Key Points
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An impaired balance between immature and mature myeloid cells is one of the hallmarks of seemingly unrelated pathological conditions that are associated with T-cell dysfunction.
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In mice, co-expression of CD11b and GR1 is associated with myeloid cells at various stages of differentiation that can inhibit T-cell activation induced by either antigen or a polyclonal stimulus. This inhibition occurs through an MHC-independent mechanism that requires cell–cell contact.
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These myeloid cells are known as myeloid suppressor cells (MSCs), and they partially overlap with the previously described natural suppressor cells. MSCs arise from bone marrow and other haematopoietic organs that are exposed to systemically released factors that act on myelomonocytic precursors.
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MSCs inhibit antigen-activated T cells by a mechanism that requires important enzymes of L-arginine metabolism, the inducible forms of nitric-oxide synthase (NOS) and arginase (ARG), NOS2 and ARG1. In mouse myeloid cells, NOS2 and ARG1are competitively regulated by T helper 1 (TH1) and TH2 cytokines, respectively.
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MSCs can use ARG1 and NOS2, either separately or in combination, to restrain T-cell functions. The choice is regulated by a network of signals, cytokines and receptor–ligand interactions that underlie the crosstalk between MSCs and activated T cells.
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NOS2 generates nitric oxide (NO), which blocks signalling from the interleukin-2 receptor. By contrast, L-arginine depletion induced by the activity of ARG1 causes downregulation of expression of the ζ-chain of CD3 and, consequently, impairment of its signalling properties.
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Moreover, NO and superoxide (O2−) production in MSCs generates several highly oxidizing molecules known as reactive nitrogen and oxygen species. Generation of reactive nitrogen and oxygen species regulates the contraction phase of CD8+ T cells following antigenic stimulation.
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The activity of ARG1 and NOS2 working in combination was recently described for CD11b+GR1+ cells from tumour-bearing mice and chronically infected mice, thereby indicating that co-expression of both enzymes could be unique to MSCs.
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Evidence from animal and human models indicates that the immunomodulatory role of L-arginine metabolism is important in physiological, as well as pathological, conditions, which provides the rationale for development of therapeutic compounds that control the ARG and NOS enzymatic pathways.
Abstract
L-Arginine is an essential amino acid for birds and young mammals, and it is a conditionally essential amino acid for adult mammals, as it is important in situations in which requirements exceed production, such as pregnancy. Recent findings indicate that increased metabolism of L-arginine by myeloid cells can result in the impairment of lymphocyte responses to antigen during immune responses and tumour growth. Two enzymes that compete for L-arginine as a substrate — arginase and nitric-oxide synthase — are crucial components of this lymphocyte-suppression pathway, and the metabolic products of these enzymes are important moderators of T-cell function. This Review article focuses on the relevance of L-arginine metabolism by myeloid cells for immunity under physiological and pathological conditions.
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References
Kapsenberg, M. L. Dendritic-cell control of pathogen-driven T-cell polarization. Nature Rev. Immunol. 3, 984–993 (2003).
Barreda, D. R., Hanington, P. C. & Belosevic, M. Regulation of myeloid development and function by colony stimulating factors. Dev. Comp. Immunol. 28, 509–554 (2004).
Gordon, S. Alternative activation of macrophages. Nature Rev. Immunol. 3, 23–35 (2003).
Geissmann, F., Jung, S. & Littman, D. R. Blood monocytes consist of two principal subsets with distinct migratory properties. Immunity 19, 71–82 (2003).
Kusmartsev, S. & Gabrilovich, D. I. Immature myeloid cells and cancer-associated immune suppression. Cancer Immunol. Immunother. 51, 293–298 (2002).
Serafini, P. et al. Derangement of immune responses by myeloid suppressor cells. Cancer Immunol. Immunother. 53, 64–72 (2003).
Bronte, V., Serafini, P., Apolloni, E. & Zanovello, P. Tumor-induced immune dysfunctions caused by myeloid suppressor cells. J. Immunother. 24, 431–446 (2001).
Baniyash, M. TCR ζ-chain downregulation: curtailing an excessive inflammatory immune response. Nature Rev. Immunol. 4, 675–687 (2004).
Gabrilovich, D. Mechanisms and functional significance of tumour-induced dendritic-cell defects. Nature Rev. Immunol. 4, 941–952 (2004).
Strober, S. Natural suppressor (NS) cells, neonatal tolerance, and total lymphoid irradiation: exploring obscure relationships. Annu. Rev. Immunol. 2, 219–237 (1984). This Review article reports early experimental data on the phenotypic and functional characteristics of NS cells and on the role of NS cells in the alloreactive immune response. It also predicts the involvement of these cells in the development of host-versus-graft and graft-versus-host tolerance in allogeneic bone-marrow chimeras.
