Published OnlineFirst October 25, 2017; DOI: 10.1158/0008-5472.CAN-17-1416
Cancer Tumor Biology and Immunology Research
Type I IFN Receptor Signaling Controls IL7-Dependent Accumulation and Activity of Protumoral IL17A-Producing gdT Cells in Breast Cancer Emmanuel C. Patin1, Daphnee Soulard1,Sebastien Fleury2,3, Maya Hassane1,4, David Dombrowicz2,3, Christelle Faveeuw1,Francois¸ Trottein1, and Christophe Paget1,5
Abstract
The protumoral activity of gdT17 cells has recently emerged tumorbedofapeculiarsubsetofgdT17 cells displaying a in a wide variety of solid malignancies, including breast cancer. CD27 CD3bright phenotype (previously associated with the þ These cells exert their detrimental functions by promoting invariant Vg6Vd1 TCR). Interestingly, this effect was indirect tumor growth, angiogenesis, and subsequent metastasis devel- and partially relied on the IFNAR1-dependent control of IL7 opment. However, the intratumoral factors that regulate the secretion, a factor that triggers proliferation and activating biology of gdT17cells within the tumor microenvironment are functions of deleterious gdT17 cells. Our work therefore iden- less well understood. Here, using two experimental models of tifies a key role of the type I IFN/IL7 axis in the regulation of breast cancer, we reinforced the concept that tumor-infiltrating intratumoral gdT17-cell functions and in the development of gdT17 cells are endowed with protumoral functions, which primary breast tumor growth and metastasis. promote tumor progression and metastasis development. More Significance: Tumor-derived IL7 can represent a therapeutic importantly, we demonstrated a critical role for type I IFN target to prevent accumulation of immune cells endowed with signaling in controlling the preferential accumulation in the potent protumoral activities. Cancer Res; 78(1); 195–204. 2017 AACR.
Introduction Among these cell subsets, tumor-infiltrating IL17A-producing gdT(gdT17) cells represent interesting candidates (3). Mouse Despite significant advances in treatment and earlier detection, gdT17 cells are characterized by the constitutive expression of cancer remains one of the most devastating diseases in industri- the orphan nuclear receptor RORgt (4) and the absence of the alized countries. Over the last decades, immunology has gained CD27 marker, a thymic regulator that conditions the cytokine bias considerable attention in the complex discipline of oncology. (IFNg vs. IL17A production) of gdT cells in the periphery (5). Indeed, it is now well established that leukocyte composition Moreover, many reports indicate that TCR chain usage is linked within tumors is considered significant for patient prognosis in a þ þ with specialized functions (6). In this context, Vg4 and Vg6 T wide variety of cancers, and therefore some immune populations cells have been described to preferentially produce IL17 (7); a are highly regarded by clinicians as new biomarkers for prognosis phenomenon that primarily relies on the acquisition of a specific and therapeutic success (1, 2). functional programming during their development in fetal thy- mus (8). Immune system evolves to avoid functional redundan- cies, and therefore it is likely that gdT17 cells bearing either Vg4or Vg6 TCR have unique properties. We recently reported that bright 1Universite de Lille, CNRS, INSERM, CHU Lille, Institut Pasteur de Lille, U1019-UMR levels of CD3 signals on gdT cells can be used as a surrogate marker 8204-CIIL-Center for Infection and Immunity of Lille, France. 2Universite de Lille, to specifically analyze the prototypic IL17 producer subset þ INSERM, Institut Pasteur de Lille, CHU Lille, U1011, EGID, Lille, France. 3European Vg6Vd1 T cells (9, 10). Genomic Institute of Diabetes, Lille, France. 4Laboratoire Microbiologie Santeet Over the past decade, numerous reports have consensually Environnement, Ecole doctorale en Sciences et Technologies/Faculte de Sante attributed protumoral functions to gdT17 cells in various exper- 5 Publique, Universite Libanaise, Tripoli, Liban. Universite de Tours, INSERM, imental transplantable or inducible models of cancer including Centre d'Etude des Pathologies Respiratoires (CEPR), UMR 1100, Tours, France. liver and lung carcinomas (11, 12), melanoma (13), breast cancer Note: Supplementary data for this article are available at Cancer Research (14), fibrosarcoma (15), and peritoneal/ovarian cancer (16). Online (http://cancerres.aacrjournals.org/). Similar observations have also been reported in tumor-bearing Current address for E.C. Patin: Retroviral Immunology, The Francis Crick patients such as colorectal cancer (17). Moreover, the frequency of Institute, London, United Kingdom. infiltrating gdT cells in breast cancer patients is a relevant predic- Corresponding Author: Christophe Paget, Institut Pasteur de Lille, 1 rue du Pr tive marker of clinical outcome; associated with poor prognosis Calmette, Lille 59000, France. Phone: 333-2087-7339; E-mail: and relapses (18). gdT17 cells exert their detrimental functions [email protected] through interactions with neighboring cells from the tumor doi: 10.1158/0008-5472.CAN-17-1416 environment, including suppressive immune cells (e.g., mye- 2017 American Association for Cancer Research. loid-derived suppressor cells, regulatory T cells, M2 macrophages)
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Patin et al.
