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[CANCER RESEARCH 52, 6961-6965,December 1992] Advances in Brief Expression and Regulation of the Leukemia Inhibitory Factor/D Factor Gene in Human T-Cell Leukemia Virus Type 1 Infected T-Cell Lines Tomoyo Umemiya-Okada, Toshiki Natazuka, ~ Toshimitsu Matsui, Mitsuhiro Ito, Taizo Taniguchi, and Yoshinobu Nakao Third Division, Department of Medicine, Kobe University School of Medicine, Kusunoki-Cho 7-5, Chuo-ku, Kobe 650, Japan Abstract The expression of the leukemia inhibitory factor/D factor (LIF) gene in human T-cell leukemia virus type 1 infected T-cell lines was exam- ined. Human T-cell leukemia virus type 1 infected T-cell lines MT-1, MT-2, H89-59, H89-79, and H109 expressed LIF mRNA, but the T-cell lines MOLT-4 and TALL-1 did not. LIF mRNA expression was enhanced by interleukin 2 or 12-O-tetradecanoylphorbol-13-acetate in MT-2 cells. The biological activity of LIF was detected in culture me- dium enhanced by interleukin 2 in MT-2 cells. The expression of LIF mRNA was suppressed by la,25-dihydroxyvitamin D3 and dexameth- asone. These results imply that the expression of the LIF gene is in- volved in the development of hypercaicemia and abnormalities of the immune system observed in patients with adult T-cell leukemia. Introduction ATL 2 is an aggressive, usually fatal T-cell neoplasm etiolog- ically associated with HTLV-1 infection (1, 2). ATL frequently causes hypercalcemia, which may become an important factor in managing the course of the disease (3, 4). Several investiga- tors have reported that HTLV-1 infected leukemic T-cells pro- duce OAF-like activities which can induce bone resorption (5-7). HTLV-1 infected T-cells abnormally express IL-I, par- athyroid hormone related protein, and tumor necrosis factor mRNA, which have OAF-like activities (8-11). HTLV-I in- fected T-cells secrete these factors in the conditioned media of cell lines and ATL patient sera (12, 13). The clinical symptoms, i.e., bone lesions and hypercalcemia, thus might represent a direct consequence of the production of such factors by HTLV-1 infected T-cells. LIF is a pleotropic cytokine that affects the growth and dif- ferentiation of various cell types, including hematopoietic, he- patic, adipogenic, renal, neuronal, and embryonic cells (14). Recently, Abe et al. (15) have reported that LIF produced by osteoblastic cells (MC3T3-E1) stimulated bone resorption by promoting osteoclast formation. LIF is mainly secreted by ac- tivated T-cells and monocytes in the immune system (16, 17). Furthermore, it has been reported that HTLV-1 infected T-cells have phenotypic similarity to activated T-cells (18). If LIF is secreted by HTLV-1 infected T-cells as other OAFs, LIF may contribute to the hypercalcemia and/or the immunological ab- normalities of ATL. Received 9/28/92; accepted 10/23/92. The costs of publicationof this article were defrayedin part by the payment of page charges.This articlemust therefore be herebymarked advertisement in accord- ance with 18 U.S.C. Section 1734 solelyto indicatethis fact. l To whom requests for reprints should be addressed. 