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Microenvironment and Immunology Chemotherapy-Induced Genotoxic Stress Promotes Sensitivity to Natural Killer Cell Cytotoxicity by Enabling Missing-Self Recognition Jason H. Fine 1 , Peter Chen 1 , Aruz Mesci 1 , David S.J. Allan 1 , Stephan Gasser 2 , David H. Raulet 3 , and James R. Carlyle 1 Abstract Natural killer (NK) cells can recognize and kill tumor cells lacking selfmarkers, such as class I MHC, but the basis for this recognition is not completely understood. NKR-P1 receptors are members of the C-type lectin-related NK receptor superfamily that are conserved from rodents to humans. Identification of Clr li- gands for the NKR-P1 receptors has facilitated functional analysis of MHC-independent target cell recognition by NK cells. One receptor-ligand pair, NKR-P1B:Clr-b, can mediate missing-selfrecognition of tumor and infected cells, but the role of this axis in sensing stressed cells remains unknown. Here, we show that Clr-b is rapidly downregulated in cells undergoing genotoxic and cellular stress at the level of both RNA and surface protein. Stress-mediated loss of Clr-b on leukemia cells enhanced cytotoxicity mediated by NKR-P1B + NK cells. Notably, Clr-b downregulation was coordinated functionally with stress-mediated upregulation of NKG2D li- gands (but not class I MHC). Our findings highlight a unique role for the MHC-independent NKR-P1B:Clr-b missing-self axis in recognition of stressed cells, and provide evidence of two independent levels of Clr-b reg- ulation in stressed cells. Cancer Res; 70(18); 710213. ©2010 AACR. Introduction Innate immunity constitutes an important front-line de- fense and barrier to infectious disease and malignancies (1). Natural killer (NK) cells are innate lymphocytes capable of recognizing and eliminating a wide variety of target cells, including transformed, infected, transplanted, antibody- coated, and stressed cells (2, 3). NK effector mechanisms in- clude cellular cytotoxicity mediated by perforin, granzymes, and cell surface molecules (e.g., FasL, tumor necrosis factorrelated apoptosis-inducing ligand), and rapid secretion of cytokines (e.g., IFN-γ, tumor necrosis factor-α, chemokines; ref. 2). Although NK cells are tolerant to normal selfcells, they frequently respond to abnormal cells undergoing path- ologic alterations. How NK cells mediate selfnonself dis- crimination at the molecular level remains the focus of intense research. The frequent correlation between heightened NK cyto- toxicity and a lack of MHC-I expression on tumor cell lines led to the hypothesis that NK cells sense the absence of self MHC-I markers on target cells. Termed missing-selfrecog- nition (4), this pathway is governed by inhibitory receptors specific for self MHC-I molecules that normally override stimulatory NK-target interactions. In turn, the loss of MHC-I molecules upon malignant transformation or infec- tion becomes sufficient to trigger NK cytotoxicity via disin- hibition of effector function (5). However, this mechanism alone is insufficient to explain the complex outcomes that regulate NK-target interplay. Indeed, other potent stimulatory NK receptors such as NKG2D recognize induced-selfligands dynamically upregu- lated during stress responses. Thus, a contemporary dual- recognition model proposes that NK cell function is regulated by a balance of stimulatory and inhibitory receptor signals, which in turn are determined by target cell modulation of numerous cognate ligands (3, 6). This more target-centric model highlights the need to understand how both NK cell receptors and their cognate ligands are modulated in real time under pathologic conditions to fully appreciate complex NK recognition events in vivo. The underlying molecular basis behind the ability of NK cells to recognize stressedcells remains incompletely un- derstood. Recent evidence indicates that cells exposed to chemotherapeutic agents, genotoxic stimuli, or stalled DNA replication cycles dynamically upregulate stimulatory NKG2DL (7). This induced-self ligand modulation is mediat- ed in part through the DNA damage response (DDR) path- way, in particular involving ATR, ATM, and Chk1 (8). NKG2DL upregulation has been observed in response to diverse genotoxic stimuli (including aphidicolin, cisplatin, Authors' Affiliations: 1 Department of Immunology, University of Toronto, Sunnybrook Research Institute, Toronto, Ontario, Canada; 2 Immunology Programme, National University of Singapore, Singapore; and 3 Cancer Research Laboratory, Department of Molecular and Cell Biology, University of California, Berkeley, California Note: Supplementary data for this article are available at Cancer Research Online (http://cancerres.aacrjournals.org). Corresponding Author: James R. Carlyle, Department of Immunology, University of Toronto, Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N3M5. Phone: 416-480-6100, ext. 3382; Fax: 416-480-5703; E-mail: [email protected]. doi: 10.1158/0008-5472.CAN-10-1316 ©2010 American Association for Cancer Research. Cancer Research Cancer Res; 70(18) September 15, 2010 7102 American Association for Cancer Research Copyright © 2010 on January 31, 2013 cancerres.aacrjournals.org Downloaded from Published OnlineFirst September 7, 2010; DOI:10.1158/0008-5472.CAN-10-1316

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Canceresearch

oenvironment and Immunology

motherapy-Induced Genotoxic Stress Promotessitivity to Natural Killer Cell Cytotoxicity by

