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Regulation of the immune response by programmed cell death (apoptosis) LIVE AND LET DIE within the Immune System LIVE AND LET DIE within the Immune System Historical aspects Morphological aspects Methodological aspects Molecular aspects Immunological aspects • autoimmunity • AICD • T cell effector function History Apoptosis = Programmed Cell Necrosis 1842 Carl Vogt (1817-1895) published that programmed cell death is a regulated developmental process. Untersuchungen über die Entwicklungsgeschichte der Geburtshelferkröte (Alytes obstetricans). Jent und Gassman, Solothurn 1842, S. 130 Carl Vogt 1885 The anatomist Walter Flemming (Kiel) delivered a more precise description of nuclear processes of programmed cell death (chromatolysis). 1965 John Foxton Ross Kerr (Queensland) distinguished programmed cell necrosis from traumatic cell death. Walter Flemming A histochemical study of hypertrophy and ischaemic injury of rat liver with special reference to changes in lysosomes". J. Pathol and Bacteriol 90: 419–35. John FR Kerr History Apoptosis = Programmed Cell Death 1972 John FR Kerr joined Alastair R Currie, and Andrew Wyllie in Aberdeen. In 1972 they published a milestone paper in which they described that ‚programmed cell death‘ is morphologically distinct from ‚accidental cell death = necrosis‘. In this paper, they coined the term „Apoptosis“. Kerr JF, Wyllie AH, Currie AR (1972) "Apoptosis: a basic biological phenomenon with wide-ranging implications in tissue kinetics". Br. J. Cancer 26: 239–57. John FR Kerr Andrew Wyllie History Apoptosis = Programmed Cell Death In the original Kerr, Wyllie and Currie paper, there is a footnote regarding the pronunciation: "We are most grateful to Professor James Cormack of the Department of Greek, University of Aberdeen, for suggesting this term. The word "Α Αποπτω ποπτωσις" ις (Greek spelling of apoptosis) is used in Greek to describe the "dropping off" or "falling off" of petals from flowers, or leaves from trees. To show the derivation clearly, we propose that the stress should be on the penultimate syllable, the second half of the word being pronounced like "ptosis" (with the "p" silent), which comes from the same root "to fall", and is already used to describe the drooping of the upper eyelid." Kerr et al., Brit J Cancer, 1972; 26:239-57 History Apoptosis = Programmed Cell Death 1980 Wyllie described endonuclease activation during apoptosis. Wyllie AH (1980) Glucocorticoid-induced thymocyte apoptosis is associated with endogenous endonuclease activation. Nature 284: 555-556. Andrew Wyllie Morphology Hallmarks: Apoptois versus Necrosis induction response passive accidental inflammatory active programmed antiinflammatory Roche Applied Science - Apoptosis, Cell Death and Cell Proliferation, 3rd edition History „Apoptosis“ entering Science and Immunology – the first two decades 120 12 Apoptosis DNA 10 100 8 80 6 60 4 40 2 20 0 0 ced-1 until 1990: 378 papers on Apoptosis, 51 in an immunological context ced-3, -4 Fas, APO-1 "The Nobel Prize in Physiology or Medicine 2002". Nobelprize.org. 24 Sep 2010 http://nobelprize.org/nobel_prizes/medicine/laureates/2002/ History The Nobel Prize in Physiology or Medicine 2002 was awarded "for their discoveries concerning the 'genetic regulation of organ development and programmed cell death'". Brenner established the nematode Caenorhabditis elegans as a model organism and studied organ and neuronal development. The first genes and gene products that control apoptosis were identified in C. elegans. It was noted that 131 of the 1090 worm cells died by programmed cell death. The team deciphered the genetic