2 The abbreviations used are: ATL, adult T-cell leukemia;LIF, leukemiainhib- itory factor; HTLV-1, human T-cell leukemiavirus type 1; OAF, osteoclast acti- vating factor; IL, interleukin; TPA, 12-O-tetradecanoylphorbol-I 3-acetate; IFN, interferon; 1,25 (OH)2D3, la,25-dihydroxyvitamin D3; cDNA, complementary DNA; SSC, standard saline-citrate;SDS, sodium dodecylsulfate. We examined the expression of LIF mRNA in HTLV-1 in- fected T-cell lines and analyzed the levels of LIF mRNA regu- lated by various cytokines and steroid hormones. Materials and Methods Cell Lines. The established HTLV-I infected T-cell line MT-2 was provided by Dr. I. Miyoshi (Kochi Medical College, Nangoku-City, Japan). H89-59, H89-79, and H109 established from HTLV-1 associ- ated myelopathy patients, were provided by T. Saida (Department of Neurology, Utano National Hospital). MT-I, MOLT-4, and TALL-1 were gifts from the Japanese Cancer Research Resources Bank (Tokyo, Japan). HL-60 was provided by Dr. R. C. Gallo (NIH, Bethesda, MD). These cell lines were maintained in RPMI 1640 (Flow Laboratories, Rockville, MD) supplemented with 10% fetal bovine serum (M. A. Bioproducts, Rockville, MD) and kanamycin (100 #g/ml). Ml T-22 cells were a gift from Dr. M. Tomida (Saitama Cancer Research Center, Saitama, Japan), and were maintained in Dulbecco's minimal essential medium (Flow Laboratories) supplemented with 10% fetal bovine se- rum and kanamycin (100 ug/ml). Reagents. Recombinant human IL-1B and IL-6 were purchased from Genzyme (Boston, MA). Recombinant human IL-2 and IFN-a were provided by Takeda Pharmaceutical Co. (Osaka, Japan) and Sum- itomo Pharmaceutical Co. (Osaka, Japan), respectively. Recombinant human IFN--y and TNF-o~ were gifts from Otsuka Pharmaceutical Co. (Osaka, Japan) and Daiichi Pharmaceutical Co. (Tokyo, Japan), re- spectively. TPA and dexamethasone were purchased from Sigma Chemical Co. (St. Louis, MO). 1,25(OH)2D3 was a gift from Teijin Institute for Biomedical Research (Tokyo, Japan). cDNA Probe. Human LIF cDNA, 0.6 kilobase, in plasmid pIC2OR (19), was provided by Dr. Nick Gough (The Walter and Eliza Hall Institute of Medical Research, Victoria, Australia). The cDNA insert was removed from the plasmid by digestion with BamHI and HindIII followed by agarose gel electrophoresis and electroelution. Northern Blots. Cell lines were incubated with various reagents for 24 h. Total cellular RNA was extracted from cells using acid guan- idinium thiocyanate-phenol-chloroform (20). Twenty #g/lane of total RNA were electrophoresed in a 1% agarose formaldehyde gel, trans- ferred to nitrocellulose filters (Schleicher and Schuell, Dassel, Ger- many) in 1 m ammonium acetate, and then fixed with 254 nm UV lamp (Stratalinker, Stratagene, CA) to the filters. The filters were hybridized at 42~ in a buffer [40% (w/v) formamide, 5 x SSC (1 x SSC is 0.15 M sodium chloride-0.015 m sodium citrate], pH 7.01 x Denhardt's solu- tion (0.02% bovine serum albumin-0.02% Ficoll-0.02% polyvinylpyr- rolidone)-5 mM NaH2PO4-0.1% SDS-salmon sperm DNA (100 #g/ml)] containing 32p-labeled cDNA probes prepared with the random primer DNA labeling kit (Amersham, Buckinghamshire, United Kingdom; 109 cpm/~g of DNA). After a 16-h hybridization, the filters were washed twice for 20 min in 2 x SSC-0.1% SDS at room temperature and twice for 30 min in 0.1% SDS at 50~ and then autoradiographed. Determination of LIF Activity (MI Assay). MT-2 cells (1 x 106) were incubated for 3 days in the presence of IL-2 (100 units/ml). The cell supernatants were harvested, centrifuged, and stored under sterile conditions at -20~ until use. The activity of LIF in 2-fold dilutions of MT-2 cell culture medium was monitored by measuring the induction of phagocytic activity in M1-T22 cells essentially as described by To- mida etal. (21). MI cells (5 x 105) were incubated for 2 days in 1 ml of 6961 Research. on May 27, 2020. © 1992 American Association for Cancer cancerres.aacrjournals.org Downloaded from
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Page 1: Expression and Regulation of the Leukemia Inhibitory ... · ically associated with HTLV-1 infection (1, 2). ATL frequently causes hypercalcemia, which may become an important factor

