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Previous Article | Table of Contents | Next Article 
Blood, Vol. 91 No. 7 (April 1), 1998:
pp. 2369-2380
Expression of Functional CD32 Molecules on Human NK Cells Is
Determined by an Allelic Polymorphism of the Fc RIIC Gene
By
Diana Metes,
Linda K. Ernst,
William H. Chambers,
Andrei Sulica,
Ronald B. Herberman, and
Penelope A. Morel
From the Departments of Pathology, Medicine, and Molecular Genetics
and Biochemistry, University of Pittsburgh School of Medicine; the
University of Pittsburgh Cancer Institute, Pittsburgh, PA; and the
Center of Immunology, Institute of Virology, Bucharest, Romania.
 |
ABSTRACT |
Human natural killer (NK) cells were thought to express only
Fc RIIIA (CD16), but recent reports have indicated that NK cells also
express a second type of Fc R, ie, Fc RII (CD32). We have isolated,
cloned, and sequenced full-length cDNAs of Fc RII from NK cells
derived from several normal individuals that may represent four
different products of the Fc RIIC gene. One transcript (IIc1) is
identical with the already described Fc RIIc form. The other three
(IIc2-IIc4) appear to represent unique, alternatively spliced products
of the same gene, and include a possible soluble form. Analyses of the
full-length clones have revealed an allelic polymorphism in the first
extracellular exon, resulting in either a functional open reading frame
isoform or a null allele. Stable transfection experiments enabled us to
determine a unique binding pattern of anti-CD32 monoclonal antibodies
to Fc RIIc. Further analyses of NK-cell preparations revealed
heterogeneity in CD32 expression, ranging from donors lacking CD32
expression to donors expressing high levels of CD32 that were capable
of triggering cytotoxicity. Differences in expression were correlated
with the presence or absence of null alleles. These data show that
certain individuals express high levels of functional Fc RIIc
isoforms on their NK cells.
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INTRODUCTION |
HUMAN NATURAL killer (NK) cells represent
a subset of lymphocytes distinct from B cells and T cells, which are
capable of mediating spontaneous cytotoxicity against certain target
cells without requiring the recognition of antigen in the context of the MHC.1,2 However, major histocompatibility complex (MHC) determinants have been shown to influence cytolytic
function.3,4 NK cells also kill immunoglobulin-coated
targets through antibody-dependent cellular cytotoxicity
(ADCC).5-7 Following activation, NK cells secrete cytokines
and growth factors that regulate the physiology and function of other
cells of the immune system.8,9 Although the receptors
involved in direct recognition and killing of target cells are only now
being defined, a receptor that is responsible for triggering
NK-cell-mediated ADCC, namely Fc RIIIA (CD16), has been extensively
studied.7,10 CD16 is a receptor for the Fc portion of IgG
and is capable of binding complexed or aggregated IgG and also IgG in
monomeric form (mIgG).11-13
Until recently, it was believed that CD16 was the only Fc R to be
expressed by human NK cells. We, as well as others,14,15 have shown that Fc RII (CD32) is also expressed by some human NK
cells. Fc RII is a glycoprotein of approximately 40 kD that binds IgG
with low affinity. It is one of the most widely distributed Fc Rs,
being expressed on cells of both myeloid and lymphoid lineages, as well
as on cells of nonhematopoietic origin.16-18 Three genes have been described for Fc RII (Fc RIIA, B, and C) that encode a
total of six transcripts (Fc RIIa1, a2, b1, b2, b3, and c)
representing alternatively spliced forms of the three
genes.19,20 Each protein consists of two IgG-like
extracellular domains, encoded in two exons (EC1 and EC2), a
transmembrane region encoded by a separate exon (TM), and an
intracytoplasmic tail encoded by three separate exons (C1, C2, and
C3).19,20 A further polymorphism for Fc RIIA has been
described, with two codominantly expressed alleles, namely R131 high
responder (HR) and H131 low responder (LR), which differ substantially
in their ability to bind human IgG2 and murine IgG1.21,22
All of the known Fc RII isoforms are highly homologous in the
extracytoplasmic domains, but ligand binding specificity differences have been reported.16-18 The intracytoplasmic domains are
less homologous, and triggering through different isoforms results in
distinct functions.23,24 It has been recently reported that cross-linking of Fc RIIa results in upregulation of intracellular Ca2+ concentration, phagocytosis of opsonized particles, as
well as internalization of immune complexes.25-27 Fc RII
is known to associate with the -chain of Fc RI, and this results
in enhanced activation of these functions.28,29 In
contrast, triggering through the Fc RIIb isoforms results in
downmodulation of a previous state of cell activation triggered
via antigen receptors on B cells (BCR), T cells (TCR), or via another
FcR.30,31
The Fc RIIC gene represents an unequal cross-over event between genes
