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HEMATOPOIESIS
From the Department of Medicine and Bioregulatory
Science, Graduate School of Medical Science, Kyushu University,
Fukuoka, Japan; Department of Molecular Immunology, Medical Institute
of Bioregulation, Kyushu University, Fukuoka, Japan; First Department
of Pathology, Fukuoka University, Fukuoka, Japan; and Department of
Clinical Immunology, Medical Institute of Bioregulation, Kyushu
University, Beppu, Japan.
To better understand the control of apoptosis during
erythropoiesis, this study investigated the role of a novel
tumor-associated antigen, RCAS1 (receptor binding cancer antigen
expressed on SiSo cells), with regard to the regulation of apoptosis of
erythroid progenitor cells. Erythroid colony-forming cells (ECFCs)
purified from human peripheral blood were used. Binding experiments of RCAS1 showed that ECFCs abundantly expressed receptors (RCAS1R) for
RCAS1 and that the degree of binding of RCAS1 to the receptors diminished rapidly during erythroid maturation in vitro. When the
soluble form of RCAS1 was added to the cultures, ECFCs underwent apoptosis, including collapse of the mitochondrial transmembrane potential, and activation of caspases 8 and 3. The addition of an
anti-Fas blocking antibody or Fas-Fc failed to reduce the apoptosis induced by RCAS1, thereby indicating that effects of RCAS1 are independent of Fas activation. When binding of RCAS1 to normal bone
marrow cells was analyzed, RCAS1R was evident on cells with an immature
erythroid phenotype (transferrin receptor+/glycophorin
A Homeostasis of hematopoietic tissue is maintained
by a balance between cell death and cell proliferation. Erythropoiesis
is tightly regulated by an interacting network of various hematopoietic growth factors, such as erythropoietin (EPO), interleukin-3 (IL-3), insulinlike growth factor I (IGF-I), and stem cell factor
(SCF),1 all of which support survival of purified
erythroid progenitor cells by reducing apoptosis, as well as by
regulating cellular differentiation and proliferation.2,3
In vitro growth of erythroid progenitor cells depends on EPO, and
deprivation of this growth factor from the culture medium results in
immediate apoptosis of the cells, which means that erythrocyte
production is partly regulated by controlling apoptosis of erythroid
progenitor cells.4,5 Fas (CD95/APO-1) is a member of tumor
necrosis factor (TNF) family and Fas stimulation results in apoptosis
of target cells.6 As functional Fas and Fas ligand (FasL)
are expressed by erythroid cells, the Fas/FasL system has a role in maintaining hematopoietic homeostasis by modulating
apoptosis.6,7 However, the Fas knock-out mouse did not
show evidence of abnormal regulation of hematopoiesis, such as
erythrocytosis.5,8-10 Therefore, there may be regulators
of apoptosis of erythroid progenitor cells other than
Fas/FasL.
A tumor-associated antigen, RCAS1 (receptor binding cancer antigen
expressed on SiSo cells), was found to induce apoptosis of activated T
cells that express the RCAS1-receptor (RCAS1R).11 RCAS1 is
a type II membrane protein isolated from a human uterine adenocarcinoma
cell line, SiSo.12 The expression of RCAS1, or RCAS1R, has
been confirmed in a variety of tumor cell lines.13 K562, a
human leukemic cell line with the potential for erythroid differentiation, expresses functional RCAS1R.11 This
evidence prompted us to evaluate the expression of RCAS1R on normal
human erythroid progenitor cells.
We investigated the expression of RCAS1R and the effects of its ligand
on human erythroid progenitor cells, isolated from human peripheral
blood by negative panning and subsequent in vitro expansion, using a
combination of hematopoietic growth factors. Our observations revealed
that RCAS1 is involved in regulating of apoptosis of erythroid
progenitor cells, and a critical role in controlling erythropoiesis can
be considered.
