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Induction of indoleamine-2,3 dioxygenase in bone marrow stromal cells inhibits myeloma cell growth

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Abstract

Purpose

Indoleamine 2,3-dioxygenase (IDO) is a tryptophan-catabolizing enzyme with immunoregulatory properties in cancer. By focusing on multiple myeloma cells and its microenvironment as potential sources of IDO, we aimed to delineate its influence on myeloma cell growth and survival and examine effector mechanisms.

Methods

IDO expression was assessed in myeloma cells and in a coculture system with mesenchymal stromal cells (MSCs), including prior cytokine priming to induce IDO in MSCs. IDO expression was correlated with induction of apoptosis in myeloma cells and coupled with tryptophan depletion as well as rescue using IDO inhibitors.

Results

We report low levels of expression of IDO in myeloma cell lines (MMCLs) and primary myeloma cells (MMCs), despite priming with interferon-γ (IFN-γ), tumor necrosis factor-α (TNF-α), or hepatocyte growth factor (HGF). In MSCs, however, IDO could be functionally induced by IFN-γ, mediating apoptosis in myeloma cells following coculture. Addition of IDO-specific inhibitors, as well as addition of tryptophan, was shown to abrogate these effects.

Conclusions

IDO is expressed in primary MMCs to a low degree and is unlikely to play a direct major role in vivo in dampening antitumor immunity. However, cytokine stimulation of MSCs specifically induced IDO, which mediated a marked sensitivity of proximal myeloma cells to tryptophan depletion in the microenvironment, suggesting that selective measures to regulate its availability could be a useful strategy to achieve myeloma growth inhibition and apoptosis.

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References

  • Bonanno G, Corallo M, Mariotti A, Di Maggio A, Procoli A, De Rosa L, Pierelli L, Majolino I, Leone G, De Cristofaro R, Rutella S (2008) Indoleamine 2,3-Dioxygenase (IDO) is expressed by multiple myeloma plasma cells and promotes the differentiation of regulatory T-cells: investigations into the role of hepatocyte growth factor. Blood (ASH Annual Meeting Abstracts) 112:1680

  • Brandacher G, Perathoner A, Ladurner R, Schneeberger S, Obrist P, Winkler C, Werner ER, Werner-Felmayer G, Weiss HG, Gobel G, Margreiter R, Konigsrainer A, Fuchs D, Amberger A (2006) Prognostic value of indoleamine 2,3-dioxygenase expression in colorectal cancer: effect on tumor-infiltrating T-cells. Clin Cancer Res 12:1144–1151

    Article  PubMed  CAS  Google Scholar 

  • Brunner M (1973) Regulation of DNA synthesis by amino acid limitation. Cancer Res 33:29–32

    PubMed  CAS  Google Scholar 

  • Chamuleau ME, van de Loosdrecht AA, Hess CJ, Janssen JJ, Zevenbergen A, Delwel R, Valk PJ, Lowenberg B, Ossenkoppele GJ (2008) High INDO (indoleamine 2,3-dioxygenase) mRNA level in blasts of acute myeloid leukemic patients predicts poor clinical outcome. Haematologica 93:1894–1898

    Article  PubMed  CAS  Google Scholar 

  • Corre J, Mahtouk K, Attal M, Gadelorge M, Huynh A, Fleury-Cappellesso S, Danho C, Laharrague P, Klein B, Reme T, Bourin P (2007) Bone marrow mesenchymal stem cells are abnormal in multiple myeloma. Leukemia 21:1079–1088

    PubMed  CAS  Google Scholar 

  • Gunn WG, Conley A, Deininger L, Olson SD, Prockop DJ, Gregory CA (2006) A crosstalk between myeloma cells and marrow stromal cells stimulates production of DKK1 and interleukin-6: a potential role in the development of lytic bone disease and tumor progression in multiple myeloma. Stem Cells 24:986–991

    Article  PubMed  CAS  Google Scholar 

  • Hayaishi O, Yoshida R (1978) Specific induction of pulmonary indoleamine 2,3-dioxygenase by bacterial lipopolysaccharide. Ciba Found Symp 65:199–203

    Google Scholar 

  • Heintel D, Kroemer E, Kienle D, Schwarzinger I, Gleiss A, Schwarzmeier J, Marculescu R, Le T, Mannhalter C, Gaiger A, Stilgenbauer S, Dohner H, Fonatsch C, Jager U (2004) High expression of activation-induced cytidine deaminase (AID) mRNA is associated with unmutated IGVH gene status and unfavourable cytogenetic aberrations in patients with chronic lymphocytic leukaemia. Leukemia 18:756–762