Holda, J. H., Maier, T. & Claman, H. N. Murine graft-versus-host disease across minor barriers: immunosuppressive aspects of natural suppressor cells. Immunol. Rev. 88, 87–105 (1985).
Bronte, V. et al. Identification of a CD11b+/Gr-1+/CD31+ myeloid progenitor capable of activating or suppressing CD8+ T cells. Blood 96, 3838–3846 (2000).
Bronte, V. et al. Unopposed production of granulocyte–macrophage colony-stimulating factor by tumors inhibits CD8+ T cell responses by dysregulating antigen-presenting cell maturation. J. Immunol. 162, 5728–5737 (1999).
Bronte, V. et al. Apoptotic death of CD8+ T lymphocytes after immunization: induction of a suppressive population of Mac-1+/Gr-1+ cells. J. Immunol. 161, 5313–5320 (1998).
Fleming, T. J., Fleming, M. L. & Malek, T. R. Selective expression of Ly-6G on myeloid lineage cells in mouse bone marrow. RB6–8C5 mAb to granulocyte-differentiation antigen (Gr-1) detects members of the Ly-6 family. J. Immunol. 151, 2399–2408 (1993).
Leenen, P. J., de Bruijn, M. F., Voerman, J. S., Campbell, P. A. & van Ewijk, W. Markers of mouse macrophage development detected by monoclonal antibodies. J. Immunol. Methods 174, 5–19 (1994).
Melani, C., Chiodoni, C., Forni, G. & Colombo, M. P. Myeloid cell expansion elicited by the progression of spontaneous mammary carcinomas in c-erbB-2 transgenic BALB/c mice suppresses immune reactivity. Blood 102, 2138–2145 (2003).
Rodriguez, P. C. et al. Arginase I production in the tumor microenvironment by mature myeloid cells inhibits T-cell receptor expression and antigen-specific T-cell responses. Cancer Res. 64, 5839–5849 (2004). This paper, together with references 51 and 90, highlights the link between upregulation of ARG1 production by macrophages stimulated with T H 2 cytokines, tumour-associated myeloid cells and peripheral-blood myeloid cells, and downregulation of CD3ζ expression, which results in inhibition of antigen-specific T-cell responses.
Li, Q., Pan, P. Y., Gu, P., Xu, D. & Chen, S. H. Role of immature myeloid Gr-1+ cells in the development of antitumor immunity. Cancer Res. 64, 1130–1139 (2004).
Kusmartsev, S., Nefedova, Y., Yoder, D. & Gabrilovich, D. I. Antigen-specific inhibition of CD8+ T cell response by immature myeloid cells in cancer is mediated by reactive oxygen species. J. Immunol. 172, 989–999 (2004).
Kusmartsev, S. & Gabrilovich, D. I. STAT1 signaling regulates tumor-associated macrophage-mediated T cell deletion. J. Immunol. 174, 4880–4891 (2005).
Apolloni, E. et al. Immortalized myeloid suppressor cells trigger apoptosis in antigen-activated T lymphocytes. J. Immunol. 165, 6723–6730 (2000).
Kusmartsev, S. et al. All-trans-retinoic acid eliminates immature myeloid cells from tumor-bearing mice and improves the effect of vaccination. Cancer Res. 63, 4441–4449 (2003).
Young, M. R. & Wright, M. A. Myelopoiesis-associated immune suppressor cells in mice bearing metastatic Lewis lung carcinoma tumors: γ interferon plus tumor necrosis factor α synergistically reduces immune suppressor and tumor growth-promoting activities of bone marrow cells and diminishes tumor recurrence and metastasis. Cancer Res. 52, 6335–6340 (1992).
Yang, L. et al. Expansion of myeloid immune suppressor Gr+CD11b+ cells in tumor-bearing host directly promotes tumor angiogenesis. Cancer Cell 6, 409–421 (2004).
Hock, H. et al. Intrinsic requirement for zinc finger transcription factor Gfi-1 in neutrophil differentiation. Immunity 18, 109–120 (2003).
Elgert, K. D., Alleva, D. G. & Mullins, D. W. Tumor-induced immune dysfunction: the macrophage connection. J. Leukoc. Biol. 64, 275–290 (1998).
Vig, M. et al. Inducible nitric oxide synthase in T cells regulates T cell death and immune memory. J. Clin. Invest. 113, 1734–1742 (2004). Results reported in this paper, together with references 94–98, highlight the involvement of reactive free radicals — both ROS and RNOS, as well as their by-products — in the regulation of T-cell death and immunological memory.
Bronte, V. et al. Boosting anti-tumor responses of T lymphocytes infiltrating human prostate cancers. J. Exp. Med. 201, 1257–1268 (2005). This is the first study showing that ARG and NOS activities in human prostate-cancer cells restrain the activation of TILs. It also indicates that peroxynitrites are involved as final mediators of the inhibitory pathways.
