The role of regulatory T lymphocytes in immune control of MC-2 fibrosarcoma.

The role of T regulatory lymphocytes (Treg) particularly in cancer is well known. The goal of the present study was to determine the contribution of these lymphocytes in the regulation of anti-tumor immunity of CBA/HZgr mice against MC-2 fibrosarcoma (4th generation of methylcholanthrene induced tumor). The levels of T lymphocytes (CD4+, CD8+ and CD4+CD25+) were determined 8 and 20 days after tumor transplantation. Further, the role of CD4+CD25+ (Tregs) in tumor-host interaction was evaluated in vitro and in vivo by using specific monoclonal antibodies. We found that splenocytes of both control and Treg depleted tumor bearing mice strongly but differently inhibited growth of tumor cells in vitro. While splenocytes of untreated mice exhibited significant decrease of this activity (from 74.4% to 62.6% and 32.95%), the splenocytes of Treg depleted mice showed increase of this activity (from 79.5% to 84.3% and 86.2%) from day 6 to day 13 and day 21 after tumor grafting, respectively. Further, upon i.v. injecting specific monoclonal anti-Treg antibody tumor immediately prior to tumor cell intracutaneous transplantation, the tumor was rejected after initial growth. In treated mice, the incidence of Treg cells was very low initially, reaching normal values two weeks later. These animals were shown to be resistant to tumor transplantation four months later.

Introduction

Immune homeostasis is maintained by regulatory T cells (Treg) which actively suppress immune response and protect the host against autoimmune diseases (-). These cells have been described as CD4+CD25+, characterized by the expression of IL2 receptor (CD25 molecule) and the costimulatory molecule CD4 (). Tregs, acting as immune suppression for body tissues, have been demonstrated to play an essential role in self-tolerance, transplantation, allergy and tumor/microbial immunity (). Indeed, accumulating evidence implicates Tregs as one of the principal cell types suppressing TAA-specific lymphocyte activity and tumor eradication, and thus one of the major obstacles to effective anti-tumor immunotherapy (-). CD25+CD4+ regulatory T cells (Treg) comprise 5%-10% of the circulating CD4+ T cell population and suppress tumor immune responses (). Indirect evidence suggests that CD4+CD25+ T cells (Tregs) are important in suppressing TAA-specific immunity (, ,), and they suppress nonspecific T cell responses in vitro. It is critical that the mechanism that contributes to Treg accumulation in tumors is not fully understood. It has been suggested that Tregs display an enhanced capacity for infiltration of, and accumulation within the tumor in comparison to effector T cells ().

It was shown that Treg cells were activated through their T-cell receptors in antigen-specific manner but they can inhibit effector cells in an antigen-unspecific way (-). Further, human and murine Treg cells were shown to secrete immunosuppressive cytokines (-). Treg cells could have beneficial effects in the body by preventing autoimmune diseases but, on the other hand, they act against the body by suppressing host’s immune reaction against tumor (, , ). CD25+ is overexpressed in certain lymphoid malignancies, on activated T cells involved in autoimmune disorders, and in allograft rejection. Increased CD25+ expression has been demonstrated in anaplastic large-cell lymphoma, adult T-cell leukemia (ATL)/lymphoma, chronic lymphocytic leukemia, cutaneous T-cell lymphoma, hairy cell leukemia, some B-cell non-Hodgkin’s lymphomas, and Hodgkin’s lymphoma ().

Several reports have pointed to pronounced depletion of Treg cells after application of specific monoclonal antibodies in several mouse tumor models, resulting in slow tumor growth and prolonged survival of treated animals (, ). The immune system in higher vertebrates protects the body against a wide and changeable spectrum of pathogenic organisms or antigens, while complex mechanisms in the thymus and peripheral lymphoid organs prevent reaction to the host’s own (self) antigens (-, ). Suppressor activity of regulatory T lymphocytes characterized as CD4+CD25+ is necessary for this tolerance of self antigens (, ). An important mechanism involves the action of regulatory T cells to maintain immune balance of the organism to be tolerant to self, while remaining competent to mount an effective immune response against third party antigens (, ). The activities of the immune system play an important role in the relations between a host and its tumor. Numerous clinical and experimental data point to a specific immune reaction against a growing tumor and it is likely that these immune responses develop in much the same way as they do to pathogens or foreign antigens (, ). Thus, anti-tumor antibodies and T cells are generated and, along with nonspecific immune mechanisms, play a role in tumor immunity. Further, it should be mentioned that a growing tumor, by releasing particular cytokines, may be immunosuppressive and may stimulate production of regulatory T lymphocytes (-).