[CANCER RESEARCH 52, 6961-6965, December 1992]

Advances in Brief

Expression and Regulation of the Leukemia Inhibitory Factor/D Factor Gene in Human T-Cell Leukemia Virus Type 1 Infected T-Cell Lines

Tomoyo Umemiya-Okada, Toshiki Natazuka, ~ Toshimitsu Matsui, Mitsuhiro Ito, Taizo Taniguchi, and Yoshinobu Nakao Third Division, Department of Medicine, Kobe University School of Medicine, Kusunoki-Cho 7-5, Chuo-ku, Kobe 650, Japan

Abstract

The expression of the leukemia inhibitory factor/D factor (LIF) gene in human T-cell leukemia virus type 1 infected T-cell lines was exam- ined. Human T-cell leukemia virus type 1 infected T-cell lines MT-1, MT-2, H89-59, H89-79, and H109 expressed LIF mRNA, but the T-cell lines MOLT-4 and TALL-1 did not. LIF mRNA expression was enhanced by interleukin 2 or 12-O-tetradecanoylphorbol-13-acetate in MT-2 cells. The biological activity of LIF was detected in culture me- dium enhanced by interleukin 2 in MT-2 cells. The expression of LIF mRNA was suppressed by la,25-dihydroxyvitamin D3 and dexameth- asone. These results imply that the expression of the LIF gene is in- volved in the development of hypercaicemia and abnormalities of the immune system observed in patients with adult T-cell leukemia.

Introduction

ATL 2 is an aggressive, usually fatal T-cell neoplasm etiolog- ically associated with HTLV-1 infection (1, 2). ATL frequently causes hypercalcemia, which may become an impor tant factor in managing the course of the disease (3, 4). Several investiga- tors have reported that HTLV-1 infected leukemic T-cells pro- duce OAF-like activities which can induce bone resorption (5-7). HTLV-1 infected T-cells abnormally express IL-I , par- athyroid hormone related protein, and tumor necrosis factor

mRNA, which have OAF-like activities (8-11). HTLV-I in- fected T-cells secrete these factors in the condit ioned media of cell lines and ATL patient sera (12, 13). The clinical symptoms, i.e., bone lesions and hypercalcemia, thus might represent a direct consequence of the product ion of such factors by HTLV-1 infected T-cells.

LIF is a pleotropic cytokine that affects the growth and dif- ferentiation of various cell types, including hematopoietic, he- patic, adipogenic, renal, neuronal, and embryonic cells (14). Recently, Abe et al. (15) have reported that LIF produced by osteoblastic cells (MC3T3-E1) st imulated bone resorption by promot ing osteoclast formation. LIF is mainly secreted by ac- tivated T-cells and monocytes in the immune system (16, 17). Furthermore, it has been reported that HTLV-1 infected T-cells have phenotypic similarity to activated T-cells (18). I f LIF is secreted by HTLV-1 infected T-cells as other OAFs, LIF may contribute to the hypercalcemia and/or the immunological ab- normali t ies of ATL.

Received 9/28/92; accepted 10/23/92. The costs of publication of this article were defrayed in part by the payment of

page charges. This article must therefore be hereby marked advertisement in accord- ance with 18 U.S.C. Section 1734 solely to indicate this fact.

l To whom requests for reprints should be addressed. 2 The abbreviations used are: ATL, adult T-cell leukemia; LIF, leukemia inhib-

itory factor; HTLV-1, human T-cell leukemia virus type 1; OAF, osteoclast acti- vating factor; IL, interleukin; TPA, 12-O-tetradecanoylphorbol-I 3-acetate; IFN, interferon; 1,25 (OH)2D3, la,25-dihydroxyvitamin D3; cDNA, complementary DNA; SSC, standard saline-citrate; SDS, sodium dodecyl sulfate.

We examined the expression of LIF mRNA in HTLV-1 in- fected T-cell lines and analyzed the levels of LIF mRNA regu- lated by various cytokines and steroid hormones.