IIA and IIB, as EC1, EC2, TM, and C1 exons are derived from the
Fc RIIB gene, whereas C2 and C3 exons derive from the Fc RIIA
gene.32 This generates a hybrid gene product that has been
found to be expressed mainly by monocytes/macrophages and polymorphonuclear (PMN) cells.33 Its
functional characteristics have not been studied, but it is thought
that its binding specificities will be similar to the Fc RIIb
isoforms but will use similar signaling pathways as
Fc RIIa.17
Preliminary results reported by our group14 indicated that
human NK cells express Fc RII at levels that vary among donors. Flow
cytometric studies, performed with IV.3 and 41H16 (two anti-CD32 monoclonal antibodies [MoAbs] that bind different epitopes), revealed different patterns of staining ranging from no expression at all to low
expression detected using both IV.3 or 41H16 MoAbs. Some other
individuals exhibited significant levels of CD32 expression on their NK
cells (60% to 90%) when using the 41H16 MoAb, even though the level
of IV.3 binding in the same donor was low (6% to 12%). Mantzioris et
al15 showed in a different study that approximately 88% of
CD3 /CD16+/CD56+ cells (which
represent the NK population) were positive for 41H16 staining. In
addition, we found that the CD32 on NK cells was an activating molecule
because Ca2+ flux and reverse ADCC (rADCC) were triggered
following anti-CD32 MoAb stimulation of NK cells.14
In this study, we report that human NK cells express four different
transcripts of the Fc RIIC gene. One of the products, designated
Fc RIIc1, is the same as the previously described IIc isoform; the
other three transcripts, designated IIc2-c4, represent previously
undescribed, alternatively spliced products of the IIC gene and
possibly include a soluble form. In addition, we describe an allelic
polymorphism in the EC1 domain, which in some individuals results in
two null Fc RIIc alleles that may determine lack of Fc RIIc
expression. Expression of Fc RIIc in individuals with the open
reading frame (ORF) allele was shown by flow cytometric and biochemical
means on purified NK cells. For the donors expressing Fc RIIc on
their NK cells, we describe a unique anti-CD32 MoAb binding pattern
that, together with the allelic polymorphism, provides an explanation
for the previously observed lack of CD32 expression by some NK-cell
preparations. We also show that CD32 on NK cells is a functional
molecule, capable of triggering cytotoxic events.
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MATERIALS AND METHODS |
MoAbs.
Anti-CD16 and -CD32 MoAbs used were: 3G8 and IV.3 (Medarex, Annandale,
NJ); 41H16 (ascites), a gift from Dr M. Longenecker (University of
Alberta, Canada) and purified at the UPCI hybridoma facility; KB61, a
gift from Dr K. Pulford (University of Oxford, UK); and AT10 (Biosource
International, Camarillo, CA). F(ab )2 goat anti-mouse
IgG (GAMIgG)-fluorescein isothiocyanate (FITC) was purchased from Tago
Inc (Burlingame, CA). MoAbs used for phenotyping the NK cells were
purchased from Becton Dickinson (Franklin Lakes, NJ) and consisted of
anti-CD56 (Leu 19)-phycoerythrin (PE), anti-CD19 (Leu12)-PE, anti-CD14
(Leu 3M)-FITC, anti-CD3 (Leu 4)-FITC.
Human cell lines.
U937 (monocyte cell line), K562 (erythroleukemia), RPMI 8866 (Epstein-Barr virus-transformed B-cell line), Jurkat (T-cell leukemia), and Molt 4 (T-cell lymphoma) were maintained in RPMI 1640 medium (GIBCO-BRL, Gaithesburgh, MD) supplemented with 10% fetal calf
serum (FCS; GIBCO-BRL), 2 mmol/L glutamine, 100 U/mL penicillin, and
100 µmol/L streptomycin, subsequently referred to as complete culture
medium (CCM).
NK cell purification and NK cell analysis from peripheral blood
mononuclear cells (PBMC).
Heparinized whole blood or leukocytes from leukapheresed blood from
normal donors was centrifuged on a Ficoll-Hypaque (Pharmacia Biotech,
Piscataway, NJ) gradient, and PBMC were obtained as previously described.34 PBMC were (1) either directly analyzed by flow cytometry in two color staining, using PE-conjugated anti-CD56 to
define the NK population, and indirect staining with anti-CD32 or
anti-CD16 MoAbs followed by FITC-GAMIgG or (2) incubated with a
cocktail of anti-CD3, anti-CD19, anti-CD14, and anti-CD64 MoAbs, at
4°C for 30 minutes and exposed first to GAMIgG-covered magnetic beads
(PerSeptive Bio Systems, Farmingham, MA), and for a second round to
GAMIgG-covered Dynabeads M450 (Dynal AS, Oslo, Norway). Using a magnet
(Bio-Mag Separator; Advanced Magnetics, Cambridge, MA),
highly purified resting NK cells ( 95% CD3
CD56+ CD16+ cells) were obtained by negative
selection. Fourteen-day interleukin-2 (IL-2)- activated human NK
cells, referred to as A-NK cells, (generously provided by Dr N. Vujanovic, University of Pittsburgh Cancer Institute) were generally
100% CD3 / CD56+/CD16+
cells.35 The purity of all NK-cell preparations as well as the detection of CD32 expression on these cells was performed by direct
and indirect flow cytometric analyses as previously reported.36
RNA isolation and reverse transcription (RT).