Brys, L. et al. Reactive oxygen species and 12/15-lipoxygenase contribute to the antiproliferative capacity of alternatively activated myeloid cells elicited during helminth infection. J. Immunol. 174, 6095–6104 (2005).
Serafini, P. et al. High-dose granulocyte–macrophage colony-stimulating factor-producing vaccines impair the immune response through the recruitment of myeloid suppressor cells. Cancer Res. 64, 6337–6343 (2004).
De Santo, C. et al. Nitroaspirin corrects immune dysfunction in tumor-bearing hosts and promotes tumor eradication by cancer vaccination. Proc. Natl Acad. Sci. USA 102, 4185–4190 (2005). This study analyses the effect of NO-releasing aspirin in mouse tumour models. The results show that, by interfering with the inhibitory enzymatic activities of myeloid cells, orally administered NO-releasing aspirin normalizes the immune status of tumour-bearing hosts, increases the number and function of tumour-antigen-specific T cells, and increases the preventive and therapeutic effectiveness of the antitumour immunity elicited by immunization with tumour antigens.
Luiking, Y. C., Poeze, M., Dejong, C. H., Ramsay, G. & Deutz, N. E. Sepsis: an arginine deficiency state? Crit. Care Med. 32, 2135–2145 (2004).
Bernard, A. C. et al. Alterations in arginine metabolic enzymes in trauma. Shock 15, 215–219 (2001).
Wu, G. & Morris, S. M. Jr . Arginine metabolism: nitric oxide and beyond. Biochem. J. 336, 1–17 (1998).
Bogdan, C. Nitric oxide and the immune response. Nature Immunol. 2, 907–916 (2001). This comprehensive Review article summarizes recent findings about the role of NO in the immune response, indicating that this molecule and its derivatives have a much more pleiotropic role in infection and immunity than was initially thought. It is also suggested that NO is involved in thymic education.
Vincendeau, P., Gobert, A. P., Daulouede, S., Moynet, D. & Djavad Mossalayi, M. Arginases in parasitic diseases. Trends Parasitol. 19, 9–12 (2003).
Gobert, A. P. et al. Helicobacter pylori arginase inhibits nitric oxide production by eukaryotic cells: a strategy for bacterial survival. Proc. Natl Acad. Sci. USA 98, 13844–13849 (2001).
Iniesta, V., Gomez-Nieto, L. C. & Corraliza, I. The inhibition of arginase by Nω-hydroxy-L-arginine controls the growth of Leishmania inside macrophages. J. Exp. Med. 193, 777–784 (2001).
Munder, M., Eichmann, K. & Modolell, M. Alternative metabolic states in murine macrophages reflected by the nitric oxide synthase/arginase balance: competitive regulation by CD4+ T cells correlates with TH1/TH2 phenotype. J. Immunol. 160, 5347–5354 (1998).
Munder, M. et al. TH1/TH2-regulated expression of arginase isoforms in murine macrophages and dendritic cells. J. Immunol. 163, 3771–3777 (1999).
Boutard, V. et al. Transforming growth factor-β stimulates arginase activity in macrophages. Implications for the regulation of macrophage cytotoxicity. J. Immunol. 155, 2077–2084 (1995).
Morrison, A. C. & Correll, P. H. Activation of the stem cell-derived tyrosine kinase/RON receptor tyrosine kinase by macrophage-stimulating protein results in the induction of arginase activity in murine peritoneal macrophages. J. Immunol. 168, 853–860 (2002).
Jost, M. M. et al. Divergent effects of GM-CSF and TGFβ1 on bone marrow-derived macrophage arginase-1 activity, MCP-1 expression, and matrix metalloproteinase-12: a potential role during arteriogenesis. FASEB J. 17, 2281–2283 (2003).
Morris, S. M. Jr . Regulation of enzymes of the urea cycle and arginine metabolism. Annu. Rev. Nutr. 22, 87–105 (2002).
Rutschman, R. et al. Stat6-dependent substrate depletion regulates nitric oxide production. J. Immunol. 166, 2173–2177 (2001).
Sinha, P., Clements, V. K. & Ostrand-Rosenberg, S. Reduction of myeloid-derived suppressor cells and induction of M1 macrophages facilitate the rejection of established metastatic disease. J. Immunol. 174, 636–645 (2005).
Munder, M. et al. Arginase I is constitutively expressed in human granulocytes and participates in fungicidal activity. Blood 105, 2549–2556 (2005).
Kim, J. W., Closs, E. I., Albritton, L. M. & Cunningham, J. M. Transport of cationic amino acids by the mouse ecotropic retrovirus receptor. Nature 352, 725–728 (1991).
