Tuesday, March 31, 2015

Tumor converts neutrophils into metastasis-promoting cells via γδ T cell-derived IL-17

Immune system supposed to defend the body from infectious agents and genetically transformed cells (tumors). Usually, at the end of each immune response, that can be quite damaging (immune phase), immune cells will be involved in tissue healing, regeneration or remodeling (adaptation phase). However, sometimes infectious agents or tumors will circumvent these steps and jump directly to adaptation phase and will recruit immune cells to carry out their "agenda" at the expense of the host.

For example, we can speculate that tumor's "agenda" would be to grow and expand (metastasize). However, neither of these possible without local and distant tissue remodeling and its readiness to accommodate (accept) tumor cells. Here is where local immune cells become involved.

New study in journal Nature points to one of those possibilities. The authors showed that in a mouse model of mammary tumor metastasis, neutrophils promotes tumor lung metastasis via IL-17 produced by circulating γδ-T cells.

I would like to point out that the authors have used tumor transplantation model (to have shorter experiments) that is obviously very different from spontaneously arising tumors. Nevertheless, they found that lung or lymph node metastasis of skin transplanted tumor was reduced with neutrophil depletion using α-Ly6G antibody (this antibody supposedly selectively depletes neutrophils since they express it at high level).


Interestingly, tumor metastasis were also reduced in the recipients devoid of adaptive immune system and correlated with reduction of IL-17 and G-CSF (granulocyte colony-stimulating factor) serum levels.


Finally, the authors showed that γδ-T cell depletion or genetic deficiency reduced lung and lymph node metastasis of transplanted tumor.


In summary, these results suggest that tumor cells exploit not yet identified pathways within immune system (γδ-T cells / IL-17 / neutrophils axis) to prepare distant tissues to accommodate tumor colonies coming from original tumor niche. Only by understanding how immune cells interact with normal tissues during or after immune response, could we design ways to block such metastasis.

In general this paper is OK, especially if one considers other papers (two recent papers in JEM) corroborating the idea of IL-17's involvement in tumor initiation and metastasis. However, some data are not clear or not well explained, so not a Nature caliber paper, in my view. For example, in Fig. 3a, treatment with α-IL-17A did not modify IL-17 level in the serum. Also, the authors did not explain why they thought CD8 T cells were protective against metastasis in this model when tumor-bearing RAG KO hosts, which lack CD8 T cells, did not show increased metastasis (Fig. 2d versus. Fig. 3g)?


David Usharauli
 

Sunday, March 29, 2015

Tyrosine kinase hyper-activation rather than its inhibition overcomes acute lymphoblastic leukaemia cells resistance

Acute lymphoblastic leukaemia (ALL) in pre-B cells is driven by constitutive activation of tyrosine kinases, such as BCR-ABL1 (Philadelphia chromosome positive) that mimic BCR signalling (that normally serves as a survival signal). For that reason, treatment of ALL usually involves use of tyrosine kinase inhibitors (TKI) such as Gleevec (imatinib). However, frequently ALL cells develop resistance to TKI. 


The authors showed that in vitro assay ALL cells transfected with constitutively active Syk kinase undergo rapid cell death that was actually reversed by imatinib treatment.


Next, the authors showed that BCR-ABL1 transformed ALL cells deficient of signaling molecules with ITIM tail (pecam1, CD300, Lair1) that normally inhibit Syk kinase, undergo rapid cell death.


Further experiments revealed that inhibitory phosphatases, SHP1 (ptpn6) and SHIP1 (inpp5d), downstream of ITIM signalling contributed to ALL cell survival via Syk inhibition.


Finally, the authors showed that use of small molecule inhibitor of SHIP1, 3AC, could lead to rapid ALL cell death due to Syk hyper-activation


In summary, these results showed that even ALL cell still retain sensitivity to BCR negative selection when over-activated. Initially, mutation in BCR-ABL1 make pre-B cells to receive constitutive survival signal. However, additional activation of Syk kinase would push overall signalling within ALL to the threshold of negative selection and to the ultimate ALL cell death. Thus, combining of Gleevec with 3AC-like drugs would provide additional safeguards to prevent the emergence of resistant ALL clones and dramatically improve survival of ALL patients.   

David Usharauli


Friday, March 27, 2015

First-born thymic Foxp3+ regulatory T cells protect against tissue-selective AIRE-dependent autoimmune syndrome

Adaptive immune system should be able to distinguish between self and non-self antigens. This is a very fine process since at the molecular level both self and non-self antigens look the same. So how it is done?


AIRE is a gene that controls tissue-specific protein expression in the thymus. The authors observed that conditionally T reg-depleted neonatal mice supplemented with T regs from AIRE KO donor, but not from WT donor, developed tissue-specific autoimmune syndrome.


Further experiments with adoptive transfer of T reg population tagged either during neonatal stage (day 0-10) or after weaning (day 35-45) revealed that only neonatally tagged T regs were enriched in Foxp3+ population able to prevent the development of AIRE-dependent tissue-selective autoimmune syndrome.


The results from this study suggest that the role and functionality among Foxp3+ T regs varies depending, at least, on time of their generation. It appears that first-born T regs generated during a neonatal stage provide specialized protection against development of autoimmune syndrome (though tagging per se did not specifically identify AIRE-driven Foxp3+ T regs in newborn mice in this study).

Interestingly, the authors reported that in NOD.Foxp3-DTR mice T reg depletion after weaning did not result in death of the experimental animals. This is in contrast to earlier reports from Rudensky's lab where adult Foxp3-DTR mice die after T reg depletion. Wonder what could have made such difference.   

David Usharauli