Open Access

Spirulina lipopolysaccharides inhibit tumor growth in a Toll-like receptor 4-dependent manner by altering the cytokine milieu from interleukin-17/interleukin-23 to interferon-γ

  • Authors:
    • Hiromi Okuyama
    • Akira Tominaga
    • Satoshi Fukuoka
    • Takahiro Taguchi
    • Yutaka Kusumoto
    • Shiro Ono
  • View Affiliations

  • Published online on: January 2, 2017     https://doi.org/10.3892/or.2017.5346
  • Pages:684-694
  • Copyright: © Okuyama et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Th17 cells and the cytokine they produce, interleukin (IL)-17, play an important role in tumor progression in humans and in mice. IL-6 and IL-23 are critical cytokines for the differentiation and propagation of Th17 cells, respectively. Bacterial lipopolysaccharides (LPS) are known to stimulate immune cells to produce such inflammatory cytokines. Contrary to Escherichia coli (E. coli) LPS, LPS from Spirulina has low toxicity and barely induces in vivo production of IL-6 and IL-23 in mice. We examined the antitumor effects of Spirulina LPS compared to E. coli LPS in an MH134 hepatoma model. Administration of Spirulina LPS suppressed tumor growth in C3H/HeN mice, but not in Toll-like receptor 4 (TLR4)-mutant C3H/HeJ mice, by reducing serum levels of IL-17 and IL-23, while increasing interferon (IFN)-γ levels. The antitumor activity and IFN-γ production were mediated by T cells. Moreover, in vitro experiments showed that Spirulina LPS impaired the antigen-presenting function that supports the generation of IL-17-producing cells in a toll-like receptor (TLR)4-dependent manner. Of note, injection of anti-IL-17 antibody in tumor-bearing C3H/HeN mice in the absence of Spirulina LPS markedly suppressed tumor growth and augmented IFN-γ responses. Thus, our results support the notion that IFN-γ and IL-17/IL-23 mutually regulate Th17 and Th1 responses in tumor-bearing hosts, and Spirulina LPS modulates the balance of the IFN-γ-IL-17/IL-23 axis towards IFN-γ production, which leads to tumor inhibition. Furthermore, Spirulina LPS effectively inhibited the spontaneous development of mammary tumors. This study has important implications for the exploitation of TLR-based immunomodulators for cancer immunotherapy.

Introduction

Although the immune system generally recognizes abnormal proteins on tumor cells as tumor antigens, spontaneous immune responses are too weak to suppress tumor growth. To overcome this problem, a variety of adjuvants, including toll-like receptor (TLR) ligands, are investigated to potentiate antitumor immunity. The bacillus Calmette-Guérin (BCG), historically known for its effective adjuvant properties, is often used in the treatment of cancer patients (1).

The innate immune system recognizes pathogen-associated molecular patterns expressed on microorganisms through corresponding TLRs, and the activation of innate immunity by TLRs produces proinflammatory cytokines such as interleukin (IL)-6 and IL-12, leading to the subsequent induction of adaptive immune responses (2,3). IL-12 is produced by macrophages (MΦ) and dendritic cells (DC) and dictates the differentiation of CD4 Th1 cells, which produce interferon (IFN)-γ and activate natural killer (NK) cells and cytotoxic CD8 T cells (4). IFN-γ plays an important role in the prevention of primary tumor development and intracellular pathogen invasion (57). Among the different TLR ligands, lipopolysaccharide (LPS) from gram-negative bacteria exhibits antitumor activity in addition to marked toxicity (8). The study of the bioactivity of LPS from various species revealed that LPS prepared from Bordetella pertussis and a synthetic analog of the LPS lipid A subunit are less toxic than E. coli LPS, and display antitumor effects (9,10).

Recent studies have revealed that IL-23/IL-17 signaling plays an important role in tumorigenesis and metastasis in humans and in mice (1116). IL-17 is primarily produced by T cells and acts on tumor cells and tumor-associated stromal cells to induce angiogenesis and the production of IL-6, IL-8, and matrix metalloproteinases. IL-23 is produced by Mϕ/DC and facilitates the expansion and survival of IL-17-producing CD4 T (Th17) cells and therefore, the production of IL-17 (17,18). Moreover, it has become evident that a combination of IL-6 and transforming growth factor (TGF)-β induces Th17 differentiation from naive T cells (19,20). Since Mϕ/DC produces both antitumor (IL-12) and tumor-promoting (IL-6/IL-23) cytokines upon stimulation with TLR ligands (21,22), the regulation of this balance is critical for TLR-based cancer immunotherapy (17,18). Moreover, IL-17 stimulates tumor cells and tumor-surrounding cells to induce IL-6 expression, which in turn leads to the activation of signal transducer and activator of transcription 3 (STAT3) (16,23). STAT3 is linked to numerous oncogenic signaling pathways and is constitutively activated both in tumor cells and in immune cells under tumor microenvironment-like conditions. Thus, ideal candidate molecules for tumor immunotherapy are TLR-based immunomodulators that do not induce or partially induce IL-6/IL-23.

