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      Pit cells exclusively kill P815 tumor cells by the perforin/granzyme pathway

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      1 , , 1 , 2 , 3 , 4 , 1 , 1 , 5 , 1
      Comparative Hepatology
      BioMed Central
      11th International Symposium on the Cells of the Hepatic Sinusoid and their Relation to Other Cells
      25–29 August 2002

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          Abstract

          Introduction Hepatic natural killer (NK) cells, also known as pit cells, are located in the liver sinusoids, adhering to the endothelial cells (LSECs), and are thus in a strategic position to kill arriving metastasizing tumor cells [1-3]. NK cells of different tissue origin (blood, spleen, liver) appear to have different levels of cytotoxicity. Lower levels can be enhanced by lymphokines such as interleukin-2 (IL-2) or IL-12, providing lymphokine-activated killer (LAK) cells [1]. P815 mastocytoma cells were found to be resistant to the induction of cytolysis (quantified by 51Cr release) by NK cells from spleen or blood, but are sensitive to hepatic NK and LAK cells [[1,3] and references therein]. Hepatic NK cells therefore might be considered as naturally activated LAK cells. Cytotoxic lymphocytes (NK cells, LAK cells, cytotoxic T cells, NK-T cells) use the FasL and the perforin/granzyme pathway to kill target cells [3]. FasL on effector cells binds Fas present on the target cell membrane, which results in oligomerization of Fas and activation of caspase 8. Perforin and granzymes, of which granzyme B is the most potent, reside in granules of the cytotoxic lymphocytes and are released by exocytosis. Intracellular delivery of granzyme B results in the initiation of the caspase cascade by proteolytic activation of caspase 3, either directly [4] or through a mitochondrium-dependent pathway [5]. Caspases play a central role in the execution of apoptosis [4]. In this study, we investigated the mechanism hepatic NK cells use to kill P815 cells. Methods P815, a mouse mastocytoma cell line, was maintained in culture medium consisting of DMEM (42430, GIBCO, Life Technologies, Belgium) supplemented with 10 % fetal bovine serum (Eurobiochem, Bierges, Belgium), sodium pyruvate (1 mmol/L), penicillin (100 U/ml), streptomycin (100 U/ml), and L-glutamine (0.2 mmol/L) (GIBCO, Life Technologies). Hepatic NK cells were isolated from male Wistar rats (Proefdierencentrum, K.U.L., Leuven, Belgium) of 12–16 weeks old weighing ca. 300 g, as described previously [6,7]. Transmission electron microscopy (TEM) was performed as described [8]. Quantitative DNA fragmentation assay was performed as described at an E/T ratio of 10/1 and 3 h co-incubation [8]. 51Cr release assay Cytolysis was measured in a 4 h 51Cr release assay as described previously [9]. DCI (3,4-dichloroisocoumarin) and EGTA were purchased from ICN (Asse-Relegem, Belgium) and Z-VAD-FMK (Z-Val-Ala-Asp(OMe)-fluoromethylketone) from Bachem (Bubendorf, Switzerland). Results and Discussion Hepatic NK cells induced nucleus condensation and fragmentation in P815 cells, as shown by fluorescent nuclear staining (data not shown) and TEM (Fig. 1). Chromatin was condensed into masses that abutted the inner surface of the nuclear envelope and was accompanied by nuclear fragmentation (Fig. 1). Using DNA fragmentation and 51Cr release we verified that hepatic and not splenic NK cells kill P815 cells [8]. Figure 1 Hepatic NK cells induce apoptosis in P815 cells as shown by TEM. P815, P815 cells in medium only; P815+H-NK, P815 cells coincubated for 3 h with hepatic NK cells at an E/T ratio of 10/1. When P815 cells are coincubated with hepatic NK cells (thin arrow), nuclei of P815 cells become condensed and