content as the other siRNAs. Puromycin-selected stable transfectants from two different RNAi constructions were cultured and cloned under limiting dilutions. Expression of CD80 in two different clones and in bulk culture cells transfected with an irrelevant scrambled sequence as a control is shown in Fig. 5B.
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Moreover, one of the repeated culture passages of the clone 424 2.6 spontaneously gave rise to a variant that homogeneously regained CD80 expression in spite of keeping resistance to puromycin (Supplementary Fig. S1A). This cell line progressed in immunocompetent mice indicating that the revertant regaining CD80 expression has an advantage against the antitumor immune response. In addition, if these revertant cells were preincubated and coinjected with 100 µg/mL of an anti-CD80 blocking antibody, those tumors were completely rejected in three out of six cases, whereas all tumors injected with control antibody progressed in another group of immunocompetent BALB/c mice (Supplementary Fig. S1B). These data further reinforce the notion that CD80 is the molecule involved in the escape mechanism and helps to rule out the possibility that the effects of the silencing could be explained by clonally variable immunogenicity among CT26 cells. In this regard, an independently generated polyclonal silenced variant of CT26 cells transfected with the 424 siRNA construction was also rejected in four out of six cases in immunocompetent mice, whereas it progressed in every case in T celldeficient nude mice (Supplementary Fig. S1C).
Preservation of CD80 expression on in vivo passage. If low CD80 expression is considered as an advantageous feature in immunocompetent hosts, its expression will likely be evolutionarily preserved in tumor cells explanted from CT26 tumors growing in immunocompetent mice. This was confirmed in experiments shown in Supplementary Fig. S2, in which the relative intensity of CD80-specific immunofluorescence in explanted tumor cells from immunodeficient or immunocompetent mice is plotted referred to CD80 level of expression on cultured CT26 (taken as 100%). It can be seen that CD80 expression is preserved both in immunocompetent and immunodeficient Rag/ hosts even if they had been depleted of natural killer cells. Again, this observation suggests that low surface CD80 might have been selected for tumor escape from immunity.
These findings are unlikely explained by clonal heterogeneous expression of CD80 because in 18 randomly chosen limiting dilutionderived CT26 clones, the means of CD80 fluorescence intensity were almost identical, as illustrated by a coefficient of variation (CV = SD/mean) inferior to 3% of the mean (data not shown).
CD80-negative tumor cell lines are induced to express low levels of CD80 on in vivo grafting, whereas successfully grafted CD80high transfected tumor cells reduce, but do not lose, CD80 expression. MC38 and B16OVA melanoma are completely negative for CD80 immunostaining in tissue culture but become positive in cell suspensions obtained from grafted tumors in syngeneic mice (Fig. 6A and B). Electronic gating and exclusion of CD45+ hematopoietic cells in the FACS analyses ensured that the CD45-negative malignant cells were the only ones analyzed in Fig. 6. Interestingly when these cells were plated in culture for 7 days, a complete loss of surface CD80 took place.
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| Discussion |
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To the best of our knowledge, this is the first report showing spontaneous CD80 expression in mouse tumor cells of epithelial origin, but it should be considered that CD80 up-regulation has been detected in mouse tumors treated with chemotherapy or radiotherapy (54, 55). These reports suggest the inducibility of CD80 under stress conditions. The costimulatory molecule 4-1BBL has also been found to be spontaneously expressed in some tumor cell lines (56), a finding that is also in contrast with the fact that 4-1BBL transfection to high levels of expression augments the immunogenicity of various tumors (57, 58).
It is not possible to tell whether the original tumors were CD80+ or if it was an acquired event that took place during in vitro or in vivo passage. Sequencing of the cDNA disclosed no mutation, suggesting that the membrane glycoproteins were fully functional, as confirmed by CT26 staining with CTLA-4Ig. Interestingly, we found by Northern blot, RT-PCR, and sequencing, the coexistence of two alternative splicing variants of cd80 mRNA, as occurring in splenic cells stimulated with lipopolysaccharide or IFN-
and in cultured dendritic cells used as positive controls. Accordingly, it should not be expected that CD80 would function differently on the colon cancer cells compared with professional antigen-presenting cells. Indeed, the function of CD80 on antigen-presenting cells seems to be dual and related to the level of expression because CD80dim immature dendritic cells suppress T cell immunity in a CD80-dependent fashion, whereas CD80bright mature dendritic cells promote immunity under proper conditions (22, 23, 25). Our results with dendritic cells are in agreement with the view that the low levels of CD80 expression on immature dendritic cells would bind inhibitory CTLA-4 with competitive advantage to stimulatory CD28, as suggested by other authors with functional data using bone marrow chimeras with defects in CD80 expression on dendritic cells (24, 25).
B7-1 (CD80) and B7-2 (CD86) expression on tumor cells has been found to strongly raise the immunogenicity of transplantable cell lines (3, 4). The transfection of B7-1 generates cells that can even work as prophylactic or therapeutic vaccines against untransfected tumors by means of eliciting a strong CTL response (1). Most of these experiments were carried out with stable transfectants that had been sorted and selected for expression of very high levels of CD80 on every cell. Moreover, no detailed study has been published on the dose dependency of CD80 levels of expression and tumor immunogenicity, a factor that might prove crucial when considering that CD80 has two counter-receptors with dramatically opposite effects on the immune response. CD28 enhances T cell receptorinduced proliferation and activation of effector functions (14, 15), whereas CTLA-4 ligation arrests T cell cycle progression (59). Expression of CTLA-4 is only induced on activated cells with low levels of membrane expression but exquisitely directed to the area of T-cell engagement (11). Importantly, the inhibitory CTLA-4 receptor displays >100-fold higher avidity for CD80 than CD28 (9). It is tantalizing to speculate that low levels of CD80 might confer, by selective binding affinity for CTLA-4, some advantage to tumor progression in immunocompetent mice. In fact, lymphocytes that infiltrate tumors have an activated membrane phenotype and therefore are susceptible to CTLA-4-mediated inhibition (data not shown). The possibility that CD80 could be shielding CT26 tumor cells as targets for the CTL effector phase has been explored in light of the effects reported by Saudemont et al. (28) and the effects also shown by Hirano et al. for B7-H1 (39). Although we did our cytotoxicity experiments from 4 to 20 hours with anti-CT26specific CTL, no increase of specific lysis upon CD80 blockade, neither by mAbs nor CTLA-4Ig, was observed (Supplementary Fig. S3). However, the in vivo situation could be different and therefore we cannot completely disregard such a mechanism in our tumor model.
