Interleukin 1 gene expression in adult T cell
leukemia.
Y Wano, … , U Gubler, W C Greene
J Clin Invest.
1987;
80(3)
:911-916.
https://doi.org/10.1172/JCI113152
.
The adult T cell leukemia (ATL) is a T cell neoplasm etiologically associated with human T
lymphotropic virus type I (HTLV-I) infection. ATL cells often abnormally express interleukin 2
(IL-2) receptors, and ATL patients may show clinical evidence of hypercalcemia, osteolytic
bone lesions, or increased bone turnover. Whereas interleukin 1 (IL-1) is not generally
recognized as a product of T cells, this cytokine is capable of both altering IL-2 receptor
expression and activating osteoclasts. Thus, we investigated the possibility that primary
ATL leukemic T cells and HTLV-I-infected long-term ATL cell lines produce IL-1. S1
nuclease protection assays demonstrated that primary leukemic ATL cells from five out of
six patients, as well as one patient with T4+ chronic lymphocytic leukemia, contained
considerable quantities of IL-1 beta messenger RNA (mRNA) and small amounts of IL-1
alpha mRNA. These primary leukemic T cells also released biologically active IL-1 protein
as evaluated in the murine thymocyte comitogenesis bioassay. In contrast to primary tumor
cells, four out of six long-term ATL cell lines produced variable amounts of IL-1 alpha mRNA
in the absence of detectable IL-1 beta mRNA as measured by S1 nuclease protection.
These data demonstrate that IL-1 gene (especially IL-1 beta) expression occurs in many
primary HTLV-I-infected leukemic T cells raising the possibility that this mediator may play a
role in the pathological […]
Research Article
Rapid
Publication
Interleukin
1
Gene
Expression
in Adult T Cell Leukemia
Yuji Wano,*ToshioHattori,*Masao Matsuoka,t Kiyoshi Takatsuki,t Anne 0.Chua,lUeliGubler,§andWarnerC. Greene*
*HowardHughes Medical Institute, Department ofMedicine, DukeUniversitySchoolofMedicine,Durham, North Carolina27710;
*Second
Department ofMedicine, Kumamoto University Medical School,Kumamoto860, Japan; and DepartmentofMolecularGenetics, Hoffmann-LaRoche, Inc., Nutley, New Jersey 07110
Introduction
The adult T cell leukemia(ATL) is a T cell neoplasm etiologic-ally associated with human T lymphotropic virus type I (HTLV-I) infection. ATL cells often abnormally express in-terleukin 2(IL-2)receptors, and ATLpatientsmayshow clin-ical evidence ofhypercalcemia,
osteolytic
bonelesions, or in-creased bone turnover. Whereas interleukin l (IL-i) is not generallyrecognized asa product ofT cells, this cytokine is capableof both altering IL-2 receptor expression andactivat-ingosteoclasts. Thus, weinvestigatedthe possibility that pri-maryATL leukemic T cells and HTLV-I-infectedlong-term ATL cell lines produce IL-1. Si nuclease protection assays demonstrated thatprimaryleukemic ATL cells fromfiveoutof
six patients,as wellas onepatientwithT4' chronic lympho-cytic leukemia, contained considerable quantities of
IL-i8
messenger RNA(mRNA)and smallamountsofIL-la mRNA. Theseprimary leukemicTcells also released biologically
ac-tiveIL-1proteinasevaluated in the murine thymocyte
comito-genesis bioassay.Incontrast toprimarytumorcells,fouroutof
six long-term ATL cell lines produced variable amounts of
IL-ia
mRNA in the absence ofdetectableIL-Ilf
mRNA asmeasuredby
Si
nucleaseprotection. These data demonstrate that IL-1 gene (especiallyIL-liN)
expression
occursin manyprimary HTLV-I-infected leukemicTcellsraisingthe possi-bilitythat this mediator may play arole in the
pathological
changes associated with this leukemia.
Also,
these studiesshow that the pattern ofIL-1a and
IL-IS
gene expression differs betweenprimary
ATLtumor cellsandlong-term cul-turedATL celllines,indicating
aninteresting biological dif-ferencein thesetwoHTLV-I-infectedcellpopulations.Part of thisstudywaspresentedattheannualmeetingof Federation of American Society for Experimental Biology,
Washington
D. C.,March-April 1987, andwaspublishedas an abstract
(Fed.
Proc.46:1344.).
Address allcorrespondencetoDr. Y.Wano,HowardHughes Med-icalInstitute,DukeUniversityMedicalCenter,P.0.Box3705, Dur-ham, NC 27710.
Receivedfor publication 21January1987andinrevised
form
20April1987.