R

bling Missing-Self Recognition

H. Fine1, Peter Chen1, Aruz Mesci1, David S.J. Allan1, Stephan Gasser2, David H. Raulet3, and James R. Carlyle1

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ural killer (NK) cells can recognize and kill tumor cells lacking “self” markers, such as class I MHC, butsis for this recognition is not completely understood. NKR-P1 receptors are members of the C-typerelated NK receptor superfamily that are conserved from rodents to humans. Identification of Clr li-for the NKR-P1 receptors has facilitated functional analysis of MHC-independent target cell recognitioncells. One receptor-ligand pair, NKR-P1B:Clr-b, can mediate “missing-self” recognition of tumor andd cells, but the role of this axis in sensing stressed cells remains unknown. Here, we show that Clr-bdly downregulated in cells undergoing genotoxic and cellular stress at the level of both RNA and surfacen. Stress-mediated loss of Clr-b on leukemia cells enhanced cytotoxicity mediated by NKR-P1B+ NK cells.ly, Clr-b downregulation was coordinated functionally with stress-mediated upregulation of NKG2D li-(but not class I MHC). Our findings highlight a unique role for the MHC-independent NKR-P1B:Clr-b

missing-self axis in recognition of stressed cells, and provide evidence of two independent levels of Clr-b reg-ulation in stressed cells. Cancer Res; 70(18); 7102–13. ©2010 AACR.

led toMHC-nitionspecifstimuMHC-tion bhibitioaloneregulaInd

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ate immunity constitutes an important front-line de-and barrier to infectious disease and malignanciestural killer (NK) cells are innate lymphocytes capablegnizing and eliminating a wide variety of target cells,ing transformed, infected, transplanted, antibody-, and stressed cells (2, 3). NK effector mechanisms in-cellular cytotoxicity mediated by perforin, granzymes,ll surface molecules (e.g., FasL, tumor necrosis factor–d apoptosis-inducing ligand), and rapid secretion ofnes (e.g., IFN-γ, tumor necrosis factor-α, chemokines;. Although NK cells are tolerant to normal “self” cells,equently respond to abnormal cells undergoing path-alterations. How NK cells mediate self–nonself dis-ation at the molecular level remains the focus ofe research.

correlation between heightened NK cyto-ck of MHC-I expression on tumor cell lines

modereceptunderrecognThe

cells tderstochemoreplicNKG2ed inway,NKG2divers

s: 1Department of Immunology, University of Toronto,rch Institute, Toronto, Ontario, Canada; 2Immunologynal University of Singapore, Singapore; and 3Cancertory, Department of Molecular and Cell Biology,rnia, Berkeley, California

tary data for this article are available at Cancerhttp://cancerres.aacrjournals.org).

thor: James R. Carlyle, Department of Immunology,nto, Sunnybrook Research Institute, 2075 BayviewOntario, Canada M4N3M5. Phone: 416-480-6100,-480-5703; E-mail: [email protected].

5472.CAN-10-1316

ssociation for Cancer Research.

18) September 15, 2010

American Association Copyright © 2010 cancerres.aacrjournals.Downloaded from

the hypothesis that NK cells sense the absence of selfI markers on target cells. Termed “missing-self” recog-(4), this pathway is governed by inhibitory receptorsic for self MHC-I molecules that normally overridelatory NK-target interactions. In turn, the loss ofI molecules upon malignant transformation or infec-ecomes sufficient to trigger NK cytotoxicity via disin-n of effector function (5). However, this mechanismis insufficient to explain the complex outcomes thatte NK-target interplay.eed, other potent stimulatory NK receptors such asD recognize “induced-self” ligands dynamically upregu-during stress responses. Thus, a contemporary dual-ition model proposes that NK cell function is regulatedalance of stimulatory and inhibitory receptor signals,in turn are determined by target cell modulation ofrous cognate ligands (3, 6). This more target-centricl highlights the need to understand how both NK cellors and their cognate ligands are modulated in real timepathologic conditions to fully appreciate complex NKition events in vivo.underlying molecular basis behind the ability of NKo recognize “stressed” cells remains incompletely un-od. Recent evidence indicates that cells exposed totherapeutic agents, genotoxic stimuli, or stalled DNAation cycles dynamically upregulate stimulatoryDL (7). This induced-self ligand modulation is mediat-part through the DNA damage response (DDR) path-in particular involving ATR, ATM, and Chk1 (8).

DL upregulation has been observed in response toe genotoxic stimuli (including aphidicolin, cisplatin,

for Cancer Research on January 31, 2013org

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Cell Stress Promotes Missing-Self Recognition by NK Cells

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Published OnlineFirst September 7, 2010; DOI:10.1158/0008-5472.CAN-10-1316

ouracil, γ-irradiation, and UV radiation; ref. 9), as wellt shock responses (10), antigen-mediated activation of(11–13), and dysregulation of Dicer expression (14). In

on, ligands for other stimulatory NK receptors, such as-1 (CD226), seem to be similarly upregulated (15).ver, the modulation of inhibitory NK ligands duringresponses remains undocumented to date.ddition to MHC-I molecules, several MHC-indepen-nhibitory ligands have recently been characterized,ing Clr-b (Clec2d), the ligand for the NKR-P1B (Klrb2)tor (3, 16–20). Importantly, the expression pattern-b closely resembles that of classic MHC-I antigens.s widely expressed on normal hematopoietic and non-opoietic cells and is frequently lost on tumor cells (16).ver, like MHC-I, Clr-b expression is rapidly downregu-following cytomegalovirus (CMV) infection (21). Thus,seems to be lost under numerous pathologic circum-s, and might function as an inhibitory rheostat inutine detection of abnormal cells. Although the mecha-) governing Clr-b regulation remain to be elucidated,leading to transformation or infection seem to initiaterammed cellular response pathway culminating in thef Clr-b at the cell surface (17, 21). This intrinsic hostse pathway differs from the extrinsic CTL-selectedmunoevasin-induced loss of MHC-I on tumor or in-cells, and thus, might share common elements knowninvolved in the DDR pathway responsible for NKG2DLlation.his report, we investigated the influence of cell stress-b expression. Various chemotherapeutic agents anders of genotoxic or physiologic stress were found tote a rapid functional downregulation of Clr-b tran-and cell surface protein. Notably, MHC-I cell surface

ules were not substantially altered by similar treat-(or actually increased). Extending previous work,