While exploring TLR4 responsiveness of the material extracted from algae and cyanobacteria (24), we found that LPS phenol-water extracts from Spirulina (Arthrospira) were able to induce IL-12. Noteworthy, Spirulina LPS showed a much lower in vitro induction of IL-6 and IL-23 by Mϕ/DC than E. coli LPS. Spirulina is a gram-negative, oxygenic, photosynthetic, filamentous cyanobacterium (blue-green alga), and since the Aztec civilization in Mexico, it has been widely used as a nutritional and therapeutic supplement (25). Spirulina LPS is reported to be less toxic compared to LPS from Salmonella abortus (26), but its effects on cytokine production or antitumor activities have not been studied extensively. Thus, it would be very interesting to study how Spirulina LPS affects tumor growth and in vivo production of inflammatory cytokines.

Although most experiments examined the in vitro production of IL-17-associated inflammatory cytokines thus far, the expression patterns of these cytokines in tumor host tissue remain to be established. We report here that Spirulina LPS did not induce or only partially induced IL-6 and IL-23 and efficiently suppressed the growth of hepatocellular carcinoma MH134 in a TLR4-dependent manner, by reducing the serum levels of IL-17 and IL-23, while increasing those of IFN-γ. Interestingly, anti-IL-17 monoclonal antibodies (mAb) clearly suppressed tumor growth as efficiently as Spirulina LPS. Furthermore, Spirulina LPS was quite effective in inhibiting spontaneous development of mammary tumors in an oncogene transgenic mouse model.

Materials and methods

Mice and tumor cells

Female C3H/HeN and C3H/HeJ mice were purchased from CLEA Japan Inc. (Tokyo, Japan). DO11.10 transgenic mice for αβ T-cell receptor (TCR) recognizing ovalbumin (OVA) in the context of I-Ad and transgenic mice carrying an activated rat HER-2/neu oncogene driven by a mouse mammary tumor virus promoter (HER-2/neu mice) were obtained from Jackson Laboratory (Bar Harbor, ME, USA) and Charles River Laboratories (Cambridge, MA, USA), respectively. All mice were maintained in a pathogen-free environment, and experiments were performed following the ethical guidelines of Kochi Medical School and Osaka Ohtani University. The mouse tumor MH134 (hepatocellular carcinoma; kindly provided by Dr T. Kudo, Tohoku University, Sendai, Japan) and YAC-1 (T-cell lymphoma) cell lines were maintained in RPMI-1640 medium (Sigma-Aldrich, St. Louis, MO, USA) with 10% heat-inactivated fetal calf serum (FCS, HyClone Laboratories, Logan, UT, USA), 5×10−5 M 2-mercaptoethanol (2-ME), and 50 µg/ml gentamicin (Sigma-Aldrich).

Reagents

LPS from Escherichia coli (E. coli) 0111:B4 was purchased from Difco (Detroit, MI, USA). Anti-IFN-γ mAb (R4-6A2, rat IgG1; no. MM701), anti-IL-17 mAb (50104, rat IgG2a; no. MAB421), anti-CD8 mAb (53–6.7, rat IgG2a; no. 100735), and rat IgG were obtained from Endogen (Rockford, IL, USA), R&D Systems (Minneapolis, MN, USA), BioLegend (San Diego, CA, USA), and Sigma-Aldrich, respectively. Anti-CD4 mAb (GK1.5, rat IgG2b) was kindly provided by Dr F.W. Fitch (University of Chicago, Chicago, IL, USA).

Preparation of LPS from Spirulina pacifica

S. pacifica was a generous gift from Dr Genrald Cysewski (Cyanotech Corporation, Kailua-Kona, Hawaii, USA) and Mr. Nobuyuki Miyaji (Toyo Koso Kagaku Co., Ltd., Chiba, Japan). S. pacifica has been selected from a strain of edible S. platensis in 1984 and its enzyme expression profile differs from that of the parental strain. LPS was prepared from S. pacifica freeze-dried cells as previously described (27). Briefly, cells were washed with acetone, suspended in distilled water, and then extracted by addition of 90% phenol-water and vigorous agitation at 68°C. The crude preparation was dialyzed to remove phenol and residual freeze-dried cells. The sample was dissolved in water, and the insoluble material was eliminated by centrifugation, followed by ultracentrifugation at 100,000 × g. The molecular mass of the LPS sample was estimated between approximately 1,000 and 20,000 Da by electrophoresis and mass spectral analysis.