regulation of programmed cell death in C. elegans. Sydney Brenner Robert Horvitz John E. Sulston Photos: Copyright © The Nobel Foundation History The C. elegans cell death program 1983 decreased survival gene mutagen ethyl methane sulfonate increased survival Complete lineage description of all 1090 cells born - 113 cells die during embryogenesis - 18 cells die later in life - mutants reveal defects in death induction or removal of dead cells Hedgecock EM, Sulston JE, Thomson JN (1983) Mutations affecting programmed cell deaths in the nematode Caenorhabditis elegans. Science 220, 1277-1279 (description of ced-1) http://www.wormbase.org/ - ced: “CEll Death abnormality” History The C. elegans cell death program 1986 decreased survival gene mutagen ethyl methane sulfonate increased survival Mutated Gene Phenotype Function ced-3 blocked all 131 cell deaths protease ced-4 blocked all 131 cell deaths ced-3 adapter/activator ced-9 absence of cell death, embryonic lethality anti-apoptotic protein egl-1 reduced cell death “egg laying defective” blocks ced-9 Ellis HM, Horvitz HR (1986) Genetic control of programmed cell death in the nematode C. elegans. Cell. 44:817-29 Foghsgaard et al., J. Cell Biol. 153:9991009, 2001 History The C. elegans cell death program The Nobel Prize in Physiology or Medicine 2002 Regulator C. elegans ced-9 Adapter ced-4 Effector ced-3 cell death Lettre et al. Nat Rev Mol Cell Biol 7:97–108, 2006 History Anti-Fas mAb induces apoptosis in fibroblasts 1989 Shin Yonehara To obtain a monoclonal antibody against the human IFN receptor, Dr. Yonehara immunized mice with the human fibroblast cell line FS-7, and then screened an expression library for the anti-human IFN receptor. He accidentally found an mAb that had a cytopathic activity against human FL cells. The antigen recognized by the antibody was designated as the Fas antigen (FS-7-associated surface antigen). J Exp Med. 169:1747 – 1756, 1989 History Anti-APO-1 mAb induces apoptosis in B lymphoblasts 1989 Peter H Krammer To characterize cell surface molecules involved in control of growth of malignant lymphocytes, mAb were raised against the human B lymphoblast cell line SKW6.4. The mAb anti-APO-1, reacted with a 52kilodalton antigen (APO-1) on a set of activated human lymphocytes, on malignant human lymphocyte lines, and on some patientderived leukemic cells. Science 245:301-305, 1989 History „Apoptosis“ entering Science and Immunology – the third decade 12000 Fas, AICD lpr FasL gld FasL/Fas AICD DISC Typ I Typ II 10000 8000 6000 4000 2000 0 1990-1999: 30435 papers on Apoptosis, 5879 in an immunological context History Fas = APO-1 1991 Shigekazu Nagata The Mr of the molecule recognized by the APO1 antibody was reported to be 52 kDa. This Mr was quite different from that initially predicted for the Fas antigen (200 kDa). However, the cloned human Fas cDNA encoded a glycoprotein of 52 kDa. Fas, like APO-1, was found to be expressed in various transformed hemopoietic cells, including lymphoma, myeloid leukemia, and HTLV-1-transformed cells. The identity of Fas with APO-1 was then shown by cloning of the APO-1 cDNA. Cell 66:233-243, 1991 History Cloning of FasL 1993 Shigekazu Nagata The Fas antigen (Fas) belongs to the tumor necrosis factor (TNF)/nerve growth factor receptor family, and it mediates apoptosis. Fas ligand is a type II transmembrane protein that belongs to the TNF family. Recombinant Fas ligand expressed in COS cells induces apoptosis in Fas-expressing target cells. Fas ligand is expressed in activated splenocytes and thymocytes. Cell 75:1169-1178, 1993 History Fas/FasL mutations cause lymphoproliferative syndromes 1992/1994 Watanabe-Fukunaga R, Brannan CI, Copeland NG, Jenkins NA, Nagata S. Lymphoproliferation disorder in mice explained by defects in Fas antigen that mediates apoptosis. Nature. 