Total cellular RNA was isolated from all cell types using the RNAzol B
(Biotex Labs Inc, Houston, TX) method. cDNAs were synthesized by RT
from 2 µg of total RNA isolated from each cell source using a
first-strand cDNA synthesis kit (Pharmacia-Biotech). A human NK cell
cDNA library constructed in gt10 phage was a generous gift from Dr
S. Ziegler (Darwin Molecular, Inc, Bothell, WA).37 Fc RIIa1, Fc RIIb1, and Fc RIIb2 cDNA clones were a kind gift from Dr J. Ravetch (Sloan-Kettering Institute, New York, NY).
PCR, Southern Blotting (SB), and Dot Blotting (DB).
The PCR reactions were performed using sets of primers specific for
different Fc RII isoforms (Fig 1).EcoRI/Xba I restriction sites were designed into the
primers to facilitate cloning. The PCR amplification conditions
consisted of a denaturing step at 94°C for 1 minute, annealing at
55°C for 2 minutes, and extension at 72°C for 3 minutes, for a
total of 30 cycles. When the human NK cell gt10 library was used as
a template, an additional 15-minute denaturation step was introduced
before the usual PCR conditions. The PCR products were separated by
electrophoresis in an ethidium bromide-containing 2% agarose gel,
transferred onto Nytran membranes (Schleicher & Schuell, Keene, NH),
and hybridized with digoxygenin-UTP (Boehringer Mannheim, Indianapolis,
IN)-labeled oligonucleotides.38 In certain instances, the
PCR products were dot blotted onto the Nytran membranes as previously
described39 and further hybridized. The probes were
designed to specifically hybridize to the known Fc RII isoforms or to
the novel Fc RIIc isoforms (Fig 1). All oligonucleotide primers and
probes were synthesized at the University of Pittsburgh, Department of
Molecular Genetics and Biochemistry (MGB) core facility, and were
purified using NAP-10 columns containing Sephadex G-25 Medium of DNA
Grade (Pharmacia Biotech).

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| Fig 1.
Localization and sequence of Fc RII-specific primers
and probes. The structure of an Fc RII cDNA is shown in (A), with the exons depicted as boxes, and with their names above: S1, first signal
exon; S2, second signal exon; EC1, first extracellular exon; EC2,
second extracellular exon; TM, transmembrane exon; C2, second
intracytoplasmic exon; C3, third intracytoplasmic exon. Primer and
probe locations are indicated below the cDNA map. (B) Indicates the
primer pairs and probe names, specificities, and sequences.
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Cloning and DNA sequence analysis.
The full-length Fc RIIc cDNAs, obtained from RT-PCR amplifications,
were digested with appropriate restriction enzymes, purified, and
concentrated using a QIAquick PCR purification column (Qiagen Inc,
Chatsworth, CA). They were then cloned into the
EcoRI/Xba I (GIBCO-BRL) digested pcDNA3 expression
vector (Invitrogen Corp, San Diego, CA). The nucleotide sequence of
cloned cDNAs was determined by ABI Prism fluorescent dye
dideoxy-terminator cycle sequencing ready reaction kit (Perkin Elmer,
Foster City, CA) at the University of Pittsburgh MGB core
facility.
Stable transfection of Jurkat cells.
Full-length Fc RIIc1, IIc3 as well as Fc RIIb1 cDNAs were inserted
into the pCDNA3 expression vector (Invitrogen Corp). These constructs
were transfected by electroporation into Jurkat cells as previously
described.40 Briefly, aliquots of 1 × 107 Jurkat cells were transformed with 20 µg plasmid cDNA
using an electroporation apparatus (BXT, San Diego, CA) set at 200 V
and 1690 µF. Forty-eight hours later, stable transfectants were
selected with the neomycin analog G418 (GIBCO-BRL) at 500 µg/mL.
After 3 weeks the Fc RII expressing cells were purified by
panning.41 Briefly, the cells were incubated with an
anti-CD32 MoAb (KB61) for 30 minutes on ice, washed three times, and
the positive cells were then selected by incubating them in plates
precoated with GAMIgG. The transfected cells were stable for CD32 high
expression throughout the studies performed.
Flow cytometric analyses of CD32 expression in stable transfectants.
Indirect flow cytometric analyses were performed using four different
anti-Fc RII MoAbs and FITC-labeled F(ab )2 fragment of
GAMIgG staining as previously described.36 Data acquisition was performed on a FACStar Plus Cytometer (Becton
Dickinson).
Cell labeling, immunoprecipitation, and Western blotting.
U937 cells as well as PBLs or highly purified NK cells isolated from
donor 2 were biotinylated as described elsewhere.42 Briefly, 2 × 107 cells were incubated in 0.1 mg/mL
sulfo-NHS-LC-biotin (Pierce Chemical, Rockford, IL) for 30 minutes at
4°C, washed five times in phosphate-buffered saline (PBS), and lysed
in 1% Triton X-100 lysing buffer containing 10 mmol/L EDTA, 2 mmol/L
phenylmethanesulfonyl fluoride, 10 µg/mL antipain, 10 µg/mL
leupeptin, and 10 µg/mL pepstatin A, for 30 minutes at 4°C. Lysates
were centrifuged at 14,000 rpm at 4°C for 15 minutes to remove cell
debris and nuclei. F(ab )2 fragments of GAMIgG coupled to
CnBr-activated Sepharose 4B (Pharmacia LKB) were incubated with 41H16
MoAb or mIgG2a for 3 hours at 4°C as described.43
Immunoadsorbtion of cell lysates onto antibody-coupled beads was
performed overnight at 4°C; the immunoprecipitates were washed with
lysis buffer and electrophoresed on 10% sodium dodecyl
sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) gels (under
nonreducing conditions). The separated proteins were
transferred to PVDP membranes (Immunobilon-P, Millipore, Bedford, MA),
blocked with a 3% nonfat dry milk and 1% bovine serum albumin (BSA)
PBS solution for 1 hour at room temperature and incubated with
horseradish peroxidase-conjugated neutravidin (Pierce) for 1 hour at
room temperature. The blots were washed in Tris-buffered saline with
0.05% Tween-20, and the protein bands were detected by enhanced
chemiluminescence.
