Michael Owens 11/1/12 BIOL 303 Tumor Growth Factor-β1 Negatively Effects Tumor Surveillance by Natural Killer Cells Natural killer (NK) cells are cytotoxic lymphocytes integral to mammalian tumor surveillance. The typical method of NK cell activation involves the transmembrane receptor protein NKG2D (Fig. 1). While healthy cells have virtually no NKG2D ligands (“activators”) on their surfaces, tumorous cells typically possess a large quantity of these ligands (Guerra et al. 2008). In this study, the scientists bred a line of NKG2D deficient mice. Compared to the control group, the deficient mice developed much larger tumors. Also studied was the expression of NKG2D ligands by tumors as compared with their ages. The results showed that tumors that arose early during tumorigenesis showed an increased expression of NKG2D ligands compared to late arising tumors. These results together supported the theory that the NKG2D receptor aids in tumor surveillance by activating NK cells in the presence of tumors (Guerra et al. 2008). Tumor surveillance, though, is not always one hundred percent effective. To determine why this is, the research team of Lee et al. (2004) began looking into the possible causes of NKG2D down-regulation. Past research had discovered that tumor growth factor-β1 (TGF-β1) was present in higher doses in cancer patients than in healthy patients and that the greater the quantity of the growth factor, the greater the progression of the tumor (Kong et al. 1996). Prior studies also showed that TGF-β1 also inhibited in vitro NK cell cytotoxicity (Bellone et al. 1995). Taking these facts together, Lee et al. (2004) hypothesized that TGF-β1 inhibited NK cell function by down-regulating NKG2D. To test this hypothesis, the researchers took blood samples from a total of thirty-seven cancer patients and measured NKG2D and TGF-β1 levels. The results showed a negative correlation between the levels of TGF-β1 and NKG2D (Fig. 2). Next, to confirm that the growth factor did indeed down-regulate NKG2D, healthy NK cells were incubated in TGF-β1 rich (cancerous) serum. In these cells, NKG2D became under-expressed after serum introduction (Fig. 3.A, Lane 2). After this, antiTGF-β1 (meant to make TGF-β1 ineffective) was introduced into the serum, and an increase in NKG2D levels was seen (Fig. 3.A, Lane 3). Two other tests (Fig. 3.A, Lanes 4-5) were also carried out to neutralize the cytokines interleukin-4 (IL-4) and interleukin-10 (IL-10) in the serum to make sure only TGF-β1 was effecting NKG2D levels; these tests confirmed that only TGF-β1 effected NKG2D regulation (in this model). Further controls were also carried out by incubating healthy NK cells in normal, non-cancerous serum. One group of cells received anti-TGF-β1 while others received anti-IL-4 or anti-IL-10. NKG2D expression was identically among all of these groups. All of these data together suggested that TGF-β1 down-regulates NKG2D (Lee et al. 2004). The next test carried out by Lee et al. was to determine if regulation by TGFβ1 was dose-dependent. Three different variants of this were carried out. The first involved incubating non-active NK cells in various doses of TGF-β1 (Fig. 4, Column 1), while the second and third involved incubating two batches of cells that had been activated by two different ligands (IL-2 and IL-15) (Fig. 4, Columns 2-3). The team determined that NKG2D inhibition began at 0.1 ng/mL TGF-β1 and steadily increased with progressively larger doses, with expression peaking at 5 ng/mL TGFβ1. A further test was carried out to confirm that TGF-β1 only regulated NKG2D. The quantities of three different receptors (CD94, NKG2A, and CD44) were measured in IL-2 activated NK cells and compared to these same cells introduced to TGF-β1. The results showed no significant difference between the two (Fig. 5). These results confirmed that TGF-β1 only regulates NKG2D (Lee et al. 2004). The final tests carried out by Lee et