fragmented (thick arrow). Note the granules present in the hepatic NK cells (arrowhead). Bar: 1 –m. (From reference 8, with permission.) We showed that P815 cells are sensitive to both the FasL and perforin/granzyme pathway and hepatic NK cells express FasL, perforin and granzyme B [8]. Several approaches, distinguishing the FasL and perforin/granzyme pathway, were used to determine how hepatic NK cells induce apoptosis in P815 targets. Chelation of extracellular Ca2+ with EGTA (5 mmol/L), a treatment known to block granule exocytosis and the action of perforin [10], completely abolished DNA fragmentation and 51Cr release (Fig. 2). Preincubation of the effector cells with DCI (50 micromolar for 30 minutes), an inhibitor of granzymes in intact cells [11,12], completely inhibited DNA fragmentation and substantially blocked 51Cr release (Fig. 2). Consistent with previous reports [13,14], the general caspase inhibitor Z-VAD-FMK abrogated DNA fragmentation but 51Cr release was unaffected (Fig. 2). These results clearly demonstrate that P815 cells are exclusively killed by the granule pathway, whereas other cytotoxic lymphocytes can use both the FasL and perforin/granzyme pathway to kill this target [15-17]. Figure 2 The effect of inhibitory compounds on the killing of P815 cells by hepatic NK cells as determined by DNA fragmentation and 51Cr release. CON, control; EGTA, 5 mmol/L EGTA present during coincubation; DCI, preincubation of hepatic NK cells with 50 micromolar/L DCI for 30 minutes, no DCI present during coincubation; VAD, preincubation of P815 cells with 160 micromolar/L Z-VAD-FMK for 30 minutes, 80 micromolar /L present during coincubation. Values are means of three independent experiments. Error bars, SD. (From reference 8, with permission.) We showed that hepatic NK cells and LSECs, which are in contact with the hepatic NK cells, are strongly positive for the granzyme B inhibitor, serine protease inhibitor PI-9/SPI-6, and that expression of this inhibitor in target cells results in complete resistance to hepatic NK cell-induced apoptosis [8]. Based on these results, we put forward following model for hepatic NK cell-mediated killing (Figure 3): When a tumor cell enters a liver sinusoid, it is mechanically trapped and/or adheres to LSECs. Hepatic NK cells adhere to tumor cells by adhesion molecules like LFA-1. sFas produced by hepatocytes blocks FasL on the hepatic NK cells, preventing possible harmful effects on the FasL-sensitive LSECs and hepatocytes. On the other hand, highly expressed perforin and granzyme B, as a complex with serglycin as a scaffold [18], are released by granule exocytosis in the space formed between the NK-tumor conjugate. Damaging of other cells (e.g. hepatocytes) caused by leakage of granzyme B/perforin is prevented by the very efficient endocytic uptake of the granzyme B/serglycin/perforin complex by the HA-R expressed on LSECs [19]. LSECs are protected from the action of granzyme B by strong expression of the granzyme B inhibitor PI-9/SPI-6 [8]. Granzyme B, presumably taken up by the M6P-R [20], induces apoptosis in the tumor cell by activating the caspase cascade. On the other hand, cytolysis (51Cr release) is induced by a caspase-independent mechanism. Figure 3 Model of hepatic NK cell-mediated tumor cell killing. For explanation: see text. The blocked FasL pathway is indicated in gray. Dashed lines indicate hypothetical relations. FADD, Fas-associated death domain factor; FasL, Fas ligand; LFA-1, leukocyte function associated molecule-1; G, granzyme B; HA-R, hyaluronan receptor; ICAM-1, intercellular adhesion molecule-1; M6P-R, mannose 6 phosphate receptor (cation-independent); P, perforin; PI-9, protease inhibitor 9; S, serglycin; sFas, soluble Fas. (From reference 8, with permission.)