Mann, G. E., Yudilevich, D. L. & Sobrevia, L. Regulation of amino acid and glucose transporters in endothelial and smooth muscle cells. Physiol. Rev. 83, 183–252 (2003).
Rodriguez, P. C. et al. L-Arginine consumption by macrophages modulates the expression of CD3 ζ chain in T lymphocytes. J. Immunol. 171, 1232–1239 (2003).
Alderton, W. K., Cooper, C. E. & Knowles, R. G. Nitric oxide synthases: structure, function and inhibition. Biochem. J. 357, 593–615 (2001).
Kleinert, H. et al. Cytokine induction of NO synthase II in human DLD-1 cells: roles of the JAK–STAT, AP-1 and NF-κB-signaling pathways. Br. J. Pharmacol. 125, 193–201 (1998).
Ganster, R. W., Taylor, B. S., Shao, L. & Geller, D. A. Complex regulation of human inducible nitric oxide synthase gene transcription by Stat1 and NF-κB. Proc. Natl Acad. Sci. USA 98, 8638–8643 (2001).
Angulo, I. et al. Early myeloid cells are high producers of nitric oxide upon CD40 plus IFN-γ stimulation through a mechanism dependent on endogenous TNF-α and IL-1α. Eur. J. Immunol. 30, 1263–1271 (2000).
Angulo, I. et al. Nitric oxide-producing D11b+Ly-6G(Gr-1)+CD31(ER-MP12)+ cells in the spleen of cyclophosphamide-treated mice: implications for T-cell responses in immunosuppressed mice. Blood 95, 212–220 (2000).
Goni, O., Alcaide, P. & Fresno, M. Immunosuppression during acute Trypanosoma cruzi infection: involvement of Ly6G (Gr1+)CD11b+ immature myeloid suppressor cells. Int. Immunol. 14, 1125–1134 (2002).
Waddington, S. N., Mosley, K., Cook, H. T., Tam, F. W. & Cattell, V. Arginase AI is upregulated in acute immune complex-induced inflammation. Biochem. Biophys. Res. Commun. 247, 84–87 (1998).
Noel, W., Raes, G., Hassanzadeh Ghassabeh, G., De Baetselier, P. & Beschin, A. Alternatively activated macrophages during parasite infections. Trends Parasitol. 20, 126–133 (2004).
Bronte, V., Serafini, P., Mazzoni, A., Segal, D. M. & Zanovello, P. L-Arginine metabolism in myeloid cells controls T-lymphocyte functions. Trends Immunol. 24, 301–305 (2003).
Bronte, V. et al. IL-4-induced arginase 1 suppresses alloreactive T cells in tumor-bearing mice. J. Immunol. 170, 270–278 (2003).
Currie, G. A., Gyure, L. & Cifuentes, L. Microenvironmental arginine depletion by macrophages in vivo. Br. J. Cancer 39, 613–620 (1979).
Zhang, P. et al. The GCN2 eIF2α kinase is required for adaptation to amino acid deprivation in mice. Mol. Cell. Biol. 22, 6681–6688 (2002).
Lee, J., Ryu, H., Ferrante, R. J., Morris, S. M. Jr. & Ratan, R. R. Translational control of inducible nitric oxide synthase expression by arginine can explain the arginine paradox. Proc. Natl Acad. Sci. USA 100, 4843–4848 (2003).
El-Gayar, S., Thuring-Nahler, H., Pfeilschifter, J., Rollinghoff, M. & Bogdan, C. Translational control of inducible nitric oxide synthase by IL-13 and arginine availability in inflammatory macrophages. J. Immunol. 171, 4561–4568 (2003).
Rohde, J., Heitman, J. & Cardenas, M. E. The TOR kinases link nutrient sensing to cell growth. J. Biol. Chem. 276, 9583–9586 (2001).
Gao, X. et al. Tsc tumour suppressor proteins antagonize amino-acid–TOR signalling. Nature Cell Biol. 4, 699–704 (2002).
Zhang, M. et al. Spermine inhibits proinflammatory cytokine synthesis in human mononuclear cells: a counterregulatory mechanism that restrains the immune response. J. Exp. Med. 185, 1759–1768 (1997).
Fischer, T. A. et al. Activation of cGMP-dependent protein kinase Iβ inhibits interleukin 2 release and proliferation of T cell receptor-stimulated human peripheral T cells. J. Biol. Chem. 276, 5967–5974 (2001).
Duhe, R. J. et al. Nitric oxide and thiol redox regulation of Janus kinase activity. Proc. Natl Acad. Sci. USA 95, 126–131 (1998).
Bingisser, R. M., Tilbrook, P. A., Holt, P. G. & Kees, U. R. Macrophage-derived nitric oxide regulates T cell activation via reversible disruption of the Jak3/STAT5 signaling pathway. J. Immunol. 160, 5729–5734 (1998).
