The Tim-3-galectin-9 Secretory Pathway is Involved in the Immune Escape of Human Acute Myeloid Leukemia Cells

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The Tim-3-galectin-9 Secretory Pathway is Involved in the Immune Escape of Human Acute Myeloid Leukemia Cells (1)

Galectin-9 is a β-galactoside-binding lectin, which has a tandem structure and contains two carbohydrate recognition domains (CRDs) fused together by a peptide. Galectin-9 has a specific receptor on acute myeloid leukemia (AML) cells known as Tim-3 which also could act as its possible trafficker (galectin-9 as all other galectins lacks a signal sequence required for transport into the endoplasmic reticulum (ER) and thus requires a trafficking protein for its secretion.

THP-1 human myeloid leukemia monocytes were cultured with or without 16 h exposure to 100 nM phorbol 12-myristate 13-acetate (PMA) known to activate proteolytic shedding of Tim-3.

Specific galectin-9 bands appeared at around 32 kDa (molecular weight of galectin-9) as well as 52 kDa. Interestingly, the 52 kDa band was also detectable by anti-Tim-3 antibody. This band corresponds to the unbroken Tim-3-galectin-9 complex. Furthermore, specific Tim-3 bands appeared at around 33 kDa (molecular weight of soluble Tim-3 – sTim-3) and around 20 kDa. This 20 kDa band is likely to be a fragment of Tim-3 shed together with galectin-9 being released from the complex during the Western blot procedure. PMA treatment significantly upregulated sTim-3 release as well as the release of galectin-9. GI254023X (ADAM 10 and 17 inhibitor) or BB-94, a matrix metalloproteinase inhibitor, decreased PMA-induced sTim-3 release but did not affect the release of either galectin-9 or the Tim-3-galectin-9 complex.

Despite the levels of released sTim-3, galectin-9 and Tim-3-galectin-9 complex were increased in PMA-treated cells, the levels of respective cell-associated proteins decreased. A specific band in the range of 70 kDa detectable by both anti-Tim-3 and anti-galectin-9 antibodies was present in all the assays. Given that PMA, a specific PKC activator, significantly increases Tim-3 and galectin-9 secretion, it is likely that PKC is involved in the Tim-3 and galectin-9 co-secretion process.

Fibronectin leucine rich transmembrane protein 3 (FLRT3), which is one of physiological ligands of LPHN1 induced significant upregulation of galectin-9 and sTim-3 release. The mBM extracts significantly upregulated galectin-9 and sTim-3 secretion in THP-1 cells. FLRT3 neutralizing mouse antibody reduced the effects of mBM extracts but did not block them. With co-cultured THP-1 cells with RCC-FG1 renal carcinoma cells (which are highly adherent) in the ratio 1 THP-1:2 RCC-FG1, RCC-FG1 cells express high levels of FLRT3 and release almost undetectable amounts of galectin-9.

LAD2 human mast cell sarcoma cells express both Tim-3 and galectin-9 with both proteins located mostly on the cell surface. Resting LAD2 cells do not release detectable amounts of galectin-9 and sensitization with IgE (which was used in order to label the cells for visualization) does not augment galectin-9 secretion considerably.

sTim-3 is capable of binding a target protein (or a group of target proteins) and reducing IL-2 production thus preventing induction of NK cell and T lymphocyte anti-cancer activities. Human AML cells possess a secretory pathway which leads to the production and release of sTim-3 and galectin-9. Both proteins prevent the activation of NK cells and impair their AML cell-killing activity. This pathway, which involves the LPHN1-dependent activation of Tim-3 and galectin-9 production is summarized. The described pathway presents both biomarkers for AML diagnostics and potential targets (both sTim-3 and galectin-9) for AML immune therapy and thus can be considered as a fundamental discovery.

1. I. Gonçalves Silva, I. M. Yasinska, S. S. Sakhnevych, W. Fiedler, J. Wellbrock, M. Bardelli, L. Varani, R. Hussain, G. Siligardi, G. Ceccone, S. M. Berger, Y. A. Ushkaryov, B. F. Gibbs, E. Fasler-Kan, V. V. Sumbayev, The Tim-3-galectin-9 Secretory Pathway is Involved in the Immune Escape of Human Acute Myeloid Leukemia Cells. EBioMedicine. 22, 44–57 (2017).

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