The anti-CD25 monoclonal antibody is one of the most used treatments for steroid-refractory graft-versus-host disease (GVHD) and could selectively inhibit activated T cells, and therefore does not increase the risk of relapse of leukemia. The study by Tao et al. showed that CD25+ lymphocyte proportion significantly decreased after anti-CD25 monoclonal antibody treatment, suggesting that CD25+ lymphocytes were strongly inhibited ().

We performed in vitro and in vivo experiments by using specific anti-CD25 monoclonal antibody in our well defined mouse tumor model, CBA/HZgr mice and MC-2 transplanted fibrosarcoma (4th generation of methylcholanthrene induced tumor) with known dynamics of T cells in tumorous mice. Actually, lymphoid cells from tumor bearing mice were in a classical colony inhibition test treated with specific anti-CD25 monoclonal antibody and cultivated with tumor cells. For in vivo studies, the mice with transplanted tumor were treated with specific anti-CD25 monoclonal antibody. The incidence of particular T cell populations, tumor growth curves and animal survival were determined.

Methods

Experimental animals

Male mice of CBA/HZgr strain were obtained from Animal Breading Unit of Ruđer Bošković Institute (Zagreb, Croatia). At the beginning of the experiment, the animals were about three months old with body weight 20-22 g. They were kept in plastic cages of five mice each. Admission to food (4 RF 21 GPL Mucedola srl, Italy) and tap water was ad libitum. The temperature of the room with experimental animals was 22o C, humidity 55% and light-dark intervals exchanged every 12 hours. All experiments were performed in accordance with the Croatian act on animal welfare.

Tumor

Fibrosarcoma MC-2 was used in the experiments. The tumor was induced by injecting methylcholanthrene dissolved in olive oil subcutaneously into CBA/HZgr female mouse. We have several generations of the tumor in our tumor bank. The tumor of the 4th generation was used in all experiments.

Tumor cell suspension was mechanically prepared from growing tumor as described previously (), with 107 viable cells in 1 mL. The mice were injected subcutaneously with 0.1 mL of the suspension (106 viable cells) and, in the experiments with monoclonal antibody, 105 cells were injected intracutaneously. By using the caliper (Cambridge, USA), three orthogonal diameters (A, B and C) of growing tumor were determined every three days. Tumor volume was determined by using the ABCπ/6 formula.

For in vitro experiments, tumor cell suspension was cultivated in RPMI media (Institute of Immunology, Zagreb, Croatia) supplemented with 10% of fetal calf serum (FCS) (Sigma, USA). The cell cultures were kept in the incubator (Heraeus, Germany) at 37 oC in humid atmosphere with 5% of CO2.

Lymphocyte spleen cell suspension

On particular days after tumor transplantation, the mice were sacrificed, spleens removed, single cell suspension prepared mechanically and lymphocytes were isolated on a density gradient by using Lymphoprep ().

Determination of lymphocyte populations

Spleen lymphocytes were washed once in phosphate buffered saline (PBS) pH 7.3 with 5% FCS adjusted to final concentration of 1x106 cell/mL and incubated with particular monoclonal antibodies for 30 minutes on ice in dark. Monoclonal antibodies anti-CD3, anti-CD4, anti-CD8 and anti-CD25, as phycoerithrin or FITC conjugate (BD Pharmingen Bioscience, USA) and corresponding isotype controls were used. The cells were washed in PBS, centrifuged at 200xg for 5 minutes and resuspended in PBS with 5% FCS. All samples were finally resuspended in a propidium iodide (1 µg/mL) containing buffer.

Flow cytometric analysis

The fluorescence intensity at the single cell level was evaluated by flow cytometry (FACScalibur, Becton Dickinson, Mountain View, USA). For each sample, 10,000 cells were analyzed. Fluorescence signals were recorded on a frequency histogram or dot plot using logarithmic amplification. Cells were considered unstained if the associated fluorescence did not differ from the fluorescence of cells labeled with isotype control (negative control). Nonviable cells labeled with propidium iodide were excluded from analysis.

Cultivation of tumor cells with lymphocytes

Microplates with 96 wells (Greiner, Germany) were used. Tumor cell suspension from the culture was prepared to contain 8x103 viable cells in 1 mL, 0.1 mL poured in each well complemented with 5x105 lymphocytes, and tumor cell number was determined by using an inverse microscope (Zeiss, Germany) three days later, as described previuously ().