Mazzoni, A. et al. Myeloid suppressor lines inhibit T cell responses by an NO-dependent mechanism. J. Immunol. 168, 689–695 (2002).
Macphail, S. E. et al. Nitric oxide regulation of human peripheral blood mononuclear cells: critical time dependence and selectivity for cytokine versus chemokine expression. J. Immunol. 171, 4809–4815 (2003).
Pericle, F. et al. HIV-1 infection induces a selective reduction in STAT5 protein expression. J. Immunol. 160, 28–31 (1998).
Pericle, F. et al. Immunocompromised tumor-bearing mice show a selective loss of STAT5a/b expression in T and B lymphocytes. J. Immunol. 159, 2580–2585 (1997).
Mannick, J. B. et al. Fas-induced caspase denitrosylation. Science 284, 651–654 (1999).
Fligger, J., Blum, J. & Jungi, T. W. Induction of intracellular arginase activity does not diminish the capacity of macrophages to produce nitric oxide in vitro. Immunobiology 200, 169–186 (1999).
Xia, Y. & Zweier, J. L. Superoxide and peroxynitrite generation from inducible nitric oxide synthase in macrophages. Proc. Natl Acad. Sci. USA 94, 6954–6958 (1997).
Xia, Y., Roman, L. J., Masters, B. S. & Zweier, J. L. Inducible nitric-oxide synthase generates superoxide from the reductase domain. J. Biol. Chem. 273, 22635–22639 (1998).
Radi, R. Nitric oxide, oxidants, and protein tyrosine nitration. Proc. Natl Acad. Sci. USA 101, 4003–4008 (2004).
Schopfer, F. J., Baker, P. R. & Freeman, B. A. NO-dependent protein nitration: a cell signaling event or an oxidative inflammatory response? Trends Biochem. Sci. 28, 646–654 (2003).
Denicola, A., Souza, J. M. & Radi, R. Diffusion of peroxynitrite across erythrocyte membranes. Proc. Natl Acad. Sci. USA 95, 3566–3571 (1998).
Brito, C. et al. Peroxynitrite inhibits T lymphocyte activation and proliferation by promoting impairment of tyrosine phosphorylation and peroxynitrite-driven apoptotic death. J. Immunol. 162, 3356–3366 (1999).
Aulak, K. S. et al. Proteomic method identifies proteins nitrated in vivo during inflammatory challenge. Proc. Natl Acad. Sci. USA 98, 12056–12061 (2001).
Moulian, N., Truffault, F., Gaudry-Talarmain, Y. M., Serraf, A. & Berrih-Aknin, S. In vivo and in vitro apoptosis of human thymocytes are associated with nitrotyrosine formation. Blood 97, 3521–3530 (2001).
Reth, M. Hydrogen peroxide as second messenger in lymphocyte activation. Nature Immunol. 3, 1129–1134 (2002).
Kusmartsev, S. A., Li, Y. & Chen, S. H. Gr-1+ myeloid cells derived from tumor-bearing mice inhibit primary T cell activation induced through CD3/CD28 costimulation. J. Immunol. 165, 779–785 (2000).
Otsuji, M., Kimura, Y., Aoe, T., Okamoto, Y. & Saito, T. Oxidative stress by tumor-derived macrophages suppresses the expression of CD3 ζ chain of T-cell receptor complex and antigen-specific T-cell responses. Proc. Natl Acad. Sci. USA 93, 13119–13124 (1996).
Schmielau, J. & Finn, O. J. Activated granulocytes and granulocyte-derived hydrogen peroxide are the underlying mechanism of suppression of T-cell function in advanced cancer patients. Cancer Res. 61, 4756–4760 (2001).
Zea, A. H. et al. Arginase-producing myeloid suppressor cells in renal cell carcinoma patients: a mechanism of tumor evasion. Cancer Res. 65, 3044–3048 (2005).
Hildeman, D. A. et al. Control of Bcl-2 expression by reactive oxygen species. Proc. Natl Acad. Sci. USA 100, 15035–15040 (2003).
Badovinac, V. P., Porter, B. B. & Harty, J. T. Programmed contraction of CD8+ T cells after infection. Nature Immunol. 3, 619–626 (2002).
Badovinac, V. P., Porter, B. B. & Harty, J. T. CD8+ T cell contraction is controlled by early inflammation. Nature Immunol. 5, 809–817 (2004). References 92 and 93 explore the mechanisms that control the contraction phase of an antigen-specific CD8+ T-cell response. Data reported in reference 92 support a model in which the contraction of the CD8+ T-cell response is hardwired to occur independently of whether the host has successfully controlled the infection. Reference 93 also shows that the contraction of L. monocytogenes -specific CD8+ T-cell responses is controlled by inflammation and IFN-γ production in the early stages of infection.