Reagents
Purification and expansion of ECFCs
Serum-free liquid culture of ECFCs The cells (day 6 ECFCs, 1.0 × 105cells/mL) were incubated in serum-free liquid medium containing 50% IMDM/50% F-12 medium (Sigma Chemical, St Louis, MO) with 1% detoxified bovine serum albumin (BSA; Stem Cell Technologies, Vancouver, BC), 300 µg/mL iron-saturated transferrin (652202, Boehringer Mannheim, Mannheim, Germany), lipid suspension prepared, as described,15 and 10 U/mL rhEPO at 37°C in a high-humidity 5% CO2, 95% air incubator. Then, 10 ng/mL rhIL-3 and 100 ng/mL rhSCF were added, as indicated.Flow cytometry To determine expression of the transferrin receptor (TfR) and glycophorin A, cells (1 × 106) were washed twice with phosphate-buffered saline (PBS) and resuspended in PBS with 0.05% BSA. Fluorescein isothiocyanate (FITC)-conjugated antiglycophorin A MoAb (D2.10, IM0772; Immunotech, Marseilles, France) and phycoerythrin (PE)-conjugated anti-CD71 MoAb (YDJ1.2.2, IM2001; Immunotech) were added, followed by incubation on ice for 30 minutes. Samples were analyzed using the Epics Elite ESP flow cytometer (Coulter, Miami, FL). To detect expression of Fas (CD95) on ECFCs, the cells (1 × 106) were washed twice with PBS, then suspended in 0.1 mL PBS prior to incubation on ice for 60 minutes with either FITC-conjugated murine anti-Fas MoAb (UB2, 1506; Immunotech) at 2 µL. PBS (400 µL) was added and the cells were analyzed using the Epics Elite ESP flow cytometer (Coulter).Expression of RCAS1 and RCAS1R on ECFCs was analyzed at the indicated times by flow cytometry, as described.11 To determine expression of RCAS1R, the cells (1 × 105) were washed with cold washing buffer (0.5% BSA, 0.05% NaN3 in PBS) and incubated with 50 µL blocking buffer (40% normal goat serum in washing buffer) for 15 minutes on ice. Next, 1.0 µg/mL glutathione-S-transferase (GST), as a control, or recombinant RCAS1-GST fusion protein, prepared as described,11 was added and the preparation incubated on ice for 30 minutes. Cells were washed 3 times with washing buffer and incubated with 0.5 µg/mL affinity-purified rabbit antibody against GST for 30 minutes. Cells were next washed 3 times with washing buffer and incubated with PE-conjugated goat F(ab')2 IgG antibody against rabbit IgG, preabsorbed with human and mouse serum (Southern Biotech, Birmingham, AL), mouse FITC-conjugated antiglycophorin A MoAb, or mouse FITC-conjugated anti-CD71 MoAb. Then samples were washed 3 times with washing buffer, followed by analysis on a Coulter Epics XL flow cytometer (Coulter, Hialeah, FL). To determine expression of RCAS1, cells (1 × 105) were washed with cold washing buffer (0.5% BSA, 0.05% NaN3 in PBS) and incubated with 50 µL blocking buffer for 15 minutes on ice. Then 2.5 µg/mL control mouse IgM (GC323, IM1268; Immunotech) or 2.5 µg/mL purified IgM anti-RCAS1 antibody (22-1-1; provided by Dr M. Nakashima) was added and incubated on ice for 30 minutes. Cells were again washed 3 times with washing buffer and incubated with 2.5 µg/mL PE-conjugated F(ab')2 goat antimouse IgM antibody (IM0555; Immunotech, preabsorbed by human serum) in washing buffer containing 5% normal goat serum for 30 minutes on ice. The stained cells were washed 3 times with washing buffer. Washing buffer (400 µL) was added and the cells were analyzed using a Coulter Epics XL flow cytometer. Measurement of the uptake of 3H-thymidine The ECFCs were incubated at 37°C, 5% CO2 with or without nRCAS1 for 24 hours. For the last 6 hours of the culture period, the cells were pulsed with 1 µCi [3H]-thymidine and collected onto glass filters. The cell counts were adjusted prior to the addition of [3H]-thymidine to negate effects of differences in cell number. The incorporated radioactivity was measured using a Beta plate reader. Viability of the cells was determined by trypan blue