Cytotoxicity assay.
Cytotoxicity was measured by reverse antibody-dependent cytotoxicity
(rADCC) using the 4-hour 51Cr-release microcytotoxicity
assay, as previously described in detail.44 The
FcR+ target used in the assay was P815 (rat mastocytoma).
The spontaneous release was always less than 10%. Results were
expressed in percentage of specific cytotoxicity calculated according
to the formula
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RESULTS |
NK cells express Fc RIIa/IIc transcripts but not
Fc RIIb.
Our previous findings showed that some human NK cells express CD32, and
that this molecule has triggering abilities.14 We, therefore, designed RT-PCR experiments to molecularly characterize the
type of Fc RII transcript(s) present in NK cells. We isolated RNA
from highly purified NK-cell preparations as well as from cell lines
known to be positive for Fc RII. Sets of primers that would amplify
all known CD32 isoforms (RS91-45 and RS91-46), or specifically the
Fc RIIa/IIc (RS91-45 and IIA) or the Fc RIIb isoforms (RS91-45 and
IIB), were designed (Fig 1). The specificity of the primers and probes
used in these studies was confirmed using cDNA clones of Fc RIIa1,
Fc RIIb1, and Fc RIIb2 (data not shown). These primers were used to
generate PCR products from the cells described above, and in addition,
SB analyses were performed using a probe (RS91-46) that would hybridize
with all Fc RII cDNAs, to confirm the identity of these amplified
products. As shown in Fig 2, the U937 cell
line and a B-cell line expressed message for both Fc RIIa/c and IIb
isoforms, confirming previous reports regarding the coexpression of
these isoforms by these cell lines.16,27 In the four
NK-cell preparations, only Fc RIIa/IIc-specific products could be
amplified (Fig 2B), and no bands were visible when the Fc RIIb-specific primers were used (Fig 2C). Therefore, these results
suggested that NK cells expressed either the Fc RIIa and/or the Fc RIIc isoforms.

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| Fig 2.
Southern blot analysis of RT-PCR amplification products
using Fc RII-specific primers. RNA isolated from the indicated cell sources was used to obtain cDNAs by reverse transcription. PCR amplification was performed using sets of primers specific for all
Fc RII isoforms (A), Fc RIIa, c isoforms (B), and Fc RIIb isoforms (C). A 2% agarose gel was run and Southern blotting was performed as described in Materials and Methods with RS91-46 as the
hybridizing probe. Specific bands of expected size for each primer pair
were detected in each panel (334 bp for RS9145-RS9146 primer pair, 442 bp for RS9145-Fc IIA primer pair, and 441 bp/384 bp for
RS9145-Fc IIB primer pair).
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NK cells express message for a hybrid form of Fc RII,
namely Fc RIIc.
To determine which isoform of Fc RII was expressed in human NK cells,
three oligonucleotide probes were designed that would discriminate
among the IIa-HR (HR) and IIa-LR (LR) and IIc (IIB) transcripts (Fig
1). Using the RS91-45 and IIA primer set, RT-PCR was performed on RNA
isolated from three IL-2-activated NK-cell preparations (A-NK1-3),
K562 and U937 cell lines (positive controls), and from Molt 4 (negative
control). SB analyses on these PCR products were performed, and the
results presented in Fig 3 show that all of
the cells used for this PCR amplification, with the exception of Molt
4, expressed message for Fc RIIa and/or IIc (Fig 3A). The HR
probe hybridized to both K562 and U937 PCR products, but not to the
NK-cell-amplified products (Fig 3B); the LR probe hybridized only to
the K562 amplification product, confirming that this cell line is
heterozygous for both Fc RIIa HR and LR alleles (Fig
3C).33 Furthermore, the IIB-probe hybridized to all PCR
products amplified from the NK-cell preparations, as well as from U937
and K562 cells (Fig 3D). These findings indicate that the transcripts
expressed by human NK cells represent a hybrid form, similar to the IIb isoform sequence at the 5 -end and to the IIa isoform sequence at the
3 -end. This type of transcript has been described as the product of
the Fc RIIC gene,20 shown to be the result of an unequal
crossover event between the IIA and IIB genes.32 Our results confirm previous reports that have shown that U937 and K562
cells also express the Fc RIIc isoform.33 The lack of
amplification of transcripts for the Fc RIIA or Fc RIIB genes
provides additional evidence that the NK preparations were highly pure
because transcripts from either of these genes would readily appear
from contaminating monocytes or B cells.

