Mechanisms associated with UV-mediated alterations to melanocytes and their microenvironment have been inscrutable because they cannot be adequately studied in cultured cells. Moreover, melanocytes represent only ~1% of skin cells, and bear few specific cell surface markers permitting efficient isolation. To enable detailed study of melanocyte biology
in vivo, we generated a mouse model in which expression of the reverse tetracycline-activated transactivator rtTA2s-M2, characterized by minimal leakiness and background, was regulated by the melanocyte-specific dopachrome tautomerase (
Dct) gene promoter (
Supplementary Fig. 1a). Dct-rtTA mice bred with transgenic mice bearing a histone H2B-GFP fusion construct controlled by the tetracycline response element (TRE) created Dct-rtTA/TRE-H2BGFP bi-transgenic mice (hereafter
iDct-GFP) (
Supplementary Fig. 1b).
iDct-GFP mice exhibited an inducible GFP profile from embryonic through adult stages consistent with known
Dct expression patterns. GFP expression was observed in embryonic neural crest, retinal pigment epithelium and telencephalon, as expected (;
Supplementary Fig. 2). Neonatal and adult skin GFP
+ cells were strictly localized to hair follicles, where most GFP
+ cells were in bulb regions, with smaller numbers in the outer root sheath and bulge regions, harboring melanocyte precursors
5 (). Co-localization of GFP and anti-Dct antibody by immunohistochemistry (IHC) unequivocally identified GFP
+ cells as melanocytes (). No background GFP expression was detectable without doxycycline. Full GFP induction was achieved within 12–18 hours of a single intraperitoneal injection of a non-toxic doxycycline dose in neonatal or adult mice (
Supplementary Fig. 1c).
Reasoning that novel clues to molecular mechanism(s) underlying UV-induced melanomagenesis would be found within the genomic response of melanocytes to UV, we used the
iDct-GFP mouse to examine responses to UVB vs. UVA of melanocytes residing
in situ, within their natural morphologic and physiologic microenvironment. Precisely defined wideband wavelengths and physiologically relevant doses
4 (see Methods) of UV (
Supplementary Fig. 3) were used to irradiate postnatal day-1 (P1)
iDct-GFP mice and skins were harvested at time points post-irradiation. To avoid potential toxicity from chronic expression and interference with UV absorption, GFP was doxycycline-induced after UV irradiation, 24 hours prior to skin harvest. GFP
+ melanocytes were phenotypically activated, characterized by elevated melanocyte numbers and migration towards the epidermis
6, 24 to 48 hours after exposure to UVB, but not UVA, peaking at 3 days and lasting at least 10 days post-irradiation (;
Supplementary Fig. 4a). UVB-induced melanocyte activation was specific to neonatal irradiation; adult mice irradiated at P29 did not exhibit this response (
Supplementary Fig. 4b).
We performed an expression microarray study on melanocytes isolated from dorsal skin of
iDct-GFP pups irradiated at P1 with UVB or UVA (). Doxycycline-induced GFP-labeled melanocytes were isolated via fluorescence-activated cell sorting (FACS) at 1-day and 6-days post-irradiation (ages P2 and P7, respectively); arrays from 1-day post-UV would reflect the acute UV stress response of
in vivo melanocytes, while the 6-day post-UV time point should uncover responses persisting after the acute stress response subsides. FACS isolation consistently yielded >95% melanocyte enrichment (
Supplementary Fig. 5). Gene expression profiling produced robust data with good reproducibility among biological triplicates (), and confirmed the absence of detectable levels of contaminating skin cell types, including keratinocytes, fibroblasts and adipocytes (
Supplementary Fig. 6).
UVB elicited a potent, transient, acute stress response in melanocytes, including increased expression of p53 target genes (e.g.,
p21Waf1/Cip1, Cyclin G1, and Reprimo), while UVA-associated changes were subtle (;
Supplementary Fig. 7). Intriguingly, a small subset of genes exhibited a delayed response evident at 6-day post-UVB (), including a putative interferon (IFN) responsive gene signature
7 (;
Supplementary Table 1). Four upregulated genes (
Ccl8,
Ctla4,
H2-K1 and
H2-T23) from this group were validated by qRT-PCR (). The response was neonate specific (
Supplementary Fig. 8), and included genes implicated in conferring immunoevasiveness (i.e.,
Ctla4, H2-T23, H2-M3, H2-Bf, and
Slp).
