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Blood, 15 November 2005, Vol. 106, No. 10, pp. 3474-3482.
Prepublished online as a Blood First Edition Paper on July 21, 2005; DOI 10.1182/blood-2005-03-1327.


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Submitted March 31, 2005
Accepted July 8, 2005

Neutrophil stimulation with Mycobacterium bovis bacillus Calmette-Guerin (BCG) results in the release of functional soluble TRAIL/Apo-2L

Troy J Kemp, Aaron T Ludwig, James K Earel, Jill M Moore, Rebecca L VanOosten, Bonita Moses, Kevin Leidal, William M Nauseef, and Thomas S Griffith*

Department of Urology, University of Iowa, Iowa City, IA, USA; Interdisciplinary Graduate Program in Immunology, University of Iowa, Iowa City, IA, USA
Department of Urology, University of Iowa, Iowa City, IA, USA
Department of Internal Medicine, Inflammation Program, University of Iowa, Iowa City, IA, USA
Department of Internal Medicine, Inflammation Program, University of Iowa, Iowa City, IA, USA; Interdisciplinary Graduate Program in Immunology, University of Iowa, Iowa City, IA, USA; Veterans Affairs Medical Center, Iowa City, IA, USA

* Corresponding author; email: thomas-griffith{at}uiowa.edu.

Mycobacterium bovis BCG has been used to treat bladder cancer for almost 30 years; however, the effector mechanism of the BCG-induced antitumor response remains enigmatic. Most BCG research has focused on the mononuclear cell infiltrate, but growing evidence supports a role for neutrophils in the antitumor response. Previously, we demonstrated increased urinary TNF-related apoptosis inducing ligand (TRAIL/Apo-2L) levels from BCG-responsive patients compared to nonresponders. Interestingly, neutrophils isolated from the urine expressed TRAIL/Apo-2L, leading us to investigate the neutrophil response to BCG. BCG-stimulated neutrophils expressed surface bound and released functional soluble TRAIL/Apo-2L. Whereas neither IFN-{alpha} nor IFN-{gamma} directly induced TRAIL/Apo2L expression by neutrophils, IFN-{alpha} did stimulate TRAIL gene transcription, and IFN-primed neutrophils contained and released more TRAIL/Apo-2L after BCG stimulation than did unprimed neutrophils. In unstimulated neutrophils TRAIL/Apo-2L was present predominantly in the azurophilic granules and plasma membrane-enriched/secretory granule fraction. Finally, we observed that killed BCG, TLR2 and 4 agonists, and a M. tuberculosis cell wall fraction were each capable of inducing the release of soluble TRAIL/Apo-2L from neutrophils. These results further characterize the potential role neutrophils may play in initiating the antitumor response described with BCG treatment for superficial bladder cancer.


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