Tumor growth in vivo

Tumor growth was measured 3 times per week after intradermal (i.d.) injection of 1×106 MH134 cells in the back of C3H/HeN or C3H/HeJ mice. The tumor volume was calculated using the following formula: Volume (mm3) = width2 × length/2. In some experimental settings, Spirulina LPS or E. coli LPS in saline solution was injected intraperitoneally (i.p.) every week starting 6 days after tumor inoculation. To deplete the T-cell subsets, mice injected with MH134 tumor cells on day 0 were injected i.p. with rat IgG, anti-CD4, or anti-CD8 mAb (150 µg/mouse on days, −1, 0, +3) as previously described (28). T-cell depletion was confirmed to be >95% by fluorescence-activated cell sorting (FACS).

Surgical tumor resection and rechallenge

MH134 tumors were surgically removed 3 weeks after tumor inoculation. Mice were re-challenged i.d. with 1.5×106 MH134 cells of the same tumor as previously described (29).

Immunohistochemistry

MH134 tumors taken from C3H/HeN mice treated with saline solution or Spirulina LPS 22 days after tumor implantation were embedded in O.C.T. compound (Sakura Finetec USA, Inc., Torrance, CA, USA) and frozen. Frozen tumors were sectioned and stained with anti-CD4 (RM4-5, rat IgG2a, no. 100520, BioLegend) or anti-CD8 (53–6.7) antibodies using simple stain mouse MAX-PO [F(ab)'2 goat anti-rat Ig and peroxidase coupled to the amino acid polymer] and 3,3′-diaminobenzidine according to the manufacturer's protocol (Nichirei-Biosciences Inc., Tokyo, Japan).

Preparation of lymphoid cells

Mϕ/DC or CD4 T cell fractions were prepared from whole spleen cells by positive selection using a MACS cell separation system (Miltenyi Biotec, Auburn, CA, USA) according to manufacturer's instructions. Anti-CD4 and a mixture of anti-CD11b and anti-CD11c microbeads were used for the fractionation of CD4 T cells and Mϕ/DC, respectively. The purity was usually demonstrated to be >90% by FACS.

Culture of splenocytes from tumor-bearing mice

Whole splenocytes (5×106/well) depleted of red blood cells were cultured in 10% FCS RPMI-1640 medium in 24-well culture plates (Becton Dickinson Labware, Franklin Lakes, NJ, USA) at 37°C in a 5% CO2 humidified atmosphere. After 4 days of culture, supernatants were collected to assess cytokine levels by ELISA.

In vitro IL-17 production

Whole spleen cells (8×105/well) from OVA-specific TCR transgenic (DO11.10) mice were cultured in flat-bottomed 96-well plates (Costar Corning, NY, USA) in 10% FCS RPMI-1640 medium for 5 days. In some experiments, 2.8×105 CD4 T cells, prepared from C3H/HeJ mice that had been immunized i.p. with 150 µg OVA and 5 mg Alum approximately 2 months earlier, were cultured with 1.2×105 splenic Mϕ/DC cells from C3H/HeN or C3H/HeJ mice in the presence of 20 µg/ml OVA for 5 days. Spirulina or E. coli LPS was added at the initiation of the culture to evaluate its effect on IL-17 production. The levels of IL-17 in the culture supernatants were evaluated by ELISA.

B cell proliferation

Whole spleen cells (8×105/well) were cultured in flat-bottomed 96-well plates in 10% FCS RPMI-1640 medium in the presence or absence of graded doses of Spirulina LPS or E. coli LPS. Five days later, the cultured cells were collected and stained with FITC-conjugated anti-B220 mAb (RA3-6B2, rat IgG2a, no. 553088, BD Biosciences, San Jose, CA, USA). B220+ cells were counted as B cells using a FACSCalibur instrument (Becton Dickinson, San Jose, CA, USA).

NK assay

Briefly, 2.5×106 target cells were labeled with 25 µCi of 51Cr sodium chromate for 60 min at 37°C in 10% FCS RPMI-1640 medium. After washing, 51Cr-labeled target cells (1×104) and effector cells were mixed in flat-bottomed 96-well plates at the indicated effector/target (E/T) ratio. After 4 h of incubation, the radioactivity in the cell-free supernatants was measured using a 1470 Automatic Gamma Counter (PerkinElmer, Waltham, MA, USA). Percentage-specific lysis for 51Cr release was calculated according to the following formula: % specific lysis = [(experimental - spontaneous) release] / [(maximal - spontaneous) release] ×100.