al. aimed to discover what effects TGF-β1 had on NK cell cytotoxicity. In the first test, three NK cell variants (non-activated, IL2 activated, and IL-15 activated) were introduced to cells marked for lysis (CEM cells) in various concentration of TGF-β1. The results (Fig. 6) showed that the specific lysis of the NK cells was lower at higher concentrations of TGF-β1 for all NK cell variants. The last test carried out was to determine if the effects of TGF-β1 on cytotoxicity had any effect on apoptosis. In this test, the levels of two cytotoxic elements (perforin and Fas) were measured in NK cells repressed by TGF-β1. The results (Fig. 7.A) showed that the concentration of TGF-β1 had no effect on perforin or Fas levels. In addition, it was determine that TGF-β1 did not induce NK cell apoptosis by comparing the concentration of cytotoxic elements within normal and TGF-β1-weakened cells (Fig. 7.B). All of these results together supported the initial hypothesis that the down-regulation of NKG2D is caused by TGF-β1 (Lee et al. 2004). The aforementioned papers together inspired the work of Espinoza et al. (2012). The researchers hypothesized that TGF-β regulates NKG2D production by up-regulating a microRNA (miRNA), specifically miRNA-1245. Using the algorithm developed by Lewis et al. (2003), the team determined that miRNA-1245 can attach to the 3’-untranslated region (3’UTR) of the NKG2D gene (see Fig. 8.A and 8.B for more details). The team determined (through real time PCR) that miRNA-1245 is expressed in both ex vivo (“fresh”) and cultured NK cells (Fig. 8.C). The team also used the discovery that serum from cancer patients contained functional miRNA (Turchinovich et al. 2011) to justify testing the serum of seven healthy individuals, seven leukemia patients, and three myelodysplastic syndrome patients. The results (Fig. 8.D) showed that none of the healthy individuals had a significant amount of the miRNA-1245, that three of the seven leukemia patients had a significant quantity, and that two of the three myelodysplastic syndrome patients had a significant quantity. These facts together pointed towards the potential effectiveness of this miRNA in the down-regulation of the NKG2D protein (Espinoza et al. 2012). Next, tests were done to confirm the nature of miRNA-1245’s interaction with the 3’UTR of the NKG2D gene. Espinoza et al. engineered a vector with a luciferase gene (NKG2D-3’ UTR-Luc) that contained the section of the 3’UTR to which miRNA-1245 binds. A second vector was also engineered that contained a luciferase gene that was missing the part of the 3’-UTR which contained the binding site for miRNA-1245 (3’UTR-mut) to act as a control. Using both the NKL and HEK cell lines, derivatives were grown that over-expressed miRNA-1245. Four groups of each cell line were tested. One group consisted of wild types that received the NKG2D-3’ UTR-Luc vector, the second consisted of wild types that received the 3’UTR-mut vector, the third consisted of over-expressers that received the NKG2D3’ UTR-Luc vector, and the fourth consisted of over-expressers that received the 3’UTR-mut vector. The over-expressers with NKG2D-3’ UTR-Luc had a much lower expression of the luciferase than the wild type cells. Also, in both cell lines, the expression of luciferase in the 3’UTR-mut cells was equal between the wild type and over-expressers (Fig. 9). These results confirmed that miRNA-1245 binds to the 3’UTR of the NKG2D gene, as proposed by Espinoza et al. (2012). The next phase of research was to determine what could cause the upregulation of miRNA-1245. The team found that both ex vivo (Fig. 10.A) and cultured (Fig. 10.B) NK cells expressed much higher levels of pri-miRNA-1245 (recently transcribed, double stranded miRNA) than mature miRNA-1245 (single stranded, cut from pri-miRNA). This led the Espinoza et al. to hypothesize that the substance that up-regulates miRNA-1245 must do so by catalyzing the