and endothelial cells. This ultimately leads (i) to the inhibition of conditions. Animal studies have been conducted in accordance þ the protective CD8 T-cell response and (ii) to the initiation with an Institutional Animal Care and Use Committee. All animal of angiogenesis, subsequent increase of tumor growth, and metas- work conformed to the French "Comite d'Ethique en Experimen- tasis development. tation Animale" (C.E.E.A. 75; #00357.01) and committee The factors that regulate gdT17 cell accumulation and activity guidelines. within the tumor have been mainly attributed to Th17-driving cytokines such as IL1b, IL6, IL23, and TGFb (11, 15). IL7 has been Reagents recently involved in selective expansion and functions of IL17A- Monoclonal antibodies against mouse CD45 (APCCy7- or producing innate-like T cells, including type I natural killer T AF700-conjugated), CD3 (Pacific Blue-conjugated), TCRd (NKT)17 and gdT17 cells (19, 20). Interestingly, the level of IL7 (PerCpCy5.5-conjugated), TCRb (FITC-conjugated), Vg1 (APC- increases with tumor progression in peritoneal exudates from conjugated), Vg4 (PECy7-conjugated), CD27 (PECy7-conjugat- ovarian cancer-bearing mice (16). Moreover, levels of IL7 have ed), CD127 (FITC- or PECy7-conjugated), IL17A (PE-conjugat- been associated with poor prognosis in patients with prostate ed), CD69 (AF700-conjugated), CD44 (PE-conjugated), and cancer (21, 22) and positively correlated with tumor aggres- appropriated isotype controls were purchased from BioLegend, siveness in patients with breast cancers (23). In view of this, it BD Pharmingen, and eBioscience. PBS-57 glycolipid-loaded and is tempting to speculate that the putative regulatory functions of -unloaded control CD1d tetramers (APC-conjugated) were from tumor-derived IL7 on gdT17 cell biology can somehow explain the National Institute of Allergy and Infectious Diseases Tetramer the phenotypes stated above. Facility (Emory University, Atlanta, GA). Propidium iodide was Type I IFNs are composed of several proteins (IFNa, IFNb, purchased from BD Pharmingen. Mouse monoclonal anti-IL17A and atypical IFNs) that exert major antimicrobial functions (24). (clone 17F3) and anti-IL7 (clone M25) antibodies and their There is also accumulating evidence, indicating that type I IFNs are respective isotype controls [MOPC-21 (mouse IgG1) for anti- pivotal cytokines in cancer immunosurveillance and response to IL17A and MCP-11 (mouse IgG2b) for anti-IL7] were purchased anticancer therapies (25). Type I IFNs have been shown to regulate from Bio X Cell. Recombinant mouse IFNb and IL7 were pur- gdT-cell response. Although type I IFNs increase activity of cyto- chased from R&D Systems. Recombinant mouse IL1b and IL23 toxic/IFNg–producing gdT cells (26, 27), they constrain IL17 were purchased from Peprotech. Phorbol 12-myristate 13-acetate production by gdT17 cell subsets in various models of infection (PMA) and ionomycin were from Sigma-Aldrich. (28–30). For instance, this effect is associated with the suppressive activity of type I IFN-induced IL27 (31–36). However, the regu- Mouse tumor models latory role of type I IFNs on gdT17-cell activity in cancer is The C57BL/6 mouse breast carcinoma cell line AT-3 was currently unknown. obtained from Trina Stewart (Griffith University, Brisbane, Aus- We have here analyzed the role and regulatory mechanisms of tralia; ref. 38), 4T1.2 tumor cells were kindly provided by Robin gdT17 cells in cancer immunosurveillance using two syngeneic Anderson (Peter MacCallum Cancer Centre, Melbourne, Austra- mouse models of breast cancer. Similar to the human disease, lia). Cells were cultured and maintained in DMEM supplemented both cell lines enable growth of highly metastatic primary tumors with 10% FCS, 2mmol/L L-glutamine, penicillin/streptomycin (37). We demonstrate that gdT cells are a prime source of IL17A and sodium pyruvate and 55nmol/L 2-mercaptoethanol. For within the tumor and that T-cell