To determine whether IFN signaling plays a biologically significant role in UVB-induced melanocyte activation, we blocked both type-I (IFN-α and IFN-β) and type-II (IFN-γ) interferons by neonatal administration of anti-IFN-αR1 and anti-IFN-γ antibodies, respectively. Melanocytes from 6-day post-UVB skin were activated in the presence of isotype control antibody, while the anti-IFN-αR1+anti-IFN-γ antibody combination completely abolished this response (). Moreover, while antibody-mediated blockade of type-I IFN-α/β signaling alone failed to overtly affect UVB-mediated activation, blockade of IFN-γ alone dramatically inhibited this response (). These results were corroborated by flow cytometric quantification of GFP
+ skin cells from each antibody-treated group (
Supplementary Fig. 9). We next isolated GFP+ melanocytes from UV-irradiated neonates blocked with either anti-IFN-γ or anti-IFN-αR1, and compared their expression patterns to control. Anti-IFN-γ and anti-IFN-αR1 antibodies repressed expression of a common gene set associated with IFN response (
Supplementary Fig. 10). However, IFN-γ inhibition also more potently repressed expression of several non-classical major histocompatibility complex (MHC) class Ib antigens (e.g.,
H2-T23 and
H2-Q2), as well as
Psmb9,
Gbp2,
Icam,
Irf1 and
Fosb; members of this gene subset should be responsible for the observed melanocytic phenotypes. Notably, IFN-γ blockade exclusively and potently inhibited expression of chemokine Ccl8/MCP-2.
We determined the IFN-γ source by interrogating 6-day post-UVB-irradiated skin for immune cell infiltration. IHC failed to detect T-cells, B-cells, dendritic cells, NK, or NK-T cells; however, CD11b
+ cells of myeloid origin were evident (
Supplementary Fig. 11). Anti-F4/80 and anti-Gr-1 antibodies identified these as macrophages (F4/80
+Gr-1
−), not neutrophils (, upper panel). Nearly 90% of CD11b
+ cells were also F4/80
+ (
Supplementary Fig. 12). Notably, the adult response was distinct; dorsal skins from P35 mice 2-days post-UVB showed predominant Gr-1
+ cell infiltration, and minimal F4/80
+ cells (, lower panel), as reported
8.
To determine if infiltrating macrophages expressed IFN-γ, as has been suggested
9, type-I and type-II interferon mRNAs were quantified from FACS-purified CD11b
+ and F4/80
+ cells. Both had upregulated IFN-α and IFN-γ expression, and to a lesser extent IFN-β (). Flow cytometry demonstrated that 28% of both CD11b
+ and F4/80
+ cells expressed IFN-γ (). Our data support the notion that UVB-recruited, infiltrating macrophages secrete IFN-γ, inducing the IFN signature detected in activated melanocytes. Although we were unable to detect NK cell markers in FACS-isolated CD11b
+ cells by qRT-PCR (
Supplementary Fig. 13), we cannot rule out possible contribution by undetectably low number of NK or other inflammatory cells.
That UVB-induced chemokines were responsible for neonatal macrophage recruitment, particularly Ccr2/Ccr5 ligands, was suggested by our melanocyte microarray data and confirmed by qRT-PCR (
Supplementary Fig. 14a, b). These results were further corroborated through treatment of cultured melan-c normal immortalized melanocyte cell line with non-cytocidal UV (
Supplementary Fig. 14c). In contrast, upregulation of these chemokines was not detected in UV-irradiated whole skin (
Supplementary Fig. 15) or isolated keratinocytes
10. Ccr2 and Ccr5 were highly expressed in skin-infiltrating macrophages, but not in non-activated RAW264.7 macrophages (
Supplementary Fig. 16). Finally, mice deficient in
Ccr2 were significantly inhibited in their ability to recruit F4/80
+ macrophages into neonatal skin (); in contrast,
Ccr5-deficient mice showed no significant difference (data not shown).
The arrival of IFN-γ-expressing macrophages coincided with a >100-fold upregulation in melanocyte expression of the Ccr2 ligand Ccl8, a known IFN-γ-response gene
11, while expression of other Ccr2 ligands had returned to baseline. We propose that recruited IFN-γ
+ macrophages enhance melanocyte Ccl8 expression, reinforcing macrophage-melanocyte interactions and fueling an inflammatory positive feedback loop. To confirm its ability to potently chemoattract macrophages Ccl8 was ectopically expressed in F5061 cells, established from a UV-induced melanoma from an immunocompetent HGF/SF-transgenic mouse. F5061-Ccl8 cells were subcutaneously inoculated into syngeneic FVB/N mice, markedly enhancing macrophage infiltration into the transplantation site (). Conditioned media from F5061-Ccl8 cells also significantly elevated trans-membrane migration of RAW264.7 macrophages (
Supplementary Fig. 17).
Macrophages exhibit either anti- or pro-tumourigenic properties
12. F4/80
+ macrophages were isolated from 6-day post-UVB neonatal skin, admixed 1:5 with F5061 melanoma cells and transplanted subcutaneously into FVB/N mice. Admixed transplants exhibited significantly increased growth relative to controls (;
Supplementary Fig. 18), indicating that these activated macrophages were pro-tumourigenic. In contrast, macrophages isolated from spleens of unirradiated control pups did not affect tumour growth (
Supplementary Fig. 19). Ki-67 IHC showed no difference in proliferation between admixed tumors vs. controls (
Supplementary Fig. 20); however, TUNEL assays revealed significantly less apoptosis in admixed tumors (;
Supplementary Fig. 21), demonstrating that UVB-recruited macrophages promote melanoma cell survival. IHC confirmed that a subset of tumour-associated macrophages maintained IFN-γ expression (
Supplementary Fig. 22). Moreover, macrophage presence strongly correlated with enhanced CTLA4 expression in F5061 melanoma cells (
Supplementary Fig. 23), recapitulating the functional consequence of macrophage infiltration observed in neonatal skin melanocytes ().