ELISA for cytokine measurement

Cytokine levels in serum or culture supernatants were quantified by sandwich ELISA. The following pairs of capture and biotinylated detection rat anti-mouse mAbs were used: R4-6A2 (no. 551216) and XMG1.2 (no. 554410) for IFN-γ, TC11-18H10 (no. 555068) and TC11-8H4 (no. 555067) for IL-17, 9A5 (no. 554658) and C17.8 (no. 554476) for IL-12(p35/40), MP5-20F3 (no. 554400) and MP5-32C11 (no. 554402) for IL-6, and A75-2 (no. 555052) and A75-3 (no. 555053) for TGF-β1 (all were purchased from BD Biosciences). For IL-23(p19/40), rat anti-mouse IL-23p19 (G23-8, no. 14-7232-85, eBioscience, San Diego, CA, USA) and biotinylated anti-IL-12p40 (C17.8, BD Biosciences) were used. The ELISA assays were performed according to the manufacturer's instructions.

Statistical analysis

Differences in mean values between groups were calculated using an unpaired two-tailed Student's t-test, Mann-Whitney U test, or Fischer's exact test. P-values of the Student's t tests are shown unless otherwise indicated.

Results

TLR4-dependent suppression of tumor growth by Spirulina LPS is mediated by CD4 and CD8 T cells

To examine the antitumor activities of Spirulina LPS in comparison with that of E. coli LPS, we inoculated hepatocellular carcinoma MH134 cells i.d. into syngeneic C3H/HeN and TLR4 mutant C3H/HeJ mice (30), followed by i.p. administration of different doses of Spirulina LPS or E. coli LPS 6 days later. The injection with different doses of Spirulina LPS suppressed the tumor growth in C3H/HeN but not in C3H/HeJ mice, to the same degree as E. coli LPS treatment (Fig. 1A). This suggests that Spirulina LPS as well as E. coli LPS reduced tumor growth in a TLR4-dependent manner.

In order to assess the involvement of T cells in the Spirulina LPS-induced antitumor effect, we administered anti-CD4 and/or anti-CD8 mAbs to deplete the T-cell subsets before Spirulina LPS injection. While injection of both anti-CD4 and anti-CD8 mAbs completely abolished the antitumor activity of Spirulina LPS, anti-CD4 or anti-CD8 mAb alone did not result in a strong effect (Fig. 1B). In accordance with the results of the in vivo T-cell depletion, immunohistochemical examinations revealed the enhancement of infiltration of both CD4 and CD8 T cells in the tumor masses upon administration of Spirulina LPS (Fig. 1C). These results suggest that CD4 and CD8 T cells are both involved in the antitumor effect induced by Spirulina LPS.

Spirulina and E. coli LPS differ in their ability to activate NK cells and induce secondary immune responses

To examine whether Spirulina LPS induces immunity against MH134 tumors, we reinoculated MH134 cells into C3H/HeN mice that had been implanted with an MH134 tumor and were treated with saline, E. coli, or Spirulina LPS, followed by surgical resection of primary tumors 5 days before the re-challenge. The growth rate of the reimplanted tumors reduced even in saline-treated mice, compared with that in untreated mice implanted with only new tumor cells without the first inoculum of MH134 tumor cells (Fig. 2A), implicating the induction of antitumor immunity without LPS administration when the primary tumor was removed. Spirulina LPS induced a stronger resistance to reimplanted MH134 tumors than saline (Fig. 2A). In contrast, the tumor growth rate in E. coli LPS-treated mice was comparable to that in saline-treated mice (Fig. 2A). These results suggest that while Spirulina LPS facilitated the generation of immunity against MH134 tumors, E. coli LPS did not enhance secondary antitumor immune response. Since E. coli LPS was effective in the prevention of primary tumor growth as shown in Fig. 1A and is known to exhibit antitumor activity partly through activation of NK cells, we evaluated the ability of E. coli and Spirulina LPS to activate NK cells. Indeed, spleen cells from C3H/HeN mice injected with E. coli LPS showed remarkable toxicity towards NK-sensitive YAC-1 cells and a weak but significant toxicity towards MH134 cells, whereas Spirulina LPS failed to activate NK cells (Fig. 2B). NK activation was not induced in C3H/HeJ mice, not even when E. coli LPS was administered (Fig. 2B). Thus, this result may explain why E. coli LPS elicited antitumor effects against the primary tumor, regardless of its failure to enhance adaptive immunity to tumors.