transition between the pri and mature forms. Using the research of Davis et al. (2008), the team decided that TGF-β1 might be an inhibitory molecule, because it both up-regulated other miRNA and down-regulated NKG2D. To test this, the team incubated ex vivo NK cells with various doses of TGF-β1 and measured the level of mature miRNA through real time PCR. The results showed a positive correlation between TGF-β1 levels and mature miRNA-1245 levels, but no correlation between TGF-β1 levels and primiRNA-1245 levels (Fig. 10.C). Similar results were found when cultured NK cell lines were incubated in TGF-β1 (Fig. 10.D). In addition, the team measured levels of both mature and pri-miRNA-1245 over time after starting TGF-β1 treatment. While the pri-miRNA-1245 levels remained constant, the levels of mature miRNA-1245 peaked after sixteen hours (Fig. 10.E). While the peaking expression of the mature miRNA suggested that TGF-β1 very effectively modifies pri-miRNA-1245 into mature miRNA-1245, the constant levels of the pri-miRNA also suggested that TGFβ1 slightly increased the level of miRNA transcription (Espinoza et al. 2012). To test the effect of miRNA-1245 on NKG2D, Espinoza et al. infected ex vivo NK cells with either a miRNA-1245 increasing vector (miRNA-1245-Vector) or a control vector (which had no effect on the cell). Cells infected at a MOI (multiplicity of infection) of 50 expressed as much miRNA-1245 as cells incubated with TGF-β1. The cells infected with miRNA-1245-Vector showed a constant down-regulation of NKG2D (Fig. 11.A and 11.B). Also measured were the levels of the mRNA transcripts of NKG2D, which showed a similar trend (Fig. 11.C). A test for functionality of these infected cells was then carried out. The infected cells were incubated in a plate containing NKG2D ligands and the control cells were incubated on a plate of mouse IgG ligands (meant to have no effect). The levels of tumor necrosis factor-α (a major cytotoxic element in NK cells) were measured in both kinds of cells. The results (Fig. 11.D) showed that the control cells released significantly more tumor necrosis factor-α than infected cells (Espinoza et al. 2012). These results showed that miRNA-1245 is an effective down-regulator of NK cell cytotoxicity. To add extra validity to the above results, Espinoza et al. (2012) established a cultured cell line of miRNA-1245 knockout cells (miRNA-1245 5KO) through infection by a vector. These cells expressed no miRNA-1245, in contrast to ex vivo and control vector-infected cells. These cells also expressed more NKG2D protein (Fig. 12.A) and more NKG2D mRNA transcripts (Fig. 12.B). When introduced to TGFβ1, the infected cells still slight showed down regulation of NKG2D, but ex vivo cells showed significant greater down-regulation (Fig. 12.C). To further add to their findings, the team infected ex vivo cells with either a vector that actively degraded miRNA-1245 (antago-miRNA-1245) or a control (antago-NC). The antago-miRNA1245 cells showed greater levels of NKG2D and were less susceptible to TGF-β1 treatment (Fig. 12.D) than the control (Fig. 12.E) (Espinoza et al. 2012). Taken together, the results of all the above research support that TGF-β1 is an effective inhibitor of tumor surveillance by NK cells. Further topics of research could possibly include the method in which miRNA-1245 down-regulated NKG2D and the effects of other miRNAs on other immune cells. Also, because miRNA-1245 knockout cells still responded to TGF-β1, further research could be done into possible other methods of regulation by this molecule. Figures Figure 1 (original) Figure 2 (Lee et al. 2004) The correlation between plasma TGF-β1 and NKG2D expression level in cancer patients was determined by Pearson’s correlation coefficient (r), and the associated probability (p) were calculated for each combination. Figure 3 (Lee et al. 2004) Incubation of NK cells with plasma obtained from cancer patients