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| Fig 3.
Southern blot analysis to determine the Fc RII isoforms
expressed by human NK cells. RT-PCR with the Fc RIIa/c-specific
primer pair on three A-NK cell samples, U937 and K562 cell lines
(positive control), or Molt4 (negative control) was performed as
described. The Southern blots were probed with oligonucleotides
specific for all the Fc RII isoforms (RS91-46; [A]), for Fc RIIa
(HR; [B] and LR; [C]) and for Fc RIIc (IIB; [D]), and
cell-specific transcripts of the expected sizes were detected with each
probe.
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Human NK cells express four distinct types of Fc RIIc
transcripts.
To confirm that human NK cells express Fc RIIc-specific transcripts,
we next designed primers to amplify and clone full-length Fc RIIc-specific PCR products. RNA isolated from A-NK cells from 3 donors was used in RT-PCR reactions with STC and 3 IIA primers (Fig
4); in addition, a human cDNA library,
generated from a highly purified resting NK-cell population, was used
as a template with the same set of primers to generate full-length
Fc RIIc products (data not shown). The RT-PCR reactions were set up
using the same amount of RNA from each cell source, and the resulting
amplification products are shown in Fig 4. Interestingly, there was
substantial donor heterogeneity in the number and abundance of bands
amplified from each RT-PCR sample. A-NK2 showed a single band whereas
two or three bands were amplified from the other two NK-cell donors. These PCR products were cloned, and 42 positive colonies were selected
by colony hybridization using the RS91-46 probe. The purified cDNAs
from all the positive clones were analyzed by gel electrophoresis, and
four different sizes of inserts were detected (data not shown). Several
representatives of each of these clones were sequenced.

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| Fig 4.
Full-length Fc RIIc-specific RT-PCR analysis of NK cell
RNA. RNA isolated from the indicated human A-NK cell preparations was
reverse transcribed and PCR amplified with an Fc RIIc-specific primer
pair that would generate full-length products and further analyzed on
an EtBr containing 2% agarose gel. The 100-bp DNA ladder was used as a
size marker.
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Fc RIIc1 and three novel Fc RIIc
isoforms are expressed in human NK cells.
From the sequence data, four distinct Fc RIIc isoforms were
identified that were homologous with the Fc RIIC gene, and a
schematic map of the coding sequences of the four isoforms is presented in Fig 5. One of the cDNAs, designated
Fc RIIc1, corresponded to the previously described Fc RIIc isoform.
The other three cDNAs are likely to represent previously undescribed,
alternatively spliced products of the same gene and have several
insertions and deletions. A second cDNA (Fc RIIc2) had an insertion
of 14 bp at the junction between the C2 and C3 intracytoplasmic exons that alters the reading frame of the encoded cytoplasmic tail resulting
in a shortened cytoplasmic tail of 22 amino acids (aa) in length. The
source of the 14-bp insertion was found at the intron/exon borders of
the Fc RIIC gene with 3 nucleotides coming from the 5 -end of intron
6 and 11 nucleotides from the 3 -end of intron 6. The most frequent
type of clone sequenced (Fc RIIc3) lacked the second intracytoplasmic
exon (C2), and this resulted in a truncated 13 aa cytoplasmic tail (Fig
6). Finally, sequence analyses of the
fourth cDNA clone, designated Fc RIIc4, revealed a deletion of both
C1 and C2 exons (similar to the IIc3 isoform) but, in addition, an
insertion of 85 bp between the EC2 and TM exons was found that would
appear to be an alternatively used exon. This insertion encodes 19 aa
followed by a stop codon, which would result in a receptor lacking the
TM region and which may represent a soluble form of Fc RIIc.
Interestingly, the source of this insertion was found within the intron
sequence between the EC2 and TM exons, and the flanking nucleotides do
consist of appropriate GT-AG junctional splice sequences.45

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| Fig 5.
Physical map of the Fc RIIc-specific transcripts
expressed in human NK cells. Sequence analysis of 16 cDNA clones
obtained from four NK cell samples revealed the presence of four
different alternatively spliced Fc RIIc-specific transcripts
(IIc1-c4). IIc1 was identical with the already described Fc RIIc
isoform; IIc2 transcript had a 14-bp insertion at the junction between the C2 and C3 exons; the IIc3 transcript had spliced out both the C1
and C2 exons; and IIc4 had an 85-bp insertion between the EC2 and TM
exons and both the C1 and C2 exons spliced out.
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| Fig 6.
Predicted aa sequence of the Fc RIIc1-4 isoforms as
compared with the previously described Fc RIIa1, b2, and c isoforms.
Four representative Fc RIIc isoforms were identified and the
translated sequence is shown in comparison to Fc RIIa1. The exon
borders are demarcated by vertical lines and the numbering follows the aa position as previously described.20 The dashes represent sequence identity with the Fc RIIa1 isoform, the pluses represent deleted aa, and the stars indicate a stop codon. At positions 107, 120, and 161 unique changes in the aa sequence of Fc RIIc-specific isoforms are indicated. The ITAM within Fc RIIa and IIc sequences encompasses aa 254-272. The sequence data are available from GenBank under accesion numbers: U90938-U90941.