Administration of Spirulina LPS to a tumor-bearing host downregulates serum levels of IL-17 and IL-23 but increases IFN-γ production by T cells through the TLR4 pathway

IFN-γ plays a crucial role in the prevention of tumor development (6), whereas IL-17 and IL-23 are considered to promote tumor growth by inducing inflammation and by regulating the expansion/survival of Th17 cells, respectively (11,1416). We measured serum levels of IFN-γ, IL-17, and IL-23 in tumor-bearing C3H/HeN and C3H/HeJ mice treated with saline, E. coli, or Spirulina LPS. E. coli and Spirulina LPS (100 µg) markedly increased serum IFN-γ levels in C3H/HeN mice with a peak response at days 7 and 14 after tumor inoculation, respectively (Fig. 3A). A low dose of Spirulina LPS (20 µg) induced slight but significant IFN-γ production from days 7 to 14. However, the serum levels of IFN-γ were not elevated in C3H/HeJ mice at any time, not even after injection of either LPS. The treatment with anti-CD4 mAb or a combination of anti-CD4 and anti-CD8 mAbs abrogated the increase in serum IFN-γ in C3H/HeN mice receiving Spirulina LPS, whereas anti-CD8 mAb alone slightly diminished the activity of Spirulina LPS to induce IFN-γ (Fig. 3D). On the other hand, serum levels of IL-17 and IL-23 in saline-treated C3H/HeN mice gradually increased during tumor progression and reached a maximum on day 21 (Fig. 3B and C). However, serum levels of IL-6 only showed an approximately 2-fold increase in saline-treated tumor-bearing mice even on day 21 as compared to non-treated mice (data not shown). Noteworthy, Spirulina LPS significantly reduced IL-17 and IL-23 levels, while E. coli LPS hardly suppressed IL-17 production on day 21 (Fig. 3B and C). On the contrary, E. coli LPS enhanced serum levels of IL-23 in tumor-bearing C3H/HeN mice on day 7 and 14. Taken together, these results support the notion that Spirulina LPS induces antitumor immune responses through the induction of IFN-γ mostly by CD4 T cells and suppressed serum levels of IL-17 and IL-23, whereas E. coli LPS exerts its antitumor effect primarily through activation of NK cells.

We have previously shown that antigen-presenting cells (APCs)-expressing tumor Ag and tumor-reactive T cells are both stimulated in vivo in tumor-bearing mice, and that in vitro culture of spleen cells from tumor-bearing mice at early stages leads to cytokine production without exogenous addition of tumor Ag as a result of the collaboration between antitumor T cells and APCs (29,31). We tested whether in vivo treatment with E. coli or Spirulina LPS affects the in vitro production of IFN-γ by culturing spleen cells from MH134 tumor-bearing mice. Spirulina LPS clearly enhanced IFN-γ production in spleen cells of tumor-bearing C3H/HeN mice, whereas E. coli LPS was unable to upregulate IFN-γ production (Fig. 3D). These results implicate that Spirulina LPS enhances IFN-γ production through the generation of memory T cells.

Spirulina LPS inhibits IL-17 production in an IFN-γ-independent manner through interaction with APCs expressing TLR4

Since Spirulina LPS reduced serum IL-17 levels in tumor-bearing mice while increasing IFN-γ levels and because IFN-γ negatively regulates the generation of Th17 cells (32,33), we investigated whether IL-17 downregulation by Spirulina LPS occurs via inhibition of the induction of IL-17-producing cells by facilitating IFN-γ production, or alternatively by directly downregulating IL-17-producing cells. To address this question, spleen cells from OVA-specific TCR transgenic DO11.10 mice were stimulated by OVA with or without E. coli or Spirulina LPS and in the presence or absence of anti-IFN-γ mAb. Spirulina LPS significantly suppressed IL-17 production by DO11.10 spleen cells in a dose-dependent manner, regardless of the presence of anti-IFN-γ mAb. However, E. coli LPS augmented IL-17 production (Fig. 4A), possibly because of its ability to induce IL-6 (Fig. 5A). In addition, it is noteworthy that anti-IFN-γ mAb enhanced IL-17 production by DO11.10 spleen cells in response to OVA without the addition of either LPS (Fig. 4A), indicating that IFN-γ regulates IL-17-producing cells. Thus, Spirulina LPS suppresses the in vivo production of IL-17 with or without involvement of IFN-γ. Moreover, although Spirulina LPS inhibited IL-17 production when CD4 T cells from OVA-primed C3H/HeJ mice were co-cultured with C3H/HeN APCs in the presence of OVA, it failed to suppress IL-17 production when OVA-primed C3H/HeJ CD4 T cells were stimulated with OVA in the context of C3H/HeJ APCs (Fig. 4B). These results suggest that Spirulina LPS acted on APCs to inhibit the generation of Th17 cells in a TLR4-dependent manner.