The adult T cell leukemia (ATL)' is a usually fatal T cell malignancy produced by human T lymphotropic virus type I (HTLV-I) infection ofT3'and T4' lymphocytes
(helper/in-ducerphenotype) (1-3). These leukemic T cells are often
char-acterized by the abnormal constitutive expression of mem-brane receptors forinterleukin 2 (IL-2) (4, 5). Clinically, this leukemia may present in acute, chronic, or smoldering forms (6).The acute formofthis disease, and thedevelopment of a leukemic crisis in the other less common forms, is frequently associated with hypercalcemia (6-8), evidence of increased bone turnover or osteolysis. Several investigators have
re-ported that HTLV-I-infected primaryleukemic T cells pro-duce osteoclast-activating factor (OAF) or OAF-like sub-stance(s) that promotebone resorption and may contribute to the development of hypercalcemia (8-12). However, this
ATL-associated OAF has not been purified and remains
poorlycharacterized. Recently,Dewhirstetal. (13)purified a human OAF (Mr of 17,800; isoelectric point
[p1]6.8)
frommitogenandphorbolester-activated peripheral blood mono-nuclear cells (PBMC) and unexpectedlyfoundthatits NH2-terminal amino acid sequence wasidentical to that of
inter-leukin
Il#
(IL-18) (14, 15).This finding, coupled with therec-ognized ability ofIL-1 toinduceIL-2 receptor gene expression (16, 17) and to enhance bone resorption in vitro (18, 19),
promptedus toinvestigatewhether primary ATL tumor cells
andHTLV-I-infectedlong-term ATL celllinesproduce IL-1.
Methods
Patients.Sevenpatients with HTLV-I-inducedATLand onepatient with T4' chroniclymphocytic leukemia (CLL) not associated with HTLV-I infectionwerestudied.AlltheATL cases,butnotthe T4' CLLcase, werefoundto containamonoclonal patternof HTLV-I provirus integration in thetumorcellDNA(2).Allbutoneof theATL casesrepresentedpatientswith theacuteform of leukemia. The other ATLpatient(case5)hadhighleukemic cellcountsin theperipheral
blood
(34,000-50,1O001.),
butwasclinicallystablewithouttreatment,and thuswascategorizedas"chronic"ATL.
Cells. The long-term cultured HTLV-I-infected T celllines 1.Abbreviations usedinthispaper: ATL,adultTcellleukemia; CLL,
chroniclymphocytic leukemia; HTLV-I,human Tlymphotropicvirus
typeI;nt, nucleotides; OAF,osteoclast-activating factor, PBMC, pe-ripheral blood mononuclear cells; rIL-la and rIL-l, recombinant interleukin Ihaand 1 ,.
Abstract
J.Clin.Invest.
K TheAmericanSocietyfor ClinicalInvestigation,Inc.
0021-9738/87/09/0911/06 $2.00
HUT-102B2, MT-1, MW,C5/MJ, PLP6, and C91/PL(20-22)were
cultured incomplete mediumconsistingof RPMI 1640supplemented
with 10% heat inactivatedfetal calfserum(FCS), 2.0 mM L-glutamine, 100 U/mlpenicillin and100,g/mi streptomycin.PBMCfrom normal volunteers and the leukemicpatients were separated by Ficoll-Hypa-quedensitygradientcentrifugation. PBMCpopulationsfrom the leu-kemicpatients consisted of>92% of TI1I+cells, 2 76% of T4'cells,
and <2% (< 1% in most cases) ofMol' cells as assessed by flow
cytofluorometry, which indicate minimal monocyte contamination. Cells from thebuffycoatsof normal donorswereculturedfor 18 h in the presence oflipopolysaccharide (LPS, 10ug/ml).
IL-IcomplementaryDNA(cDNA)and protein.ThehumanIL- Ia
(23) andIL-I, (14)cDNAs used have beenpreviouslydescribed. Puri-fied recombinant IL-la(rILla)andIL-1I3(rIL-Ij3)werekindly pro-vided by the Otsuka Pharmaceutical Co.(Tokushima, Japan)and the Dainippon Pharmaceutical Co.(Osaka,Japan),respectively.
Murinethymocyteproliferation assayforIL-I activity.
Superna-tantsfrom cultures of the ATL,T4' CLL,ornormal cells(106/ml)
were harvested after 72hof incubation incomplete medium. After sterile filtering, serial dilutions of these supernatantswereaddedto
C3H/HeN murinethymocytesculturedincompletemedium in the presenceof5 ug/mIofPHA(Difco, Inc.,Findlay,OH),aspreviously
described (24). [3H]Thymidinewasaddedduringthe final 6 hof the 72-h culture.
