Abstract
Regeneration of the immune system after hematopoietic stem cell transplantation (HSCT) is a slow process. We attempted to identify problems in the recovery of the immune system by examining expressions of early event cell cycle proteins Myc, Jun, and Fos, as well as DNA binding of Myc, activating protein 1 (AP-1), and CD4 cell activation values, in phytohemagglutinin-activated T lymphocytes taken from patients after HSCT. HSCT patients showed lower protein expression levels of Myc and Jun, as well as Myc and AP-1 DNA-binding levels, as compared to healthy controls. C-Jun was lower in long-term survivors of HSCT than short-term survivors. Adenosine triphosphate (ATP) values in CD4 cells were also lower in HSCT patients than healthy controls, but showed a time-dependent increase post-transplant. Non-surviving patients showed lower levels of both Fos protein and ATP as compared to surviving patients and a negative correlation between Fos values and lymphocyte percentage that was not present in surviving patients. There was a strong positive correlation between Fos values and lymphocyte percentage and between AP-1 values and white blood count, in patients without graft-versus-host disease (GVHD), that did not exist in patients who suffered from GVHD. Patients 2 years post-HSCT showed a positive correlation between AP-1 and Myc DNA-binding protein values, similar to those values found in healthy controls. Our study identified significant factors that account for the delay in immune reconstitution after transplant; this knowledge may improve the management of post-HSCT patients.
Similar content being viewed by others
References
Jimenez M, Ercilla G, Martinez C (2007) Immune reconstitution after allogeneic stem cell transplantation with reduced-intensity conditioning regimens. Leukemia 21:1628–1637
Brugnoni D, Airo P, Pennacchio M, Carella G, Malagoli A, Ugazio AG, Porta F, Cattaneo R (1999) Immune reconstitution after bone marrow transplantation for combined immunodeficiencies: down-modulation of Bcl-2 and high expression of CD95/Fas account for increased susceptibility to spontaneous and activation-induced lymphocyte cell death. Bone Marrow Transpl 23:451–457
Storek J, Joseph A, Espino G, Dawson MA, Douek DC, Sullivan KM, Flowers ME, Martin P, Mathioudakis G, Nash RA, Storb R, Appelbaum FR, Maloney DG (2001) Immunity of patients surviving 20 to 30 years after allogeneic or syngeneic bone marrow transplantation. Blood 98:3505–3512
Parkman R, Weinberg KI (1997) Immunological reconstitution following bone marrow transplantation. Immunol Rev 157:73–78
Guillaume T, Rubinstein DB, Symann M (1998) Immune reconstitution and immunotherapy after autologous hematopoietic stem cell transplantation. Blood 92:1471–1490
Poulin JF, Sylvestre M, Champagne P, Dion ML, Kettaf N, Dumont A, Lainesse M, Fontaine P, Roy DC, Perreault C, Sekaly RP, Cheynier R (2003) Evidence for adequate thymic function but impaired naive T-cell survival following allogeneic hematopoietic stem cell transplantation in the absence of chronic graft-versus-host disease. Blood 102:4600–4607
Davison GM, Novitzky N, Kline A, Thomas V, Abrahams L, Hale G, Waldmann H (2000) Immune reconstitution after allogeneic bone marrow transplantation depleted of T cells. Transplantation 69:1341–1347
Cleveland JL, Rapp UR, Farrar WL (1987) Role of c-Myc and other genes in interleukin 2 regulated CT6 T lymphocytes and their malignant variants. J Immunol 138:3495–3504
Grausz JD, Fradelizi D, Dautry F, Monier R, Lehn P (1986) Modulation of c-fos and c-myc mRNA levels in normal human lymphocytes by calcium ionophore A23187 and phorbol ester. Eur J Immunol 16:1217–1221
Modiano JF, Mayor J, Ball C, Chitko-McKown CG, Sakata N, Domenico-Hahn J, Lucas JJ, Gelfand EW (1999) Quantitative and qualitative signals determine T-cell cycle entry and progression. Cell Immunol 197:19–29
Shapira MY, Tsirigotis P, Resnick IB, Or R, Abdul-Hai A, Slavin S (2007) Allogeneic hematopoietic stem cell transplantation in the elderly. Crit Rev Oncol Hematol 64:49–63
Petersen SL (2007) Alloreactivity as therapeutic principle in the treatment of hematologic malignancies. Studies of clinical and immunologic aspects of allogeneic hematopoietic cell transplantation with nonmyeloablative conditioning. Dan Med Bull 54:112–139
Vriz S, Lemaitre JM, Leibovici M, Thierry N, Mechali M (1992) Comparative analysis of the intracellular localization of c-Myc, c-Fos, and replicative proteins during cell cycle progression. Mol Cell Biol 12:3548–3555