Materials and Methods

Cell Lines. The established HTLV-I infected T-cell line MT-2 was provided by Dr. I. Miyoshi (Kochi Medical College, Nangoku-City, Japan). H89-59, H89-79, and H109 established from HTLV-1 associ- ated myelopathy patients, were provided by T. Saida (Department of Neurology, Utano National Hospital). MT-I, MOLT-4, and TALL-1 were gifts from the Japanese Cancer Research Resources Bank (Tokyo, Japan). HL-60 was provided by Dr. R. C. Gallo (NIH, Bethesda, MD). These cell lines were maintained in RPMI 1640 (Flow Laboratories, Rockville, MD) supplemented with 10% fetal bovine serum (M. A. Bioproducts, Rockville, MD) and kanamycin (100 #g/ml). Ml T-22 cells were a gift from Dr. M. Tomida (Saitama Cancer Research Center, Saitama, Japan), and were maintained in Dulbecco's minimal essential medium (Flow Laboratories) supplemented with 10% fetal bovine se- rum and kanamycin (100 ug/ml).

Reagents. Recombinant human IL-1B and IL-6 were purchased from Genzyme (Boston, MA). Recombinant human IL-2 and IFN-a were provided by Takeda Pharmaceutical Co. (Osaka, Japan) and Sum- itomo Pharmaceutical Co. (Osaka, Japan), respectively. Recombinant human IFN--y and TNF-o~ were gifts from Otsuka Pharmaceutical Co. (Osaka, Japan) and Daiichi Pharmaceutical Co. (Tokyo, Japan), re- spectively. TPA and dexamethasone were purchased from Sigma Chemical Co. (St. Louis, MO). 1,25(OH)2D3 was a gift from Teijin Institute for Biomedical Research (Tokyo, Japan).

cDNA Probe. Human LIF cDNA, 0.6 kilobase, in plasmid pIC2OR (19), was provided by Dr. Nick Gough (The Walter and Eliza Hall Institute of Medical Research, Victoria, Australia). The cDNA insert was removed from the plasmid by digestion with BamHI and HindIII followed by agarose gel electrophoresis and electroelution.

Northern Blots. Cell lines were incubated with various reagents for 24 h. Total cellular RNA was extracted from cells using acid guan- idinium thiocyanate-phenol-chloroform (20). Twenty #g/lane of total RNA were electrophoresed in a 1% agarose formaldehyde gel, trans- ferred to nitrocellulose filters (Schleicher and Schuell, Dassel, Ger- many) in 1 m ammonium acetate, and then fixed with 254 nm UV lamp (Stratalinker, Stratagene, CA) to the filters. The filters were hybridized at 42~ in a buffer [40% (w/v) formamide, 5 x SSC (1 x SSC is 0.15 M sodium chloride-0.015 m sodium citrate], pH 7.01 x Denhardt's solu- tion (0.02% bovine serum albumin-0.02% Ficoll-0.02% polyvinylpyr- rolidone)-5 mM NaH2PO4-0.1% SDS-salmon sperm DNA (100 #g/ml)] containing 32p-labeled cDNA probes prepared with the random primer DNA labeling kit (Amersham, Buckinghamshire, United Kingdom; 109 cpm/~g of DNA). After a 16-h hybridization, the filters were washed twice for 20 min in 2 x SSC-0.1% SDS at room temperature and twice for 30 min in 0.1% SDS at 50~ and then autoradiographed.

Determination of LIF Activity (MI Assay). MT-2 cells (1 x 106) were incubated for 3 days in the presence of IL-2 (100 units/ml). The cell supernatants were harvested, centrifuged, and stored under sterile conditions at -20~ until use. The activity of LIF in 2-fold dilutions of MT-2 cell culture medium was monitored by measuring the induction of phagocytic activity in M1-T22 cells essentially as described by To- mida etal. (21). MI cells (5 x 105) were incubated for 2 days in 1 ml of

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LIF GENE EXPRESSION IN HTLV-I INFECTED T-CELLS

Eagle's minimal essential medium containing 10% fetal bovine serum and standard LIF activity. The cells were harvested by centrifugation and suspended in 1 ml of serum free Eagle's minimal essential medium containing a 0.2% (v/v) suspension of polystyrene latex particles (aver- age diameter, 1.02 ~tm; Sekisui Chemicals, Japan). Thereafter, the cells were incubated for 4 h at 37~ The cells that phagocytized more than 10 particles were counted as being phagocytic. Fifty units of LIF were thereby defined as activity giving 50% maximal response in M1 cells under these conditions.