DL upregulation was found to be blocked by both caf-nd short hairpin RNA (shRNA)-mediated silencing ofR and Chk1 pathway (9). However, Clr-b downregula-as differentially affected by caffeine treatment and re-d largely unaffected by shRNA-mediated knockdown ofR/Chk1 and ATM/Chk2 pathways. This suggests thatf Clr-b following genotoxic stress may occur indepen-of the classic DDR pathway. Interestingly, ectopic ex-on of Clr-b transcripts prevented stress-mediated lossb surface protein. Moreover, pharmacologic inhibitionubiquitin-proteasome degradation pathway uncoupledwnregulation of Clr-b surface protein from the stress-ted loss of endogenous Clr-b transcripts. Collectively,results show that genotoxic stress promotes missing-

gulation of the NK inhibitory ligand, Clr-b, at both show

gatingiodideUntresolven

BWZ

A and surface protein levels.

rials and Methods

icals and chemotherapeutic agents

idicolin, bleomycin, cisplatin, camptothecin, etoposide,rouracil, phleomycin, roscovitine, Scriptaid, trichosta-

BWtors w

acrjournals.org

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tunicamycin, 5-aza-2′-deoxycytidine, caffeine, H2O2,nitin, actinomycin-D, and cycloheximide were pur-from Sigma-Aldrich. MG132 and lactacystin were pur-from Calbiochem. γ-Irradiation was performed usingmacell-1000 Cs-source irradiator. UV-C irradiation wasmed using a XL-1000 Spectrolinker. Chemicals wereved in DMSO, water, or PBS, according to the instruc-of the manufacturer.

cell lines, and tissue culture98 and NIH3T3 cells were purchased directly fromcan Type Culture Collection and validated indepen-using our own in-house stocks. MNK-1 was generatedlaboratory from primary mouse fetal thymic NK cells,cribed previously (22). Primary mouse embryonic fibro-(MEF) and interleukin (IL)-2 lymphokine-activated(LAK) cells were generated from B6 and CD-1 micend maintained in our own facilities. Cells were main-in complete medium (DMEM-HG plus 10% FCS andments); MNK-1 cells were maintained in rhIL-2 (300mL of Proleukin; Novartis) and routinely tested forependence (22). All cell lines (C1498, NIH3T3, MNK-1,EF) were authenticated by flow cytometry for expres-f MHC-I and CD45 alleles, Clr-b, and various lineagers (including NK1.1, CD3, CD4, CD8, CD19, CD11b,, and Gr-1). Cell lines were maintained in culture foran 6 months (frequently 1–2 months) following resus-n from stocks within one passage of expansion prior tog. Fibroblasts were maintained in a subconfluent stateimes to prevent the formation of foci, and all cells wereained in logarithmic growth phase prior to treatment.esponses were independently validated followingk of culture in Normocin (Invivogen) to ensure the ab-of Mycoplasma. For most treatments, 2 × 105 to 5 × 105

ere seeded in 2 mL of complete medium in six-welland dosed for 24 hours, with or without 1-hour pre-ents with caffeine, MG132, or lactacystin.

cytometric analysiscommercial monoclonal antibodies (mAb) wereased from BD PharMingen or eBioscience. Biotinylatedouse Clr-b mAb (4A6 mAb; ref. 16) was generatedusly. NKG2DL was visualized using NKG2D/hIgGprotein (23) plus goat anti-hIgG-PE (Jackson Immuno-rch). MHC-I levels were analyzed using anti-KbDb mAb.avidin-R-phycoerythrin or streptavidin-allophycocyaninused as secondary reagents (Invitrogen). Cells wered as described (22), then analyzed using a BD FACSCa-low cytometer and FlowJo software (TreeStar). All plotscells gated for viable cells, as determined by live-cellby forward scatter, side scatter, and lack of propidiumuptake; viability for all experiments was >80% to 90%.ated control stains show analysis of cells treated witht alone.

reporter assay

Z.36 reporter cells (24) expressing CD3ζ-fusion recep-ere described previously (16). For cell-based assays, 105

Cancer Res; 70(18) September 15, 2010 7103

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stimulcocultanalys

RevertranscTot

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PrimeCAAA3′; G3R-5′-TqRT

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icate. Rresependent experiments.

Fine et al.

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ator cells were treated for 24 hours, washed, and thenured overnight with 5 × 104 BWZ reporter cells prior tois of β-galactosidase activities (16).

se transcription-PCR/quantitative reverseription-PCRal RNA was prepared using either Trizol or theink RNA Mini Kit (Invitrogen). RNA was reverse-ribed using the Super-Script III Kit and oligo-dTr (Invitrogen). Reverse transcription-PCR (RT-PCR)erformed using a PTC-240G Tetrad (Bio-Rad) for

les (Clr-b) or 28 cycles (G3PDH), as follows: 94°Cseconds, 53°C for 30 seconds, and 72°C for 60 seconds.

