Abstract
Patchy infiltration of tumors by cytotoxic T cells (CTLs) predicts poorer prognosis for cancer patients. The factors limiting intratumoral CTL dissemination, though, are poorly understood. To study CTL dissemination in tumors, we histologically examined human melanoma samples and used mice to image B16-OVA tumors infiltrated by OT-I CTLs using intravital two-photon microscopy. In patients, most CTLs concentrated around peripheral blood vessels, especially in poorly infiltrated tumors. In mice, OT-I CTLs had to cluster around tumor cells to efficiently kill them in a contact-and perforin-dependent manner and cytotoxicity was strictly antigen-specific. OT-I CTLs as well as non-specific CTLs concentrated around peripheral vessels, and cleared the tumor cells around them. This was also the case when CTLs were injected directly into the tumors. CTLs crawled rapidly only in areas within 50 µm of flowing blood vessels and transient occlusion of vessels immediately, though reversibly, stopped their migration. In vitro, oxygen depletion and blockade of oxidative phosphorylation also reduced CTL motility. Taken together, these results suggest that hypoxia limits CTL migration away from blood vessels, providing immune-privileged niches for tumor cells to survive. Normalizing intratumoral vasculature may thus synergize with tumor immunotherapy.





Similar content being viewed by others
Abbreviations
- ALP-red:
-
Alkaline phosphatase red
- CFP:
-
Cyan fluorescent protein
- DAB:
-
3,3′-Diaminobenzidine
- DIC:
-
Differential interference contrast
- FAS:
-
First apoptosis signal
- FasL:
-
Fas ligand
- FCCP:
-
Carbonyl cyanide-4-(trifluoromethoxy) phenylhydrazone
- HIF-1α:
-
Hypoxia inducible factor 1 α
- IRES:
-
Internal ribosome entry site
References
Vesely MD, Kershaw MH, Schreiber RD, Smyth MJ (2011) Natural innate and adaptive immunity to cancer. Annu Rev Immunol 29:235–271
Coulie PG, Van den Eynde BJ, van der Bruggen P, Boon T (2014) Tumour antigens recognized by T lymphocytes: at the core of cancer immunotherapy. Nat Rev Cancer 14:135–146
Angell H, Galon J (2013) From the immune contexture to the immunoscore: the role of prognostic and predictive immune markers in cancer. Curr Opin Immunol 25:261–267
Aerts JG, Hegmans JP (2013) Tumor-specific cytotoxic T cells are crucial for efficacy of immunomodulatory antibodies in patients with lung cancer. Cancer Res 73:2381–2388
Herbst RS, Soria J-C, Kowanetz M, Fine GD, Hamid O, Gordon MS et al (2014) Predictive correlates of response to the anti-PD-L1 antibody MPDL3280A in cancer patients. Nature 515:563–567
Trambas CM, Griffiths GM (2003) Delivering the kiss of death. Nat Immunol 4:399–403
Berke G (1995) The CTL’s kiss of death. Cell 81:9–12
Voskoboinik I, Whisstock JC, Trapani JA (2015) Perforin and granzymes: function, dysfunction and human pathology. Nat Rev Immunol 15:388–400
Zhang B, Karrison T, Rowley DA, Schreiber H (2008) IFN-gamma- and TNF-dependent bystander eradication of antigen-loss variants in established mouse cancers. J Clin Investig 118:1398–1404
Schietinger A, Arina A, Liu RB, Wells S, Huang J, Engels B et al (2013) Longitudinal confocal microscopy imaging of solid tumor destruction following adoptive T cell transfer. Oncoimmunology. 2:e26677
Galon J, Costes A, Sanchez-Cabo F, Kirilovsky A, Mlecnik B, Lagorce-Pagès C et al (2006) Type, density, and location of immune cells within human colorectal tumors predict clinical outcome. Science 313:1960–1964
Erdag G, Schaefer JT, Smolkin ME, Deacon DH, Shea SM, Dengel LT et al (2012) Immunotype and immunohistologic characteristics of tumor-infiltrating immune cells are associated with clinical outcome in metastatic melanoma. Cancer Res 72:1070–1080