356:314–317, 1992 Takahashi T, Tanaka M, Brannan CI, Jenkins NA, Copeland NG, Suda T, Nagata S. Generalized lymphoproliferative disease in mice, caused by a point mutation in the Fas ligand. Cell. 76:969–976,1994 History Fas/FasL mutations cause lymphoproliferative syndromes 1992/1994 Phenotype of lpr and gld mice: accumulation of immature T cells (CD4-CD8-B220+CD3+TCRαβ) lymphadenopathy splenomegaly IgG/IgM autoantibodies (anti-DNA, RF) nephritis and/or arthritis more severe: FasL KO mice Karrey et al., J Immunol.172:2118-2125, 2004 premature death, massive lymphoproliferation patients: ALPS (autoimmune lymphoproliferative syndrom) per definition - mutation or malfunction of apoptosis pathways - frequently Fas, rarely FasL mutations History Activation-induced T cell death (AICD) 1991/1993 Sebastian Wesselborg Dieter Kabelitz History Fas/FasL mediate AICD – the NATURE Triple 1995 Dhein J, Walczak H, Bäumler C, Debatin KM, Krammer PH. Autocrine T-cell suicide mediated by APO-1/(Fas/CD95). Nature. 373:438–441, 1995 Brunner T, Mogil RJ, LaFace D, Yoo NJ, Mahboubi A, Echeverri F, Martin SJ, Force WR, Lynch DH, Ware CF, Green D. Cellautonomous Fas (CD95)/Fas-ligand interaction mediates activation-induced apoptosis in T-cell hybridomas. Nature. 373:441–444, 1995 Ju ST, Panka DJ, Cui H, Ettinger R, elKhatib M, Sherr DH, Stanger BZ, MarshakRothstein A. Fas(CD95)/FasL interactions required for programmed cell death after T-cell activation. Nature. 373:444–448, 1995 Methods to detect apoptotic cells microscopical inspection agarose gel PI-staining Nicoletti-assay TUNEL caspase assays annexin staining mitochondrial membrane potential Roche Applied Science - Apoptosis, Cell Death and Cell Proliferation, 3rd edition Purdue Cytometry CD-ROM Series,volume 4 APOPTOSIS vs. NECROSIS Marco Vitale, Giorgio Zauli and Elisabetta Falcieri Morphological features TEM: disruption of plasma membrane disruption of organelles preservation of nuclear morphology (x 10,000) TEM: apoptotic (A) and normal (N) cell chromatin rearrangement in A preservation of membrane preservation of organelles (x 8,000) SEM: numerous surface lesions (x 5,000) SEM: surface blebbing (x 5,000) FF: nuclear envelope with regular distribution of nuclear pores (x 30,000) FF: nuclear envelope with characteristic clustering of nuclear pores (x 35,000) TEM: transmission electron microscopy – SEM: scanning electron microscopy – FF: Freeze Fracture electron microscopy DNA fragmentation 1.8-2% agarose gel 1991 ‚Nicoletti“-assay 1992 TUNEL assay Terminal deoxynucleotidyl transferase dUTP nick end labeling Gavrieli Y, Sherman Y, Ben-Sasson SA (1992). "Identification of programmed cell death in situ via specific labeling of nuclear DNA fragmentation". J Cell Biol 119 (3): 493–501. Caspase activation – state-of-the-art 2010 Caspase activity Caspase processing Fluorometric Immunosorbent Enzyme Assay (FIENA) for the specific, quantitative in vitro determination of Caspase 3 activity in microplates Cleaved Caspase-3 (Asp175) Antibody #9661 Cell membrane alterations PI staining (dead cells) Annexin V staining (externalization of Phosphatidylserine) 1994 Blood, 84 :1415-1420, 1994 J Immunol. 150:4338-4345, 1993 7-AAD = 7-Aminoactinomycin D cpt = camptothecin Mitochondrial membrane potential 1995 Guido Kroemer Different cationic dyes are now available as „Mitochondrial Membrane Potential Detection Kits“ J Exp Med.182:367-377, 1995 Mol Cell Biochem. 