SI nuclease protection assayofleukemic T cell RNA. RNAwas
purified by theguanidine isothiocyanatemethod(25). 10 Ag of total
RNAobtained from the different leukemic and normal cell
popula-tionswerehybridizedwith either theIL-laorIL-1NcDNAsand di-gested with S Inuclease,aspreviouslydescribed(26).Inthis assay,fully
splicedIL-la messenger RNA(mRNA)protectsa210-nucleotide(nt) fragment(amino acids 64-134 of the IL-la precursorprotein)derived fromexons 4and 5 (27). IL-I( mRNA protectsa525-nt fragment
(amino acids 133-269 of theIL-1j3precursorplus 116ntfrom the 3' untranslated region).Thespecific activityof the end-labeledprobes
usedwas1 X 104-2 X104dpm/fmol.
Results
PrimaryATL tumorcellscontainIL-iaand
IL-1j3
mRNA.Toinvestigate thepossibility ofIL-i gene expression in the pri-mary leukemia T cell populations, SI nuclease protection assays were performed with total RNA isolated from these
neoplasticcells. As shownin Fig. 1 (left),the expected 210-nt
fragment protectedby IL-la mRNA was readily detected in
the LPS-induced buffycoat cell RNA (positive control), but not inthepig gut RNA sample (negative control) nor in the
absenceofadded RNA. Large quantities of
IL-la
mRNA were present inthe T4+ CLL RNA sample, whereas very low, butdetectable, levels ofIL-la mRNA were present in RNA
iso-latedfrom ATL cases, 1, 2, 3, and 4. IL-la mRNA was not
detected inATL cases S and 6 norin RNA isolated from the
HTLV-I-infected HUT-102B2 cell line. RNA from the in-duced human peripheral blood leukocytes (buffy coat cells)
consistently yieldedtwo protectedfragments, 210 and 125 nt in length (26, 27). This finding is explained by the fact that this S1 probeincludessequences from both exons 4 and 5 of the
IL-ia gene (27, 28). The 210-nt fragment is produced after
hybridization of the probe to fully spliced or mature IL-la mRNA, whereas the 125-nt fragment, by hybridization of the
probetounsplicedIL-lamRNA. The 3' 85-nt fragment was notdetected in our procedure as a 5' end-labeled fragment was used. Thedifference in relative ratio of the 210- and 125-nt
fragmentsbetween the T4+ CLL and the buffy coat cell
sam-ples, thus, may reflect a difference in relative amounts of
splicedand unspliced IL-la mRNA presentinthesetwo dif-ferent cell populations.
Muchgreaterquantities of IL- IrmRNAweredetected in
fiveoutof sixATLcases(cases 1-4 and6)asindicated by the intensities of the protected 525-nt fragments (right, Fig. 1). ATLcase5wasthe only leukemic sample that didnotcontain either IL-la orIL-l1: mRNA. Interestingly, these cells were
obtained fromapatient withachronic rather thanacuteform of this leukemia. The
T4'
CLL cells contained large quantities of IL-I(3 mRNA, whereas HUT-102B2 T cells again lacked this mRNA species. Buffy coat RNA, piggutRNA, and no RNAcontrols yielded the appropriate patterns of protection. The multiple smaller bands observed in the IL-1#
assayreflect partial escapefromcomplete protectionthat iscommonlyob-served with this particular probe and the conditions of Si nucleasedigestion used.
These findings indicate that many of the primary ATL
tumorcellsexpressbothIL- la and IL-I mRNAand that the
levels of IL-1
#
mRNA are considerably greaterthan those ofIL-la mRNA. Northern blotting studies confirmed the pres-enceof IL-13mRNAinfour out ofsix ATLleukemiasand in
the
T4'
CLL sample. However, usingthis less sensitive tech-nique, IL-la mRNA production wasweaklydetected in theT4'CLLRNA sample only and undetectableinall oftheATL
samples (data not shown).
Thymocytecomitogenic activity inculturesupernatantsof
primary tumor Tcells. To examine whether these tumor T cells actually release biologically active IL-I protein,thecells were cultured for 72 h in complete medium and the culture supernatants assayed for the presence ofthymocyte comito-genic activity. Assummarized in Table I, acontrol
superna-tantobtained from normal PBMC didnotpromotesignificant
[3H]thymidine
incorporation by murine thymocytes, whereas both purified recombinant IL-la and IL-13 significantlyen-hancedthymoctyeproliferation in adose-dependent manner. Supernatants from the T4+ CLL and four of the ATLcases
that contained IL-I mRNA, as well as an additional ATL sample not studied at the RNA level (case 7),containedIL-I biologicalactivity as measured in this assay. These results sug-gestthat theprimary tumor cells from the ATL and T4+ CLL patients secrete or release biologically active IL-I protein.
