Maher S G, Condron C E M, Bouchier-Hayes D J, Toomey D M
Department of Surgery, Royal College of Surgeons in Ireland, Education and Research Centre, Beaumont Hospital, Dublin, Ireland.
Clin Exp Immunol. 2005 Feb;139(2):279-86. doi: 10.1111/j.1365-2249.2005.02694.x.
Interleukin (IL)-2 immunotherapy is used for the treatment of metastatic melanoma and renal cell carcinoma and mediates its effects through the clonal expansion of lymphocytes. Although IL-2 remains the most effective form of therapy for these cancers, response rates are poor and dose escalation is hampered by side effects, which include vascular leak and lymphopenia. The mechanism underlying T cell loss is currently unidentified but could be the induction of activation-induced cell death (AICD) mediated by FasL. Our previous studies have shown that the amino acid taurine can attenuate apoptosis induced by a number of factors in different cell types. Here, we induced T cell AICD via CD3 and IL-2 stimulation and investigated the effect of taurine on lymphocyte apoptosis. Anti-CD3-activated Jurkat T cells treated with IL-2 significantly increased FasL expression, which was associated with increased apoptosis. Treatment with taurine prior to stimulation down-regulated FasL protein expression and partially inhibited apoptosis. Inhibition of FasL-signalling resulted in an identical reduction in apoptosis. As the kinetics of AICD are completely different in circulating T cells, we repeated these experiments in such cells to confirm our finding. Stimulation of CD4(+) circulating T cells induced apoptosis in sensitized, but not freshly isolated T cells, which was abrogated partially by taurine. In Jurkat cells it was determined that taurine-mediated down-regulation of FasL protein expression was associated with decreased FasL mRNA expression and reduced NFkappaB activation. These results reveal one possible mechanism underlying the lymphopenia observed with IL-2 immunotherapy, involving increased FasL expression leading to apoptosis. Taurine may be of use in reversing the lymphopenia associated with IL-2, thereby augmenting its immunotherapeutic potential.
白细胞介素(IL)-2免疫疗法用于治疗转移性黑色素瘤和肾细胞癌,并通过淋巴细胞的克隆扩增介导其作用。尽管IL-2仍然是这些癌症最有效的治疗形式,但反应率较低,且由于包括血管渗漏和淋巴细胞减少在内的副作用而阻碍了剂量递增。T细胞丢失的潜在机制目前尚不清楚,但可能是由FasL介导的激活诱导的细胞死亡(AICD)。我们之前的研究表明,氨基酸牛磺酸可以减轻多种因素在不同细胞类型中诱导的细胞凋亡。在此,我们通过CD3和IL-2刺激诱导T细胞AICD,并研究了牛磺酸对淋巴细胞凋亡的影响。用IL-2处理抗CD3激活的Jurkat T细胞可显著增加FasL表达,这与细胞凋亡增加有关。刺激前用牛磺酸处理可下调FasL蛋白表达并部分抑制细胞凋亡。抑制FasL信号传导导致细胞凋亡同样减少。由于AICD的动力学在循环T细胞中完全不同,我们在这些细胞中重复了这些实验以证实我们的发现。刺激CD4(+)循环T细胞可诱导致敏但非新鲜分离的T细胞凋亡,牛磺酸可部分消除这种凋亡。在Jurkat细胞中确定,牛磺酸介导的FasL蛋白表达下调与FasL mRNA表达降低和NFκB激活减少有关。这些结果揭示了IL-2免疫疗法中观察到的淋巴细胞减少的一种可能机制,涉及FasL表达增加导致细胞凋亡。牛磺酸可能有助于逆转与IL-2相关的淋巴细胞减少,从而增强其免疫治疗潜力。