Laniewski, N. G. & Grayson, J. M. Antioxidant treatment reduces expansion and contraction of antigen-specific CD8+ T cells during primary but not secondary viral infection. J. Virol. 78, 11246–11257 (2004).
Cauley, L. S., Miller, E. E., Yen, M. & Swain, S. L. Superantigen-induced CD4 T cell tolerance mediated by myeloid cells and IFN-γ. J. Immunol. 165, 6056–6066 (2000).
Devadas, S., Zaritskaya, L., Rhee, S. G., Oberley, L. & Williams, M. S. Discrete generation of superoxide and hydrogen peroxide by T cell receptor stimulation: selective regulation of mitogen-activated protein kinase activation and Fas ligand expression. J. Exp. Med. 195, 59–70 (2002).
Hildeman, D. A. et al. Reactive oxygen species regulate activation-induced T cell apoptosis. Immunity 10, 735–744 (1999).
Hildeman, D. A., Mitchell, T., Kappler, J. & Marrack, P. T cell apoptosis and reactive oxygen species. J. Clin. Invest. 111, 575–581 (2003).
Bronstein-Sitton, N. et al. Sustained exposure to bacterial antigen induces interferon-γ-dependent T cell receptor ζ down-regulation and impaired T cell function. Nature Immunol. 4, 957–964 (2003).
Xu, W., Liu, L., Smith, G. C. & Charles, G. Nitric oxide upregulates expression of DNA-PKcs to protect cells from DNA-damaging anti-tumour agents. Nature Cell Biol. 2, 339–345 (2000).
Cederbaum, S. D. et al. Arginases I and II: do their functions overlap? Mol. Genet. Metab. 81, S38–S44 (2004).
Chang, C. I., Liao, J. C. & Kuo, L. Macrophage arginase promotes tumor cell growth and suppresses nitric oxide-mediated tumor cytotoxicity. Cancer Res. 61, 1100–1106 (2001).
Davel, L. E. et al. Arginine metabolic pathways involved in the modulation of tumor-induced angiogenesis by macrophages. FEBS Lett. 532, 216–220 (2002).
Schleifer, K. W. & Mansfield, J. M. Suppressor macrophages in African trypanosomiasis inhibit T cell proliferative responses by nitric oxide and prostaglandins. J. Immunol. 151, 5492–5503 (1993).
Abrahamsohn, I. A. & Coffman, R. L. Cytokine and nitric oxide regulation of the immunosuppression in Trypanosoma cruzi infection. J. Immunol. 155, 3955–3963 (1995).
Terrazas, L. I., Walsh, K. L., Piskorska, D., McGuire, E. & Harn, D. A. Jr . The schistosome oligosaccharide lacto-N-neotetraose expands Gr1+ cells that secrete anti-inflammatory cytokines and inhibit proliferation of naive CD4+ cells: a potential mechanism for immune polarization in helminth infections. J. Immunol. 167, 5294–5303 (2001).
Mencacci, A. et al. CD80+Gr-1+ myeloid cells inhibit development of antifungal TH1 immunity in mice with candidiasis. J. Immunol. 169, 3180–3190 (2002).
Zabaleta, J. et al. Helicobacter pylori arginase inhibits T cell proliferation and reduces the expression of the TCR ζ-chain (CD3ζ). J. Immunol. 173, 586–593 (2004).
Pelaez, B., Campillo, J. A., Lopez-Asenjo, J. A. & Subiza, J. L. Cyclophosphamide induces the development of early myeloid cells suppressing tumor cell growth by a nitric oxide-dependent mechanism. J. Immunol. 166, 6608–6615 (2001).
Billiau, A. D., Fevery, S., Rutgeerts, O., Landuyt, W. & Waer, M. Transient expansion of Mac1+ Ly6-G+ Ly6-C+ early myeloid cells with suppressor activity in spleens of murine radiation marrow chimeras. Possible implications for the graft-versus-host and graft-versus-leukemia reactivity of donor lymphocyte infusions. Blood 102, 740–748 (2003).
Vallance, P. & Leiper, J. Blocking NO synthesis: how, where and why? Nature Rev. Drug Discov. 1, 939–950 (2002).
Colleluori, D. M. & Ash, D. E. Classical and slow-binding inhibitors of human type II arginase. Biochemistry 40, 9356–9362 (2001). References 111 and 112 focus on the rationale and potential for approaches that reduce the synthesis of NO and the activity of ARG, and they discuss the application of these approaches in clinical settings.
Gupta, S. et al. Chemoprevention of prostate carcinogenesis by α-difluoromethylornithine in TRAMP mice. Cancer Res. 60, 5125–5133 (2000).
Wallace, J. L., Ignarro, L. J. & Fiorucci, S. Potential cardioprotective actions of NO-releasing aspirin. Nature Rev. Drug Discov. 1, 375–382 (2002).