Anti-IL-17 mAb administration inhibits tumor development upon elevated IFN-γ production

Thus far, our results are consistent with the notion that the antitumor effect of Spirulina LPS is caused by the downregulation of IL-17 production. To examine whether neutralization of IL-17 by anti-IL-17 mAb would result in a reduction of tumor growth in mice in the absence of Spirulina LPS, we injected anti-IL-17 or anti-IFN-γ mAb into C3H/HeN mice 1 day before and 4 days after MH134 tumor implantation, and monitored tumor development. As expected, anti-IL-17 mAb markedly suppressed tumor growth compared to control rat IgG antibodies, whereas anti-IFN-γ mAb slightly enhanced tumor development (Fig. 4C). Importantly, mice receiving anti-IL-17 mAb exhibited high levels of serum IFN-γ (Fig. 4D). In addition, in vitro culture of spleen cells from tumor-bearing mice treated with anti-IL-17 mAb resulted in the production of large amounts of IFN-γ (Fig. 4D). These results indicate that IL-17 provides an environment suitable for tumor growth partly by inhibiting the generation of IFN-γ-producing T cells.

Spirulina LPS reduces or abrogates IL-6 and IL-23 production in vivo, but augments T cell-dependent IL-12 induction

It was recently reported that IL-17 is mainly produced by Th17 cells, and that both IL-6 and TGF-β are indispensable for the generation of Th17 cells (20). To test the ability of Spirulina LPS to induce IL-6 and TGF-β, normal C3H/HeN and C3H/HeJ mice were injected i.p. with E. coli or Spirulina LPS and serum cytokine levels were measured 4 h later. C3H/HeN mice produced high levels of IL-6 in response to E. coli LPS, but showed only a small response upon stimulation with Spirulina LPS (Fig. 5A). Contrary to IL-6, the substantial TGF-β levels present in serum of untreated groups of both strains were not significantly elevated when stimulated with E. coli LPS (Fig. 5A). However, Spirulina LPS slightly reduced TGF-β levels, but only in C3H/HeN mice (Fig. 5A). Noteworthy, E. coli LPS elicited a considerable increase in IL-23 levels, only in C3H/HeN mice, while Spirulina LPS showed almost no induction of IL-23 even in C3H/HeN mice (Fig. 5A). Thus, Spirulina LPS seems to be inferior to E. coli LPS in terms of stimulating immune cells. The possibility that Spirulina LPS has a general defect in the stimulation of immune system was excluded, because both E. coli and Spirulina LPS induced B cell proliferation in a dose-dependent manner (Fig. 5B).

Since IL-12 and IFN-γ are known to play a crucial role in the differentiation of IFN-γ-producing Th1 cells (4), we measured the serum levels of IL-12 in tumor-bearing mice that were treated with saline, E. coli, or Spirulina LPS. Spirulina LPS augmented IL-12 production more than E. coli LPS. In contrast to a transient increase of IL-12 by E. coli LPS, the enhanced IL-12 production by Spirulina LPS was still observed after 14 days (Fig. 5C). Of note, these high IL-12 serum levels on day 14 decreased when C3H/HeN mice were injected with anti-CD4, but not anti-CD8 mAb (Fig. 5D), implicating CD4 T cell-dependent IL-12 production. Taken together, these findings support the notion that Spirulina LPS facilitates the priming of CD4 T cells with tumor cells and the subsequent CD4 T cell-dependent activation of APCs, leading to IL-12 production, which in turn induces IFN-γ-producing T cells.

Spirulina LPS attenuates the spontaneous development of mammary tumors

We finally examined whether Spirulina LPS is also effective in suppressing the spontaneous development of mammary tumors in female transgenic mice carrying the activated HER-2/neu oncogene. HER-2/neu transgenic mice display apparent hyperplasia in the mammary glands at 10 weeks of age and develop palpable mammary tumors around 24 weeks (28). Female HER-2/neu mice were injected with Spirulina LPS or PBS once per week between 120 and 240 days after birth. Spirulina LPS delayed the appearance of tumors and significantly reduced both tumor incidence and growth (Fig. 6).

Discussion

The IL-12/IFN-γ pathway is crucial for antitumor immunity by inducing IFN-γ-producing CD4 and CD8 T cells (4,6,7,34). In this context, various adjuvants including microbial products are explored to potentiate antitumor immunity. On the other hand, IL-23/IL-17 signaling plays an important role in tumorigenesis and metastasis in humans and mice by inducing angiogenesis and IL-6, IL-8, and matrix metalloproteinase expression (1117). Since most adjuvants induce IL-6, which is indispensable for Th17 differentiation, adjuvants that do not induce or slightly induce IL-6 are desired for tumor immunotherapy. The present study demonstrates that Spirulina LPS is a very poor inducer of IL-6 and IL-23 and that it elicits strong antitumor immunity by suppressing IL-17 induction while enhancing IFN-γ production through the TLR4 pathway.