inhibits surface NKG2D expression in a TGF-β1-dependent manner. Purified NK cells were cultured with 100 U/ml IL-2 in the presence of a 1/5 dilution of plasma from a cancer patient (A) or a normal volunteer (B). Cells were harvested after 24 h and stained with anti-NKG2D mAb. Single-color flow cytometry was performed, and results are presented as the fold change in MFI. For neutralization experiments, 10 μg/ml mAb against TGF-β1, IL-4, or IL-10 was added to the culture. Figure 4 (Lee et al. 2004) Effect of TGF-β1 on NKG2D expression of freshly isolated or lymphokine-activated human NK cells. Purified NK cells were cultured with or without 100 U/ml IL-2 or 100 ng/ml IL-15 in the presence of the indicated concentrations (nanograms per milliliter) of TGF-β1. Cells were harvested after 2 days and were stained with specific mAb for NKG2D. Single-color flow cytometry was performed (x-axis, log10 fluorescent intensity; y-axis, cell count). Solid and dotted lines indicate staining with anti-NKG2D mAb and its isotype-matched control, respectively. Figure 5 (Lee et al. 2004) TGF-β1 does not affect surface expression of CD94/NKG2A or CD44 on IL-2-activated human NK cells. Purified NK cells were cultured with 100 U/ml IL-2 in the presence or the absence of 5 ng/ml TGF-β1. Cells were harvested after 2 days and were stained with specific mAbs for each NK receptor. Single-color flow cytometry was performed (x-axis, log10 fluorescent intensity; y-axis, cell count). Solid and dotted lines indicate staining with anti-CD94, anti-NKG2A or anti-CD44 mAb and their isotypematched controls, respectively. Figure 6 (Lee et al. 2004) TGF-β1 inhibits the cytotoxicity of freshly isolated or lymphokine-activated human NK cells. Purified NK cells were cultured in the presence or the absence of 100 U/ml IL-2, 100 ng/ml IL-15, or the indicated concentrations (nanograms per milliliter) of TGF-β1. Cells were harvested after 2 days and subjected to 4-h 51Cr release assays using CEM target cells. Results are expressed as the percentage of specific lysis. Figure 7 (Lee et al. 2004) TGF-β1 does not affect the level of perforin, Fas ligand, annexin V, or PI in freshly isolated or lymphokine-activated human NK cells. A, Purified NK cells were cultured in the presence or the absence of 100 U/ml IL-2, 100 ng/ml IL-15, or 5 ng/ml TGF-β1 for 2 days. Cells were harvested, permeabilized, stained with anti-perforin or anti-Fas ligand mAb, and analyzed by FACS (x-axis, log10 fluorescent intensity; y-axis, cell count). The dotted lines are negative controls; the solid lines are TGF-β1-untreated cells; the bold lines are TGF-β1-treated cells. B, Flow cytometric analysis using annexin V and PI was conducted on NK cells activated as described in A. Figure 8 (Espinoza et al. 2012) A A schematic representation of the interaction between miR-1245 and its target site in the 3′UTR region of NKG2D mRNA. Computational modeling showed the hybridization of miR-1245 and the 3′UTR region of NKG2D mRNA; mfe represents the calculated minimal free energy C Mature miR-1245 expression in fresh or activated primary NK cells was measured by quantitative RT-PCR and normalized to U6B RNA. The data are the means ± S.E.M. (n= 13). D The expression of mature miR-1245 in exosomes isolated from plasma samples from patients with non-Hodgkin’s lymhoma (NHL) (n=7), acute myelogenous leukemia/myelodysplastic syndrome (AML/MDS) (n=3) and from seven healthy donors. Figure 9 (Espinoza et al. 2012) The interaction of miR-1245 with the NKG2D gene 3′UTR. (A) NKL cells or (B) HEK cells overexpressing miR-1245, or their wild type (WT) counterparts, were transfected with a luciferase expression vector (pGL3-TK-Luc), or with constructs including theNKG2D 3′UTR (NKG2D-3′ UTR-Luc) or with a luciferase expression vector that included the NKG2D 3′UTR with a 16-bp deletion of the miR-1245 targeting site (3′ UTR-mut). The firefly luciferase activities measured 48 h after transfection