Mellor, A. L. & Munn, D. H. IDO expression by dendritic cells: tolerance and tryptophan catabolism. Nature Rev. Immunol. 4, 762–774 (2004).
Fenyk-Melody, J. E. et al. Experimental autoimmune encephalomyelitis is exacerbated in mice lacking the NOS2 gene. J. Immunol. 160, 2940–2946 (1998).
Shi, F. D. et al. Control of the autoimmune response by type 2 nitric oxide synthase. J. Immunol. 167, 3000–3006 (2001).
Grohmann, U. et al. A defect in tryptophan catabolism impairs tolerance in nonobese diabetic mice. J. Exp. Med. 198, 153–160 (2003).
Fallarino, F. et al. CTLA-4–Ig activates forkhead transcription factors and protects dendritic cells from oxidative stress in nonobese diabetic mice. J. Exp. Med. 200, 1051–1062 (2004).
de Jonge, W. J. et al. Arginine deficiency affects early B cell maturation and lymphoid organ development in transgenic mice. J. Clin. Invest. 110, 1539–1548 (2002). This study shows that the impaired transition from pro-B cells to precursor-B cells in the bone marrow of transgenic mice is characterized by high expression of ARG1 in enterocytes, thereby indicating that a signal-transduction molecule associated with L -arginine metabolism might be involved in B-cell maturation.
Buga, G. M., Wei, L. H., Bauer, P. M., Fukuto, J. M. & Ignarro, L. J. NG-hydroxy-L-arginine and nitric oxide inhibit Caco-2 tumor cell proliferation by distinct mechanisms. Am. J. Physiol. Regul. Integr. Comp. Physiol. 275, R1256–R1264 (1998).
Blachier, F., Mignon, A. & Soubrane, O. Polyamines inhibit lipopolysaccharide-induced nitric oxide synthase activity in rat liver cytosol. Nitric Oxide 1, 268–272 (1997).
Meurs, H., Maarsingh, H. & Zaagsma, J. Arginase and asthma: novel insights into nitric oxide homeostasis and airway hyperresponsiveness. Trends Pharmacol. Sci. 24, 450–455 (2003).
Gabrilovich, D. et al. Vascular endothelial growth factor inhibits the development of dendritic cells and dramatically affects the differentiation of multiple hematopoietic lineages in vivo. Blood 92, 4150–4166 (1998).
Young, M. R., Wright, M. A. & Young, M. E. Antibodies to colony-stimulating factors block Lewis lung carcinoma cell stimulation of immune-suppressive bone marrow cells. Cancer Immunol. Immunother. 33, 146–152 (1991).
Passegue, E., Jochum, W., Schorpp-Kistner, M., Mohle-Steinlein, U. & Wagner, E. F. Chronic myeloid leukemia with increased granulocyte progenitors in mice lacking JunB expression in the myeloid lineage. Cell 104, 21–32 (2001).
Ghansah, T. et al. Expansion of myeloid suppressor cells in SHIP-deficient mice represses allogeneic T cell responses. J. Immunol. 173, 7324–7330 (2004).
Welte, T. et al. STAT3 deletion during hematopoiesis causes Crohn's disease-like pathogenesis and lethality: a critical role of STAT3 in innate immunity. Proc. Natl Acad. Sci. USA 100, 1879–1884 (2003).
Kuwata, T. et al. Vitamin A deficiency in mice causes a systemic expansion of myeloid cells. Blood 95, 3349–3356 (2000).
Munn, D. H. et al. Inhibition of T cell proliferation by macrophage tryptophan catabolism. J. Exp. Med. 189, 1363–1372 (1999).
Grohmann, U. et al. CTLA-4–Ig regulates tryptophan catabolism in vivo. Nature Immunol. 3, 1097–1101 (2002).
Munn, D. H., Sharma, M. D. & Mellor, A. L. Ligation of B7-1/B7-2 by human CD4+ T cells triggers indoleamine 2,3-dioxygenase activity in dendritic cells. J. Immunol. 172, 4100–4110 (2004).
Frumento, G. et al. Tryptophan-derived catabolites are responsible for inhibition of T and natural killer cell proliferation induced by indoleamine 2,3-dioxygenase. J. Exp. Med. 196, 459–468 (2002).
Mills, C. D., Kincaid, K., Alt, J. M., Heilman, M. J. & Hill, A. M. M-1/M-2 macrophages and the TH1/TH2 paradigm. J. Immunol. 164, 6166–6173 (2000).
Chon, S. Y., Hassanain, H. H. & Gupta, S. L. Cooperative role of interferon regulatory factor 1 and p91 (STAT1) response elements in interferon-γ-inducible expression of human indoleamine 2,3-dioxygenase gene. J. Biol. Chem. 271, 17247–17252 (1996).