    Article  PubMed  CAS  Google Scholar 

  • Ino K, Yoshida N, Kajiyama H, Shibata K, Yamamoto E, Kidokoro K, Takahashi N, Terauchi M, Nawa A, Nomura S, Nagasaka T, Takikawa O, Kikkawa F (2006) Indoleamine 2,3-dioxygenase is a novel prognostic indicator for endometrial cancer. Br J Cancer 95:1555–1561

    Article  PubMed  CAS  Google Scholar 

  • Ino K, Yamamoto E, Shibata K, Kajiyama H, Yoshida N, Terauchi M, Nawa A, Nagasaka T, Takikawa O, Kikkawa F (2008) Inverse correlation between tumoral indoleamine 2,3-dioxygenase expression and tumor-infiltrating lymphocytes in endometrial cancer: its association with disease progression and survival. Clin Cancer Res 14:2310–2317

    Article  PubMed  CAS  Google Scholar 

  • Ishio T, Goto S, Tahara K, Tone S, Kawano K, Kitano S (2004) Immunoactivative role of indoleamine 2,3-dioxygenase in human hepatocellular carcinoma. J Gastroenterol Hepatol 19:319–326

    Article  PubMed  CAS  Google Scholar 

  • Jurgens B, Hainz U, Fuchs D, Felzmann T, Heitger A (2009) Interferon-gamma-triggered indoleamine 2,3-dioxygenase competence in human monocyte-derived dendritic cells induces regulatory activity in allogeneic T-cells. Blood 114:3235–3243

    Article  PubMed  Google Scholar 

  • Kai S, Goto S, Tahara K, Sasaki A, Kawano K, Kitano S (2003) Inhibition of indoleamine 2,3-dioxygenase suppresses NK cell activity and accelerates tumor growth. J Exp Ther Oncol 3:336–345

    Article  PubMed  CAS  Google Scholar 

  • Kuang DM, Zhao Q, Xu J, Yun JP, Wu C, Zheng L (2008) Tumor-educated tolerogenic dendritic cells induce CD3epsilon down-regulation and apoptosis of T-cells through oxygen-dependent pathways. J Immunol 181:3089–3098

    PubMed  CAS  Google Scholar 

  • Kurzrock R, Quesada JR, Rosenblum MG, Sherwin SA, Gutterman JU (1986) Phase I study of i.v. administered recombinant gamma interferon in cancer patients. Cancer Treat Rep 70:1357–1364

    PubMed  CAS  Google Scholar 

  • Maby-El Hajjami H, Ame-Thomas P, Pangault C, Tribut O, DeVos J, Jean R, Bescher N, Monvoisin C, Dulong J, Lamy T, Fest T, Tarte K (2009) Functional alteration of the lymphoma stromal cell niche by the cytokine context: role of indoleamine-2,3 dioxygenase. Cancer Res 69:3228–3237

    Article  PubMed  CAS  Google Scholar 

  • Meisel R, Zibert A, Laryea M, Gobel U, Daubener W, Dilloo D (2004) Human bone marrow stromal cells inhibit allogeneic T-cell responses by indoleamine 2,3-dioxygenase-mediated tryptophan degradation. Blood 103:4619–4621

    Article  PubMed  CAS  Google Scholar 

  • Mihara K, Imai C, Coustan-Smith E, Dome JS, Dominici M, Vanin E, Campana D (2003) Development and functional characterization of human bone marrow mesenchymal cells immortalized by enforced expression of telomerase. Br J Haematol 120:846–849

    Article  PubMed  CAS  Google Scholar 

  • Muller AJ, DuHadaway JB, Donover PS, Sutanto-Ward E, Prendergast GC (2005) Inhibition of indoleamine 2,3-dioxygenase, an immunoregulatory target of the cancer suppression gene Bin1, potentiates cancer chemotherapy. Nat Med 11:312–319

    Article  PubMed  CAS  Google Scholar 

  • Munn DH, Zhou M, Attwood JT, Bondarev I, Conway SJ, Marshall B, Brown C, Mellor AL (1998) Prevention of allogeneic fetal rejection by tryptophan catabolism. Science 281:1191–1193

    Article  PubMed  CAS  Google Scholar 

  • Munn DH, Shafizadeh E, Attwood JT, Bondarev I, Pashine A, Mellor AL (1999) Inhibition of T-cell proliferation by macrophage tryptophan catabolism. J Exp Med 189:1363–1372