exclusion, using a hemocytometer.Plasma clot assay The erythroid colony-forming capacity of ECFC was determined by the plasma clot method.2 Day 7 ECFCs were incubated at 37°C in liquid culture, with or without nRCAS1, in the presence of EPO (2 U/mL) and for the indicated times. The cells were then collected and 1 mL of medium consisting of IMDM, 20% FCS, 1% BSA, 10 ng/mL rhSCF, 2 U/mL rhEPO, and 10% pooled, citrated, human AB plasma, containing 600 cells, was plated in triplicate 35-mm culture dishes and incubated at 37°C in a high-humidity 5% CO2, 95% air incubator for 7 days. The clots were then fixed and stained with 3,3'-dimethoxybenzidine, and colonies of 8 or more hemoglobinized cells were defined as colony-forming unit-erythroid (CFU-E).Apoptosis assay For assessment of apoptosis we measured membrane redistribution of phosphatidylserine, using an annexin V-FITC apoptosis detection kit (Immunotech, Marseilles, France) according to the manufacturer's protocol. Briefly, cells were washed twice with ice-cold PBS and cell pellets were resuspended in 490 µL binding buffer. The cell suspension was incubated for 30 minutes on ice with FITC-conjugated annexin V antibody and propidium iodide (PI; final concentration, 2.5 µg/mL). Cells were analyzed using the Epics Elite ESP flow cytometer (Coulter, Miami, FL) and the annexin V+ fraction was delineated as apoptotic cells.Analysis of DNA fragmentation Whole DNA was extracted from day 7 ECFCs cultured in liquid culture for 24 hours with or without nRCAS1, in the presence of EPO (2 U/mL). Cells (1 × 106) were collected and washed with ice-cold PBS, then were lysed in 500 µL of a hypotonic buffer containing 50 mM Tris/HCl, pH 8.0, 100 mM NaCl, 100 mM EDTA, and 1.0% sodium dodecyl sulfate (SDS). The lysates were treated with 200 µg/mL RNAase A at 37°C for 1 hour and 400 µg/mL proteinase K at 55°C for 2 hours. Samples were extracted with phenol/chloroform and then only chloroform. DNA was then precipitated with ethanol, and nucleic acids were dissolved in 10 mM Tris/HCl, pH 7.5, 1 mM EDTA, and 1% SDS at 60°C for 10 minutes. The samples were electrophoresed at 100 V for 1.5 hours on 1.6% agarose gel in Tris-acetate, EDTA (TAE) and stained with ethidium bromide to visualize DNA. A 1-kb DNA ladder (15615-016; Gibco BRL) was used as a molecular marker.Evaluation of caspase 3 activity Activation of caspase 3 was assessed using the PhiPhiLux G1D2 caspase 3 activity detection kit (AK304R1G Oncoimmunin, College Park, MD), according to the manufacturer's instructions. Briefly, 1 × 106 cells were washed twice with PBS, and 50 µL substrate solution (10 mM; GDEVDGI [single-letter amino acid codes]) was added, followed by incubation for 60 minutes in a 5% CO2, 95% air incubator at 37°C. Then, 500 µL cold flow cytometry solution was added to each sample followed by analysis, using a FACScan flow cytometer at 488-nm FL1 channel.Evaluation of capase 8 activity Activation of caspase 8 was evaluated using a FLICE/caspase 8 fluorometric protease assay kit (BV-K112 Medical and Biological Laboratories, Nagoya, Japan), according to the manufacturer's instructions. Briefly, lysates from 1 × 106 cells were incubated with fluorogenic substrate (IETDAFC) for 60 minutes at 37°C in buffer containing 5 mM dithiothreitol. Samples were then analyzed using an ARVO multilabel counter (Wallac Oy, Turku, Finland) at 535 nm.Cytofluorometric analysis of mitochondrial transmembrane potentials To measure the mitochondrial transmembrane potential (![]() m)
we used a flow cytometer, as described.17,18 Cells
(1.0 × 105) were incubated with
3,3'-dihexyloxacarbocyanine(DiOC6; 31842-6, Aldrich
Chemical, Milwaukee, WI; final concentration, 40 nM) for 15 minutes at
37°C. Cells were pelleted by centrifugation and resuspended in 500 µL PBS, followed by analysis on a FACScan flow cytometer.