Weiner, C. P., Knowles, R. G., Stegink, L. D., Dawson, J. & Moncada, S. Myometrial arginase activity increases with advancing pregnancy in the guinea pig. Am. J. Obstet. Gynecol. 174, 779–782 (1996).
Mellor, A. L. et al. Prevention of T cell-driven complement activation and inflammation by tryptophan catabolism during pregnancy. Nature Immunol. 2, 64–68 (2001).
Uyttenhove, C. et al. Evidence for a tumoral immune resistance mechanism based on tryptophan degradation by indoleamine 2,3-dioxygenase. Nature Med. 9, 1269–1274 (2003).
Munn, D. H. et al. Expression of indoleamine 2,3-dioxygenase by plasmacytoid dendritic cells in tumor-draining lymph nodes. J. Clin. Invest. 114, 280–290 (2004).
Saio, M., Radoja, S., Marino, M. & Frey, A. B. Tumor-infiltrating macrophages induce apoptosis in activated CD8+ T cells by a mechanism requiring cell contact and mediated by both the cell-associated form of TNF and nitric oxide. J. Immunol. 167, 5583–5593 (2001).
Hongo, D., Bryson, J. S., Kaplan, A. M. & Cohen, D. A. Endogenous nitric oxide protects against T cell-dependent lethality during graft-versus-host disease and idiopathic pneumonia syndrome. J. Immunol. 173, 1744–1756 (2004).
Fallarino, F. et al. Modulation of tryptophan catabolism by regulatory T cells. Nature Immunol. 4, 1206–1212 (2003).
MacDonald, K. P. et al. Cytokine expanded myeloid precursors function as regulatory antigen-presenting cells and promote tolerance through IL-10-producing regulatory T cells. J. Immunol. 174, 1841–1850 (2005). This study establishes a relationship between MSCs and regulatory T cells. Using granulocyte-colony-stimulating-factor-mobilized, bone-marrow-derived CD11b+GR1+ cells in a model of allogeneic transplantation, this article shows the proliferation of IL-10-secreting and antigen-specific regulatory T cells that attenuate graft-versus-host disease but not graft-versus-leukaemia effects.
Hucke, C., MacKenzie, C. R., Adjogble, K. D., Takikawa, O. & Daubener, W. Nitric oxide-mediated regulation of γ interferon-induced bacteriostasis: inhibition and degradation of human indoleamine 2,3-dioxygenase. Infect. Immun. 72, 2723–2730 (2004).
Acknowledgements
This work was supported by grants for Finalized Research from the Italian Ministry of Health, and from the Oncology Strategic Project of the Ministry of Education, University and Research National Research Council (MIUR-CNR), the Basic Research Fund of the Ministry of Education, University and Research (FIRB-MIUR) and the Italian Association for Cancer Research (AIRC). We thank A. Azzalini for assistance with graphic preparation, and we apologize to authors whose work was not cited as a consequence of space restrictions.
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Glossary
- ACCESSORY CELL
-
A cell that is required for, but does not itself mediate, a specific immune response. These cells intervene in different phases of an immune response, from priming to generating immunological memory. The term is often used to describe antigen-presenting cells, which are specialized cells that are involved in processing and presentation of antigen to lymphocytes.
- REACTIVE OXYGEN SPECIES (ROS).
-
Aerobic organisms derive their energy from the reduction of oxygen (O2). The metabolism of O2, and in particular its reduction through the mitochondrial electron-transfer chain, generates byproducts such as superoxide (O2), hydrogen peroxide (H2O2) and hydroxyl radicals (OH). These three species and the unstable intermediates that are formed by lipid peroxidation are referred to as ROS. ROS can damage important intracellular targets, such as DNA, carbohydrates or proteins.
- tRNA
-
A small RNA molecule that carries specific amino acids to the ribosome for polymerization into a polypeptide chain. During translation, an amino acid is inserted into the growing polypeptide chain when the anticodon of a tRNA pairs with a codon on the mRNA being translated.
- REACTIVE NITROGEN-OXIDE SPECIES (RNOS).
-
Nitric oxide (NO) chemistry is complex because of the extreme reactivity of NO, which can result in the formation of different reactive nitrogen intermediates (RNI) depending on the amount of NO that is produced by cells. At low concentrations, NO reacts directly with metals and radicals. At higher concentrations, indirect effects prevail, and these include several oxidation or nitrosylation reactions with oxygen (O2) that result in the production of various moieties. NO and related RNI are effective antimicrobial agents and signal-transducing molecules. The term RNOS, although less frequently used, more specifically indicates this family of molecules than does the term RNI.
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Bronte, V., Zanovello, P. Regulation of immune responses by L-arginine metabolism. Nat Rev Immunol 5, 641–654 (2005). https://doi.org/10.1038/nri1668
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DOI: https://doi.org/10.1038/nri1668
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