CAGCTAGC

r Res; 70(18) September 15, 2010

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rs used were Clrb (624 bp), F-5′-ATGTGTGTCA-GGCTTCC-3′, R-5′-CTAGGAAGGAAAAAAAGGAGTTTG-PDH (452 bp), F-5′-ACCACAGTCCATGCCATCAC-3′,CCACCACCCTGTTGCTGTA-3′.-PCR was performed using iTaq SYBR Green withBio-Rad) on an ABI Prism 7000 (Applied Biosystems)cycles, as follows: 95°C for 30 seconds and 61°C foronds. Products were confirmed by dissociation curveis. Primers used were mClrb (120 bp), F-5′-CATCT-TGAGTCTTGTG-3′ , R-5′-ACTGGGATCTGTTC-TTTG-3′ ; G3PDH (120 bp), F-5′-GACTTCAA‐

FigdeponresstretreabysholinewithbyreaB, Cindin ARepind

AACTCCCACTCTT-3′ , R-5′CGTATTC-3′.

for Cancer Research on January 31, 2013org

1. Rapid and dose-ent downregulation of Clr-b98 leukemia cells inse to genotoxic and cellularA, C1498 cells wereas indicated and analyzedcytometry. Histogramsntreated cells (thick blackeated cells (thin solid lines,aximal treatment indicatedshading), or secondary

t alone (dotted line).98 cells were treated asd for 24 h, then analyzed asCN, relative cell number.entative of three

-CACCCTGTTGCTG-

Cancer Research

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Cell Stress Promotes Missing-Self Recognition by NK Cells

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Published OnlineFirst September 7, 2010; DOI:10.1158/0008-5472.CAN-10-1316

elease cytotoxicity assayseffector cells were prepared from bonemarrow cells andcytes grown in complete medium containing 1,000 tonits/mL of rhIL-2 plus 15 ng/mL of mIL-15 (Peprotech)o 6 days. Lysis assays were performed as described (16).

viral transductionfull-length Clr-b coding sequence was subcloned intoV2.2-CMV-IRES-GFP. Retroviral shRNA constructson the pMND-Banshee vector (which contains anriven GFP reporter gene) were previously character-nd validated (9). Stable transductants were generatedcribed (16), sorted for GFP, and expanded for 5 daysanalysis.

lts

and dose-dependent loss of cell surface Clr-b innse to diverse genotoxic agents

have previously shown that Clr-b is broadly expressed the m

as indicated in Fig. 1, and analyzed by flow cytometry. Bar graphs indicate thef Clr-b, NKG2DL, and MHC-I, relative to untreated control cells. Error bars indic

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rs transformed target cells more susceptible to NKxicity via NKR-P1B–mediated missing-self recognitionowever, the underlying basis for the loss of Clr-b duringormation remains unclear (3). To gain better insight intogulation of Clr-b expression, we investigated whetherlevels are influenced by genotoxic stress, an initiatingin transformation (9). To this end, several Clr-b+ mousees were screened for their responses to various geno-agents, then evaluated for surface expression of Clr-bor comparison, we also monitored the expression ofMHC-I molecules and NKG2DL (23).reviously shown (16), C1498 cells (NKT-like acute leu-; ref. 25), MNK-1 cells (IL-2–dependent thymic pre-NKef. 22), NIH3T3 fibroblasts, and MEF cells express highof cell surface Clr-b. Strikingly, treatment of these cellshemotherapeutic agents and chemicals known to in-genotoxic stress promoted a rapid downregulation ofsurface protein (Fig. 1; Supplementary Fig. S1A). Loss-b expression was a rapid and dynamic event, and

agnitude of downregulation was controlled in a dose-

st normal cells, yet frequently lost on tumor cells; this and time-dependent manner (Fig. 1A). To investigate distinct

2. Clr-b downregulation on four different cell lines in response to genotoxic and cellular stress. C1498, NIH3T3, MNK-1, and B6 strain MEF cells were

fold up/downregulation in median fluorescence intensity (MFI)ate SDs of three experiments.

Cancer Res; 70(18) September 15, 2010 7105

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modesresponagentrespon

promomacol

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of cellular stress, Clr-b modulation was evaluated inse to a variety of chemotherapeutic and genotoxic

s, as well as agents that induce alternative stress Fig. S

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ted Clr-b downregulation in four cell lines at phar-ogic doses within 24 hours (Fig. 1B; Supplementary

1A). Interestingly, analogous treatments had similar

luding (a) camptothecin

urediatotoxctioss.splyzeR-PogrgenomeG2DressadedSOond). Crnigμmcoviomyr-re-1 o98ts incenEMet (Z−R-PtedstimomyZ.Cmalwn.s wicateitu,Z.Presependent experiments.

ses. Several but not all genotoxic agents efficiently effects on Clr-b expression, inc

FigmecytfunstreandanaNKhistreacytNKexp(sh(DMseclineove(20rosble51CCDC14Ploper± StargBWNKpla(−),ionBWNorshocellindin sBWRepind

for Cancer Research on January 31, 2013org

3. Loss of NKR-P1B–ed inhibition of NKicity and Clr-b ligandn in response to genotoxicA, CD-1 strain bone marrowlenic LAK cultures wered by flow cytometry for1B expression (shadedam) versus secondaryt alone (dotted line). B, flowtric analysis of Clr-b,L, and MHC-I (KbDb)ion on treated C1498 cellsarea), untreated cellsalone; solid line), orary reagent alone (dotted1498 cells were treatedht (24 h) with aphidicolinol/L), cisplatin (10 μmol/L),tine (10 μmol/L), orcin (40 μg/mL). C, standardlease cytotoxicity assay ofr B6 LAK cells versustarget cells treated as in B.dicate mean of triplicatetage of specific lysis valuesfor the indicated effector/E:T) ratios. D, top,parental cells or BWZ.CD3ζ/1B reporter cells wereovernight in medium aloneulated using PMA +cin (P/I), or mixed withlr-b stimulator cells (Clr-b).ized OD595–655 values areBottom, C1498 stimulatorere treated with thed concentrations of agentsthen incubated with1B reporter cells overnight.entative of three