174:185-188, 1997 Jurkat cells were stimulated with (A) DMSO or (B) 1.5 µM staurosporine for 2 hours. The cells were then labeled with the JC-1 reagent for 15 minutes. Methods to detect apoptotic cells microscopical inspection agarose gel PI-staining Nicoletti-assay TUNEL caspase assays annexin staining mitochondrial membrane potential Roche Applied Science - Apoptosis, Cell Death and Cell Proliferation, 3rd edition History „Apoptosis“ entering Science and Immunology – the new millennium 25000 20000 15000 10000 5000 0 2000 - 2009: 155107 papers on Apoptosis, 22835 in an immunological context A simplified scenario of apoptotic pathways in normal cells Molecular aspects – from C. elegans to mammals Regulator Adapter Effector C. elegans ced-9 ced-4 ced-3 Mammals Bcl-2 Apaf-1 Casp 3 Mammalian Bcl-2 can substitute for ced-9 in C. elegans ! Intrinsic (mitochondrial) pathway Anti-APO-1/Anti-Fas induce programmed cell death or apoptosis in a variety of different cell types Extrinsic (receptor-driven) pathway cell death The C. elegans mitochondrial pathway to apoptosis Regulator C. elegans ced-9 Adapter ced-4 Effector ced-3 cell death Lettre et al. Nat Rev Mol Cell Biol 7, 97–108 (February 2006) The vertebrate mitochondrial pathway to apoptosis Proteins/factors that move to and affect mitochondrial membranes Brenner & Kroemer, Science 289:1150-1151, 2000 The vertebrate mitochondrial pathway to apoptosis Bcl-2 family proteins in mammals 19 members; the relative abundance of individual species dictates effect on cells. • Bcl-2 (homologous to ced-9) is the prototype and was first discovered in 1985 in a translocation found in follicular lymphoma • All have the BH3 domain (Bcl-2 Homology 3) BH3 is the pro-apoptotic domain exposed on activation • Act as hetero- or homodimers Anti-apoptotic members (Bcl-2, Bcl-XL) form dimers with pro-apoptotic members to inactivate them and block cytochrome c release Pro-apoptotic dimers (e.g. Bax) increase mitochondrial permeability Ranger et al., Nature Genetics 28:113-118, 2001 The vertebrate mitochondrial pathway to apoptosis 3 (non-exclusive) models proposed to explain Bcl-2’s function 1. As ion-channels crystal structure resemble membrane insertion domain of bacterial toxins 2. As proteins that modulate the activity of caspases In C. elegans ced-9 (Bcl-2) interacts with ced-4 (Apaf-1) inhibiting activation of ced-3 (caspase 9) 3. Hengartner, Nature 407:770-776, 2000 As inhibitors of cytochrome c export Bcl-2 may act to block the release of cytochrome c The vertebrate mitochondrial pathway to apoptosis The intrinsic apoptotic pathway in T cells. BAX (B-cell lymphoma 2 (BCL-2)-associated protein X) and BAK (BCL-2 antagonist/killer) are sequestered in an inactive state at the outer mitochondrial membrane by binding to members of the anti-apoptotic BCL-2 family. Upon various stimuli, BH3-only proteins BIM (BCL-2-interacting mediator cell death) or PUMA (p53-upregulated modulator of apoptosis) get activated and discplace anti-apoptotic BCL-2 proteins This displacement of anti-apoptotic BCL-2 family members from BAX and BAK proteins leads to the release of cytochrome c from mitochondria. After formation of the apoptosome, a caspasecascade is initated that leads to cell death. Krammer, Arnold and Lavrik . Nat Rev Immunol. 