were normalized to the Renilla luciferase expression and the mean activities ± S.E.M. from three independent experiments are shown. Figure 10 (Espinoza et al. 2012) The expression of the primary gene transcripts (pri-miR-1245) in fresh and cultured NK cells normalized to GAPDH. The data are the mean values ± S.E.M. from measurements in seven donors. The expression of pri-miR-1245 normalized to GAPDH in the NK cell lines YT, NK92, KYHG-1, and NKL. The expression of pri-miR-1245 and mature miR-1245 in primary NK cells treated with various concentrations of TGF-β1 for 24 h (n=7). The expression of mature miR-1245 in NK cell lines after treatment with TGF-β1 (2.5 or 10 ng/mL) for 24 h. The error bars in (C) and (D) show the ± S.E.M. from three independent experiments, each measured in duplicate. he time course of pri-miR-1245 and mature miR-1245 expression in primary NK cells after treatment with TGF-β1 (10 ng/mL) (n=7). The data are the means ± S.E.M. from three independent experiments, each measured in duplicate. Figure 11 (Espinoza et al. 2012) A representative result showing the cell surface expression of NKG2D on miR-1245transduced primary NK cells. Cells stained with anti-NKG2D (filled histograms) or with the isotype antibody (open histogram). The summarized data from 12 donors are shown. Fresh NK cells were transduced as in the panels A and B, and the NKG2D mRNA levels were measured by quantitative RT-PCR 24 h after transduction. The relative results normalized to U6b RNA are expressed as the percentage of the mRNA compared to that for the control conditions (untreated cells). Fresh NK cells transduced with the miR-1245-vector or with the NC-vector (n=7) and cultured in plates coated with a mixture of three recombinant NKG2D-Ls (MICA, ULBP-1 and ULBP-2) or control IgG. Figure 12 (Espinoza et al. 2012) KYHG-1 cells were examined by flow cytometry for NKG2D expression. The filled histogram represents shRNA-NC-transduced KHYG-1 cells stained with anti-NKG2D antibody. In the open histogram, the solid line shows the data from the miR-1245 5KO KHYG-1 cells stained with the anti-NKG2D antibody, and in the open histogram, the dotted line indicates cells stained with the isotype antibody. A representative figure from three independent experiments is shown. Total RNA was extracted, and the levels ofNKG2D mRNA normalized to the levels of GAPDH mRNA were measured by RT-PCR. The figure shows the means ± S.E.M. from three independent experiments. miR-1245 5KO KHYG-1 cells or wild-type (WT) KHYG-1 cells were cultured for 48 h in the presence or absence of TGF-β1, and their NKG2D expression levels were examined by flow cytometry. The filled histogram represents untreated cells, the green histograms represent cells treated with TGF-β1 (5 ng/mL), the red histograms represent cells treated with TGF-β1 (10 ng/mL) and the blue histograms with the dotted line represent cells stained with the isotype antibody. A representative figure from the data obtained from three independent experiments is shown. Cultured NK cells were left untreated or were transfected with anta-go-miR-1245 or antago-NC, and 48 h later, their NKG2D expression levels were examined by flow cytometry. The filled histogram represents cells transfected with antago-miR-1245 or antago-NC, the open histogram with solid lines represents untreated cells, and the open histograms with the dotted line represent cells stained with the isotype antibody. A representative figure from the data obtained from three independent experiments is shown. Literature Cited Bellone, G., Aste-Amezaga, M., Trinchieri, G., & Rodeck, U. (1995). Regulation of NK cell functions by TGF-β1. The Journal of Immunology, 155(3), 1066-1073. Davis, B. N., Hilyard, A. C., Lagna, G., & Hata, A. (2008). SMAD proteins control DROSHA-mediated microRNA maturation. Nature, 454(7200), 56-61. doi: 10.1038/nature07086 Espinoza, J. 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