In a tumor-based mouse model, Spirulina LPS treatment enhanced serum levels of IFN-γ at early stages of tumor development and decreased serum IL-17 and IL-23 levels at later stages (Fig. 3). Spirulina LPS also induced IL-12 production in a CD4 T cell-dependent manner, probably through CD4 T cell-APC interaction (Fig. 5C and D), and induced IFN-γ production primarily by CD4 T cells. Based on previous reports on the inhibition of Th17 differentiation by IFN-γ (32,33), these results can be interpreted as follows: Spirulina LPS facilitates the differentiation of tumor-primed CD4 T cells to Th1 cells. Subsequently, Th1-derived IFN-γ prevents Th17 differentiation and promotes CD8 T-cell activation. In addition, Spirulina LPS might also suppress IL-17 production through IFN-γ-independent pathways as shown in our in vitro experiments (Fig. 4A).

Alternatively, it is possible that although IL-17 elevation during tumor progression could prevent the generation of IFN-γ-producing T cells, Spirulina LPS might restore the generation of Th1 cells by reducing IL-17 production (Fig. 3). Recent experiments have revealed IL-17-mediated inhibition of Th1 differentiation (35). It is also conceivable that Spirulina LPS inhibits tumor growth by reducing IL-17-induced angiogenesis, as previously reported (1113,36). Of note, administration of anti-IL-17 mAb into tumor-bearing mice induced marked tumor regression accompanying IFN-γ production (Fig. 4C and D), consistent with a recent report showing tumor growth inhibition by IL-17 neutralization (15). Regardless of the pathway, Spirulina LPS inhibits tumor growth by skewing the balance between IFN-γ and IL-17 responses toward IFN-γ production.

In this study, Spirulina LPS was shown to inhibit the in vitro generation of IL-17-producing cells through its action on APCs in a TLR4-dependent manner (Fig. 4A and B). There are reports demonstrating that CD86, but not CD80, on APCs plays an important role in the regulation of IL-17 production by T cells (37), and that IL-27 produced by Mϕ/DC negatively regulates the development of Th17 cells (38). Thus, Spirulina LPS-mediated TLR4 signaling may induce a change in APC status by modulating the expression patterns of co-stimulatory molecules and cytokines, leading to the attenuation of Th17 cell development. However, the precise mechanisms by which Spirulina LPS suppresses IL-17 and IL-23 remain to be elucidated.

In contrast to the tumor-promoting effects of the IL-17/IL-23 signaling axis, demonstrated in IL-17- or IL-23-deficient mice, several groups have described that Th17 cells or IL-17 promote tumor inhibition by increasing the generation of tumor-specific cytotoxic CD8 T cells (39,40). Thus, whether Th17 cells or IL-17 induce tumor progression or antitumor immunity might be dependent on the varied main effector cells in the distinct tumor-host relationship (41). Namely, Th17 cells/IL-17 could activate CD8 T cells, while inhibiting Th1 type of CD4 T cells. Otherwise, the strength of tumor immunogenicity or frequency of tumor-specific effector T cells might cause a discrepancy in the function of Th17 cells/IL-17, because adoptive transfer of tumor-reactive Th17 cells obtained from TCR transgenic mice or from in vitro stimulation with tumor inhibits tumor development (39,40). In either case, IL-17-induced angiogenesis seems to be required to some extent for effector T cells to migrate into tumor tissue. Even in an IL-17-deficient host, IL-17 secreted by tumor cells may contribute to T-cell infiltration. Despite these possible explanations, the paradox in the function of Th17 cells/IL-17 is still unresolved.

IL-17 is also produced by certain tumors and IL-17 receptors have been detected in virtually all cells (12). It has been reported that IL-17 stimulates tumor cells to proliferate and upregulates the expression of various cytokines, chemokines, and their receptors, leading to angiogenesis (16,4244). However, we did not detect expression of IL-17 and IL-17 receptor in MH134 tumor cells (data not shown), indicating the importance of IL-17 responses in host-derived cells in MH134 tumor growth. Moreover, although TLR4 was expressed on MH134 tumor cells, E. coli and Spirulina LPS had virtually no effect on the in vitro growth of tumor cells (data not shown). Interestingly, we found that MH134 tumor cells expressed IFN-γ receptors and that cellular in vitro growth was inhibited by exogenous addition of IFN-γ (data not shown). Thus, in vivo induction of IFN-γ by E. coli and Spirulina LPS may partly contribute to the antitumor effects by virtue of the IFN-γ direct action on the tumor.