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          Most cited references22

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          Mannose 6-phosphate/insulin-like growth factor II receptor is a death receptor for granzyme B during cytotoxic T cell-induced apoptosis.

          The serine proteinase granzyme B is crucial for the rapid induction of target cell apoptosis by cytotoxic T cells. Granzyme B was recently demonstrated to enter cells in a perforin-independent manner, thus predicting the existence of a cell surface receptor(s). We now present evidence that this receptor is the cation-independent mannose 6-phosphate/insulin-like growth factor receptor (CI-MPR). Inhibition of the granzyme B-CI-MPR interaction prevented granzyme B cell surface binding, uptake, and the induction of apoptosis. Significantly, expression of the CI-MPR was essential for cytotoxic T cell-mediated apoptosis of target cells in vitro and for the rejection of allogeneic cells in vivo. These results suggest a novel target for immunotherapy and a potential mechanism used by tumors for immune evasion.
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            The CTL's kiss of death.

            G S Berke (1995)
            The potent and specific lytic activity of CTLs can occur by at least two distinct pathways. In the secretion and perforin-mediated pathway, the direct effect(s) on the target cell membrane of the pore-forming agent perforin, probably in conjunction with granzymes, also secreted from the CTLs, causes the target's demise. Intercytoplasmic transfer of granzymes is believed to be involved in inducing target apoptosis. In the Fas-mediated pathway, engagement of a CTL membrane ligand with an apoptosis-inducing target cell surface receptor, such as the FasL with Fas, triggers programmed disintegration of the CTL-bound target; secretion of granzymes and pore formation by perforin are not involved in this receptor-mediated mechanism. Despite the fundamental differences in their onset for both pathways, the downstream sequence of events that culminate in target cell apoptosis appears to be similar. Further studies will resolve this enigma.
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              Mitochondria-dependent and -independent Regulation of Granzyme B–induced Apoptosis

              Granzyme B (GraB) is required for the efficient activation of apoptosis by cytotoxic T lymphocytes and natural killer cells. We find that GraB and perforin induce severe mitochondrial perturbation as evidenced by the release of cytochrome c into the cytosol and suppression of transmembrane potential (Δψ). The earliest mitochondrial event was the release of cytochrome c, which occurred at the same time as caspase 3 processing and consistently before the activation of apoptosis. Granzyme K/perforin or perforin treatment, both of which kill target cells efficiently but are poor activators of apoptosis in short-term assays, did not induce rapid cytochrome c release. However, they suppressed Δψ and increased reactive oxygen species generation, indicating that mitochondrial dysfunction is also associated with this nonapoptotic cell death. Pretreatment with peptide caspase inhibitors zVAD-FMK or YVAD-CHO prevented GraB apoptosis and cytochrome c release, whereas DEVD-CHO blocked apoptosis but did not prevent cytochrome c release, indicating that caspases act both up- and downstream of mitochondria. Of additional interest, Δψ suppression mediated by GraK or GraB and perforin was not affected by zVAD-FMK and thus was caspase independent. Overexpression of Bcl-2 and Bcl-XL suppressed caspase activation, mitochondrial cytochrome c release, Δψ suppression, and apoptosis and cell death induced by GraB, GraK, or perforin. In an in vitro cell free system, GraB activates nuclear apoptosis in S-100 cytosol at high doses, however the addition of mitochondria amplified GraB activity over 15-fold. GraB- induced caspase 3 processing to p17 in S-100 cytosol was increased only threefold in the presence of mitochondria, suggesting that another caspase(s) participates in the mitochondrial amplification of GraB apoptosis. We conclude that GraB-induced apoptosis is highly amplified by mitochondria in a caspase-dependent manner but that GraB can also initiate caspase 3 processing and apoptosis in the absence of mitochondria.
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                Author and article information

                Conference
                Comp Hepatol
                Comparative Hepatology
                BioMed Central
                1476-5926
                2004
                14 January 2004
                : 3
                : Suppl 1
                : S58
                Affiliations
                [1 ]Laboratory for Cell Biology and Histology, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, 1090 Brussels, Belgium
                [2 ]Evanston Northwestern Healthcare Research Institute, Evanston, Illinois, USA
                [3 ]Department of Immunohematology and Bloodtransfusion, Leiden University Medical Center, Leiden, The Netherlands
                [4 ]Institute for Biochemistry, BIL Biomedical Research Center, University of Lausanne, Epilanges, Switzerland
                [5 ]Present address: Department for Molecular Biomedical Research, Molecular Cell Biology Unit, Ghent University (UGhent), Technologiepark 927, 9052 Zwijnaarde, Belgium
                Article
                1476-5926-3-S1-S58
                10.1186/1476-5926-2-S1-S58
                2410270
                14960210
                511360bf-c754-4e59-a1d6-44654cfe3e19
                Copyright © 2004 Vermijlen et al; licensee BioMed Central Ltd

                This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                11th International Symposium on the Cells of the Hepatic Sinusoid and their Relation to Other Cells
                Tucson, Arizona, USA
                25–29 August 2002
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                Gastroenterology & Hepatology
                Gastroenterology & Hepatology

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