7: 532-542, 2007 Apaf-1 Apoptotic protease activating factor 1 Caspases Normal Cells Cysteine proteases cleave Asp in P1 position of Apoptosis Necrosis tetrameric recognition sequence Synthesised as inactive zymogens Activated by Asp cleavage removes N-terminal prodomain active tetramer formed 14 mammalian caspases identified to date caspase 1, 4, 5 and 11(12L), non-apoptotic function (cytokine processing) 10 caspases implicated in apoptosis Activated by 3 mechanisms: autoactivation (caspase 8) trans-activation (caspase 3, 6 and 7) conformational change (caspase 9) RC Taylor, SP Cullen & SJ Martin. Apoptosis: controlled demolition at the cellular level. Nat Rev Mol Cell Biol 9, 231-241,2008 Foghsgaard et al., J. Cell Biol. 153:9991009, 2001 Caspase cascade Normal Cells Apoptosis Necrosis Initiator (apical) caspases (group II caspases: CASP2, CASP8, CASP9, CASP10) cleave inactive pro-forms of effector (executioner) caspases (group III caspases: CASP3, CASP6, CASP7) to activate them. Effector caspases cleave other protein substrates to trigger the apoptotic process. (CASP1, CASP4 and CASP5 (group I) are not classified as initiator or effector caspases, because they are inflammatory enzymes that are involved in cytokine maturation. CASP14 is involved in skin cell development.) Krammer, Arnold and Lavrik . Nat Rev Immunol. 7: 532-542, 2007 Foghsgaard et al., J. Cell Biol. 153:9991009, 2001 Caspase Substrates: • cleaved by executor caspases only (caspase 3, 6 and 7) Group Substrates Signalling Proteins RasGAD, D4-GDI, PKCδ, FAK, PAK2, RIP Structural Proteins Lamin A and B, G-actin, fodrin, gelsolin Cell cycle/DNA repair PARP, pRb, DNA-PK DNA fragmentation factor Anti-Apoptotic Proteins Bcl-2, Bcl-xL Pro-apoptotic Proteins Bid Nucleases CAD/ICAD complex Caspase substrates in humans: > 400 and still counting Table 1. Caspase substrates: structural proteins Table 2. Caspase substrates: regulators of transcription/translation http://bioinf.gen.tcd.ie/casbah/ Table 3. Caspase substrates: kinases and signalling intermediaries The vertebrate extrinsic pathway to apoptosis Fas/Apo-1/CD95/TNFRSF6 The vertebrate extrinsic pathway to apoptosis Fas/Apo-1/CD95/TNFRSF6 1995 DISC Markus E Peter Peter H Krammer Taken from: Lavrik & Krammer, Acta Naturae 2009 Kischkel FC, Hellbardt S, Behrmann I, Germer M, Pawlita M, Krammer PH, Peter ME. Cytotoxicity-dependent APO-1 (Fas/CD95)-associated proteins form a death-inducing signaling complex (DISC) with the receptor. EMBO J. 1995 14:5579-88. How the intrinsic and extrinsic pathways are linked Fas/Apo-1/CD95/TNFRSF6 1998 Type I and Type II cells show similar kinetics of CD95-mediated apoptosis Type I cells caspase-8 activated in seconds, caspase-3 in 30 min overexpression of Bcl-2 or Bcl-xL does not block caspase-8 and caspase-3 activation and death DISC formation – caspase-8 activation Carsten Watzl (Scaffidi) Type II cells cleavage of both caspases delayed for 60 min. overexpression of Bcl-2 or Bcl-xL blocks caspase-8 and caspase-3 activation and death Reduced DISC formation - caspase-8 activation only after loss of mitochondria potential Scaffidi C, Fulda S, Srinivasan A, Friesen C, Li F, Tomaselli KJ, Debatin KM, Krammer PH, Peter ME.Two CD95 (APO-1/Fas) signaling pathways. EMBO J. 1998 7:1675-87. How the intrinsic and extrinsic pathways are linked Type II cells Type I cells Mac Farlane & Williams, EMBO Rep. 5:674–678, 2004 Apoptosis is essential for immune function Programmed cell death is part of the thymic selection of the immune repertoire silent removal of useless cells and cell debris termination of immune responses (AICD) establishment of immune privilege effector mechanism of killer cells Consequences of disturbed programmed cell death are autoimmunity/lymphoproliferation tumor development immunodeficiency (e.g. defect T cell effector function) Apoptosis is essential for immune function thymic selection of the immune repertoire Alberts et al., Molecular Biology of the Cell, 4th edition Apoptosis is essential for immune function silent removal of useless cells and cell debris Macrophage ingesting apoptotic bodies Sebastian Wesselborg Savill & Fadok, Nature 407:784-788, 2000 Removal of apoptotic cells: attraction recognition ingestion anti-inflammation Lauber, Blumenthal, Waibel and Wesselborg. 