Although it is clear that activation of Wnt/β-catenin signaling can be important in melanoma progression, the molecular details remain unclear. In this study, we investigated the transcription profile of human melanoma cells following Wnt-3a treatment and identified CTLA-4 as a direct transcriptional target of the Wnt/β-catenin signaling pathway. Furthermore, we made the initial observation that CTLA-4 is expressed in patient-derived melanoma tumors. Given the pivotal role of CTLA-4 in inhibiting immune responses, these results may offer insight into the regulation of CTLA-4 in several autoimmune diseases and malignancies.
The predominant role of
CTLA-4 as a negative regulator of T cell-mediated immune responses has led to widespread interest in making it a target of mAb therapy to boost antitumor immunity.
CTLA-4 blockade leads to enhancement of immune response (
Leach et al., 1996), rejection of tumors (
Hurwitz et al., 2000), or reduction of tumors in mice when used in combination with tumor vaccines (
van Elsas et al., 1999). Promising preclinical results have led to the development of fully humanized anti-
CTLA-4 antibodies that are currently being tested in over 10 clinical trials, including a phase III trial for the treatment of metastatic melanoma (
Kasper et al., 2007). Although recent studies have reported the expression of
CTLA-4 (
Contardi et al., 2005) and its ligand B7.1 (CD80) in melanoma cell lines (
Tirapu et al., 2006), as well as linked
CTLA-4 gene polymorphisms with malignancy susceptibility (
Zheng et al., 2001;
Ghaderi et al., 2004;
Monne et al., 2004), the function of
CTLA-4 in melanoma is unknown.
We observed that Wnt/β-catenin signaling induces the expression of CTLA-4 in human melanoma cells at both the transcript and protein levels. In both UACC 1273 and A2058 melanoma cell lines, the full-length splice variant of CTLA-4 is elevated by Wnt-3a. This induction is specifically mediated by β-catenin, as it is attenuated by the Wnt/β-catenin pathway inhibitor, DKK-1. The observed increase in CTLA-4 message is accompanied by an increase in total protein levels, although without concomitant changes in cell surface expression.
There may be a few plausible explanations for the discrepancy between low or undetectable surface expression and functional effects. In T cells,
CTLA-4 is tightly regulated by restricted trafficking to the cell surface (
Iida et al., 2000) and rapid internalization (
Chuang et al., 1997). Even during maximal expression of
CTLA-4 after T-cell activation, surface
CTLA-4 constitutes less than 10% of the total cellular protein, and little can be detected (
Alegre et al., 1996;
Alegre et al., 1998;
Anna et al., 2003). Strikingly, several studies have reported functional effects in T cells even when surface levels of
CTLA-4 are undetectable (
Krummel and Allison, 1996;
Walunas et al., 1996;
Fallarino et al., 2003). Similarly, in melanoma cell lines, studies have shown that although low levels of intracellular but not cell surface
CTLA-4 are detectable, apoptosis could be induced following treatment with
CTLA-4 ligands, B7.1 (CD80) and B7.2 (CD86), suggesting the presence of functional receptor on the surface (
Contardi et al., 2005). An alternative possible explanation is that Wnt-mediated induction of
CTLA-4 expression in melanoma cells is solely intracellular and has a yet unknown function. These published studies suggest that although we do not detect a change in
CTLA-4 cell surface expression, this does not preclude the increase in total expression from having physiological consequences.
Finally, we analyzed a 1.7 kb region of the
CTLA-4 promoter containing four putative TCF/LEF binding sites to address whether
CTLA-4 is directly or indirectly regulated by the Wnt/β-catenin pathway. We found that Wnt-3a increases
CTLA-4 promoter activity through a single TCF/LEF binding site located at −114 to −119 from the transcriptional start site. This result is supported by the finding that LEF1 increases
CTLA-4 transcription from a polymorphic promoter variant at position −318 bp, which is located within a TCF/LEF consensus site (
Anjos et al., 2004;
Chistiakov et al., 2006). This required TCF/LEF site lies within the 335-bp region of the CTLA4 promoter, shown to be essential for the induction of the CTLA4 expression (
Perkins et al., 1996), suggesting the importance of Wnt/β-catenin signaling in regulating
CTLA-4 expression.
The potential function of
CTLA-4 in the activity of regulatory T cells (Treg), a subpopulation of T cells involved in suppressing host immune responses to prevent autoimmune diseases, and alternatively to promote tumor immunity (
Wang and Wang, 2007), may offer a possible explanation for the role of Wnt/β-catenin pathway-mediated
CTLA-4 induction in melanoma cells. Several studies have suggested that ligation of B7 molecules expressed on dendritic cells with recombinant soluble forms of
CTLA-4 or
CTLA-4 expressed on Tregs induces tryptophan catabolism by increasing the expression of indoleamine 2,3-dioxygenase in dendritic cells (
Mandelbrot et al., 2001;
Grohmann et al., 2002;
Fallarino et al., 2003). This results in T cell suppression by depleting the essential amino acid and inhibiting growth or by inducing apoptosis from tryptophan metabolites. In support of this idea,
CTLA-4 expressed on activated CD4+ T cells can stimulate indoleamine 2,3-dioxygenase in dendritic cells (
Munn et al., 2004). Thus, it is interesting to speculate that ligation of
CTLA-4, induced by Wnt/β-catenin signaling, in melanoma cells with B7 molecules on dendritic cells in the tumor microenvironment may shield target tumor cells against T-cell-mediated destruction by inducing tryptophan catabolism.
The regulation of
CTLA-4 by Wnt/β-catenin signaling and expression of
CTLA-4 in melanoma tumors is likely relevant to ongoing clinical trials of
CTLA-4 antibody therapy in patients with metastatic melanoma. Although
CTLA-4 blockade has been shown to increase autoimmunity and antitumor immunity, the mechanisms underlying these effects remain controversial. As a high level of
CTLA-4 is constitutively expressed on Tregs (
Takahashi et al., 2000), the effects of
CTLA-4 blockade have been attributed to Treg depletion, which may elicit an autoimmune response that leads to an antitumor effect (
Attia et al., 2005). A second hypothesis, however, posits that
CTLA-4 blockade may not work through Treg depletion, but rather by preventing the inhibitory signals usually triggered by B7-
CTLA-4 engagement, with a net consequence of increased activation (
Maker et al., 2005). Furthermore, several studies suggest that activation of
CTLA-4 in cultured tumor cells has some inhibitory role, as engagement of
CTLA-4 by soluble ligand results in apoptosis (
Pistillo et al., 2003;
Contardi et al., 2005;
Laurent et al., 2007). Based on our findings, further studies are needed to address how differences in tumor
CTLA-4 levels may relate to differences in patient responses to
CTLA-4 blockade. If, indeed,
CTLA-4 expression on tumors can affect patient responses to anti-
CTLA-4 therapy, then modulation of Wnt/β-catenin signaling by small molecules may provide a potential therapeutic avenue.