Development of tumor-specific T cell tolerance contributes to the failure of the immune system to eliminate tumor cells. Here we report that hematogenous dissemination of tumor cells followed by their elimination and local removal of apoptotic tumor cells in the liver leads to subsequent development of T cell tolerance towards antigens associated with apoptotic tumor cells. We provide evidence that liver sinusoidal endothelial cells (LSEC) remove apoptotic cell fragments generated by induction of tumor cell apoptosis through hepatic NK1.1 + cells. Antigen associated with apoptotic cell material is processed and cross-presented by LSEC to CD8 + T cells, leading to induction of CD8 + T cell tolerance. Adoptive transfer of LSEC isolated from mice challenged previously with tumor cells promotes development of CD8 + T cell tolerance towards tumor-associated antigen in vivo. Our results indicate that hematogenous dissemination of tumor cells, followed by hepatic tumor cell elimination and local crosspresentation of apoptotic tumor cells by LSEC and subsequent CD8 + T cell tolerance induction, represents a novel mechanism operative in tumor immune escape.
IntroductionThe liver is often a site of tumor metastasis once tumor cells reach the circulation. In particular for tumors arising in the gastrointestinal tract, the liver represents the first vascular bed that allows tumor seeding or promotes tumor elimination. The molecular mechanisms involved in tumor cell adhesion within the liver have been partly elucidated and are critical in the initiation of metastasis [1]. There is mutual interaction between liver sinusoidal cells and tumor cells, which involves the mannose receptor, release of IL-1b and IL-18 as well as endothelial cell up-regulation of adhesion molecules such as VCAM-1 [2], which all favor the development of hepatic metastasis.At the same time, hepatic sinusoidal cell populations contribute to tumor defense. Kupffer cells as the hepatic macrophage population have the capacity to kill tumor cells efficiently through phagocytosis [3] and induction Immunomodulation * These authors contributed equally to this work. ** These authors are co-senior authors.Correspondence: Percy A. Knolle [7]. These cells efficiently eliminate metastasizing tumor cells through induction of apoptosis through TRAIL, CD95L or the perforin/granzyme B pathway [8][9][10][11]. The hepatic overall capacity to eliminate tumor cells seems to be linked to the physiological role of the liver to eliminate gut-derived material from portal venous blood, because the hepatic activity of tumor cell killing is reduced in germ-free mice [12]. Furthermore, the liver is known to remove activated T cells from the circulation. Bone marrowderived as well as organ-resident hepatic cell populations attract circulating activated T cells employing CD54/CD106 and induce T cell apoptosis [13][14][15]. This similarity in retention and elimination of tumor cells and activated T cells suggests that not only may similar molecular mechanisms be employed, but also t...