Blocking of the stimulation of Fas To block signaling by Fas, cells were preincubated with 1.0 µg/mL hamster anti-Fas neutralizing antibody (clone 4B4-3B)19 for 1 hour at 37°C and nRCAS1 was added as described above. To confirm the specificity of nRCAS1, human Fas-Fc (1 µg/mL; hFas-Fc)20 was preincubated at 4°C with nRCAS1 to block the binding to Fas for 1 hour prior to addition to the cell suspension. After 36 hours of each incubation, analysis of apoptosis was made based on annexin V binding.Analysis of expression of RCAS1R on human bone marrow cells To examine the expression of RCAS1R on bone marrow cells, light-density mononuclear cells were obtained from bone marrow aspirates from normal volunteers by density centrifugation using LSM, then were suspended in IMDM containing 15% FCS, 15% human AB serum, 2 U/mL rhEPO, 20 ng/mL rhSCF, 10 ng/mL rhIL-3, and 50 ng/mL recombinant human granulocyte-macrophage colony-stimulating factor (rhGM-CSF). After incubation for 16 hours at 37°C, the expression of RCAS1R, glycophorin A, and TfR (CD71) was determined as described above.Bone marrow colony assay CD34+ cells (5 × 105/mL) from bone marrow from healthy volunteers were purified using Direct CD34 Isolation Kit (Miltenyi Biotech) with Vario-MACS. The cells were incubated, with or without 40 µg/mL nRCAS1, for 24 hours, in IMDM containing 20% FCS, 1% BSA, 2 U/mL rhEPO, 50 ng/mL rhSCF, 20 ng/mL rhIL-3, 10 ng/mL rhGM-CSF, and 10 ng/mL thrombopoietin (TPO) at 37°C in a high-humidity 5% CO2, 95% air incubator. The cells were then collected, and 3 × 103 cells with methylcellulose containing media with growth factors (Methocult H4433, Stem Cell Technologies) were plated in triplicate 35-mm culture dishes. After 18 days of culture, burst-forming unit erythroids (BFU-E), colony-forming unit granulocyte macrophages (CFU-GM), and colony-containing granulocytes, erythroids, macrophages, and megakaryocytes (CFU-GEMM) were scored, using an inverted microscope and standard criteria for identification.Immunohistochemical staining of RCAS1 on human bone marrow For detection of RCAS1, the 22-1-1 hybridoma culture supernatants, which were diluted 1:20 in PBS, were applied, as described.12 Biotinylated goat F(ab')2 antimouse IgM antibody, absorbed with human and mouse tissues, was used as the second antibody.Statistical analysis The Student t test was used to determine significant differences between the groups and results are expressed as the mean ± SD.
Expression of RCAS1 and RCAS1R on ECFCs The purified erythroid progenitor cells (morphologically determined purity = 95% ± 3%) formed erythroid colonies in semisolid culture system (colony forming capacity = 69.5% ± 3.9%). These progenitor cells were designated "erythroid colony-forming cells" (ECFCs), as previously defined.14,15 In liquid culture, ECFCs undergo terminal erythroid maturation, as characterized by great changes in the surface expression of glycophorin A and TfR (Figure 1A, upper panel). On day 6 of the liquid cultures in the presence of EPO and SCF, 96.6% of ECFCs expressed highly abundant TfRs on the cell surface; then the TfR expression gradually decreased during the culture period, as seen in Figure 1A. The expression of glycophorin A was low on day 6, but gradually increased during culture period of days 6 to 13, whereas the expression of TfR was decreasing. To examine the expression of RCAS1R on ECFCs, a binding assay using rRCAS1-GST was done. As shown in Figure 1, panels A and B, most of the day 6 ECFCs (98.0% ± 1.8%) from 2 independent experiments showed abundant expression of RCAS1R and the percentage of RCAS1R+ cells gradually decreased during erythroid maturation. On day 13, only 4.8% of the cells, with the morphology of mature erythroblasts and enucleated erythrocytes (data not shown), showed RCAS1 binding (Figure 1A, middle and lower panels, B). FACS analysis of the expression of RCAS1R, glycophorin A, and TfR demonstrated that cells with an immature erythroid phenotype (TfR+/glycophorin A ) expressed abundant
RCAS1R, whereas mature erythroid cells (TfR /glycophorin
A+) had very little RCASIR (Figure 1A, middle and lower
panels). On the other hand, ECFCs did not express RCAS1, determined
using 22-1-1 MoAb, at any stage of erythroid maturation (Figure 1B). Histochemical staining confirmed that RCAS1 was not expressed in the
cytoplasm of ECFC (data not shown). The percentage of these cells that
expressed Fas also was higher in immature ECFC, as compared to mature
cells, and it decreased during liquid culture, in the same manner as
seen with RCAS1R (Figure 1B).