receptor (TCR) d-deficient mice as mouse cancer models, mice were inoculated subcutaneously with well as IL17A depletion (deficient mice or neutralizing mAb 5 105 AT-3 or 4T1.2 cells on the right flank. For tumor growth treatment) significantly impaired tumor growth. Analysis of studies, tumors were monitored every 2/3 days using a caliper. intratumoral gdT-cell subsets indicated that IL17 production was almost exclusively due to a subset harboring intense CD3 signals. Quantification of metastatic burden This subset has recently been associated in the lung tissue with the Metastasis of AT-3 cells were determined in sections of the lung þ expression of the clonal Vg6Vd1 TCR (9, 10). Accumulation of stained with hematoxylin and eosin. The number of metastases CD3bright gdT cells in the tumor bed was largely controlled by type per section was counted. I IFNs. Interestingly, blockade of type I IFN signaling in host led to an increase level of the IL17-promoting factor IL7 within the Cytokine detection by enzyme-linked immunosorbent assay tumor. Early neutralization of IL7 significantly delayed tumor At time-point as indicated, tumors were weighted and collected growth in both experimental syngeneic tumor models. Moreover, in cold PBS until processing. Tumors were then transferred to glass IL7 depletion in interferon a/b receptor 1 (IFNAR1)-deficient tubes and homogenized in 150 mL PBS. Tubes were centrifuged mice reduced IL17A production by gdT cells as well as their and supernatants were collected for ELISAs. Cytokine detections accumulation in the tumor bed. Our study identifies for the first were performed using IL17A, IL1b, IL23p19 (eBioscience), and time a cytokine network that strongly regulates the accumulation IL7 (R&D Systems) ELISA kits following the manufacturer's of protumoral gdT17 cells in breast cancer. instructions.
Flow cytometry Materials and Methods At time as indicated, tumors were harvested from mice and Mice collected in cold PBS until processing. Tumors were then excised Eight- to 12-week-old female WT C57BL/6J and WT BALB/c and finely minced, followed by enzymatic digestion for 30 to 40 mice were purchased from Janvier (Le Genest-St-Isle, France). minutes at 37 C in PBS containing 1 mg/mL collagenase type VI C57BL/6J IL17A-deficient (Il17a / ), TCRd-deficient (Tcrd / ), (Sigma-Aldrich) 1 mg/mL DNase type I (Roche) and 100 ng/mL and IFNAR1-deficient (Ifnar1 / ) mice were bred in house at the Hyaluronidase (Sigma-Aldrich). Tumors were smashed and Pasteur institute of Lille. Mice were bred under pathogen-free homogenates were filtered and collected. Cells were centrifuged
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Regulation of Protumoral gdT17 Cells in Breast Cancer
at 1,200 rpm at 4 C for 10 minutes and pellets washed in PBS 2% models of breast cancer namely AT-3 (C57BL/6) and 4T1.2 FCS for direct surface marker staining or complete IMDM for (BALB/c). To this end, these tumor cell lines were implanted into intracellular staining. For intracellular IL17A detection, cells were the right flank of either Il17a / (AT-3) or IL17A–depleted incubated in complete IMDM containing Golgi Plug/Golgi Stop (4T1.2) mice. Compared with controls, a significant delay in (BD Biosciences) in presence of PMA (100 ng/mL) and ionomycin tumor growth was observed in absence or upon neutralization (1 mg/mL) for 4 hours at 37 C before antibody staining. Cells were of IL17A (Fig. 1A; Supplementary Fig. S1). In addition, a decrease washed and incubated with the different antibodies for 30 min- number of spontaneous lung metastasis was numbered in AT-3 utes in PBS 2% FCS. For intracellular IL17A detection, cells were tumor-bearing Il17a / mice (Fig. 1B). Of interest, IL17A protein then washed with PBS and fixed using IC Fixation Buffer was mainly found at early-stage (day 14) of tumor development (eBioscience, CliniSciences). Fixed cells were then permeabilized in the primary tumor that may indicate a