The absence ofIL-1(3 mRNA in HTLV-I-infected
long-term celllines. Whereas IL-,1 gene expression was evident in mostof theI-infected primary ATL cells, the HTLV-I-infected long-term ATL line, HUT-102B2, did not appear to contain either IL-Ia or IL-1,B mRNA (Fig. 1). To determine whetherthis was a general property of long-term cultured ATL cell lines, RNA samples from five additional ATL cell lines werestudied for the presence of IL-la or IL-I
#
mRNA. IL-I#
geneexpression was undetectable inall of theATLcelllines
(right, Fig. 2). In contrast, considerable quantities of IL-la mRNA were presentin the C9 1/PL and C5/MJ RNA samples, whereas small amounts were detected in the PLP6 and MJ cell lines. No IL-lIa mRNA was found in the HUT-102B2 orMT-l
RNA samples. Thus, thesefindings suggest that the pattern of IL-Igeneexpressiondiffers inprimary and long-term cultured celllines infected withHTLV-I.
Discussion
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125
IL-ia-Figure1. SI nucleaseprotectionassay of RNA isolated fromprimary leukemicTcells. End-labeled cDNAprobes specificforIL-la(left) andIL-Ifl(right)mRNAwerehybridizedwith 10,gof totalRNA
from thenormal andprimaryleukemiccells followedby digestion with SI nuclease (26).Asapositiveandanegative control,RNAwas
aswellasinasinglecaseofT4'CLL. It is unlikely thatthese IL-1 mRNAs are derived from contaminating monocytes
since, inmostcases,the
Mol'
cellsrepresented< 1%(atmost<2%) of the tumorcell population and no specific
macro-phage-inducing agents were used. Furthermore, identically preparednormal T cellpopulations andoneATLsample
con-tainingasimilar number of
Mol'
cellslacked detectableevi-dence of IL-l geneexpression. Inall populationsof the
posi-tiveprimaryATLtumorcells studied, the relativeamountsof IL-1,8mRNAwerefargreaterthan that ofIL-lamRNA. Also, these cells secretedbiologicallyactive IL-1proteinasmeasured inthe murinethymocyte costimulatorassay.Insharpcontrast,
noneof the sixHTLV-I-infected long-term culturedATLcell lines contained IL-13 mRNA; however, four of these cell lines
produced variable amountsof IL-la mRNA. These findings reveal anintriguingdifference in these twoHTLV-I-infected
cell populuations. Interestingly,recent studies have suggested
that many long-term cultured ATL cell lines do not
corre-IL-1P
isolated from LPS-stimulated peripheral blood leukocytes (buffy coat) and piggut,respectively. SI nucleasedigestionof eachprobein
theabsence of addedRNAwasalsoperformed.Thedigestion
prod-uctsweresize-fractionatedon a5%denaturing acrylamide
sequenc-ing gel, and exposedtoKodakXAR filmfor 55hat-70'C.
spondtotheoriginal primarytumorcells basedontheclonal
pattern ofrearrangementswithin the T cellreceptor chain
gene locusor in theintegration site of the HTLV-I provirus (29). Also, expression of thetransactivator(tat)geneproduct
of HTLV-Iisusuallyundetectable in unculturedprimary leu-kemiacells, whereas long-term cultured ATLcell lines often containrelatively large quantitiesof thisprotein (30).
Further-more, the primary leukemic T cells often require IL-2 for short-termgrowth,whereas theATLcell linesgenerally
prolif-eratereadilyinthe absence of IL-2.Thus,it is clear that these two HTLV-I-infected T cell populations exhibit potentially important geneticand functional differences.
Marked IL-1 production was also observed in the single
caseofT4'CLL studied. These cellsdo not containintegrated
HTLV-I provirus, thus, IL-1 production byleukemic T cells
doesnotappeartobesolelylimitedtoHTLV-I-infectedcells.
Interestingly, these T4' cells also display IL-2 receptors and
respond to exogenousIL-2 with increased proliferation. It is
(nt)
517
506-%W
I
N&**.4
NAl/
03
Itp.40
co
A.,'
-4.v
.,.
C.)
&
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T T T
T T
344
221
220-(nt)
517
-506
-396
-344
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...
F..
_
-_
-A.;,.
