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Cervical cancer cells induce apoptosis in TCD4+ lymphocytes through the secretion of TGF-β

  • Gynecologic Oncology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

Tumor cells are known to secrete cytokines that modify their microenvironment in order to favor their survival and continuous proliferation. In this work, we evaluated if TGF-β secreted in vitro by cervical cancer cells could interfere with the proliferation and survival of lymphocytes.

Methods

Lymphocytes were obtained from peripheral blood of healthy human volunteers, and isolated by density gradient centrifugation and cultured in 96-well plates. Lymphocyte proliferation was induced with phytohemaglutinin and co-cultured with conditioned media (CM) from cervical cancer cell lines, and the inhibition of proliferation was evaluated after 72 h by the incorporated radioactivity and a CFSE-labeling assay. TGF-β quantification on these CM was evaluated by ELISA. Non-apoptotic cellular death was evaluated through disruption of cell membrane integrity by measuring the liberation of lactate dehydrogenase. The apoptosis process was evaluated by annexin-V and active caspase-3. The presence of CD4+ or CD8+ lymphocytes was evaluated by flow cytometry using specific antibodies.

Results

It was found that the conditioned media from these cells significantly inhibited the proliferation of lymphocytes and induced them to go into apoptosis. Antibodies against TGF-β almost completely blocked this activity, suggesting that this cytokine is responsible for the inhibitory activity. When the induced apoptosis on subpopulations of lymphocytes was evaluated, it was detected that the CD4+ cells were specifically targeted.

Conclusions

Cervical cancer cells secrete TGF-β that inhibits lymphocyte proliferation and induces apoptosis in CD4+, but not in CD8+ lymphocytes.

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References

  1. Sheu B, Chang W, Cheng C et al (2008) Cytokine regulation networks in the cancer microenvironment. Front Biosci 13:6255–6268

    Article  PubMed  CAS  Google Scholar 

  2. Yoo SY, Lee SY, Yoo NC (2009) Cytokine expression and cancer detection. Med Sci Monit 15(3):49–56

    Google Scholar 

  3. Pinkas J, Beverly A (2006) TGF-β in cancer as a therapeutic target. Biochem Pharmacol 72(5):523–529

    Article  PubMed  CAS  Google Scholar 

  4. Bierie B, Moses H (2006) TGF-beta and cancer. Cytokine Growth Factor Rev 17(1–2):29–40

    Article  PubMed  CAS  Google Scholar 

  5. Ivanovic V, Demajo M, Krtolica K et al (2006) Elevated plasma TGF-β levels correlate with decreased survival of metastatic breast cancer patients. Clin Chim Acta 371(1–2):191–193

    Article  PubMed  CAS  Google Scholar 

  6. Lin Y, KiKuchi S, Obata Y et al (2006) Serum levels of transforming growth factor β1 are significantly correlated with venous invasion in patients with gastric cancer. J Gastroenterol Hepatol 21(2):432–437

    Article  PubMed  CAS  Google Scholar 

  7. Baritaki S, Sifakis S, Huerta-Yepez S et al (2007) Overexpression of VEGF and TGF-β1 mRNA in Pap smears correlate with progression of cervical intraepithelial neoplasia to cancer: implication of YY1 in cervical tumorigenesis and HPV infection. Int J Oncol 31(1):69–79

    PubMed  CAS  Google Scholar 

  8. Meulmeester E, Ten Dijke P (2011) The dynamic roles of TGF-β in cancer. J Pathol 223(2):205–218

    Article  PubMed  CAS  Google Scholar 

  9. Chiou S, Sheu B, Chang W et al (2005) Current concepts of tumor-infiltrating lymphocytes in human malignancies. J Reprod Immunol 67(1–2):35–50

    Article  PubMed  CAS  Google Scholar 

  10. Halama N, Michel S, Kloor M et al (2009) The localization and density of immune cells in primary tumors of human metastatic colorectal cancer shows an association with response to chemotherapy. Cancer Immun 19(9):1

    Google Scholar 

  11. Yasunaga M, Tabira Y, Nakano K et al (2000) Accelerated growth signals and low tumor-infiltrating lymphocyte levels predict poor outcome in T4 esophageal squamous cell carcinoma. Ann Thorac Surg 70(5):1634–1640

    Article  PubMed  CAS  Google Scholar 

  12. Santin AD, Ravaggi A, Bellone S et al (2001) Tumor-infiltrating lymphocytes contain higher numbers of type 1 cytokine expressors and DR1 T cells compared with lymphocytes from tumor draining lymph nodes and peripheral blood in patients with cancer of the uterine cervix. Gynecol Oncol 81(3):424–432