Results

Expression of LIF mRNA in HTLV-1 Infected T-Cell Lines. To investigate the LIF mRNA expression in HTLV-1 infected T-cell lines, Northern blots were analyzed using a 0.6-kilobase fragment of the LIF cDNA probe. As shown in Fig. 1, the LIF mRNA was observed in the HTLV-1 infected T-cell lines MT-1, MT-2, H89-59, H89-79, and H109. Normal human peripheral blood mononuclear cells activated by purified phy- tohemagglutinin, which expressed high levels of LIF mRNA, were used as a positive control (16). HL-60 cells were used as a

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zzz

2 8 S - - : LIF

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Fig. 1. LIF mRNA expression in various T-cell lines. A 20-gg sample of total RNA was loaded on each lane and analyzed by Northern blot. LIF transcript (3.6-kilobase) was detectable in HTLV-1 infected T-cell lines. Peripheral blood mononuclear cells were incubated (24 h, 37~ with PHA-P (10 gg/ml) for a positive control (top). Bottom, ethidium bromide stained formaldehyde gel with bands shown as a loading control. PBMC, peripheral blood mononuclear cells; PHA-P, purified phytohemagglutinin.

negative control (16). The LIF transcript was undetectable in the HTLV-1 uninfected T-cell lines, MOLT-4 and TALL-I.

LIF mRNA Enhancement by IL-2. To examine the regula- tion of LIF mRNA by cytokines, MT-2 cells were cultured in the presence of various cytokines, including IL-I# (250 units/ ml), IL-2 (100 units/ml), IL-6 (200 units/ml), IFN-a (200 units/ ml), and IFN-~, (1000 units/ml), for 24 h and then Northern blotted as described under "Materials and Methods." As shown in Fig. 2,4, IL-2 significantly increased the level of LIF mRNA expression in MT-2 cells. No significant increase in the level of LIF mRNA was detected in the presence ofIL-lfl, IL-6, IFN-a, and IFN--y (data not shown). TPA, 10 nm, significantly in- creased the expression of LIF mRNA.

Effect of IL-2 on LIF mRNA Kinetics. The time dependent effects of IL-2 on LIF mRNA levels were measured by means of Northern blotting (Fig. 2B). Cells were cultured with IL-2 (100 units/ml) for periods ranging from 3 to 24 h. LIF mRNA started to accumulate at 3 h and peaked at 12 h. LIF mRNA levels decreased at 24 h during continuous exposure to IL-2.

LIF Activity in the Culture Medium of MT-2 Cells. To de- termine whether LIF mRNA expression results in the produc- tion of LIF protein, we determined the biological activity of LIF in MT-2 cell supernatants. LIF activity in the culture medium o f 1 • 10 6 MT-2 cells was assayed by means of the differenti- ating activity of a subline of murine myeloid leukemia, M1-T22 cells (Fig. 3). Culture medium treated with IL-2 (100 units/ml) for 3 days induced M1-T22 differentiation. The medium of MT-2 cells cultured with IL-2 contained 40 units/ml of LIF activity.

Down-Regulation of the Expressed LIF mRNA by Steroid Hormones. We then determined whether the expression of LIF mRNA was modulated by 1,25(OH)2D3 and dexamethasone (Fig. 4). Dexamethasone and 1,25(OH)2D3 suppressed the ex- pression of LIF mRNA. This effect of 1,25(OH)2D3 was more potent than that of dexamethasone. TPA in combination with 1,25(OH)2D 3 decreased the accumulation of LIF mRNA, com- pared to TPA alone.

Discussion

In this study, we demonstrated that HTLV-1 infected T-cell lines produce LIF and express the LIF gene. Various human tumor cells, e.g., melanoma, lung adenocarcinoma, bladder car- cinoma, and the T-cell lymphoma, express the LIF gene and secrete LIF into the culture medium (22-24). Five of five HTLV-1 infected T-cell lines expressed LIF mRNA, but unin- fected T-cell lines did not express detectable levels of LIF mRNA (Fig. 1). LIF has been purified as human interleukin DA produced by HTLV-1 infected T-cells, C10-MJ2 (25). There- fore, our results suggest that HTLV-1 infection is closely asso- ciated with LIF gene expression in T-cells.