-210
221
-220
-153
4-
TableI. Thymocyte Comitogenic Activity in the TumorCellCulture Supernatants
Fmaldilution
Experiments orconcentration [3H]TdRincorporation mean±SD cpm
Medium 1:4 650±100
rIL-la 10U/mi 8,400±850
100U/mi 26,650±880 rIL-I 1 U/ml 3,710±120 10 U/ml 14,910±2,610 100 U/ml 27,760±5,470
T4CLL 1:4 31,100±2,210
1:12 23,800±1,510 1:36 9,620±570 ATLcase1 1:4 32,250±6,710
1:12 19,250±1,450 ATLcase2 1:4 8,370±2,880 1:12 1,050±190
ATLcase3 1:4 3,250±1,790
ATLcase 6 1:4 4,620±820 1:12 2,840±990 1:36 1,220±230 ATLcase7 1:4 20,200±1,440
possible
that theproduction
ofIL-Iby
these cellsmayplay
arole in the
unexpected
IL-2receptor
expression
observed.Ad-ditionalcasesof
T4'
CLLare nowbeing
examinedtoinvesti-gate
thegenerality
ofIL-Iproduction
inthis form of leukemia andtodetermine therelationship
of this mediatortotheab-normal
expression
ofIL-2receptors.
WhereasIL-I gene
expression
has beenpreviously
demon-strated ina
variety
of celltypes,
including
monocytes-macro-phages,
Bcells,
andendothelial cells(31),
Tcellproduction
of thiscytokine
has not beengenerally
recognized.
Recently,
Tartakovsky
andcolleagues (32)
havereported
IL-laproduc-tion
by
certainantigen-specific
murineTcell clonesafter acti-vation withantigen-presenting
Bcells. Nomaandcolleagues
(33)
alsohavedescribed IL-Ia butnotIL-I(3 mRNAproduc-tion ina
few
long-term
culturedhumanT celllines infected with HTLV-I. Ourfinding
of the IL-Ia and IL-IB
geneex-pression
inprimary
ATLandT4'
CLLcellscoupled
with thefinding
thatfouroutof six HTLV-I-infectedlong-term
Tcelllines
expressed
the IL-la geneprovides
additional evidence thatIL-I geneexpression
canoccurin activated cells of theTlymphocyte
lineage.
Although
IL-iproduction
by
primary
ATL tumorcells appearstorepresentverycommonfinding
(thymocyte
comi-togenic activity
has also been detected in the leukemic cells isolated fromeight
outof nine additionalATLcases notdis-cussedin this
paper),
it is unclearwhat rolethismediatorplays
in the
pathological
changes
associated with this leukemia.IL-I
hasbeen
reported
toenhanceIL-2 receptorexpression
(16,
17,
31),
andabnormal
IL-2 receptordisplay
isacommonfeature inATL(4, 5).
Whereasit ispossible
thatIL-Iproduction plays
a direct role inaltering
IL-2 receptor geneexpression,
ourpreliminary
resultsindicate
thatneutralizing
anti-rIL-la oranti-rIL-
I#
rabbitheteroantibodies
failtoinhibitthesponta-neousincrease in IL-2 receptor expression that occurs when
primaryATL tumorcellsareplacedin short-term culture(3).
Furthermore, in contrast to a previous report (34), we have been unable to demonstrate that rIL-la or rIL-j3 enhances
either IL-2receptordisplayortheproliferationoffreshly
iso-latedATLcells. Moreover,wedid not detect IL-la orIL-l,8
gene expression in HTLV-I-infected HUT-102B2 or MT-i cells that constitutively express
large
numbers of IL-2 recep-tors. Thus, while not completely excluded, acausal role for IL-la orIL-1,8 in the abnormal expression of IL-2 receptors in HTLV-I-induced ATL has not been established.Asecond prominent feature of HTLV-I-induced ATL is itsfrequentassociation withhypercalcemia (6-12).The com-monfindingsof osteoclast activation on bone biopsy and in-creased bone turnover without evidence of frank tumor cell infiltration (8, 10-12) has suggested the possible involvement of circulating humoral factor(s) in ATL-associated hypercalce-mia. The abnormal production of such humoral factors as parathyroid hormone, 1, 12-(OH)2 vitaminD3,or
prostaglan-dins,implicated as the cause of hypercalcemia in other malig-nancies(35), has not been detectedin ATL(8-12).Our
find-ings of IL-l production byprimaryATLtumorcellscoupled
withprevious reports of OAF productionbythese cells (8-12) is particularly intriguing in view ofthe report byDewhirstetal. (13) that OAF and IL-
I#
areidentical insize,isoelectricpoint,functional properties(thymocytecomitogenesisand bone re-sorption), and NH2-terminal amino acid sequence. It seems
likely that at least one OAFproduced by primaryATL tumor cells corresponds to
IL-lIP.