    Article  PubMed  CAS  Google Scholar 

  13. Ming-Yih W, Tzu-Yun K, Hong-Nerng H (2011) Tumor-infiltrating lymphocytes contain a higher proportion of FOXP3+ T lymphocytes in cervical cancer. J Formos Med Assos 110(9):580–586

    Article  Google Scholar 

  14. Wu HS, Li YF, Chou CI et al (2002) The concentration of serum transforming growth factor beta-1 (TGF-beta1) is decreased in cervical carcinoma patients. Cancer Invest 20(1):55–59

    Article  PubMed  Google Scholar 

  15. Clerici M, Merola M, Ferrario E et al (1997) Cytokine production patterns in cervical intraepithelial neoplastic: association with human papillomavirus infection. J Natl Cancer Inst 89(3):245–250

    Article  PubMed  CAS  Google Scholar 

  16. Qin FX (2009) Dynamic behavior and function of Foxp3+ regulatory T cells in tumor bearing host. Cell Mol Immunol 6(1):3–13

    Article  PubMed  CAS  Google Scholar 

  17. Crema PB, Douglas RA, Macedo BA et al (2012) Local cytokine profiles of patients with cervical intraepithelial and invasive neoplasia. Human Immunol 73(9):920–926

    Article  Google Scholar 

  18. Bermúdez-Morales V, Peralta-Zaragoza O, Alcocer-González JM et al (2011) IL-10 expression is regulated by HPV E2 protein in cervical cancer cells. Mol Med Rep 11(4):369–375

    Google Scholar 

  19. Sheu B, Lin R, Lien C et al (2001) Predominant Th2/Tc2 polarity of tumor-infiltrating lymphocytes in human cervical cancer. J Immunol 167(5):2972–2978

    PubMed  CAS  Google Scholar 

  20. Heusinkveld M, Peggy VS, Goedemans R et al (2011) M2 macrophages induced by prostaglandin E2 and IL-6 from cervical carcinoma are switched to activated M1 macrophages by CD4+ Th1 cells. J Immunol 187(3):1157–1165

    Article  PubMed  CAS  Google Scholar 

  21. Tsushima H, Ito N, Tamura S et al (2001) Circulating transforming growth factor β1 as a predictor of liver metastasis after resection in colorectal cancer. Clin Cancer Res 7(5):1258–1262

    PubMed  CAS  Google Scholar 

  22. Moon HS, Kim SC, Ahn JJ, Woo BH (2000) Concentration of vascular endothelial growth factor (VEGF) and transforming growth factor-beta1 (TGF-beta 1) in the serum of patients with cervical cancer: prediction of response. Int J Gynecol Cancer 10(2):151–156

    Article  PubMed  Google Scholar 

  23. Arjaans M, Thijs H, Munnink O et al (2012) Transforming growth factor (TGF)-β expression and activation mechanisms as potential targets for anti-tumor therapy and tumor imaging. Pharmacol Ther 135(2):123–132

    Article  PubMed  CAS  Google Scholar 

  24. Biswas S, Guix M, Rinehart C et al (2007) Inhibition of TGF-beta with neutralizing antibodies prevents radiation-induced acceleration of metastatic cancer progression. J Clin Invest 117(5):1305–1313

    Article  PubMed  CAS  Google Scholar 

  25. Nemunaitis J, Nemunaitis M, Senzer N et al (2009) Phase II trial of belagenpumatucel-L, a TGF-β2 antisense gene modified allogeneic tumor vaccine in advanced non-small cell lung cancer (NSCLC) patients. Cancer Gene Ther 16(8):620–624

    Article  PubMed  CAS  Google Scholar 

  26. Saunier E, Akhurst R (2006) TGF beta inhibition for cancer therapy. Curr Cancer Drug Targets 6(7):565–578

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This paper constitutes a partial fulfilment of the Graduate Program in Biological Sciences of the National Autonomous University of México (UNAM, 04510), acknowledges the scholarship and financial support provided by the National Council of Science and Technology (CONACyT), and PAPIME PE206812, UNAM. The authors would like to thank Dr. Dionisio Parra (Gynecoperinatology Department), Dr. Victor García (Teaching Department), Hospital General “Ignacio Zaragoza” ISSSTE, for technical cooperation.

Conflict of interest

We declare that we have no conflict of interest.

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Correspondence to Luis Sánchez-Sánchez.

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López-Muñoz, H., Escobar-Sánchez, M.L., López-Marure, R. et al. Cervical cancer cells induce apoptosis in TCD4+ lymphocytes through the secretion of TGF-β. Arch Gynecol Obstet 287, 755–763 (2013). https://doi.org/10.1007/s00404-012-2621-y

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  • DOI: https://doi.org/10.1007/s00404-012-2621-y

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