The Tax-1 product, which is encoded by the pX region of HTLV-1, activates various cytokine genes, IL-2, IL-3, and granulocyte-macrophage-colony stimulating factor, and the IL-2 receptor a-chain, mediated to the NF-KB-Iike site (26). However, the 5'-flanking region of LIF does not contain the NF-KB-Iike sequence (27). Further studies are required to in- vestigate the role of Tax-1 on LIF gene activation.

A key role of IL-2 in LIF production has been reported in alloreactive human T-clones (28). In our study, IL-2 increased the level of LIF mRNA on MT-2 cells, which peaked at 12 h, and secreted LIF protein. The IL-2 induced LIF mRNA level was increased upon treatment with cycloheximide, suggesting that LIF mRNA stimulated by IL-2 did not require new protein

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Fig. 2. A, effect of IL-2 and 12-O-tetrade- canoylphorbol-I 3-acetate (TPA) on LIF mRNA expression in MT-2 cells. MT-2 cells were in- cubated (12 h, 37~ with recombinant human IL-2 (100 units/ml) and 12-O-tetradecano- ylphorbol-13-acetate (10 nM). Total RNA was isolated and analyzed by Northern blot (top). Bottom, ethidium bromide stained formalde- hyde gel with bands shown as a loading control. Data are representative of two independent ex- periments. B, kinetics of LIF mRNA accumula- tion. MT-2 cells were incubated with recombi- nant human IL-2 (100 units/ml). Total RNA was isolated at the indicated times and analyzed by Northern blot. Densitometry readings are shown of the blot in B, normalized for the amount of/~-actin in each lane.

LIF GENE EXPRESSION IN HTLV-I INFECTED T-CELLS

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B.

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14 0 4' 20

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Fig. 3. LIF/D-factor activity secreted by MT-2 cells. MT-2 cells (1 x 106) were incubated for 3 days in either culture medium alone (cont.) or medium with IL-2 (100 units/ml) as indicated. The culture medium was assayed with M1-T22 cells as described in "Materials and Methods." Data are representative of three inde- pendent experiments. Bars, SD.

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synthesis . 3 O n the o the r hand, IL-2 and the IL-2 receptor a -cha in are trans-activated by Tax-1 and are cons ide red to de- velop an au tocr ine loop in the early stage o f A T L (29, 30). The induc t ion o f L IF by IL-2 may be no t i m p o r t a n t only for reac- t ions o f the i m m u n e and h e m a t o p o i e t i c sys tems but also for the pa thophys io logy o f A T L pat ients .

Bo th 1 ,25(OH)2D3 and g lucocor t ico id exer t mul t ip le i m m u - noregu la to ry effects (31-33) . Act iva ted T-cells are inh ib i ted by 1 ,25(OH)2D3 and d e x a m e t h a s o n e (31, 32). Previously, we and o thers have repor ted tha t bo th 1 ,25(OH)2D3 and dexa- m e t h a s o n e inhibi t the express ion o f IL-2 or I F N - 7 in act ivated T-cells (33, 34). Moreover , bo th 1 ,25(OH)2D3 and d e x a m e t h - asone suppress pro l i fe ra t ion in s o m e H T L V - 1 infected T-cell l ines (35). We d e m o n s t r a t e d tha t the express ion o f the L IF gene was suppressed by 1,25(OH)2D3 and d e x a m e t h a s o n e (Fig. 4). The suppressive m e c h a n i s m s o f 1 ,25(OH)2D3 and dexame tha -

3 T. Umemiya-Okada and T. Natazuka, unpublished data.

a b c d e f Fig. 4. Effect of steroid hormones on LIF mRNA expression in MT-2 cells.

MT-2 cells were incubated (24 h, 37"C) with control (Lane a), 1,25(OH)2Da (VDs), 10 nM (Lane b), 1,25(OH)2D3, 100 nM (Lane c), 12-O-tetradecanoylphor- bol-13-acetate (TPA), 10 nM (Lane d), 1,25(OH)2D3, 10 nM+ 12-O-tetrade- canoylphorbol-13-acetate 10 nM (Lane e), or dexamethasone ( Dex), 1 l~l (Lane j'). LIF mRNA expression was determined by Northern blot analysis (top). Bottom, ethidium bromide stained formaldehyde gel with bands shown as a loading con- trol. Data are representative of two independent experiments.

sone on L I F gene express ion may be s imilar to tha t on IL-2 or IFN-~ in act ivated T-cells. However , ne i the r 1 ,25(OH)2Da nor d e x a m e t h a s o n e affected M T - 2 cell g rowth (36). The effect on

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LIF GENE EXPRESSION IN HTLV-1 INFECTED T-CELLS

the LIF gene suppression of 1 , 2 5 ( O H ) 2 D 3 and dexamethasone to MT-2 cells remains unclear.

