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Efficient killing of chronic B-lymphocytic leukemia cells by
superantigen-directed T cells
A Wallgren, R Festin, C Gidlof, M Dohlsten, T Kalland and TH Totterman
Department of Clinical Immunology and Transfusion Medicine, University
Hospital, Uppsala, Sweden.
In vitro studies have indicated that chronic lymphocytic leukemia of B-
cell origin (B-CLL) is resistant to cytotoxic effector lymphocytes such as
natural killer and lymphokine activated killer (LAK) cells. We show here
that B-cell cells are sensitive to Staphylococcal enterotoxin (SE)
A-directed T-cell killing. Activation of the target cells by phorbol ester
(tetradecanoyl phorbol acetate, [TPA]) greatly enhances their sensitivity
to lysis. In SE-dependent cellular cytotoxicity (SDCC), members of the SE
superantigen family form a bridge between T cells and target cells
expressing major histocompatability complex class II molecules. Binding of
SEA to the T-cell-receptor V beta region induces a strong cytotoxic
capacity and cytokine production. Cells from 9 B-CLL patients were cultured
in the presence or absence of TPA and used as targets in a 4-hour SDCC
assay using an allogeneic T-cell line as effector. At an effector:target
cell ratio 30:1, 70% to 80% of TPA- induced B-CLL cells were killed. Even
at the effector:target ratio of 3:1, 47% +/- 6% of TPA-activated B-cell
cells were lysed compared with 13% +/- 2% of resting cells (P < .001). A
T-cell line established from a B-CLL patient killed autologous tumor cells
as efficiently as allogeneic effectors. SEA-directed T cells were far more
lytic to B-CLL cells compared with LAK cells or lectin
(phytohemagglutinin-directed T cells. Mechanisms of SDCC lysis were
investigated. Effector plus target cell supernatants contained high levels
of tumor necrosis factor (TNF)- alpha and interferon-gamma, but these
supernatants were not directly toxic to B-CLL cells in short term culture.
High concentrations of recombinant TNF-alpha or TNF-beta had no lytic
effect. Addition of neutralizing anti-TNF-alpha and anti-TNF-beta
antibodies into the SDCC assay did not inhibit SEA-directed T-cell killing.
TPA-activated B-CLL cells showed a 1.2- to 13-fold increased expression of
the adhesion molecules intercellular adhesion molecule-1 (ICAM-1),
lymphocyte function-associated antigen (LFA)-1, and LFA-3, whereas
expression of HLA class II molecules increased up to 5 times. The
expression of CD72, CD40, and BB-1/B7 increased 1.8 to 4.5 times. The role
of these surface molecules in SDCC was analyzed in blocking experiments
with monoclonal antibodies. Antibodies to ICAM-1, CD18, and HLA-DR
abolished the cytotoxicity, and a substantial reduction was seen with
antibody to CD72.(ABSTRACT TRUNCATED AT 400 WORDS)
Volume 82,
Issue 4,
pp. 1230-1238,
08/15/1993
Copyright © 1993 by The American Society of Hematology

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