Kiss J, Timar J, Somlai B, Gilde K, Fejos Z, Gaudi I et al (2007) Association of microvessel density with infiltrating cells in human cutaneous malignant melanoma. Pathol Oncol Res 13:21–31
Brizel DM, Scully SP, Harrelson JM, Brizel M, Harrelson M, Layfleld J et al (1996) Tumor oxygenation predicts for the likelihood of distant metastases in human soft tissue sarcoma. Cancer Res 56:941–943
Höckel M, Schlenger K, Aral B, Mitze M, Schaffer U, Vaupel P (1996) Association between tumor hypoxia and malignant progression in advanced cancer of the uterine cervix. Cancer Res 56:4509–4515
Huang JH, Cardenas-Navia LI, Caldwell CC, Plumb TJ, Radu CG, Rocha PN et al (2007) Requirements for T lymphocyte migration in explanted lymph nodes. J Immunol 178:7747–7755
Chang CH, Qiu J, O’Sullivan D, Buck MD, Noguchi T, Curtis JD et al (2015) Metabolic competition in the tumor microenvironment is a driver of cancer progression. Cell 162:1229–1241
Hatfield SM, Kjaergaard J, Lukashev D, Schreiber TH, Belikoff B, Abbott R et al (2015) Immunological mechanisms of the antitumor effects of supplemental oxygenation. Sci Transl Med 7:1–12
Mempel TR, Bauer CA (2009) Intravital imaging of CD8+ T cell function in cancer. Clin Exp Metastasis 26:311–327
Broz ML, Binnewies M, Boldajipour B, Nelson AE, Pollack JL, Erle DJ et al (2014) Dissecting the tumor myeloid compartment reveals rare activating antigen-presenting cells critical for t cell immunity. Cancer Cell 26:638–652
Breart B, Lemaitre F, Celli S, Bousso P (2008) Two-photon imaging of intratumoral CD8+ T cell cytotoxic activity during adoptive T cell therapy in mice. J Clin Investig 118:1390–1397
Boissonnas A, Fetler L, Zeelenberg IS, Hugues S, Amigorena S (2007) In vivo imaging of cytotoxic T cell infiltration and elimination of a solid tumor. J Exp Med 204:345–356
Ruifrok AC, Johnston DA (2001) Quantification of histochemical staining by color deconvolution. Anal Quant Cytol Histol 23:291–299
Zangi L, Klionsky YZ, Yarimi L, Bachar-Lustig E, Eidelstein Y, Shezen E et al (2012) Deletion of cognate CD8 T cells by immature dendritic cells: a novel role for perforin, granzyme A, TREM-1, and TLR7. Blood 120:1647–1657
Crissman JD, Hatfield J, Schaldenbrand M, Sloane BF, Honn KV (1985) Arrest and extravasation of B16 amelanotic melanoma in murine lungs. A light and electron microscopic study. Lab Investig 53:470–478
Steff AM, Fortin M, Arguin C, Hugo P (2001) Detection of a decrease in green fluorescent protein fluorescence for the monitoring of cell death: an assay amenable to high-throughput screening technologies. Cytometry 45:237–243
Heitjan DF, Manni A, Santen RJ (1993) Statistical analysis of in vivo tumor growth experiments. Cancer Res 53:6042–6050
Perez OD, Mitchell D, Jager GC, Nolan GP (2004) LFA-1 signaling through p44/42 is coupled to perforin degranulation in CD56+ CD8+ natural killer cells. Blood 104:1083–1093
Dustin ML, Bromley SK, Kan ZY, Peterson DA, Unanue ER (1997) Antigen receptor engagement delivers a stop signal to migrating T lymphocytes. Proc Natl Acad Sci USA 94:3909–3913
Caramalho I, Faroudi M, Padovan E, Muller S, Valitutti S, Müller S (2009) Visualizing CTL/melanoma cell interactions: multiple hits must be delivered for tumour cell annihilation. J Cell Mol Med 13:3834–3846
Böhm W, Thoma S, Leithäuser F, Möller P, Schirmbeck R, Reimann J (1998) T cell-mediated, IFN-gamma-facilitated rejection of murine B16 melanomas. J Immunol 161:897–908
Khazen R, Puissegur M, Muller S, Valitutti S (2015) Dissecting early mechanisms of melanoma cell resistance to cytotoxic T lymphocyte attack (TUM10P.1025). J Immunol 194:211.6