Cancer Research

and etin-Aγ-irradtion ation bextentIn c

theseMHC-creasetheseceptibgeneitsuch apropeor NKsistentreatmplatinitor), band 2;the reon NK

GenotcytotorecogLos

wouldobservcells wassaysel acu(26, 27of Clr-ligandcontroNKR-PCD-1 athe massaysNKR-Pweaklref. 28BecauexpresalloweallelespecifavailabAs

spleniNKR-Por cispwhereunaltewith rtreated

upreguagentsmediacytototo aphregulapromomediadicolinroscoincreamentsCD-1and Laphidiloss orecognto theThis sNKR-PtargetcisplatTo s

tion inBWZ.3P1B futo assetor ceresponwhereulatorgenotoovernicells.functiresponsurfacbut noligandother(data

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Cell Stress Promotes Missing-Self Recognition by NK Cells

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toposide (topoisomerase-I/II inhibitors); (b) trichosta-and Scriptaid (histone deacetylase inhibitors); and (c)iation, bleomycin, and phleomycin (ionizing radia-nd radiomimetic agents). This highlights a correla-etween similar stress response pathways and theof Clr-b downregulation.ontrast, NKG2DL was frequently upregulated underconditions (Supplementary Fig. S1B; ref. 9), whereasI surface levels remained largely unaffected (or in-d somewhat; Supplementary Fig. S1C). Collectively,combined responses are expected to enhance the sus-ility of target cells to NK cytotoxicity. Because hetero-y in responses existed among the cells tested, factorss transformation state, cell type, or other cell-intrinsicrties might influence the degree or magnitude of Clr-bG2DL modulation. Notably, Clr-b was strongly and con-tly downregulated on several cell lines in response toent with aphidicolin (DNA replication inhibitor), cis-(DNA crosslinking agent), and roscovitine (CDK inhib-ut not bleomycin (DNA-cleaving radiomimetic; Figs. 1Supplementary Fig. S1A). Therefore, we tested whethersponses to these agents had functional consequencesrecognition.

oxic stress enhances susceptibility to NKxicity and diminishes NKR-P1B–mediatednition of Clr-b ligands of surface Clr-b on cells undergoing genotoxic stressbe expected to enhance NK cytotoxicity, as previouslyed for tumor cells (16). To address this, treated targetere analyzed in standard 51Cr-release cytotoxicity. C1498 targets were used because they represent amod-te leukemia cell line used broadly in cytotoxicity assays), they are one of few tumor lines that express high levelsb (16), and they modulate Clr-b but not other known NKs in response to several genotoxic agents. To furtherl for receptor specificity, we took advantage of known1B allelic polymorphisms between two mouse strains,nd B6, which have been previously shown to influenceagnitude of Clr-b–dependent inhibition in cytotoxicity: CD-1 strain LAK cells are strongly inhibited via the1BCD-1 allele, whereas B6-strain LAK cells are onlyy inhibited via the NKR-P1BB6 allele (a.k.a., NKR-P1D;), in response to target cells expressing Clr-b (16, 29).se the NKR-P1B receptor is known to exhibit variegatedsion on NK subsets (3, 29), the use of CD-1 strain LAKd us to monitor surface expression of the NKR-P1BCD-1

(via PK136 mAb; refs. 3, 16, 22, 28), whereas mAbsic for the NKR-P1BB6 allele are not commerciallyle (18, 29).shown in Fig. 3A, both bone marrow–derived andc LAK cells from CD-1 mice express high levels of1B. Furthermore, C1498 targets treated with aphidicolinlatin possess strongly reduced levels of surface Clr-b,as NKG2DL and MHC-I surface levels remain largelyred (Figs. 1, 2, and 3B). In contrast, C1498 cells treated

oscovitine lose Clr-b and induce NKG2DL, whereas cellswith bleomycin maintain Clr-b levels and moderately

cells; rregula

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late NKG2DL. As expected, treatment with genotoxicrendered C1498 targets more sensitive to cytotoxicityted by CD-1 strain LAK (Fig. 3C). Moreover, targetxicity was increased to a greater extent in responseidicolin, cisplatin, or roscovitine (which strongly down-te Clr-b), compared with bleomycin (which does notte loss of Clr-b). On the other hand, cytotoxicityted by B6-strain LAK was minimally affected by aphi-or cisplatin whereas cytotoxicity was increased by

vitine or bleomycin, consistent with the moderatese in NKG2DL expression observed in the latter treat-. Importantly, known receptor polymorphisms affectingversus B6 LAK function are limited to the NKR-P1By49 receptors, yet MHC-I levels do not change uponcolin or cisplatin treatment. This rules out a role forf MHC-I ligands or induction of stimulatory ligandsized by nonpolymorphic NK receptors in contributingaugmented cytotoxicity observed for CD-1 strain LAK.trongly argues that enhanced cytotoxicity mediated by1B+ LAK is due to loss of Clr-b expression on C1498s exposed to the genotoxic agents, aphidicolin andin.pecifically address the loss of surface Clr-b ligand func-isolation, BWZ reporter assays were performed. Here,6 reporter cells (24) expressing a chimeric CD3ζ/NKR-sion-receptor (BWZ.CD3ζ/P1B cells; ref. 16) were usedss NKR-P1B–dependent recognition of treated stimula-lls. As shown in Fig. 3D, BWZ.CD3ζ/P1B reporter cellsd specifically to stimulator cells expressing Clr-b ligand,as BWZ− parental cells fail to respond. Next, C1498 stim-cells were incubated in situ for 24 hours with variousxic agents in 96-well plates, followed by washing andght incubation with BWZ− or BWZ.CD3ζ/P1B reporterImportantly, these results confirm that Clr-b ligandon is lost in a dose-dependent manner, yet only inse to genotoxic agents that downregulate Clr-b celle expression (i.e., aphidicolin, cisplatin, roscovitine,t bleomycin; Fig. 3D; Figs. 1 and 2). This loss of cognatefunction was independently confirmed with three

cell lines treated with the same four genotoxic agentsnot shown).