Inthisregard,hypercalcemiawasdocumentedatthe time of tumor cell isolation in two of the ATL patients studied (cases 1 and 2). The lack ofhypercalcemiain the other cases may reflect compensatory changes in renal and endocrine
function, whichserve to normalize the level ofserumcalcium (35). Consistent with thispossibility,Bunnetal.(8)have noted that ATLpatients oftenshow evidence of osteoclast activation andaccelerated bone turnover in the absence of frank
hyper-calcemia. Neither bonebiopsiesnormetabolic bone turnover
studies were available from the present group ofpatients.
Thus, toestablishfirmly thepossiblerelationshipof IL-la and
IL-1, production to ATL-associated changes in calcium
me-tabolism, serialprospective studies correlatingIL-Iproduction
with changes in bone turnover, osteoclast activation, and
serumandurine calcium levelswillbe required.
IL-I can also produce
neutrophilia,
acuteinflammatory
protein secretionbyhepatocytes, andfever in vivo (31, 36).In
thisregard, Yamamotoetal. (37) have described the frequent
presence of neutrophilia in ATL patients. It is possible that
ATLcell-derived IL-I maymediate this response. Also, ATL
patients, including those we have studied, often exhibit
ele-vated serum levels of lactic dehydrogenase, alkaline
phospha-tase, and C-reactive protein (1, 6, 8). Thesechanges may be
consistent with arole forIL-1; however, direct leukemic cell
infiltration oftheliver (afrequent
finding
in ATL) couldalso produce these changes (1, 8).Finally, fever isafrequentclini-calfinding inATL;however, it is difficultto
implicate
tumorcell-derived IL-I asits solecausegiven thefrequency of inter-current opportunistic infections and the administration of multiple drugs.
Ofnote,the
single
ATL case(case5)
whosetumorcellsdiddiag-(nt)
^aIWUz
517
525506 -396 344
298-221
210
% co
te\+~
~~~~N'b
-mwswwrt
(nt)
0
517 506
-396
-344
-298
221 210 -210
153
-153
-125
IL-la
IL-1i3
Figure 2. SInucleaseprotectionassayofRNAfrom long-term cultured ATL(HTLV-Iinfected)celllines.For details, see the legendfor Fig. 1.
Left,IL-la;right,IL-l.
nosed as chronic ATL. Preliminary studies of leukemic cells from a second chronic ATL case also has revealed a lack of IL-I mRNA production. Furtherstudiesof thepotential
dif-ferences in IL-l gene expression in the acute vs. chronic or
smolderingforms of ATLarepresently underway. Acknowledaments
WewishtothankDr.I. Miyoshi of Kochi Medical School, Japan fora
generousgift ofMT- I cellline.
This workwaspartially supported byagrantinaid for scientific
researchfromtheMinistry of Education, Science,and Culture, Japan. References
1. Uchiyama, T., J. Yodoi, K. Sagawa, K. Takatsuki, and H.
Uchino. 1977.Adult T-cell leukemia: clinical andhematologic
fea-turesof16 cases.Blood.50:481-492.
2.Yoshida, M.,M.Seiki,K.Yamaguchi,and K.Takatsuki.1984.
Monoclonalintegration of human T-cell leukemiaprovirusin all
pri-marytumorsof adultT-cell leukemiasuggestscausative role ofhuman
T-cell leukemia virus in the disease.Proc. Natl. Acad. Sci. USA. 81:2534-2537.
3. Hattori, T., T. Uchiyama, T. Toibana, K. Takatsuki, andH.
Uchino. 1981.Surface phenotype of JapaneseATLcells characterized by monoclonal antibodies. Blood. 58:645-647.
4.Tsudo, M.,T.Uchiyama,H.Uchino, andJ.Yodoi. 1983.
Fail-ureofregulationofTacantigen/TCGFreceptoronadult Tcell leuke-mia cells by anti-Tac monoclonal antibody. Blood. 61:1014-1016.
5. Kronke,M.,W.J.Leonard, J.M.Depper, and W. C. Greene. 1985. Deregulation of interleukin-2 receptor gene expression in
HTLV-I-induced adult T-cell leukemia. Science (Wash. DC).
228:1215-1217.
6. Yamaguchi, K., H. Nishimura, F. Kawano, H. Kohrogi, M.
Jono,Y.Miyamotoand K.Takatsuki. 1983.Aproposal for
smolder-ingadultT-cellleukemia-diversityinclinicalpicturesofadultT-cell leukemia. Jpn.J. Clin. Oncol. 13(Suppl.2):189-200.