Specific monoclonal antibody 7D4 (BD Pharmingen Bioscience, USA) was used to eliminate CD4+CD25+ cells from lymphocyte suspension. Briefly, 106 lymphocytes were incubated with 1 µg of 7D4 antibody at 4 oC during 1 hour, followed by centrifugation (150xg) for 10 minutes, resuspended in the medium and cultivated at 37 oC for an additional hour. Double washing with the medium (150xg for 5 minutes) was performed and, in the presence of monoclonal antibody hybridoma PC61 (which does not compete with 7D4 antibody), it was confirmed that there was less than 0.1% of lymphocytes with CD25 antigen.

Monoclonal antibody application in tumor transplanted mice

The anti-CD25 monoclonal antibody (clone PC61, rat anti mouse; Pharmingen Biosciences, USA) was injected (0.25 mg in 0.2 mL of the Hanks solution) intravenously (i.v.) in the mice immediately prior to intracutaneous injection of 105 viable tumor cells. Control animals were injected with rat immunoglobulins of the same manufacturer.

Statistical analysis

Mean values and standard deviations were determined for each of the experimental groups. Significances were determined by using ANOVA and Tukey post-hoc test. Statistical significance was defined as p<0.05.

Results

Dynamics of T lymphocyte populations during tumor growth

The CBA/HZgr mice were transplanted with MC-2 fibrosarcoma cells. Eight or 20 days later, the animals with growing tumor were sacrificed, spleen cell suspensions prepared, lymphocytes isolated and the incidence of CD4+, CD8+, as well as CD4+CD25+ T cells determined by using specific monoclonal antibodies. There were seven mice in each group of tumor-transplanted mice and seven control mice without tumor.

The results are presented in Figure 1. As shown, the incidence of CD4+ and CD8+ cells decreased whereas the CD4+CD25+ incidence increased during tumor growth. Differences between control and tumor bearing mice were significant (p<0.01).

Fig. 1

Incidence of CD4+, CD8+ and CD4+CD25+ lymphocytes in the spleen of CBA/HZgr mice transplanted with fibrosarcoma MC-2, determined on particular days during tumor growth. Small letters above bars indicate significant differences among the groups (p<0.01).

Besides, about 10% of all CD4+ cell populations were CD4+CD25+ cells, which is consistent with the data already known.

The influence of specific anti-CD25 monoclonal antibodies against the tumor determined in vitro and in vivo

For in vitro experiments, lymphocytes were isolated from the spleen of CBA/HZgr mice transplanted with MC-2 fibrosarcoma cells and sacrificed 2, 6, 13 and 21 days later. Tumor cells were cultivated with the lymphocytes isolated from tumor bearing and from normal mice. Furthermore, the 7D4 monoclonal antibody was used to remove CD25+ cells from lymphocyte population. As presented in Table 1, the lymphocytes from tumor bearing mice were effective in destroying tumor cells, but the bigger the tumor, the less effective the lymphocytes were (74.4%, 62.6% and 32.1% of control values). However, the elimination of CD25+ cells resulted in well pronounced anti-tumor activity of lymphocytes isolated from tumor bearing mice regardless of tumor size (79.5% to 86.2% of control values).

Table 1

Fibrosarcoma MC-2 cell count determined 3 days after cultivation with lymphocytes from normal or tumor bearing mice, cultivated in microplates. Lymphocytes from tumor bearing mice were collected on particular days after tumor transplantation and in one group CD25+ cells were eliminated

Days after tumor transplantation	Tumorvolume (mm3)	Fibrosarcoma MC-2 cell count
		Cultivation
		MC-2 cells only	MC-2 cells +lymphocytes from normal mice	MC-2 cells +lymphocytes from tumor bearing mice	MC-2 cells +lymphocytes from tumor bearing mice (CD25+ eliminated)
2	0.0	103.2±3.3	104.0±3.1	102.9±2.9	103.2±3.3
6	8.4	99.7±2.0	100.1±2.9	25.6±2.1	20.5±2.1
13	326.4	89.1±2.0	87.8±3.1	32.8±3.1	13.8±2.4
21	2216.8	102.6±3.0	103.6±2.6	69.8±2.4	14.3±2.9

For in vivo experiments, the anti-CD25 (clone PC61) monoclonal antibody (rat anti mouse) was injected i.v. into CBA/HZgr mice transplanted intracutaneously with MC-2 fibrosarcoma cells immediately after antibody application. Tumor control mice were injected with normal rat serum. As shown in Figure 2, initial tumor growth occurred in both groups, i.e. in five mice from each group. However, after day 6, tumor regression was noticed in the specific monoclonal antibody treated group, whereas in the control group it was growing. Injection of specific monoclonal antibody at different times with regard to tumor application was not successful (data not shown).