Roux P, Blanchard JM, Fernandez A, Lamb N, Jeanteur P, Piechaczyk M (1990) Nuclear localization of c-Fos, but not v-Fos proteins, is controlled by extracellular signals. Cell 63:341–351
Hartenstein B, Teurich S, Hess J, Schenkel J, Schorpp-Kistner M, Angel P (2002) Th2 cell-specific cytokine expression and allergen-induced airway inflammation depend on JunB. EMBO J 21:6321–6329
Lwin WW, Park K, Wauson M, Gao Q, Finn PW, Perkins D, Khanna A (2012) Systems biology approach to transplant tolerance: proof of concept experiments using RNA Interference (RNAi) to knock down hub genes in Jurkat and HeLa Cells In Vitro. J Surg Res 176:e41–e46. doi:10.1016/j.jss.2011.12.002
Foletta VC, Segal DH, Cohen DR (1998) Transcriptional regulation in the immune system: all roads lead to AP-1. J Leukoc Biol 63:139–152
Hughes-Fulforda M, Suganoa TE, Schopperd T, Lia CF, Boonyaratanakornkita JB, Cogolid A (2005) Early immune response and regulation of IL-2 receptor subunits. Cell Signal 17:1111–1124
Tanaka H, Matsumura I, Ezoe S, Satoh Y, Sakamaki T, Albanese C, Machii T, Pestell RG, Kanakura Y (2002) E2F1 and c-Myc potentiate apoptosis through inhibition of NF-kappaB activity that facilitates MnSOD-mediated ROS elimination. Mol Cell 9:1017–1029
Shipp MA, Reinherz EL (1987) Differential expression of nuclear proto-oncogenes in T cells triggered with mitogenic and nonmitogenic T3 and T11 activation signals. J immunol 139:2143–2148
Dose M, Khan I, Guo Z, Kovalovsky D, Krueger A, Boehmer HV, Khazaie K, Gounari F (2006) c-Myc mediates pre-TCR-induced proliferation but not developmental progression. Blood 108:2669–2677
Wang R, Dillon CP, Zhichang SL, Milasta S, Carter R, Finkelstein D, McCormick LL, Fitzgerald P, Chi H, Munger J, Green DR (2011) The transcription Ffctor Myc controls metabolic reprogramming upon T Lymphocyte activation. Immunity 35:871–882
Lindsten T, June CH, Thompson CB (1988) Multiple mechanisms regulate c-myc gene expression during normal T cell activation. EMBO J 7:2787–2794
Qiao X, Pham DN, Luo H, Wu J (2010) Ran overexpression leads to diminished T Cell responses and selectively modulates nuclear levels of c-Jun and c-Fos. J Biol Chem 285:5488–5496. doi:10.1074/jbc.M109.058024
Hughes CC, Pober JS (1993) Costimulation of peripheral blood T cell activation by human endothelial cells. Enhanced IL-2 transcription correlates with increased c-fos synthesis and increased Fos content of AP-1. J Immunol 150:3148–3160
Whisler RL, Chen M, Beiqing L, Carle KW (1997) Impaired induction of c-fos/c-jun genes and of transcriptional regulatory proteins binding distinct c-fos/c-jun promoter elements in activated human T cells during aging. Cell Immunol 175:41–50
Whisler RL, Beiqing L, Wu LC, Chen M (1993) Reduced activation of transcriptional factor AP-1 among peripheral blood T cells from elderly humans after PHA stimulation: restorative effect of phorbol diesters. Cell Immunol 152:96–109
Eferl R, Wagner EF (2003) AP-1: a double-edged sword in tumorigenesis. Nat Rev Cancer 3:859–868. doi:10.1038/nrc1209
Watanabe M, Nakajima S, Ohnuki K, Ogawa S, Yamashita M, Nakayama T, Murakami Y, Tanabe K, Abe R (2012) AP-1 is involved in ICOS gene expression downstream of TCR/CD28 and cytokine receptor signaling. Eur J Immunol 42:1850–1862
Horgan AF, Mendez MV, O’Riordain DS, Holzheimer RG, Mannick JA, Rodrick ML (1994) Altered gene transcription after burn injury results in depressed T-lymphocyte activation. Ann Surg 220:342–352
Walters ED, Drullinger LF, Kugel JF, Goodrich JA (2013) NFATc2 recruits cJun homodimers to an NFAT site to synergistically activate interleukin-2 transcription. Mol Immunol 56:48–56
Macia F, Garcıa-Cozar F, Sin-Hyeog I, Horton HF, Byrne MC, Rao A (2002) Transcriptional mechanisms underlying lymphocyte tolerance. Cell 109:719–731
Heisel O, Keown P (2001) Alteration in transcription factor binding at the IL-2 promotor region un anergized human CD4+ T lymphocytes. Transplantation 72:1416–1422
Sottong PR, Rosebrock JA, Britz JA, Kramer TR (2000) Measurement of T-lymphocyte responses in whole-blood cultures using newly synthesized DNA and ATP. Clin Vaccine Immunol 7:307–311
White AG, Raju KT, Keddie S, Abouna GM (1989) Lymphocyte activation: changes in intracellular adenosine triphosphate and deoxyribonucleic acid synthesis. Immunol Lett 22:47–50
Lewin SR, Heller G, Zhang L, Rodrigues E, Skulsky E, van den Brink MR, Small TN, Kernan NA, O’Reilly RJ, Ho DD, Young JW (2002) Direct evidence for new T-cell generation by patients after either T-cell-depleted or unmodified allogeneic hematopoietic stem cell transplantations. Blood 100:2235–2242