tial involvement of the ATM/ATR pathways in-mediated Clr-b downregulationvious studies showed a role for the DDR pathway incolin-induced NKG2DL upregulation on fibroblasts (viahk1), as well as constitutive NKG2DL expression on tu-lls (via ATM; refs. 8, 9). In these studies, inhibition of theATR pathways using caffeine abrogated NKG2DL upre-on on fibroblasts in response to aphidicolin treatmenterefore, we investigated the involvement of this path-stress-mediated Clr-b downregulation. Interestingly,e blocked both Clr-b downregulation and NKG2DLulation on NIH3T3 fibroblasts in response to aphidico-atment (Fig. 4A and B). However, caffeine did notaphidicolin-mediated loss of Clr-b on C1498 leukemia

ather, caffeine treatment alone promoted Clr-b down-tion, and the combination of caffeine and aphidicolin

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4. Differential effects of caffeine versus-mediated ATR/ATM silencing onolin-mediated Clr-b downregulation., flow cytometric analysis of Clr-b orL expression on C1498 leukemia cells3T3 fibroblasts treated overnighthidicolin (16 μmol/L) in the absenceence of 1 h caffeine pretreatmentl/L, 10 mmol/L). Histograms showr NKG2DL expression (shaded area)secondary reagent alone (dotted line).al dashed line indicates the MFI oned cells; numbers indicate MFIRepresentative of three independentents. C and D, as in A and B, exceptere modified by retroviral shRNA-d knockdown of ATR, Chk1, ATM,, or using a scrambled shRNA.ced cells were gated for GFP reporterion. Histograms show gated GFP+

ced) cells versus GFP− (untransduced)alyzed for Clr-b or NKG2DLion; untreated cells (solid line), treatedaded area), or secondary reagent aloneline). Plain numbers indicate MFI ofed cells, boldfaced numbers indicateaphidicolin-treated cells. Representative

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promotutiveupregand NfindinviouslinducemighttumorBec

of ATshRNAATM,moduExtendupregshRNAor Chktrast,mediaor C14silencgulatiexpresCol

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FiguretranscrClr-b dtranscruntreatserial cquantitB, flowClr-b pRetrovifull-lengreportearea) vevalues. A vertical dashed line indicates the median Clr-b expression onuntreated cells. Representative of three independent experiments.

Cell Stress Promotes Missing-Self Recognition by NK Cells

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ted a more striking loss of Clr-b. As a control, consti-NKG2DL expression and stress-mediated NKG2DL

ulation were abrogated on both C1498 leukemia cellsIH3T3 fibroblasts by caffeine (Fig. 4A and B). Thesegs are consistent with differential effects observed pre-y: The ATR pathway seems to regulate aphidicolin-d NKG2DL on fibroblasts, whereas the ATM pathwayregulate constitutive NKG2DL expression on somecells (8, 9).ause caffeine exhibits pleiotropic effects independentR/ATM inhibition (30–33), previously characterizedvectors (9) were used to specifically silence the

ATR, Chk1, and Chk2 gene products, and then Clr-blation on C1498 and NIH3T3 cells was reassessed.ing previous findings (9), aphidicolin-induced NKG2DLulation on NIH3T3 fibroblasts could be blocked by-mediated knockdown of Chk1 or ATR, but not ATM2 (Fig. 4C andD; see also Supplementary Fig. S2). In con-none of the shRNA constructs prevented aphidicolin-ted Clr-b downregulation on either NIH3T3 fibroblasts98 cells. In fact, ATR/Chk1 silencing (but not ATM/Chk2ing) modestly enhanced aphidicolin-mediated downre-on of Clr-b, and somewhat lowered constitutive Clr-bsion, on NIH3T3 fibroblasts (Fig. 4C and D).lectively, although redundancy in the DDR pathwayt be excluded, the failure of shRNA-mediated silencingse kinases to inhibit aphidicolin-mediated Clr-b down-tion (on both NIH3T3 and C1498 cells), suggests thatf Clr-b in response to genotoxic stress might occurovel mechanism, independent of the ATR/ATM path-10). The lack of ATM involvement is further supportedfailure of γ-irradiation and the radiomimetic drugs,ycin and phleomycin, to promote Clr-b downregula-n addition, studies using p53−/− MEF and inhibitorsfunction (such as pifithrin-α; ref. 34) failed to revealvolvement of p53 (a downstream effector of theATR-mediated DDR signaling pathways; ref. 35) on-mediated Clr-b downregulation (data not shown). Inthe partial ability of caffeine to abrogate aphidicolin-ted Clr-b downregulation (on NIH3T3 but not C1498might be due to effects unrelated to the DDR pathwayuch as cell cycle blockade (31), or inhibition of PI3K,K, PAK1, or other caffeine-sensitive kinases (30, 32,. To gain further insight, we examined Clr-b expressiontranscript level.