RCAS1 suppressed cell proliferation of ECFCs Next we asked if RCAS1 would affect cellular proliferation of ECFCs. Addition of nRCAS1 to the cultures strongly suppressed cellular proliferation of day 6 ECFCs, as determined by [3H]-thymidine uptake, reducing it to 6% of that seen in control cultures (Figure 1C). The rate of inhibition gradually decreased during the culture period, as the percentage of RCAS1R positivity decreased (Figure 1B,C).SCF delayed decrease of expression of RCAS1R during maturation of ECFCs Decrease in the number of RCAS1R+ cells during erythroid maturation was not affected by incubation with IL-3, compared with incubation with EPO alone, but SCF significantly delayed the disappearance of RCAS1R on ECFCs during erythroid maturation (Table 1, versus with EPO alone, P = .015, versus EPO+IL-3, P = .021).
RCAS1 induced apoptosis of ECFCs To determine if RCAS1 would affect survival of ECFCs, trypan blue exclusion tests were done. The majority of cells in control cultures with EPO remained viable throughout 48 hours of culture, then the viability gradually decreased during liquid culture in the presence of nRCAS1, and the value was significantly smaller than that seen in control culture (P < .05) at 24 hours and (P < .001) at 48 hours (Figure 2A). To further measure the significance of these events, we investigated the effect of nRCAS1 on the colony-forming capacity of ECFCs, by a 2-step culture method. nRCAS1 was added to the liquid cultures of ECFCs, then aliquots of the cells (200 cells/clot) were transferred for plasma clot assays, at the indicated times. As seen in Figure 2B, the addition of nRCAS1 significantly reduced the colony-forming capacity of ECFCs, in a time-dependent manner (P < .001at 48 hours).
Apoptotic cells were delineated with annexin V, which binds
externalized phosphatidylserine at an early stage of apoptosis, and PI,
which stains cellular DNA at late stages in the process of apoptosis.
In the presence of nRCAS1, an increase in the number of cells both at
the early (annexin V+/PI To confirm that RCAS1 induced apoptosis of ECFCs, cytospin specimens
were prepared after incubation for 24 hours with or without nRCAS1.