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The aa translation of these clones (Fig 6) revealed several differences
in the aa sequence of the Fc RIIc isoforms isolated from NK-cell
preparations, as compared with the previously described Fc RII
sequences. For example, at aa 107, because of a point mutation, an
arginine (R) found in all Fc RII isoforms was changed to a lysine (K)
in the IIc2 and IIc4 isoforms. This was found in all five sequenced
cDNA clones from two individuals. Furthermore, at aa 120 in the IIc3
sequence, four out of seven cDNA clones had an isoleucine (I) instead
of a threonine (T). This change was found in two different individuals
and may suggest the presence of another allelic form of Fc RIIc. At
position 161 all of the IIc isoforms had a tyrosine (Y) instead of a
phenylalanine (F). These changes may result in differences in ligand
binding specificities of the newly described isoforms.
Identification of an Fc RIIc allelic polymorphism.
Following translation of the cDNA sequences, an additional allelic
polymorphism of Fc RIIc was detected in exon 3 (EC1) at aa position
13, with either a CAG = Gln or a
TAG = Stop Codon (STP). This results in
either a functional open reading frame (ORF) or a null allele (STP; Fig
6). This observation has been previously reported for the Fc RIIC
gene.20 To detect the potential distribution of the two
allelic forms among the four NK cell donors, we designed
allele-specific oligonucleotide (ASO) probes based on the polymorphic
sequence in EC1. DB analyses of the full-length PCR products generated
from the four human NK-cell preparations using ORF and STP probes (Fig
1) determined that A-NK1 and gt10 donors were homozygous for STP
(STP/STP), A-NK2 was homozygous for ORF (ORF/ORF) and A-NK3 was
heterozygous (ORF/STP) (Table 1).
We also designed isoform specific oligonucleotide (ISO) probes (c1-,
c2-, c3-, and c4-probes; Fig 1) to detect the distribution of the
Fc RIIc isoforms within the same RT-PCR amplifications. Results in
Table 1 suggested that distribution of the Fc RIIc isoforms was
donor-dependent. RT-PCR amplification generated from donor A-NK2
resulted in only one major band detected by gel electrophoresis (Fig 4)
and consisted exclusively of the Fc RIIc1 isoform (confirmed by DB
analysis with ISO probes and cloning results). The other three donors
expressed all four isoforms. Multiple bands were detected in their
RT-PCR amplifications (Fig 4), and these findings were confirmed by DB
analysis with ISO probes (Table 1).
Transfection of Fc RIIc isoforms in Jurkat cells.
We further analyzed the ability of representative Fc RIIc cDNAs to be
expressed as proteins in stable Jurkat transfectants. Cells transfected
with Fc RIIb1 cDNA were used as a positive control; cells transfected
with the pcDNA3 vector were used as a negative control (mock, data not
shown). Following selection, the transfectants were analyzed by flow
cytometry for CD32 expression with a panel of four anti-CD32 MoAbs:
IV.3 (Fc RIIa-specific), 41H16 (Fc RIIb and Fc RIIa HR-specific),
KB61, and AT10 (Fc RIIa and Fc RIIb-specific). Results were
compared with mouse IgG isotype control binding and to the binding
pattern of the anti-CD32 MoAbs to the K562 cell line. Two of the
Fc RIIc isoforms and the Fc RIIb1 cDNAs were successfully expressed
in Jurkat cells. As shown in Fig 7, the K562 cell line was positive with all four anti-CD32 MoAbs, whereas the
Fc RIIb1 transfectant was recognized by 41H16, KB61, and AT10 at
equal levels (60% to 90%), but not by IV.3 as expected. The cells
transfected with Fc RIIc1 and Fc RIIc3 cDNAs stained positively with 41H16 and KB61 (60% to 90% positive cells). The transfectants were negative for IV.3 binding but interestingly stained poorly with
the AT10 MoAb as compared with the Fc RIIb1 transfectants. The AT10
antibody was previously described to recognize both Fc RIIa and
Fc RIIb isoforms.46 These results indicate that
Fc RIIc1 and Fc RIIc3 isoforms have a unique staining pattern with
the tested anti-CD32 MoAbs, distinct from that described for the
previously characterized Fc RIIa and Fc RIIb isoforms.

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| Fig 7.
Flow cytometric analysis of Fc RIIc1 and IIc3
expression in stable transfections. K562 cell line or Jurkat cells
transfected with full-length cDNAs encoding Fc RIIb1, Fc RIIc1, and
Fc RIIc3 were analyzed by indirect immunofluorescence staining with
four anti-CD32 MoAbs (filled histograms) or with a mouse IgG isotype control (dotted line), followed by staining with FITC-GAMIgG.
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Fc RIIc expression on NK cells varies among donors and
correlates with the allelic polymorphism of Fc RIIC.