Despite its well-documented anti-tumourigenic activity
13, IFN-γ has also been implicated as a pro-tumourigenic factor
14,15. To determine if macrophage-secreted IFN-γ was responsible for the enhanced melanoma growth observed in admixed tumours, we included intraperitoneal administration of either anti-IFN-γ or control antibodies. While admixed melanomas in the control group showed the expected enhanced growth, those in mice given anti-IFN-γ antibody exhibited significantly reduced growth (). Immunophenotyping of tissue microarrays (TMA) containing UVB-induced mouse melanomas showed most (66%) were macrophage-rich, with fewer having T-cells (59%) and B-cells (32%) (
Supplementary Fig. 24). To determine if human melanoma-associated macrophages produce IFN-γ, we performed dual IHC for CD68 and IFN-γ using human melanoma TMA. We discovered that 19 of 27 (70%) melanomas examined contained abundant macrophages (CD68
+), of which all 19 demonstrated CD68
+IFN-γ
+ dual positivity (;
Supplementary Fig. 25).
In this report we show that UV incites melanomagenesis not only through DNA mutagenesis, but also by altering interactions between melanocytes and their microenvironment to regulate remodeling of UV-damaged skin. Based on our results, a model implicating a neonatal-specific UV-induced pro-melanomagenic inflammatory cascade emerges (). In accord with their relative tumourigenicity in albino HGF/SF-transgenic mice
4 UVB, not UVA, induces melanocytic expression of multiple chemoattracting Ccr2 ligands (Ccl2/MCP-1, Ccl7/MCP-3, Ccl8/MCP-2, Ccl12/MCP-5), recruiting Ccr2
+ macrophages into neonatal skin. IFN-γ from recruited macrophages stimulates melanocyte proliferation and migration, and expression of genes implicated in immunoevasion/survival.
Erythemal neonatal UVB causes robust macrophage infiltration and is melanomagenic; adult skin responds with a rapid, short-lived neutrophil influx, but no melanoma. We propose that mechanisms underlying neonatal UVB-induced melanomagenesis operate within the immunoediting paradigm
13: UVB-activated mutant neonatal melanocytes, particularly progenitors
16, exposed to inflammation evade immune-mediated elimination, persisting through an extended equilibrium phase before evolving into clinically-significant melanoma. Macrophage-induced melanocyte proliferation would more efficiently fix UV-induced mutations in prospective melanoma cells, while enhanced melanocyte migration could facilitate UVB-associated long-term tolerance to melanocytic antigens
17 by promoting aberrant melanocyte-immune cell interactions. Moreover, enduring inflammation-associated epigenetic alterations occur in transformed cells
18, and perhaps in long-lived macrophage subpopulations
19, indefinitely extending their biological effects.
Notably, our systemic antibody blockade experiments demonstrating the importance of physiologically relevant IFN-γ in UVB-induced melanocyte activation and melanoma cell survival strongly support the notion that IFN-γ can be pro-tumourigenic as well as anti-tumourigenic, depending on the context, intensity and durability of the IFN-γ signal
14,15. In fact, serum IFN-γ has been implicated as an independent prognostic indicator for melanoma recurrence
20. We propose that IFN-γ-associated survival mechanisms operational in neonatal melanocytes are recapitulated in melanoma, contributing to selection of more aggressive, therapeutically resistant phenotypes. Relevance to human melanoma is supported by detection of macrophage-associated IFN-γ expression in most patient samples examined, and a clinical trial showing that IFN-γ may have adverse effects regarding melanoma patient relapse and mortality
21. We provide the first evidence that IFN-γ-R signaling can facilitate melanoma progression, a remarkable discovery considering that high-dose IFN-α is used to treat melanoma, albeit with limited success
22. Non-overlapping functions of type-I and type-II interferons are well described
13, and strongly supported by our data.
The IFN “survival signature” associated with UVB-activated mouse melanocytes contains genes involved in human melanoma immunoevasion, including non-classical MHC class Ib antigens (mouse H2-M3/human HLA-G; mouse H2-T23/Qa-1/human HLA-E)
23,24. HLA-E suppresses NK and cytotoxic T-lymphocytes
25,26. This IFN signature also features complement isoforms C4a and C4b, implicated in systemic autoimmunity suppression
27, and CTLA4, a potent immune evasion facilitator. CTLA4 is also highly upregulated in mouse melanoma cells admixed with neonatal macrophages, and expressed on human melanoma cells, where it may be involved in immune escape
28,29.
We here identify novel cellular/molecular inflammatory mechanisms centered on IFN-γ signaling that may underlie the initiation, survival and/or outgrowth of UVB-induced melanoma cells. We propose that such mechanisms are highly relevant to strategies employed by melanoma cells to evade immunosurveillance in patients. In what could prove to be a paradigm shift, our data strongly suggest that IFN-γ/IFN-γ-R or its downstream pathway members represent promising prognostic markers and/or efficacious therapeutic targets in an appropriate subset of melanoma patients.