Cells cultured without nRCAS1 showed morphologic features of immature
erythroid cells (Figure 3A), whereas
cells incubated with nRCAS1 showed typical apoptotic features, such as
nuclear condensation, fragmentation, and reduction in cell size (Figure 3B). These morphologic changes were seen in 25.6% (range,
19.0%-33.0%; n = 10) of cells incubated with nRCAS1, whereas only
6.5% (range, 3.0%-11.0%; n = 10) of the cells incubated without
nRCAS1 showed an apoptotic morphology. Induction of apoptosis by nRCAS1
was further confirmed by analysis of cellular DNA, using agarose gel electrophoresis (Figure 3C). DNA fragmentation was evident in cells
cultured with nRCAS1, although the ladder pattern was quite faint in
ECFCs, as described previously.2
RCAS1 induced apoptosis in ECFCs via modulation of mitochondrial transmembrane potential and caspases To investigate the mechanism by which RCAS1 induces apoptosis of ECFCs, we examined the kinetics of apoptosis, transmitochondrial potential (![]() m), and activation of
caspases 8 and 3, in the presence of nRCAS1, and compared these indices
to those observed after EPO deprivation or Fas stimulation using a
Fas-stimulating antibody. When the percentage of apoptotic cells was
determined by flow cytometry using annexin V, the ECFCs cultured with
nRCAS1 showed an apoptotic phenotype, in a time-dependent manner,
similar to events seen with EPO deprivation or Fas stimulation (Figure
4A). Both disruption of ![]() m, and the
subsequent activation of caspases 8 and 3, were evident in cells
incubated with nRCAS1, as well as those seen in the case of EPO
deprivation, or with Fas-stimulating antibody (CH-11) (Figure 4B-D).
Early collapse of ![]() m was seen in case of EPO deprivation, but
differences from the case with Fas-stimulating antibody (CH-11) and
with nRCAS1 were not significant (Figure 4B). The kinetics of
activation of caspases was similar among incubations without EPO, with
Fas-stimulating antibody (CH-11), and with nRCAS1 (Figure 4C, D). The
kinetics of intracellular signaling of apoptosis was similar among
incubations without EPO, with Fas-stimulating antibody (CH-11), and
with nRCAS1 (Figure 4B-D). To confirm that RCAS1-induced apoptosis is
independent of Fas-stimulation, anti-Fas neutralizing antibody
(4B4-3B), which reduces Fas-mediated apoptosis by occupying Fas, or
Fas-Fc chimeric protein, which reduces FasL binding to membrane-bound
Fas by attaching to the ligand, were added to cultures together with
nRCAS1. As can be seen from Table 2, both
additives significantly reduced the apoptosis induced by Fas
stimulation, but did not influence apoptosis of the cells incubated
with nRCAS1.
Expression of RCAS1R on human bone marrow cells The role of the RCAS1 system in regulating physiologic hematopoiesis was investigated by examining the expression of the RCAS1R on bone marrow cells from healthy volunteers, using 2-color cytometry. A forward side scatter (FSC) versus side scatter (SSC) dot plot (Figure 5A) on region A cells, which contained the majority of erythroid progenitor cells, showed that 39.0% of the bone marrow cells expressed RCAS1R. Two-color staining of glycophorin A and RCAS1R revealed that glycophorin A+/RCAS1R+ cells exist but the majority of RCAS1R+ cells were negative for glycophorin A. This indicates that mature erythroid cells express RCAS1R, but the number is fewer than in immature ones, as seen in case of in vitro expanded ECFCs (Figure 5B). We then did 2-color staining of TfR and RCAS1R on bone marrow cells (Figure 5C) and found that majority of TfRHigh cells, which correspond to immature erythroid progenitor cells, possess abundant RCAS1R, whereas TfRLow cells, which correspond to mature erythroid cells, had less RCAS1R. These observations clearly indicate that bone marrow erythroid progenitor cells have RCAS1R, and that the expression is modulated during erythroid maturation, as was seen in in vitro culture of ECFCs. However, unlike the results with blood ECFCs, the TfR /RCAS1R+ subpopulation was present in bone
marrow cells (Figure 5C), which suggests
the possibility that hematopoietic progenitor cells other than the
erythroid lineage also might possess RCAS1R.
RCAS1 suppressed colony formation of CFU-GM from normal bone marrow cells To determine the effect of RCAS1 on growth of nonerythroid hematopoietic progenitor cells, methylcellulose colony assays of CD34+ cells from human bone marrow were done. Incubation of CD34+ cells with nRCAS1 for 24 hours significantly reduced CFU-GM formation (P = .0052), but numbers of BFU-E and CFU-GEMM were not affected (Table 3).