Ivanov VN, Bhoumik A, Ronai Z (2003) Death receptors and melanoma resistance to apoptosis. Oncogene 22:3152–3161
Engelhardt JJ, Boldajipour B, Beemiller P, Pandurangi P, Sorensen C, Werb Z et al (2012) Marginating dendritic cells of the tumor microenvironment cross-present tumor antigens and stably engage tumor-specific T cells. Cancer Cell 21:402–417
Pentcheva-Hoang T, Simpson TR, Montalvo-Ortiz W, Allison JP (2014) Cytotoxic T lymphocyte antigen-4 (CTLA-4) blockade enhances anti-tumor immunity by stimulating melanoma-specific T cell motility. Cancer Immunol Res 4:970–980
Halle S, Keyser KA, Stahl FR, Busche A, Marquardt A, Zheng X et al (2016) In vivo killing capacity of cytotoxic T cells is limited and involves dynamic interactions and T cell cooperativity. Immunity 44:233–245
Clever D, Roychoudhuri R, Constantinides MG, Askenase MH, Sukumar M, Klebanoff CA et al (2016) Oxygen sensing by T cells establishes an immunologically tolerant metastatic niche. Cell 166(1117–1131):e14
Vogel S, Wottawa M, Farhat K, Zieseniss A, Schnelle M, Le-Huu S et al (2010) Prolyl hydroxylase domain (PHD) 2 affects cell migration and F-actin formation via RhoA/Rho-associated kinase-dependent cofilin phosphorylation. J Biol Chem 285:33756–33763
Luo W, Lin B, Wang Y, Zhong J, O’Meally R, Cole RN et al (2014) PHD3-mediated prolyl hydroxylation of nonmuscle actin impairs polymerization and cell motility. Mol Biol Cell 25:2788–2796
Ho PC, Bihuniak JD, MacIntyre AN, Staron M, Liu X, Amezquita R et al (2015) Phosphoenolpyruvate is a metabolic checkpoint of anti-tumor T cell responses. Cell 162:1217–1228
Hatfield SM, Kjaergaard J, Lukashev D, Belikoff B, Schreiber TH, Sethumadhavan S et al (2014) Systemic oxygenation weakens the hypoxia and hypoxia inducible factor 1α-dependent and extracellular adenosine-mediated tumor protection. J Mol Med (Berl) 92:1283–1292
Fischer K, Hoffmann P, Voelkl S, Meidenbauer N, Ammer J, Edinger M et al (2015) Inhibitory effect of tumor cell-derived lactic acid on human T cells. Blood 109:3812–3820
Van Overmeire E, Laoui D, Keirsse J, Van Ginderachter JA, Sarukhan A (2014) Mechanisms driving macrophage diversity and specialization in distinct tumor microenvironments and parallelisms with other tissues. Front Immunol 5:1–16
Casazza A, Laoui D, Wenes M, Rizzolio S, Bassani N, Mambretti M et al (2013) Impeding macrophage entry into hypoxic tumor areas by Sema3A/Nrp1 signaling blockade inhibits angiogenesis and restores antitumor immunity. Cancer Cell 24:695–709
Movahedi K, Laoui D, Gysemans C, Baeten M, Stangé G, Van Den Bossche J et al (2010) Different tumor microenvironments contain functionally distinct subsets of macrophages derived from Ly6C(high) monocytes. Cancer Res 70:5728–5739
Venetz D, Ponzoni M, Schiraldi M, Ferreri AJM, Bertoni F, Doglioni C et al (2010) Perivascular expression of CXCL9 and CXCL12 in primary central nervous system lymphoma: T-cell infiltration and positioning of malignant B cells. Int J Cancer 127:2300–2312
Hagemann IS, Lal P, Feldman MD, Benencia F (2014) Tumor endothelium FasL establishes a selective immune barrier promoting tolerance in tumors. Nat Med 20:607–615
Jain RK (2005) Normalization of tumor vasculature: an emerging concept in antiangiogenic therapy. Science (80-) 307:58–62
Sorensen AG, Emblem KE, Polaskova P, Jennings D, Kim H, Ancukiewicz M et al (2012) Increased survival of glioblastoma patients who respond to antiangiogenic therapy with elevated blood perfusion. Cancer Res 72:402–407
Li X, Kostareli E, Suffner J, Garbi N, Hämmerling GJ (2010) Efficient Treg depletion induces T-cell infiltration and rejection of large tumors. Eur J Immunol 40:3325–3335