    Article  PubMed  CAS  Google Scholar 

  • Pallotta MT, Orabona C, Volpi C, Vacca C, Belladonna ML, Bianchi R, Servillo G, Brunacci C, Calvitti M, Bicciato S, Mazza EM, Boon L, Grassi F, Fioretti MC, Fallarino F, Puccetti P, Grohmann U (2011) Indoleamine 2,3-dioxygenase is a signaling protein in long-term tolerance by dendritic cells. Nat Immunol 12:870–878

    Article  PubMed  CAS  Google Scholar 

  • Pfefferkorn ER (1984) Interferon gamma blocks the growth of Toxoplasma gondii in human fibroblasts by inducing the host cells to degrade tryptophan. Proc Natl Acad Sci USA 81:908–912

    Article  PubMed  CAS  Google Scholar 

  • Portier M, Zhang XG, Caron E, Lu ZY, Bataille R, Klein B (1993) gamma-Interferon in multiple myeloma: inhibition of interleukin-6 (IL-6)-dependent myeloma cell growth and downregulation of IL-6-receptor expression in vitro. Blood 81:3076–3082

    PubMed  CAS  Google Scholar 

  • Quesada JR, Alexanian R, Kurzrock R, Barlogie B, Saks S, Gutterman JU (1988) Recombinant interferon gamma in hairy cell leukemia, multiple myeloma, and Waldenstrom’s macroglobulinemia. Am J Hematol 29:1–4

    Article  PubMed  CAS  Google Scholar 

  • Riesenberg R, Weiler C, Spring O, Eder M, Buchner A, Popp T, Castro M, Kammerer R, Takikawa O, Hatz RA, Stief CG, Hofstetter A, Zimmermann W (2007) Expression of indoleamine 2,3-dioxygenase in tumor endothelial cells correlates with long-term survival of patients with renal cell carcinoma. Clin Cancer Res 13:6993–7002

    Article  PubMed  CAS  Google Scholar 

  • Sekiya I, Larson BL, Smith JR, Pochampally R, Cui JG, Prockop DJ (2002) Expansion of human adult stem cells from bone marrow stroma: conditions that maximize the yields of early progenitors and evaluate their quality. Stem Cells 20:530–541

    Article  PubMed  Google Scholar 

  • Sun J, Yu J, Li H, Yang L, Wei F, Yu W, Liu J, Ren X (2011) Upregulated expression of indoleamine 2, 3-dioxygenase in CHO cells induces apoptosis of competent T-cells and increases proportion of Treg cells. J Exp Clin Cancer Res 30:82

    Article  PubMed  CAS  Google Scholar 

  • Traxlmayr MW, Wesch D, Dohnal AM, Funovics P, Fischer MB, Kabelitz D, Felzmann T (2010) Immune suppression by gammadelta T-cells as a potential regulatory mechanism after cancer vaccination with IL-12 secreting dendritic cells. J Immunother 33:40–52

    Article  PubMed  CAS  Google Scholar 

  • Uyttenhove C, Pilotte L, Theate I, Stroobant V, Colau D, Parmentier N, Boon T, Van den Eynde BJ (2003) Evidence for a tumoral immune resistance mechanism based on tryptophan degradation by indoleamine 2,3-dioxygenase. Nat Med 9:1269–1274

    Article  PubMed  CAS  Google Scholar 

  • Widner B, Werner ER, Schennach H, Wachter H, Fuchs D (1997) Simultaneous measurement of serum tryptophan and kynurenine by HPLC. Clin Chem 43:2424–2426

    PubMed  CAS  Google Scholar 

  • Woolley PV, Dion RL, Bono VH Jr (1974) Effects of tryptophan deprivation on L1210 cells in culture. Cancer Res 34:1010–1014

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This work was supported by the European Community’s Sixth Framework Programme by a grant to the Myeloma Stem Cell Network (MSCNET/FP6; contract number 037602) and by the Austrian Forum against Cancer. SSS was funded by the Leukaemia & Lymphoma Research, UK. The authors wish to thank Elsa Thagian and Michaela Rathberger for excellent technical assistance.

Conflict of interest

We declare that none of the authors have any conflict of interest to declare in relation to this study.

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Correspondence to Niklas Zojer.

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Pfeifer, S., Schreder, M., Bolomsky, A. et al. Induction of indoleamine-2,3 dioxygenase in bone marrow stromal cells inhibits myeloma cell growth. J Cancer Res Clin Oncol 138, 1821–1830 (2012). https://doi.org/10.1007/s00432-012-1259-2

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  • DOI: https://doi.org/10.1007/s00432-012-1259-2

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