contribution for innate in permeabilization buffer (eBioscience), according to the man- components in IL17A production (Fig. 1C). To identify the ufacturer's instructions. Cells were finally stained with anti-17A cellular sources of IL17A within the tumor, infiltrating leukocytes antibody. Cells were analyzed on a LSR Fortessa (BD Biosciences). from AT3 tumor-bearing mice were analyzed 14 days after inoc- FACS analyses were performed using the FlowJo software. ulation. IL17A production by lymphocyte subsets (Supplemen- tary Fig. S2A) was analyzed by intracellular cytokine staining after Cell sorting and in vitro assay ex vivo stimulation with PMA/ionomycin. We observed that Lungs were harvested from naive mice and cell suspensions intratumoral innate-like gdT cells (43 %) rather than convention- þ were prepared as previously described (10). To purify gdT cells, al CD4 T cells (10 %) or NKT cells (9 %) represented the major lung mononuclear cells were labeled with anti-CD45, anti-CD3, contributors in IL17A production (Fig. 1D; Supplementary Fig. and anti-TCRd antibodies (conjugated as previously indicated). S2B). Remaining IL17A producers comprised other T-cell subsets Cells were sorted using an ARIA cell sorter (BD Biosciences). A (15 %) and non–T-cell populations (14 %; Supplementary Fig. total of 5 103 gdT cells were then stimulated for 20 hours with a S2B). Moreover, intrinsic capacity of IL17A production as well as þ combination of mouse recombinant IL1b/IL23 (1 ng/mL for each intensity of fluorescence in IL17A cells suggested that gdT cells cytokine) with or without mouse recombinant IFNb (20 ng/mL) had a higher intrinsic capacity to produce this cytokine compared in IMDM 10 % FCS media. Supernatants were collected for IL17A with the other intratumoral IL17A–producing cells, including þ detection by ELISA. NKT and CD4 T cells (Supplementary Fig. S2C and S2D). Interestingly, a similar tendency was observed in the 4T1.2 model RNA, cDNA, and real-time quantitative PCR 14 days post-inoculation (Supplementary Fig. S3A), which further fi RNA was extracted and purified using the NucleoSpin RNA con rmed gdT cells as a major source of IL17A in the breast tumor Extraction Kit (Macherey-Nagel) following the manufacturer's microenvironment (Supplementary Fig. S3B and S3C). Consis- instructions. The cDNA was synthesized from total RNA using tent with this, we detected a marked decrease in IL17A proteins – fi Tcrd / the High Capacity RNA-to-cDNA Kit (Thermofisher Scientific). within the tumors of gdT-cell de cient ( ) mice (Fig. 1E). Gene expression was determined on the QuantStudio 12K Flex To assess the contribution of gdT17 cells in tumor outgrowth, we Tcrd / Real-Time PCR System (Life Technologies) using specific primers monitored AT-3 tumor progression in controls versus 0 0 0 fi for Ifnb (5 -CAGGTGGATCCTCCACGCT-3 and 5 -CATTCAGCT- mice. Interestingly, gdT-cell de ciency was accompanied with a 0 Ifna4 0 reduced tumor progression (Fig. 1F). However, the number of GCTCCAGGAGC-3 ), (5 -TGATGAGCTACTACTGGTCAGC- 0 0 0 0 Tcrd / 3 and 5 -GATCTCTTAGCACAAGGATGGC-3 ), Il7 (5 -GCGGAC- lung metastases in mice was similar to control mice (Fig. GATCACTCCTTCTG-30 and 50-AGCCCCACATATTTGAAATTCCA- 1G). Altogether, these results suggest that IL17A mainly produced 30), and Gapdh (50-GCAAAGTGGAGATTGTTGCCA-30 and 50- by gdT cells has protumoral functions in breast cancer models. GCCTTGACTGTGCCGTTGA-30) and QuantiTect SYBR Green PCR Master Mix (Qiagen) according to the manufacturer's instructions. Type I IFN signaling restrains accumulation and activity of fi Gene expression was normalized to Gapdh. tumor-in ltrating gdT17 cells The factors that positively regulate gdT17 cell activity and proliferation have been extensively studied (3, 39). Conversely, Statistical analysis those curbing gdT17-cell functions in cancer are far less under- Data are presented as means SEM and are cumulative of two stood. Type I IFNs are endowed with