Klug F, Prakash H, Huber PE, Seibel T, Bender N, Halama N et al (2013) Low-dose irradiation programs macrophage differentiation to an iNOS+/M1 phenotype that orchestrates effective T cell immunotherapy. Cancer Cell 24:589–602
Manning EA, Ullman JG, Leatherman JM, Asquith JM, Hansen TR, Armstrong TD et al (2007) A vascular endothelial growth factor receptor-2 inhibitor enhances antitumor immunity through an immune-based mechanism. Clin Cancer Res 13:3951–3959
Hamzah J, Jugold M, Kiessling F, Rigby P, Manzur M, Marti HH et al (2008) Vascular normalization in Rgs5-deficient tumours promotes immune destruction. Nature 453:410–414
Huang Y, Yuan J, Righi E, Kamoun WS, Ancukiewicz M, Nezivar J et al (2012) Vascular normalizing doses of antiangiogenic treatment reprogram the immunosuppressive tumor microenvironment and enhance immunotherapy. Proc Natl Acad Sci USA 109:17561–17566
Caldwell CC, Kojima H, Lukashev D, Armstrong J, Farber M, Apasov SG et al (2001) Differential effects of physiologically relevant hypoxic conditions on T lymphocyte development and effector functions. J Immunol 167:6140–6149
Nakagawa Y, Negishi Y, Shimizu M, Takahashi M, Ichikawa M, Takahashi H (2015) Effects of extracellular pH and hypoxia on the function and development of antigen-specific cytotoxic T lymphocytes. Immunol Lett 167:72–86
Gropper Y, Feferman T, Shalit T, Salame TM, Porat Z, Shakhar G (2017) Culturing CTLs under hypoxic conditions enhances their cytolysis and improves their anti-tumor function. Cell Rep 20:2547–2555
Funding
Guy Shakhar and Tali Feferman were supported in this project by grants from the Israel Science Foundation (Grant 1735/15), the Israel Cancer Association (Grant no. 20170182), and from the German Cancer Research Center and the Israeli ministry of Science and Technology (DKFZ-MOST) (Grant no. GR2353) collaborative program.
Author information
Authors and Affiliations
Contributions
YM and TF performed the experiments and wrote the paper, AH and GS performed additional experiments, ZS assisted with analysis, and MK assisted with data visualization. CA and BS prepared clinical samples, IB and MJB provided these samples, and GS conceived and planned the project and helped writing the paper.
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval and ethical standards
Experiments were approved by the institutional animal care and use committee and the Institutional Review Board at the Weizmann Institute of Science. Protocol number 40351217-2. We followed the guidelines for animal use in research in Israel and for the use of specimens of human origin.
Informed consent
All patients signed a form consenting to the use of diagnostic samples taken from them for anonymous, non-commercial research purposes.
Animal source
C57BL/6 mice were purchased from Harlan laboratories Ltd. All other mouse strains were purchased from the Jackson Laboratories and bred locally.
Cell line authentication
Cells from the B16a melanoma line [25] were kindly provided by Prof. Bonnie Sloane at Wayne State University, Detroit, MI. Cells were periodically tested for the presence of mycoplasma and found clean. All lines were used within ten passages. Expression of OVA and fluorescent proteins after cell passages was confirmed by flow cytometry. All tumor lines grew rapidly in untreated immunocompetent syngeneic C57BL/6 mice and formed pigmented tumors typical of melanoma.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Manaster, Y., Shipony, Z., Hutzler, A. et al. Reduced CTL motility and activity in avascular tumor areas. Cancer Immunol Immunother 68, 1287–1301 (2019). https://doi.org/10.1007/s00262-019-02361-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00262-019-02361-5