7. Catovsky, D., M. F.Greaves, M. Rose, D. A. G. Galton, A. W. G. Goolden, D. R. McCluskey, J. M. White, I. Lampert, G.
Bourikas,R.Ireland,A.I.Brownell,J. M.Bridges,W. A.Blattner,and
R.C.Gallo. 1982. AdultT-celllymphoma-leukemiain Blacksfrom
the WestIndies.Lancet. 1:639-643.
8.Bunn,P.A.,G. P.Schechter,E.Jaffe,D.
Blayney,
R. C.Young,Gallo. 1983. Clinicalcourseofretrovirus-associatedadult T-cell
lym-phomainthe United States. N.Engl.J.Med.309:257-264.
9. Grossman,B.,G.P.Schechter,J. E. Horton, L.Pierce,E.Jaffe,
and L. Wahl. 1981. Hypercalcemia associated withT-cell lymphoma-leukemia.Am. J.Clin. Pathol.75:149-155.
10. Brigham, B. A., P. A. Bunn, J. E. Horton, G. P. Schechter, L. M.Wahl, E. C. Bradley, R.Dunnick,and M. J. Matthews. 1982.
Skeletal manifestations incutaneousT-cell lymphomas. Arch.
Derma-tol. 118:461-467.
11. Blayney, D. W., E. S.Jaffe, R. I. Fisher,G. P. Schechter, J.
Cossman,M.Robert-Guroff,V.S.Kalyanaraman, W. A. Blattner, and R. C.Gallo. 1982. The human T-cellleukemia/lymphomavirus, lym-phoma, lytic bone lesions and hypercalcemia.Ann. Intern. Med. 98:144-151.
12.Fujihira,T.,S.Eto, K.Sato,K.Zeki,S. Oda, S.Chiba,and H.
Suzuki.Evidence of bone resorption-stimulating factor inadult T-cell
leukemia.Jpn. J.Clin. Oncol. 15:385-391.
13.Dewhirst, F.E.,P. P.Stashenko,J. E.Mole, and T.
Tsuruma-chi. 1985.Purification and partialsequenceof human osteoclast-acti-vating factor: identity with interleukin 1j5.J. Immunol.
135:2562-2568.
14.Auron, P. E., A. C.Webb,L. J. Rosenwasser, S. F.Mucci,A.
Rich, S.M.Wolff, and C.A.Dinarello. 1984.Nucleotidesequenceof human monocyteinterleukin-I precursor cDNA. Proc. Nati. Acad. Sci. USA. 81:7907-7911.
15. March,C. J., B. K. Moslay,A.Larsen, D. P.Cerretti,G. Braedt, V.Price, S. Gillis, C. S.Henney,S.R.Kronheim,KGrabstein, P. F.
Conlon, T.P.Hopp, andD.Cossman. 1985. Cloning,sequenceand
expression oftwodistinct human interleukin- 1 complementary DNAs.Nature(Lond.).315:641-647.
16. Kaye, J., S. Gillis, S.B. Mizel, E. M. Shevach,T. R. Malek,
C.A.Dinarello,L.B.Lachman, and C.A.Janeway. 1984. Growth ofa
clonedhelperTcelllineinduced byamonoclonalantibody specific for theantigen receptor interleukin 1 is required for the expression of
receptorsfor interleukin 2.J.Immunol. 133:1339-1345.
17.Lowenthal, J. W., J.-C. Cerottini,and H. R. MacDonald. 1986.
Interleukin1-dependentinduction of both interleukin 2 secretionand
interleukin 2 receptor expression by thymoma cells. J. Immunol. 137:1226-1231.
18.Gowen, M.,D. D.Wood, E.J.Ihrie,M. K. B.McGuire, and
R. G.G. Russell. 1983.Aninterleukin 1like factorstimulates bone
resorption in vitro. Nature (Lond.). 306:378-380.
19.Heath,J.K., J.Saklatvala, M.C. Meikle,S. J.Atkinson, and
J. J.Reynolds. 1985. Pig interleukin 1(catabolin) isapotent stimulator
of boneresorption in vitro.CakifTissue Int. 37:95-97.
20.Gazdar,A.F., D. N. Carney,P. A. Bunn, E. K. Russell, E. S.
Jaffe,G.P.Schechter, and J. G. Guccion. 1980.Mitogenrequirements
for the in vitro propagation ofcutaneous T-cell lymphomas. Blood. 55:409-417.
21.Miyoshi, I., I. Kubonishi,M.Sumida,S.Yoshimoto,S.Hiraki,
T.Tsubota, H. Kobashi,M.Lai,T.Tanaka, I. Kimura, K. Miyamoto,
andJ. Sato. 1979. Characteristics ofaleukemic T-cell line derived
from adult T-cell leukemia.Jpn. J.Clin. Oncol.9:485-494.