toxic stress-mediated loss of Clr-b occurs at thecript levelas previously shown that Clr-b is rapidly lost at bothnscript and surface protein levels in response to CMVon (21). However, it is not known whether Clr-b down-tion following genotoxic stress occurs at the transcriptr whether the surface protein is being actively internal-o address this question, Clr-b transcripts were ana-by semiquantitative RT-PCR using primers spanningtire coding sequence. As shown in Fig. 5A, Clr-b tran-

were rapidly lost in C1498 cells undergoing genotoxic

5. Genotoxic stress promotes a loss of endogenous Clr-bipts, whereas ectopic expression of Clr-b transcripts abrogatesownregulation. A, semiquantitative RT-PCR analysis of Clr-bipt expression (full-length coding sequence) in C1498 cells eithered or treated with cisplatin (5 μmol/L) as indicated (using 3-foldDNA dilutions). Inverse ethidium bromide gel images andative signal intensities (using Quantity One software) are shown.cytometric analysis of endogenous or ectopically overexpressedrotein on C1498 cells following treatment as indicated.ral C1498 transductants overexpressing a CMV promoter–driventh Clr-b coding sequence were gated according to IRES-GFPr gene expression. Histograms show Clr-b expression (shadedrsus secondary reagent alone (dotted line); numbers indicate MFI

Moreover, the loss of Clr-b transcripts following stress

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ion correlates temporally with the loss of Clr-b proteincell surface (Fig. 1A, Fig. 5A), similar to previousations following CMV infection (21). Thus, like viral in-, genotoxic stress directly regulates steady-state levelsogenous Clr-b transcripts.investigate this further, the full-length Clr-b codingce was ectopically overexpressed in C1498 cells un-e control of a heterologous CMV promoter (pMCIG; ref. 28), and then Clr-b surface levels were reas-

. As shown in Fig. 5B, stable overexpression of Clr-b we ex

ol/L). Relative ΔΔCτ values were calculated using G3PDH as internal control, nodent experiments.

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ted by diverse agents. These data show that loss ofin response to genotoxic stress, like that promotednsformation (16) or viral infection (21), is controlledtranscript level.ably, transcript level regulation has been previously re-for at least some NKG2DLs that are upregulated upon

ormation or genotoxic stress (10, 11). However, otherDLs (e.g., Mult1) were recently shown to be posttran-ally regulated in response to cell stress (10). Therefore,

amined protein level regulation of Clr-b on cells ex-

ripts prevents downregulation of Clr-b surface protein posed to genotoxic stress.

6. Inhibition of the ubiquitin-proteasome pathway uncouples stress-mediated Clr-b surface protein downregulation from loss of endogenousipts. A, flow cytometric analysis of Clr-b expression on C1498 cells either untreated or treated overnight in the presence or absence of 1 htment with MG132 (2 μmol/L). Histograms show Clr-b expression (shaded area) versus secondary reagent alone (dotted line) on cells treatedhidicolin (16 μmol/L), cisplatin (15 μmol/L), roscovitine (5 μmol/L), or trichostatin A (100 nmol/L). A vertical dashed line indicates median Clr-bion on untreated cells. B, as in A, except cells were treated with α-amanitin (30 μmol/L), actinomycin D (5 nmol/L), cycloheximide (40 μg/mL), orycin (0.5 μg/mL). C, as in A, except cells were treated with cisplatin (15 μmol/L) with increasing concentrations of MG132 or lactacystin. Histogramslr-b expression at maximum inhibitor concentrations (shaded area), or decreasing concentrations (solid lines, as indicated), relative to medianxpression on untreated cells (vertical dashed line), or secondary reagent alone (dotted line). D, real-time quantitative RT-PCR analysis of Clr-bion in C1498 cells treated as in A with aphidicolin (8 μmol/L), cisplatin (15 μmol/L), trichostatin A (100 nmol/L), α-amanitin (30 μmol/L), or actinomycin

rmalized to untreated samples. Representative of three

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Cell Stress Promotes Missing-Self Recognition by NK Cells

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ation of cell surface Clr-b protein followingoxic stressough Clr-b expression is regulated at the transcriptt is still possible that Clr-b surface protein might alsosttranslationally internalized, either constitutively oring genotoxic stress (10). Consistent with this possibility,r-b cytoplasmic tail contains a number of motifs thataffect its cell surface expression, including several lysinees that may serve as substrates for ubiquitination (Sup-ntary Fig. S3). Indeed, several viruses have evolved E3tin ligases that posttranslationally regulate cell surfacesion of MHC-I, B7 family members, ICAM-1, or NKG2DL). A potential role for the ubiquitin-proteasome degra-pathway in Clr-b downregulation following genotoxicwas investigated using MG132, a pharmacologic inhibi-the 26S proteasome.restingly, MG132 pretreatment abrogated Clr-b downre-n following treatment of C1498 cells with diverse agents,ing aphidicolin, cisplatin, roscovitine, trichostatin-A,V-C irradiation, whereas MG132 treatment aloney (but consistently) increased steady-state Clr-b sur-xpression (Fig. 6A; data not shown). Furthermore,2 administration also blocked downregulation ofe Clr-b in response to generalized inhibitors of tran-on, translation, and posttranslational processing, suchmanitin, actinomycin-D, cycloheximide, and tunicamycinB), the latter of which also promotes endoplasmiclum-associated stress.ause MG132 can exert pleiotropic effects independentcking ubiquitin-dependent proteasomal degradation,ing an ability to inhibit calpains and cathepsins, anoth-teasomal inhibitor of greater specificity, lactacystin,lso used (42). As shown in Fig. 6C, both MG132 andystin prevented stress-mediated Clr-b downregulationose-dependent manner. Similar results were observedNIH3T3 fibroblasts and MEF cells (data not shown).tantly, the administration of proteasomal inhibitorso influence on the downregulation of Clr-b transcriptsing administration of genotoxic agents or transcrip-inhibitors, as revealed by quantitative real-time RT-PCRD). This shows that downregulation of Clr-b tran-can be uncoupled from a loss of Clr-b surface protein.etheless, the MG132 and lactacystin data do not nec-y implicate the proteasome itself in direct degradationb. Pharmacologic inhibition of the proteasome leads tocumulation of nondegraded polyubiquitinated aggre-and a rapid depletion of free ubiquitin levels, resultingeral impairment of ubiquitin-dependent processes (43).uch proteasome-independent process, the endolysoso-afficking pathway, targets endocytosed monoubiquiti-proteins for recycling and/or lysosomal degradationterestingly, chloroquine, an inhibitor of endolysosomalcation (45), also impaired aphidicolin- and cisplatin-ted Clr-b downregulation (data not shown). Collectively,results suggest that ubiquitin-dependent processes playportant role in normal Clr-b cell surface turnover,