Alternatively, tumor CD80 might enhance the function of regulatory T cells (60). We have done an extensive series of experiments aimed at costimulating CD4+CD25+ Treg suppressor function with CD80+ CT26 cells rendered negative results in our investigation. However, this mechanism is not definitively ruled out because Treg cells are known to express relatively high levels of membrane CTLA-4 that paradoxically costimulates this population (61, 62), and CT26 grafting is prevented by depleting CD25+ lymphocytes (63).
Another mechanistic possibility is that CD80 ligation by CTLA-4 on CT26 could provide advantageous signals to the tumor cell. Although unlikely in epithelial cells, this possibility has been observed in mouse dendritic cells in which CD80 engagement by CTLA-4 promotes IFN-
secretion that in turn induces the immune inhibitory enzyme indoleamine 2,3-dioxygenase (IDO; ref. 64). We have explored this possibility in detail measuring IDO expression at the RNA and protein level as well as the production of IDO products without finding any involvement of CD80 cross-linking in CT26 cells. Up-regulation of IDO expression and function occurred following IFN-
stimulation, but was not further costimulated by CD80 cross-linking in these cells (data not shown). Therefore, the exact mechanism(s) behind the anti-immune advantage of low CD80 expression on the malignant cell surface remains elusive as is the case for the low CD80 expression on immature dendritic cells (25).
Gene silencing with siRNA is a powerful tool used to examine the role of a cellular protein. By these means, controlled selective decrease of expression of a specific gene is achieved with minimal residual expression (49). To generate stable transfectants, we used two different constructs targeting distinct sequences of CD80 to assure specificity. Selection of cloned CT26 variants that clearly express much lower levels of CD80 showed that CD80 was not absolutely required for grafting in animals devoid of a functional immune system, but was necessary to avoid immune rejection. On the other hand, CD80 levels on CT26 were only minimally reduced after in vivo passage in BALB/c mice, even if compared with both B cell and T celldeficient mice and to B cell, T cell, and natural killer celldeficient mice (Rag-2/ mice depleted of asialoGM-1+cells; Supplementary Fig. S2). It can be concluded that, in vivo, the immune system exerts little or no pressure against low surface CD80 whereas reducing, but not abolishing, CD80 expression in successfully grafted CD80bright transfectants. Moreover, we clearly show that CD80 is induced in vivo on the surface of malignant cell lines that are negative during in vitro culture. We are currently exploring the stimuli that could be involved in such in vivo regulation.
Importantly, CD80 and CD86 expression has been found in a series cases of human melanoma in which low levels of RNA expression have been frequently documented (40, 41). These findings, precisely in a human malignancy characterized by a certain degree of intrinsic immunogenicity, suggest that B7 family molecules could be involved in subverting routes of immune destruction of tumors. In fact, B7 molecules are more frequently detected in those cases of melanoma with a higher number of metastatic nodules (41). In addition, the expression of B7 molecules in leukemia and myeloma cells is correlated with faster disease progression (42, 43). The presence of CD80 in other human cell lines or in tissue sections from human colorectal carcinomas is currently under investigation.
Another molecule of the family, B7-H1, has been described to be expressed on human and mouse tumor cells of various tissue origins as observed both in cultured cell lines and in tissue sections (38). By expression of B7-H1, human cancers may evade adaptative immune responses by promoting the apoptosis of activated T cells or by stimulating IL-10 production to deactivate T cells (65). B7-H1 does not bind CD28 or CTLA-4, but it binds PD-1, a T-cell surface molecule also involved in the down-regulation of immune responses (36, 38). It has been recently described that B7-H1 expression renders tumors resistant to immunotherapy and that this effect could be reverted by blocking B7-H1 or PD-1 with specific antibodies (39). The overall emerging picture is that B7 family members can be broadly exploited by tumor cells as a way to escape immune destruction. In the particular case of CD80, tumors cunningly exploit the dual function of this molecule by expressing low surface levels, which preferentially engage its high-avidity inhibitory T-cell ligand CTLA-4.
| Acknowledgments |
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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.
Drs. Mazzolini, Lasarte, Gonzalez-Aseguinolaza, Sarobe, Bendandi, Perez-Diez, Rodriguez-Calvillo, Latasa, and Qian are acknowledged for critical reading and helpful discussion. We thank Dr. Reuven Agami for pSUPER plasmid. Pat McGowan, Nerea Razkin, and Izaskun Gabari for technical assistance; Cibeles Pinto for secretarial assistance; and Javier Guillén and Juan Percaz for excellent animal care.
| Footnotes |
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5 Arina et al., unpublished data. ![]()
Received 5/16/05. Revised 11/15/05. Accepted 12/ 7/05.
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X. Zang and J. P. Allison The B7 Family and Cancer Therapy: Costimulation and Coinhibition Clin. Cancer Res., September 15, 2007; 13(18): 5271 - 5279. [Abstract] [Full Text] [PDF] |
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