Immunohistochemical staining of normal bone marrow cells To determine the expression of RCAS1 in bone marrow cells, human bone marrow clot specimens from healthy donors were immunochemically stained by 22-1-1 antibody, which recognizes RCAS1. Among various kinds of bone marrow cells, no cell expressed RCAS1 on the surface. However, cytoplasm of the macrophages was strongly stained by 22-1-1 antibody, as shown in Figure 6. Surrounding erythroblasts and erythrocytes were negative for RCAS1. On the other hand, monocytes purified from human peripheral blood were stained in the focal cytoplasmic pattern, and after stimulation by lipopolysaccharide, the cytoplasm of activated monocytes, with the morphology of macrophages was strongly stained and the pattern was diffuse (data not shown).
The concept of a control mechanism for cellular growth through
modulation of apoptosis has recently come to include a wide variety of
tissue systems, including hematopoietic cells. Change in the balance
between cell survival and death are clear signs of development of
hematologic disorders such as the myelodysplastic syndromes21,22 and chronic myelogenous
leukemia.23 Therefore, tight regulation of apoptosis needs
to maintain hematopoietic homeostasis. The apoptosis of hematopoietic
progenitor cells is regulated both positively and negatively by an
interacting network of various cytokines and adhesive
molecules.24 EPO, SCF, and IGF-I reduced apoptosis of
purified human erythroid progenitor cells, suggesting that control of
apoptosis by each of these factors has a prominent role in the
regulation of erythropoiesis.1-4 Although various kinds of
hematopoietic growth factors have been reported to reduce apoptosis of
target cells, several cytokines promote apoptotic death of
hematopoietic progenitor cells. Interferon- Fas is a transmembrane type I glycoprotein that belongs to the TNF
receptor superfamily and plays an essential role in down-regulation of
the immune response by inducing apoptosis of activated T cells. Functional expression of Fas was noted on hematopoietic progenitor cells in various lineages,2,3,6,25,28-30 and the
up-regulation of Fas is seen in hematopoietic cells prior to the
process of apoptosis induced by TNF- Recently, TNF-related apoptosis-inducing ligand (TRAIL), was found to induce apoptosis in normal human erythroid progenitor cells expanded in vitro.31 TRAIL, a member of the TNF family of proteins, has a structure similar to that of FasL.32 Furthermore, TRAIL induces apoptosis via Fas-associated death domain (FADD), a death adapter molecule functioning downstream in Fas signaling.33 Thus, TRAIL may be also involved in the regulation of apoptosis of erythroid progenitor cells, in cooperation with the Fas-Fas ligand system. A tumor-associated antigen RCAS1 induced apoptosis of activated T-lymphocytes.11 RCAS1 is a type II membrane protein with an N-terminal transmembrane segment plus a coiled-coil structure in the C-terminal portion; it is expressed in various human cancer cells, especially in cases of invasive disease with poor prognosis.11,34,35 Thus, it is conceivable that the expression of RCAS1 might be involved in the mechanism by which cancer cells escape from surveillance by immune cells possessing RCAS1R.11 Using a binding assay with a recombinant RCAS1-GST fusion protein, it has been revealed that RCAS1-receptors are expressed on surfaces of hematopoietic cell lines, such as K562 (a chronic myelocytic leukemia cell line) and CCRF-CEM (an acute lymphoblastic leukemia cell line).11 We demonstrated here that normal human erythroid progenitor cells expressed RCAS1R and that triggering of RCAS1R by nRCAS1 resulted in apoptosis of these cells. Abundant RCAS1R was expressed on day 6 and day 7 ECFCs, which have a higher proliferative capacity than mature cells,14 and this expression diminished during erythroid maturation. Accordingly, day 7 ECFCs were more susceptible to the apoptotic signal induced by RCAS1, than were the mature cells. The immature erythroid progenitor, BFU-E, was less sensitive to RCAS1, compared to CFU-E, as determined by colony assay (Figure 2A and Table 3). Therefore, expression of RCAS1R might be restricted to the certain stage of erythroid maturation. As seen with flow cytometry, the kinetics of expression of RCAS1R during in vitro culture of erythroid progenitor cells was similar to that seen in the case of Fas. The survival of day 7 ECFCs depends on a variety of growth factors, especially EPO,4 and withdrawal of EPO from the culture medium