E. coli LPS induced antitumor effects against a primary tumor, but failed to enhance secondary immune responses in the same tumor after reimplantation (Fig. 2A). E. coli LPS induced high levels of IL-6 and IL-23, favoring the development of Th17 cells, and it considerably activated NK function (Fig. 2B). Thus, it is conceivable that E. coli LPS inhibits primary tumor growth via activation of NK cells, but prevents the generation of T cell-mediated antitumor immunity through IL-17 induction.

The effects of E. coli and Spirulina LPS involve TLR4 pathways, but Spirulina LPS was different from E. coli LPS in terms of cytokine induction. The structure of LPS of all gram-negative bacteria consists of a polysaccharide attached to a lipid component, lipid A, which is assumed to be responsible for the induction of cytokines. Although lipid A molecules from different bacteria were initially thought to be similar, recent evidence suggests structural and functional differences among LPS from different species (25,45). Differences in the three-dimensional conformation of lipid A have been proposed to determine the strength of fitness to TLR4-CD14-MD2 complex, leading to the activation of intracellular signaling for cytokines (46,47). LPS fractions from E. coli and Salmonella spp. are more potent cytokine inducers than those from Bordetella pertussis and Bacteroides fragilis (48,49), while lipid A analog and LPS from Rhodobacter spp. have antagonistic properties against cytokine stimulation (47,50). Although the structure of Spirulina LPS remains to be analyzed, the molecular conformation of E. coli LPS seems to be different from that of Spirulina LPS based on its ability to downregulate IL-17 with minimum induction of IL-6 and IL-23. Moreover, Spirulina LPS failed to induce endotoxin shock in contrast to E. coli LPS (20% and 100% survival in mice given 25 µg of E. coli and Spirulina LPS, respectively, 36 h after administration).

Experiments using different Spirulina preparations free of LPS have demonstrated antitumor activity. A calcium-chelating, sulfated polysaccharide from S. platensis suppressed metastasis of murine melanoma (51). Oral administration of hot water extract of Spirulina is reported to suppress tumor growth through IFN-γ-mediated activation of NK cells but not CD8 T cells (52). However, it was not clear whether IL-17 and IL-23 production were involved in the experimental system of that specific study. In contrast to those Spirulina preparations, we used a Spirulina LPS fraction extracted with phenol-water. Differences in the components of the Spirulina extracts may cause distinct bioactivities.

In conclusion, Spirulina LPS suppressed tumor growth by downregulating serum IL-17/IL-23 with concomitant induction of IFN-γ through TLR4. Furthermore, Spirulina LPS showed limited or no induction of IL-6 and IL-23 and altered the cytokine milieu in the tumor-bearing host from the Th17 to the Th1 type. Thus, we confirmed the importance of a balance between IFN-γ and IL-17/IL-23 levels in the regulation of tumor growth. It is noteworthy that Spirulina LPS was able to suppress spontaneous development of mammary tumors. Our results provide novel insights into the exploitation of TLR-based immunomodulators for cancer immunotherapy.

Acknowledgements

This study was supported by The Osaka Foundation of Promotion for Clinical Immunology (S.O. and Y K.) and JSPS Grant-in-Aid for Scientific Research #21550168 (S.F.). We would like to thank Dr G. Cysewski (Cyanotech Corporation, Hawaii) and Mr. N. Miyaji (Toyo Koso Kagaku Co., Ltd., Japan) for providing Spirulina pacifica.

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February 2017
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APA
Okuyama, H., Tominaga, A., Fukuoka, S., Taguchi, T., Kusumoto, Y., & Ono, S. (2017). Spirulina lipopolysaccharides inhibit tumor growth in a Toll-like receptor 4-dependent manner by altering the cytokine milieu from interleukin-17/interleukin-23 to interferon-γ. Oncology Reports, 37, 684-694. https://doi.org/10.3892/or.2017.5346
MLA
Okuyama, H., Tominaga, A., Fukuoka, S., Taguchi, T., Kusumoto, Y., Ono, S."Spirulina lipopolysaccharides inhibit tumor growth in a Toll-like receptor 4-dependent manner by altering the cytokine milieu from interleukin-17/interleukin-23 to interferon-γ". Oncology Reports 37.2 (2017): 684-694.
Chicago
Okuyama, H., Tominaga, A., Fukuoka, S., Taguchi, T., Kusumoto, Y., Ono, S."Spirulina lipopolysaccharides inhibit tumor growth in a Toll-like receptor 4-dependent manner by altering the cytokine milieu from interleukin-17/interleukin-23 to interferon-γ". Oncology Reports 37, no. 2 (2017): 684-694. https://doi.org/10.3892/or.2017.5346