Selvatici R, Rubini M, Orlando P, Balboni A, Gandini E (1990) C-fos, c-myc and IL-2R mRNA expression in PHA activated T lymphocytes treated with a monoclonal anti-HLA class I antibody (MAb 01.65). Biochem Int 22:397–403
Ferrari S, Torelli U, Selleri L, Donelli A, Venturelli D, Narni F, Moretti L, Torelli G (1985) Study of the levels of expression of two oncogenes, c-myc and c-myb, in acute and chronic leukemias of both lymphoid and myeloid lineage. Leuk Res 9:833–842
Gamble DA, Schwab R, Weksler ME, Szabo P (1990) Decreased steady state c-myc mRNA in activated T cell cultures from old humans is caused by a smaller proportion of T cells that transcribe the c-myc gene. J Immunol 144:3569–3573
Song L, Stephens JM, Kittur S, Collins GD, Nagel JE, Pekala PH, Adler WH (1992) Expression of c-fos, c-jun and jun B in peripheral blood lymphocytes from young and elderly adults. Mech Ageing Dev 65:149–156
Shan X, Luo H, Chen H, Daloze P, St-Louis G, Wu J (1993) The effect of rapamycin on c-jun expression in human lymphocytes. Clin Immunol Immunopathol 69:314–317
DePalma L, Brown E, Baker R (1998) c-fos and c-jun mRNA expression in activated cord and adult lymphocytes: an analysis by Northern hybridization. Vox Sang 75:134–138
King LB, Tolosa E, Lenczowski JM, Lu F, Lind EF, Hunziker R, Petrie HT, Ashwell JD (1999) A dominant-negative mutant of c-Jun inhibits cell cycle progression during the transition of CD4(−)CD8(−) to CD4(+)CD8(+) thymocytes. Int Immunol 11:1203–1216
Trop-Steinberg S, Azar Y, Or R (2013) Early cell-cycle gene expression in T-cells after hematopoietic stem cell transplantation. Transpl Immunol 29:146–154. doi:10.1016/j.trim.2013.03.002
Kern JA, Reed JC, Daniele RP, Nowell PC (1986) The role of the accessory cell in mitogen-stimulated human T cell gene expression. J Immunol 137:764–769
Kowalski RJ, Mannon RB et al (2006) Assessing relative risks of infection and rejection: a meta-analysis using an immune function assay. Transplantation 82:663
Kowalski R, Post D, Schneider MC, Britz J, Thomas J, Deierhoi M, Lobashevsky A, Redfield R, Schweitzer E, Heredia A, Reardon E, Davis C, Bentlejewski C, Fung J, Shapiro R, Zeevi A (2003) Immune cell function testing: an adjunct to therapeutic drug monitoring in transplant patient management. Clin Transplant 17:77–88
Sanchez-Velasco P, Rodrigo E, Valero R, Ruiz JC, Fernandez-Fresnedo G, Lopez-Hoyos M, Pinera C, Palomar R, Leyva-Cobian F, Arias M (2008) Intracellular ATP concentrations of CD4 cells in kidney transplant patients with and without infection. Clin Transplant 22:55–60
Gesundheit B, Budowski E, Israeli M, Shapira MY, Resnick IB, Bringer R, Azar Y, Samuel S, Dray L, Amar A, Kristt D, Or R (2010) Assessment of CD4 T-lymphocyte reactivity by the Cylex ImmuKnow assay in patients following allogeneic hematopoietic SCT. Bone Marrow Transpl 45:527–533
Sayegh MH, Turka LA (1998) The role of T-cell costimulatory activation pathways in transplant rejection. N Engl J Med 338:1813–1821
Nguyen TN, Kim LJ, Walters RD, Drullinger LF, Lively TN, Kugel JF, Goodrich JA (2010) The C-terminal region of human NFATc2 binds cJun to synergistically activate interleukin-2 transcription. Mol Immunol 47:2314–2322
Naito T, Tanaka H, Naoe Y, Taniuchi I (2011) Transcriptional control of T-cell development. Int Immunol 23:661–668
Katoh M, Igarashi M, Fukuda H, Nakagama H (2013) Cancer genetics and genomics of human FOX family genes. Cancer Lett 328:198–206
Acknowledgments
The authors of this paper wish to thank the staff at the bone marrow transplant outpatient clinic for their assistance in the collection of blood samples and clinical follow-up data and the staff members at our laboratory. We also thank Aviva Yoselis of Israel Health Consulting for her editorial assistance.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Appendix: Evaluation of CD3+ T-cell purity
Appendix: Evaluation of CD3+ T-cell purity
Flow cytometry analysis of the enriched cells after the RosetteSep cocktail showed a CD3+ T-cell purity of 95–97 %.
Rights and permissions
About this article
Cite this article
Trop-Steinberg, S., Azar, Y., Bringer, R. et al. Myc and AP-1 expression in T cells and T-cell activation in patients after hematopoietic stem cell transplantation. Clin Exp Med 15, 189–203 (2015). https://doi.org/10.1007/s10238-014-0285-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10238-014-0285-6