In view of the novel molecular findings and the unique MoAb staining
pattern of Fc RIIc detected on Jurkat transfectants, we looked for
CD32 expression on fresh NK cells from additional donors. In these
experiments, PBMCs were analyzed by two color flow cytometry for
expression of CD32 and CD16 on CD56+ cells (a marker that
is expressed on most NK cells) and compared with the binding of mouse
IgG1 isotype control. Results shown in Fig
8A identify different patterns of CD32 expression and staining in two
normal individuals. With donor 1, 64% of CD56+ cells were
also CD16+, but no CD32 expression was detected by the four
anti-Fc RII MoAbs used. In contrast, with donor 2, a high level of
CD32 expression on CD56+ NK cells was detected. Notably,
the percentages of CD56+/CD32+ cells and
CD56+/CD16+ cells in this donor were
comparable. In addition, the pattern of CD32 staining with the four
anti-CD32 MoAbs was comparable to that found in Fc RIIc Jurkat
transfectants: high levels of staining with the 41H16 and KB61 MoAbs,
low levels of staining with AT10 and IV.3.

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| Fig 8.
Flow cytometric analysis of CD32 expression on human NK
cells and its correlation with the allelic polymorphism of Fc RIIC. (A) PBLs isolated from donor 1 and donor 2 were analyzed by using PE-conjugated anti-CD56. Gated CD56+ cells (R7 box,
panels a) representing NK-cell population, were then assessed for their
levels of CD16 (3G8, panels b), or CD32 expression (IV.3, panels c;
41H16, panels d; KB61, panels e; and AT10 panels f). Percentages of
positive CD16 and CD32 cells are shown for each histogram and are
compared with the binding of mIgG isotype control. (B) SB analyses of
Fc RIIc-specific RT/PCR amplifications using RS91-46 and ASO probes
to detect the genotype of the two donors. The results are
representative of three independent experiments.
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To further test the hypothesis that individuals lacking expression of
CD32 on their NK cell are homozygous for STP allele, we investigated
the correlation between the level of CD32 expression and the genotype
of these two donors. RT-PCR experiments on RNA obtained from NK cells
from these two donors were performed using Fc RIIc-specific primers
(STC-3 IIA); the amplified products were further analyzed by DB using
ASO probes. As shown in Fig 8B, donor 1 (no detectable CD32 expression)
was found to be homozygous for STP (STP/STP), whereas donor 2 (high
levels of CD32 expression) was homozygous for ORF (ORF/ORF). We can
therefore explain the previous lack of detection of CD32 on NK cells,
as a result of donor variability due to an allelic polymorphism within
the Fc IIC gene, in conjunction with the use of inappropriate
anti-CD32 MoAbs for staining.
Fc RIIc expressed on human NK cells is a protein of
approximately 40 kD.
To determine the biochemical features of CD32 expressed on human NK
cells, we performed immunoprecipitations from biotinylated cell lysates
obtained from U937 cells, as well as from PBL and highly purified NK
cells isolated from donor 2 using 41H16 MoAb or a mouse IgG2a as
negative control. As shown in Fig 9, a
protein of approximately 40 kD was specifically precipitated with the anti-CD32 MoAb from the NK-cell preparation and PBL and was comparable in size with the proteins detected in U937 lysates. The number of cells
used to generate lysates was comparable for each cell source. In
addition, no material was adsorbed by the beads coupled with the
isotype control (mIgG2a). These biochemical findings provide further
evidence that the proteins on NK cells detected by flow cytometry with
certain anti-CD32 MoAbs are indeed Fc RII.

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| Fig 9.
Immunoprecipitation of Fc RIIc from highly purified NK
cells. Lysates generated from biotinylated 2 × 106 PBL,
NK cells, or U937 cells were incubated with 41H16-, IV.3-, or
mIgG2a-coated sepharose-GAM beads o/n at 4°C, eluted by SDS-PAGE, transferred to PVDP membranes, and incubated with HRP-neutravidin. The
bands were detected by ECL. Results represent one experiment out of two
performed. The molecular markers are shown on margins.
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Fc RIIc expression on NK cells mediates rADCC.
To investigate the functional potential of Fc RII expressed on NK
cells in certain individuals, we analyzed the role of CD32 ligation in
triggering cytotoxic events. The results were compared with the
cytolysis triggered through CD16 on the same cells. Fresh, highly-purified NK cells isolated from donors 1 and 2, as well as A-NK
cells generated from donor 2, were used in rADCC assays in the presence
of intact anti-CD32 MoAb KB61, anti-CD16 MoAb, 3G8 or anti-CD64 MoAb
32.2 against FcR+ target P815. All of these MoAbs were
mIgG1 and as a negative control, rADCC in the presence of a nonspecific
mIgG1 MoAb was also assessed. Results in Fig
10 show that both fresh or
IL-2-activated NK cells isolated from donor 2 (Fig 10B through 10D)
could be triggered to kill P815 through either CD16 or CD32, although
the killing efficiency of A-NK cells was significantly higher (Fig
10D). In contrast, NK cells isolated from donor 1 (Fig 10A), which lack CD32 expression, were cytotoxic against the P815 target only when triggered via CD16. Addition of anti-CD64 MoAb 32.2 (Fig 10C) did not
result in killing of the target cells, further confirming the absence
of contaminating monocytes in the NK-cell preparations. These findings
provide evidence that CD32 on NK cells is a functional molecule.

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| Fig 10.
