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Published on: September 8, 2021
Lymphomas are sensitive to perforin-dependent cytotoxic pathways despite expression of PI-9 and overexpression of
Robert Godal1, Ulrich Keilholz, Lutz Uharek
1Department of Internal Medicine, St Elizabeth Oncological Institute, Bratislava, Slovakia.
Abstract:
There is considerable interest in immunotherapeutic approaches for lymphoma. The expression of proteinase inhibitor 9 (PI-9), a molecule that inactivates granzyme B, is considered an immune escape mechanism in lymphoma. Further, lymphomas frequently overexpress the antiapoptotic molecule bcl-2, which is able to inhibit perforin-dependent cytotoxic pathways. In this study, the impact of PI-9 and bcl-2 expression on the sensitivity of lymphomas to T- and natural killer (NK) cell-mediated cytotoxicity was analyzed. We found PI-9 expression in 10 of 18 lymphoma cell lines and in 9 of 14 primary lymphomas. Overexpression of bcl-2 was found in 8 of 18 cell lines and in 12 of 14 primary lymphomas. All lymphoma cells were sensitive to cytolysis by specific T cells and cytokine-activated NK cells, and no difference in sensitivity was observed with respect to PI-9 or bcl-2 expression. Cytolysis was mediated predominantly through perforin-dependent pathways despite expression of PI-9 and bcl-2. Interestingly, the majority of lymphoma cells were resistant to cytolysis by resting allogeneic NK cells. This was due to the failure of lymphomas to induce degranulation of resting NK cells. These results show that resistance to perforin-dependent pathways is not a relevant immune escape mechanism in lymphoma and therefore is unlikely to impair clinical outcome of immunotherapeutic approaches.
Insights
Lymphoma cells expressing proteinase inhibitor 9 (PI-9) or bcl-2 remain sensitive to T-cell and NK-cell mediated killing. Resistance to these immune responses is not a significant factor in lymphoma immune escape.
Area of Science:
- Immunology
- Oncology
- Cellular Biology
Background:
- Lymphoma immune evasion strategies include proteinase inhibitor 9 (PI-9) and bcl-2 expression.
- PI-9 inactivates granzyme B, while bcl-2 inhibits perforin-dependent cytotoxicity.
Purpose of the Study:
- To analyze the impact of PI-9 and bcl-2 expression on lymphoma sensitivity to T-cell and natural killer (NK) cell cytotoxicity.
- To determine if these molecules represent relevant immune escape mechanisms in lymphoma.
Main Methods:
- Analysis of PI-9 and bcl-2 expression in lymphoma cell lines and primary lymphomas.
- Assessment of lymphoma cell sensitivity to cytolysis by specific T cells and activated/resting NK cells.
- Investigation of the cytotoxic pathways involved, including perforin-dependent mechanisms.
Main Results:
- PI-9 was expressed in 10/18 cell lines and 9/14 primary lymphomas; bcl-2 was overexpressed in 8/18 cell lines and 12/14 primary lymphomas.
- All lymphoma cells were sensitive to T-cell and cytokine-activated NK cell-mediated lysis, irrespective of PI-9 or bcl-2 levels.
- Cytolysis primarily occurred via perforin-dependent pathways, even with PI-9 and bcl-2 present.
- Lymphoma cells showed resistance to resting allogeneic NK cells due to failed NK cell degranulation.
Conclusions:
- Lymphoma resistance to perforin-dependent pathways is not a significant immune escape mechanism.
- PI-9 and bcl-2 expression do not impair lymphoma sensitivity to T-cell and activated NK cell cytotoxicity.
- These findings suggest that PI-9 and bcl-2 are unlikely to negatively impact immunotherapeutic approaches for lymphoma.
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