2004 Molecular Cell 14:277-287 Apoptosis is essential for immune function silent removal of useless cells and cell debris “Eat-Me” signals at the engulfment synapse Lauber, Blumenthal, Waibel and Wesselborg. 2004 Molecular Cell 14:277-287 Apoptosis is essential for immune function termination of immune responses (AICD and ACAD) Krammer et al. Nat Rev Immunol. 7: 532-542, 2007 Apoptosis is essential for immune function termination of immune responses (AICD and ACAD) D Brenner, PH Krammer and R Arnold. Critical Rev Oncol/Hematol. 66:52-64, 2008 Consequences of disturbed programmed cell death autoimmunity/lymphoproliferation Phenotype of lpr and gld mice: accumulation of immature T cells (CD4-CD8-B220+CD3+TCRαβ) lymphadenopathy splenomegaly IgG/IgM autoantibodies (anti-DNA, RF) nephritis and/or arthritis more severe: FasL KO mice Karrey et al., J Immunol.172:2118-2125, 2004 premature death, massive lymphoproliferation patients: ALPS (autoimmune lymphoproliferative syndrom) per definition - mutation or malfunction of apoptosis pathways - frequently Fas, rarely FasL mutations Apoptosis is essential for immune function establishment of immune privilege Fas/FasL and „immune privilege“ Definition: Site where immune responses are limited or prevented (graft survival is much higher in these sites than in any other site in the body) Tissues/Organs: FasL+ cell immune privileged tissue FasL Fas brain, eye, testis, ovaries, uterus (pregnancy) FasL: constitutively expressed on eye, testis, trophoblasts Fas: on «target cells» of lymphoid system, e.g. placental leukocytes activated T cell D. Green & TA Ferguson. The role of fas ligand in immune privilege. Nat Rev Mol Cell Biol 2: 917-924, 2001 Consequences of disturbed programmed cell death tumor îmmune privilege The „tumor counterattack“ Definition: Malignant cells express mFasL, produce sFasL or vFasL They generate their «immune privilege» to escape tumor infiltrating T cells. At the same time, many tumor cells display apoptosis resistance. Cell types: ovarian cancer, pancreatic cancer, breast cancer, colon cancer, liver cancer, renal cancer, etc FasL: constitutive expression or production of FasL Fas: on tumor cells and on activated tumor infiltrating lymphocytes (TIL) Igney and Krammer, Nat Rev Cancer, 2002 Apoptosis is essential for immune function effector mechanism of killer cells FasL- loaded T cell M Lettau & O Janssen, 2008 Taken from Scientific American Apoptosis is essential for immune function effector mechanism of killer cells staining: „Lysotracker“ de Saint Basile G, Ménasché G, Fischer A. Nat Rev Immunol 11: 568-579 2010 (August) J Qian & O Janssen, 2003 Apoptosis is essential for the survival of an organism Regulation of development (e.g. interdigital webs) Tissue skulpting and homeostasis Immune homeostasis and effector function Silent removal of useless cells and cell debris Walensky, Cell Death Differ 13:1339-1350, 2006 Perspective: No (scientific) life without deathP Just a few „hot topics“: T cells: Cytolytic effector granules and their killing mechanisms Death ligands as receptors – reverse signaling Pro- and anti-apoptotic functions of death receptors Tumor cells: Overcoming death receptor resistance Tailored induction of cell death Cell death in general: Regulation of death receptors by miRNA Autophagy (5000 papers in the last decade) Perspective: No (scientific) life without deathP 200000 175234 cell death 150000 necrosis apoptosis 157975 apoptosis+immunology 100000 121530 50000 22593 0 To be continued... LIVE AND LET DIE within the Immune System