LIF gene expression is induced by TPA in several T-cell lines 14. (22, 25). TPA also induced high levels of the LIF gene in MT-2 cells (Fig. 2). TPA and 1,25(OH)2D3 synergistically induced 15. LIF mRNA accumulation in human monocytes but not lym- phocytes (16, 37). In this study, no synergistic effect of 1,25- ( O H ) 2 D 3 and TPA was observed in HTLV-1 infected T-cells 16. (Fig. 4).

With regard to hypercalcemia in ATL patients, the produc- tion of TNF-~, IL-I~, and parathyroid hormone related protein 17. in HTLV-1 infected T-cells has been reported and implicated in accelerated bone resorption (8-11). Abe et al. (15) have shown that LIF as well as IL-1, TNF-a, TNF-/3, and PTH-rp have 18. OAF activity. The bone resorption activity of LIF is synergis- tically increased by combination with IL-1 and IL-6 (38). We therefore consider that LIF is an additional factor which in- duces hypercalcemia, in conjunction with other cytokines and abnormalities in the immune systems of ATL patients.

Recently, it has been reported that HTLV-II infected T-cells 19. produce Oncostatin M (39), which is related to LIF in structure, chromosomal localization, biological activity (40), and receptor

20. systems (41). These cytokines may provide another explanation for the pathophysiology of ATL.

Acknowledgments 21.

We are grateful to Dr. N. Gough for providing LIF cDNA; to Dr. I. Miyoshi for the MT-2 cell line; to Dr. M. Tomida for the M I - T 2 2 cell line; to Dr. T. Saida for the H89-59, H89-79, and H I 0 9 cell lines; and to Dr. T. Tsukamoto and Dr. H. Nakata for helpful discussions.

22.

23.

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T-cell leukemia. Clinical and hematological features of 16 cases. Blood, 50: 481-492, 1977.

2. Robert-Guroff, M., Nakao, Y., Notake, T., Ito, Y., and Gallo, R. C. Natural antibodies to human retrovirus HTLV in a cluster of Japanese patients with 25. adult T cell leukemia. Science (Washington DC), 215: 975-978, 1982.

3. Takatsuki, K. Adult T-cell leukemia-lymphoma. Prog. Immunol., 5:1103- 1108, 1984.

4. Popovic, M., Reitz, M. S., Jr., Sarngadharan, M. G., Robert-Guroff, M., 26. Kalyamaraman, V. S., Nakao, Y., Miyoshi, I., Minowada, M., Yoshida, M., Ito, Y., and Gallo, R. C. The virus of Japanese adult T cell leukemia is a member of the human T cell leukemia virus group. Nature (Lond.), 300: 27. 63-66, 1982.

5. Bunn, P. A., Schechter, G. P., Jaffe, E., Blayney, D., Young, R. C., Mat- thews, J. J., Blattner, W., Broder, S., Robert-Guroff, M., and Gallo, R. C. Clinical course of retrovirus-associated adult T-cell lymphoma in the United 28. States. N. Engl. J. Med., 309: 257-264, 1983.

6. Grossman, B., Schechter, G. P., Horton, J. E., Pierce, L., Jaffe, E., and Wahl, L. Hypercalcemia associated with T-cell lymphoma-leukemia. Am. J. Clin. Pathol., 75: 149-155, 1981.

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1992;52:6961-6965. Cancer Res   Tomoyo Umemiya-Okada, Toshiki Natazuka, Toshimitsu Matsui, et al.   Infected T-Cell LinesFactor/D Factor Gene in Human T-Cell Leukemia Virus Type 1 Expression and Regulation of the Leukemia Inhibitory

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