Fig. 2

Tumor growth curves after fibrosarcoma MC-2 cell intracutaneous injection to CBA/HZgr mice. The mice were intravenously injected either with monoclonal anti-CD25 antibody (rat anti mouse) or with normal rat immunoglobulins immediately prior to tumor transplantation. There were five mice per group.

The mice that rejected the tumor following anti-CD25 monoclonal antibody treatment were transplanted with 106 viable tumor cells four months later. However, the tumor did not develop. Furthermore, as illustrated in Figure 3, the incidence of CD4+CD25+ lymphocytes was very low in monoclonal antibody treated mice in comparison to the results shown in Figure 1, while the incidences of CD4+ and CD8+ cells were normal throughout the observation period. It should be noted that the incidence of CD4+CD25+ lymphocytes in these mice determined 14 days after tumor transplantation reached the values observed in control mice (see Fig. 1).

Fig. 3

Incidence of CD4+, CD8+ and CD4+CD25+ lymphocytes on particular days in the spleen of CBA/HZgr mice transplanted intracutaneously with fibrosarcoma MC-2 cells and intravenously with monoclonal anti-CD25 antibody (rat anti mouse) immediately prior to tumor transplantation. Small letters above bars indicate significant differences among the groups (p<0.01).

Discussion

The CD25+ lymphocytes with their IL-2 receptor are a critical non-redundant regulator of immune homeostasis. There is increasing interest in the therapeutic role of IL-2 signalization to promote immune activation in tumor immunotherapy or enhance immune suppression in transplantations, autoimmunity and inflammatory diseases ().

Adoptive cell therapy is an emerging treatment strategy for a number of serious diseases. Regulatory T (Treg) cells are a cell type of particular interest for therapy of inflammatory conditions, as they are responsible for controlling unwanted immune responses. The goal of our study was to evaluate the role of CD4+CD25+ Treg lymphocytes (in vitro and in vivo) by using specific anti-CD25 monoclonal antibody in a mouse tumor model.

The results presented in this paper indicate that in our experimental model the incidence of anti-tumor lymphocytes, CD4+ and CD8+, decreased while suppressor CD4+CD25+ lymphocytes increased in the spleen of tumor-transplanted mice during tumor growth. This is consistent with the already published results (-). Lymphocytes from tumor bearing mice are cytotoxic against tumor cells in vitro, which is in accordance with our previous and other results (-). As presented, lymphocyte anti-tumor activity decreased with tumor growth and previous results indicate that this activity recovered after tumor elimination (-). Furthermore, as presented in this paper, specific monoclonal antibody recovered anti-tumor reactivity of T lymphocytes by eliminating CD25+ lymphocytes. Similar results on the role of suppressor lymphocytes in tumor-host relation have been published (, , ), pointing to detrimental situation in patients if these cells infiltrate their tumor (, ). Son et al. () investigated the potential of anti-CD25 monoclonal antibody to prevent activation of Treg lymphocytes during radiation therapy. Anti-CD25 monoclonal antibody inhibited Treg lymphocytes and improved the therapeutic effect of irradiation in a mouse model of lung and colon cancer. Combined treatment of anti-CD25 monoclonal antibody with radiation significantly decreased Treg in the spleen and tumor compared with control and irradiation only in both lung and colon cancer. Combinatorial treatments resulted in a significant increase in the effector T cells, longer survival rate, and suppressed irradiated and distal non-irradiated tumor growth ().

Moreover, the presented results of our study similarly indicate that the application of specific anti CD25+ antibody to tumor transplanted mice at specific time resulted in normal incidence of CD4+ and CD8+ cells throughout the observation period while the CD4+CD25+ incidence was extremely low during the initial period after antibody and tumor injection. After initial growth, the tumor was rejected and, which is particularly interesting, these mice were resistant to subsequent tumor transplantation. It could be concluded that these animals became resistant to tumor by stimulation of the effector T cells during tumor growth and that a lower incidence of CD4+CD25+ cells resulted in tumor elimination. Memory cells responsible for antitumor resistance probably developed during transplanted tumor growth and the tumor was eliminated after specific monoclonal anti-CD25+ antibody application at a proper time.

The studies on the role of lymphocytes are fundamental in understanding immune mechanisms in tumor disease. However, the double role of CD4+ T lymphocytes has important clinical implications as CD4 T helper cells keep CD8+ memory cells while CD4+CD25+ cells are important in anti-tumor response inhibition (-). These opposite effects of CD4+ T lymphocytes call for further investigations on their role in possible clinical approaches. Results suggest that Treg depletion strategies may enhance antitumor immunity and additionally improve disease outcomes.