22.Popovic,M., P. S.Sarin,M.Robert-Gurroff, V. S. Kalyanara-man, D. Mann, J.Minowada,and R. C.Gallo.Isolation and
trans-mission ofhuman retrovirus (human T-cell leukemia virus). Science
(Wash.DC). 219:856-859.
23.Gubler, U.,A. 0.Chua,A. S.Stem, C. P. Hellmann, M. P.
Vitek, T. M.Dechiara,W. R.Benjamin,K. J.Collier,M.Dukovich,
P.C.Familletti, C.Fiedler-Nagy,J.Jenson,K.Kaffka,P. L.Killian,D. Stremlo,B. H.Wittreich,D.Woehle,S.B.Mizel,and P. T.Lomedico. 1986.Recombinanthuman interleukinla:purificationandbiological characterization.J.Immunol. 136:2492-2497.
24.Mizel, S. B., J. J. Oppenheim,andD. L.Rosenstreich. 1978.
Characterizationoflymphocyte activatingfactor(LAF) produced by
themacrophage cellline, P388D1,.I.Enhancement of LAFproduction
byactivatedTlymphocytes.J.Immunol. 120:1497-1503.
25.Chirgwin,J.M.,A. E.Przybyla, R.J. McDonald,and W.J. Rutter. 1979. Isolation ofbiologicallyactive ribonucleic acid from
sourcesenriched in ribonuclease.Biochemistry. 18:5294-5299. 26.Kupper, T.S.,D. W.Ballard,A.0. Chua,J. S.McGuire,P. M. Flood, M. C. Horowitz, R. Langdon,L. Lightfoot, and U. Gubler. 1986. Human keratinocytes containmRNA indistinguishable from
monocyteinterleukin 1aandftmRNA.J.Exp.Med. 164:2095-2100. 27. Le, J.,D.Weinstein,U.Gubler,and J.Vilcek. 1987. Induction ofmembrane-associated interleukin 1 bytumornecrosis factor in human fibroblasts.J.Immunol. 138:2137-2142.
28. Furutani, Y.,M.Notake,T.Fukui,M.Ohue,H.Normura,M.
Yamada, and S. Nakamura. 1986. Completenucleotidesequenceof thegenefor human interleukin 1alpha. Nucleic AcidsRes. 14:3167-3179.
29. Maeda, M.,A.Shimizu,K.Ikuta,H.Okamoto,M.Kashihara,
T.Uchiyama,T.Honjo,and J.Yodoi. 1985.Originof human
T-lym-photrophic virus I-positiveTcell lines in adultTcell leukemia.J.Exp. Med. 162:2169-2174.
30.Franchini,G.,F.Wong-Staal,andR.C.Gallo. 1984.Human
T-cell leukemia virus(HTLV-I) transcriptsinfresh and cultured cells of patients with adult T-cell leukemia. Proc. Nati.Acad. Sci. USA. 81:6207-6211.
31.Oppenheim,J.J.,E.J.Kovacs,K.Matsushima,S.K. Durum.
1986. There ismorethanoneinterleukin1.Immunol.Today.7:45-56. 32. Tartakovsky, B., E. J. Kovacs, L. Takacs, and S. K. Durum.
1986.Tcell cloneproducinganIL-I-like activity after stimulation by antigen-presentingBcells.J.Immunol. 137:160-166.
33. Noma,T., T.Nakamura,M.Maeda,M.Okada,Y.Taniguchi, Y.Tagaya, Y. Yaoita,J.Yodoi, andT.Honjo. 1986. Interleukin la mRNAinvirus-transformed Tand B cells. Biochem. Biophys.Res.
Commun. 139:353-360.
34.Shirakawa, F.,Y.Tanaka, S. Oda, S.Chiba,H.Suzuki,S. Eto, andY.Yamashita. 1986. Effect of interleukin I ontheproliferation
and theexpressionof interleukin 2receptorsof adultTcellleukemia cells invitro.Proc.Jpn. CancerAssoc.45:208.(Abstr.)
35. Mundy, G. R., K. J. Ibbotson, andS. M. D'Souza. 1985. Tumorproducts and thehypercalcemiaof malignancy.J.Clin.Invest.
76:391-394.
36.Auron, P.E., S.J.C. Warner,A.C.Webb,J.G.Cannon,H. A.
Bernheim,K. J. P. W.McAdam,L. J.Rosenwasser, G. LoPreste, S.F.
Mucci, and C.A.Dinarello. 1987. Studiesonthe molecularnatureof
humaninterleukin 1.J.Immunol. 138:1447-1456.