Comparison of rADCC induction through CD16 and CD32
expressed on human NK cells. Fresh, highly-purified NK cells from donor 1 (A) and donor 2 (B and C) as well as A-NK cells generated from donor
2 (D) were tested in the presence of KB61 anti-CD32 (1 µg/mL) or 3G8
anti-CD16 (1 µg/mL) for their ability to kill the FcP+
target P815 in a 4-hour 51Cr-release cytotoxicity
test at the indicated E:T ratios. NK cells from donor 2 were also
tested in the presence of 32.2 anti-CD64 (1 µg/mL) (C).
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DISCUSSION |
Three classes of receptors for the Fc domain of IgG (Fc RI, Fc RII,
and Fc RIII) are known to provide a critical link between the humoral
and the cellular compartments of the immune system. Following
interaction with IgG, a large array of biologic responses are
triggered, such as phagocytosis, endocytosis, ADCC, and cytokine release. A total of eight genes have been described for the Fc Rs, and further significant transcript heterogeneity results from alternative splicing. In addition, allelic polymorphisms have been
described for Fc RIa,47 Fc RIIa,21
Fc RIIc,20 Fc RIIIA,48 and
Fc RIIIB.49 Some of these polymorphisms result in
significant functional differences,50-52 whereas others do
not appear to influence the functional capabilities of these receptors
or to result in obvious clinical manifestations.52,53 Human
Fc RII (CD32), the low affinity receptor for IgG, has been
characterized as a 40-kD glycoprotein, with a putative protein core of
36 kD16-18; it is the most broadly distributed Fc R, and
numerous reports have previously described coexpression of Fc RIIA,
B, and C gene products in hematopoietic cells.18,33
The results presented in this study provide conclusive evidence that
human NK cells express significant levels of Fc RII. In certain
individuals, CD32 is expressed on 70% to 80% of their NK cells, at
levels comparable to those observed for CD16. The molecular
characterization of CD32 isoforms expressed by NK cells revealed that
these cells express Fc RIIc isoforms. No transcripts from the
Fc RIIA or Fc RIIB genes have been detected, to date, in at least
10 individuals studied, suggesting that NK cells might be relatively
unique among hematopoietic cells and only express Fc RIIc isoforms.
Four Fc RIIc transcripts were identified, three encoding
transmembrane proteins (IIc1, IIc2 and IIc3), and one encoding a
putative soluble form (IIc4). The variability in detection of CD32
expression among donors was found to be related to two main factors:
(1) an allelic polymorphism, in the EC1 domain of Fc RIIC and (2) a
unique pattern of recognition by anti-CD32 MoAbs. These two factors, we
believe, are responsible for previous failures to find CD32 on NK
cells. The data in this paper show that although certain individuals
express only CD16 on their NK cells, others express both CD32 and CD16.
The allelic polymorphism results either in a null allele (STP) or a
functional one (ORF). An individual who exhibited a high level of CD32
expression was found to be homozygous for ORF/ORF, whereas an
individual whose NK cells were CD32 negative was homozygous for
STP/STP. We have begun to extend these studies and have been able to
identify an additional 5 individuals (out of 10 more tested) that
express high levels of CD32 on their NK cells. The precise correlation
between the genotypic form (heterozygous v homozygous for STP
and/or ORF) and variable (high v low) phenotypic expression of Fc RIIc in these donors remains to be established. Immunoadsorbtion with 41H16 MoAb from CD32+ NK-cell lysates
revealed a protein of approximately 40 kD, comparable in size with the
material precipitated from PBLs and slightly smaller than the proteins
adsorbed from U937 cells. This is in good agreement with a previous
report providing evidence of discrete differences in gel migration
among CD32 isoforms immunoprecipitated from different cell types,
including from U937 cell lysates. The proteins ranged from 37 to 42 kD,
and that was shown to be dependent on both isoform type and the state
of glycosylation.54
In addition, we show that NK-cell populations that express CD32 as well
as CD16 may mediate lytic events through either receptor. Interestingly, the levels of killing against P815 when triggered through CD16 were greater as compared with those triggered through CD32, and this is probably related to differences in the levels of
expression of these two Fc Rs on the NK cells used. The mean fluorescence intensity obtained using the anti-CD32 MoAb KB61 is
significantly lower than that obtained with anti-CD16 MoAb 3G8 and
could reflect either lower levels of expression of CD32 than CD16, or
that recognition of CD32 by KB61 is not optimal. In any event, these
studies show conclusively that significant functional lytic activity
can be triggered through CD32 on NK cells.
Transfection experiments using Fc RIIc1 and IIc3 revealed that these
full-length cDNAs encode functionally expressed proteins and that they
display a unique pattern of reactivity with a set of anti-CD32 MoAbs.
Most significantly these isoforms were recognized poorly by AT10
(described to be a pan anti-Fc RII MoAb) and IV.3, a commonly used
anti-CD32 MoAb. The NK-cell-derived Fc RIIc isoforms were best
recognized by 41H16 and KB61, which are known to predominantly recognize Fc RIIb isoforms.46 Most of the studies
describing the lack of CD32 expression on NK cells used either IV.3 or
AT10 MoAbs. One study in addition to ours, that described
CD32+ NK cells, used the 41H16 MoAb. Because it appears
that human NK cells only express Fc RIIc, the appropriate antibodies
to detect this isoform are 41H16 and KB61.
Sequence analyses of the Fc |