results in immediate apoptosis of cells. These observations indicate that during erythropoiesis the level of apoptotic cell death is finely modulated by positive and negative regulatory factors mainly at specific stages of cellular maturation, which are predominantly at a high proliferative capacity. We also found that SCF delayed the disappearance of RCAS1R on ECFCs. It has been reported that SCF supports cell proliferation and cell survival and delays the maturation of erythroid progenitor cells.1-3 Thus, this effect of SCF on expression of RCAS1R might be due to inhibition of maturation of ECFCs and the regulation of expression of RCAS1R in erythroid progenitor cells may be closely linked with cellular maturation. In lpr mice, which carry a homozygous mutation of the gene for Fas, abnormalities in colony-forming capacities of both erythroid and myeloid progenitor cells are not evident in the bone marrow, although marked lymphoid proliferation is noted.7 A study using gld Fas ligand-deficient mice also revealed that the number of committed myeloid progenitor cells did not increase significantly, and the potential of hematopoietic cells to undergo spontaneous apoptosis was not affected.9 Although possible counterregulation by an increase of a humoral factor, such as EPO, might exist in these knock-out models, the data do indicate that the Fas system is not the sole "switch" for hematopoietic cell apoptosis. A combination of receptors for various kinds of growth factors and distinct molecules, including Fas, TRAIL, and RCAS1, appear to control death signals for hematopoietic cells. Recent advances in understanding molecular mechanisms underlining
the process of apoptosis makes feasible a comparison of intracellular
events induced by different death stimuli. On Fas activation, formation
of the death-inducing signaling complex (DISC) activates caspase 8, an
event followed by the activation of caspase 3.36 Loss of
the mitochondrial transmembrane potential through a variety of stimuli,
including Fas engagement, has been considered a key phenomenon in the
process of apoptotic cell death.36-38 The kinetics of
activation of caspases and collapse of mitochondrial transmembrane
potential was similar between RCAS1 and Fas initiation. In the
apoptotic signaling pathway of Fas, FADD is a molecule upstream of
caspase 8. It has been reported that FADD is constitutively expressed
in human erythroid progenitors.26 Therefore, RCAS1, which
activates caspase 8 as demonstrated here, might induce apoptosis of
erythroid progenitors via FADD. IFN- Although the data presented here strongly indicate involvement of the
RCAS1 system in the regulation of erythropoiesis, the true relevance of
this system to normal and pathologic hematopoiesis in vivo has yet to
be determined. The binding assay performed with normal bone marrow
mononuclear cells provides evidence that in vivo erythropoiesis may be
partly regulated via modulation of apoptosis of erythroid progenitor
cells through the RCAS1 system. Moreover, we found some
TfR The RCAS1 ligand was demonstrated by immunohistochemistry in the
cytoplasm of normal bone marrow macrophages, which have a dual role in
regulating of erythropoiesis. Whereas macrophages stimulate growth of
erythroid progenitor cells in vitro by cell-cell interaction,39 cytokines mainly produced by macrophages,
such as TNF- In summary, we obtained evidence that purified human erythroid progenitor cells express functional RCAS1R and that RCAS1 induces apoptosis of these cells through an intracellular cascade shared by the Fas system. These observations mean that RCAS1 has a role in erythropoiesis and pave the way for further investigations on mechanisms related to hematopoiesis by the RCAS1 system.
This research was done in part at the Kyushu University Station for Collaborative Research. We express our deep appreciation to S. Aoki, M. Hirakawa, S. Kitamura, and S. Isewaki for excellent technical assistance. We are indebted to Dr S. B. Krantz (Department of Medicine-Hematology/Oncology, Vanderbilt University School of Medicine, Nashville, TN) for critical reading of the manuscript.
Submitted November 7, 2000; accepted March 14, 2001.
Supported in part by Kyushu University P&P grant.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Koichiro Muta, Department of Medicine and Bioregulatory Science, Graduate School of Medical Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; e-mail: mmmmm{at}intmed3.med.kyushu-u.ac.jp.
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