as stress-mediated Clr-b downregulation is ultimatelylled at the transcript level. Therefore, any perturbation

futurein resp

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sion.

ssion

as been previously shown that stimulatory ligands forKG2D and DNAM-1 immunoreceptors are upregu-by the DDR pathway following genotoxic stress, anthat enhances the susceptibility of target cells toll–mediated lysis (9, 15). Here, for the first time, wethat genotoxic stress promotes the functional down-tion of an inhibitory NK ligand, Clr-b. The ability ofrous distinct chemotherapeutic and genotoxic agentsmote Clr-b downregulation suggests that cell stressnitiate a conserved and programmed cellular re-e governing Clr-b expression. Thus, pathways govern-e cellular response to transformation (16), genotoxic(an initiating event in transformation), viral infectionnd other pathologic states might share common fea-(46, 47).ilar to the findings reported here for Clr-b downre-on, cell surface expression of the NKG2DL, Mult1,pregulated independently of the ATR/ATM pathwayponse to cell stress induced by heat shock and UVtion (10). Surface expression of Mult1 was showndependent on inhibition of the ubiquitin-proteasomendolysosomal degradation pathways responsible forion of the protein within normal, nonstressed cells.findings highlight a potentially conserved ubiquitin-dent mechanism for Clr-b downregulation underd versus nonstressed conditions.Clr-b transcript and surface protein levels might be

ted requires further investigation. One possiblenism is via the direct control of Clrb (Clec2d) pro-activity and the production of nascent Clr-b tran-s. A second potential mechanism is through theanscriptional regulation of mRNA stability. This in-g possibility was recently suggested by the findinghe rodent Clr-b mRNAs (i.e., the mouse Clec2d8at Clec2d11 gene products; refs. 17, 21) possess anded autocatalytic discontinuous hammerhead ribo-sequence (48). Thus, cleavage of steady-state Clr-bripts by the internal ribozyme upstream of the poly-lation site could promote the loss of mRNA stabilitypair protein translation. Whether protein factors nor-antagonize autocatalysis mediated by the ribozymence, or whether cofactors are recruited to the cleav-te upon genotoxic stress, requires further testing. Onher hand, preexisting Clr-b transcripts may also beted at the level of mRNA stability and/or proteination by microRNA-mediated silencing mechanisms,as that observed for NKG2DL expression (49, 50).Clec2d promoter activity, elements within the Clr-bslated regions, and endogenous or pathogen-encodedspecific microRNAs are all relevant targets to warrant

studies on the missing-self control of Clr-b expressiononse to pathologic processes (16, 17, 21).

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Fine et al.

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onclusion, how NK cells recognize abnormal targetsns incompletely understood. Understanding how ammed cellular response mediates Clr-b downregula-real time during genotoxic stress will enhance our

edge of the events that lead to innate recognition oformed and infected cells, how malignant NK-resistants evolve, and how chemotherapeutic agents mightce NK recognition of normal and tumor cells. Futuret into this MHC-independent mode of missing-self

modulation will affect our views of NK cell–mediated

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sure of Potential Conflicts of InterestRece

ka K, Naidenko OV, Plougastel BF, Fremont DH, Yokoyama WM.netically linked C-type lectin-related ligands for the NKRP1 familynatural killer cell receptors. Nat Immunol 2003;4:801–7.

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owledgments

authors thank Drs. A. Martin, C.J. Guidos, T.H. Watts, J.C. Zúñiga-r, and L. Horan for helpful comments and suggestions, andam for assistance with p53 genotyping and tissue culture treatments.

Support

Career Development Award CDA-0037/2005, MRI Early ResearcherRA-07-04-071, CIHR Operating Grant FRN-74754, CIHR New Investiga-rd, and BWF Investigator in the Pathogenesis of Infectious Disease(J.R. Carlyle); NSERC PGS-D Award (J.H. Fine); OGS Award (P. Chen);R Vanier Award (A. Mesci).costs of publication of this article were defrayed in part by the paymentcharges. This article must therefore be hereby marked advertisement innce with 18 U.S.C. Section 1734 solely to indicate this fact.

ived 04/14/2010; revised 06/22/2010; accepted 07/15/2010; published

otential conflicts of interest were d isclosed. OnlineFirst 09/07/2010.

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