potent immostimulatory to four independent experiments. Unpaired T test or one-way functions that confer them clinically relevant antitumor effects ANOVA followed by Bonferroni's post T test were used for statis- (25). The capacity of type I IFNs to constrain gdT17-cell activity tical analysis when two groups or multiple groups were analyzed, during viral and bacterial infections has recently been proposed respectively. When data did not follow a Gaussian distribution, (28–30). Interestingly, we observed high expression of Ifnb and Mann–Whitney U test or Kruskal–Wallis followed by Dunn's post Ifna4 transcripts in tumors at 14 days post-tumor inoculation T test were used for statistical analysis when two groups or multiple (Fig. 2A). To evaluate the putative role of type I IFNs on gdT-cell groups were analyzed, respectively. We used two-way ANOVA functions, AT-3 tumor cells were inoculated in mice deficient for when multiple parameters were studied. Statistical significance IFNAR1. We observed a significant increase in the frequency of was set at , P < 0.05; , P < 0.005; and , P < 0.001. tumor-infiltrating gdT cells in these animals compared to WT controls (Fig. 2B). Meanwhile, frequencies of NKT cells and þ Results conventional CD4 T cells were unchanged or decreased in this gdT cells are a prime source of protumoral IL17A in breast setting (Fig. 2B). Of great interest, accumulating intratumoral gdT cancer models cells from IFNAR1-deficient mice was mainly associated with To investigate the role of the pro-inflammatory cytokine IL17A a IL17A producer profile (Fig. 2C). However, these cells had a in tumor progression, we used two transplantable syngeneic comparable intrinsic ability to produce IL17A (Supplementary
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Figure 1. gdT cells are a major source of protumoral IL17A in AT-3 breast cancer model. A and B, A total of 5 105 AT-3 cells was injected subcutaneously into C57BL/6 WT or Il17a / mice. A, Primary tumor growth was monitored every 2 to 3 days and areas under the curve were compared. Curves shown are representative of one experiment out of two (5–6 mice/group). Statistics were performed on cumulative data from two independent experiments and results are shown as means SEM of 10 to 12 mice/group of n ¼ 2. B, At end-point, lungs were harvested, sectioned, and metastases determined. One representative section of each group is shown on the left. Individuals and means SEM are shown on the right (n ¼ 2). C and D, A total of 5 105 AT-3 cells were injected subcutaneously into C57BL/6 WT mice. C, At time indicated, tumors were harvested and homogenates were tested for IL17A protein detection by ELISA. Results shown are the means SEM of 6 to 8 mice/group of n ¼ 2. D, After 14 days, tumors were collected. Means of cell subset proportions in overall live IL17-producing intratumoral leukocytes (IL17Aþ CD45þ þ þ þ þ cells) cells are represented on a pie chart. Leukocyte populations (CD45 ) are gated as follows: conventional CD4 T cells (CD4 tetramer CD1d/PBS57 TCRb ), NKT (tetramer CD1d/PBS57þ TCRbþ), and gdT (CD3þ TCRdþ). Results shown are the means of 15 mice/group of n ¼ 3. E–G, A total of 5 105 AT-3 cells were injected subcutaneously into C57BL/6 WT or Tcrd / mice. E, After 14 days, tumors were collected and homogenates were tested for IL17A protein detection by ELISA. Results shown are the individuals and means SEM of 13 mice/group of n ¼ 2. F, Primary tumor growth was monitored every 2 to 3 days and areas under the curve were compared. Curves shown are representative of one experiment out of three (5–6 mice/group). Statistics were performed on cumulative data from two independent experiments and results are shown as means SEM of 17 mice/group of n ¼ 3. G, At end-point, lungs were harvested, sectioned, and metastases determined. Individuals and means SEM are shown (n ¼ 2; 13–14 mice/group); ns, not significant; , P < 0.05; , P < 0.01; , P < 0.001.