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Microbes & Immunity                                      RANTES/CCL5 and ezrin peptide RepG3 for long COVID



            proinflammatory cytokine expression in vascular smooth   can directly attack tumor cells, particularly in patients with
            muscle cells (VSMCs), regulates vascular function, and   melanoma and lung carcinoma. NK cells play critical roles
            reduces blood pressure. 70                         in reducing lung metastases in mouse models, and high
                                                               levels of NK cell infiltrates generally correlate with effective
            4.11. RANTES/CCL5 amplifies NK-cell activity       tumor regression. Activated NK cells kill the targeted cancer
            RANTES/CCL5 activates resting NK cells bound to the   cells with cytolytic granules, including perforin, granzyme,
            endothelial extracellular matrix, inducing polarization,   and granulysin. Despite the strong potential of NK cells to
            intracellular adhesion molecule expression, and receptor   lyse tumor cells, NK cells rarely infiltrate solid tumors.
            redistribution. RANTES/CCL5 amplifies the effectiveness   NK cell infiltration of tumors is driven by high levels
            of NK-cell killing in cells infected with viruses, bacteria,   of  RANTES/CCL5  homing.  There  is  a  strong  positive
            fungi, parasites, and cancer cells. The chemoattractant   correlation  between  the  expression  of  RANTES/CCL5
            cytokine IL-15 acts in conjunction with RANTES/CCL5 in   and the infiltration of NK cells in human melanoma and
            this process, and the concentration gradients of RANTES/  other solid tumors. RANTES/CCL5 expression has been
            CCL5  and IL-15 function  together  to induce  NK  cell   detected in ovarian, prostate, and pancreatic cancers.
            migration. The recruitment, migration, and extravasation   High serum concentrations of RANTES/CCL5 correlate
            of NK cells from blood vessels into target tissues are the first   with better survival of patients with melanoma, while low
            steps in the cascade of events leading to NK-cell/Target-  RANTES/CCL5 expression correlates with deficiency of
            cell conjugate formation and NK cytotoxic response. The   NK-cell activity and tumor outgrowth.
            cytokine expression profile and perforin-dependent lytic-
            killing mechanism of NK cells resemble that of CTL.  LCMV infection induces a high level of RANTES/
                                                               CCL5 expression and secretion, NK cell infiltration, NK
              On stimulation of NK cells, the chemokine receptors   cell-mediated cytotoxicity, and anti-tumor activity. LCMV
            CCR5 and CCR2 are redistributed to the front edge of   viral infection stimulates high levels of RANTES/CCL5
            an NK cell. Video microscopy studies of the formation of   in Ma-Mel-86 melanoma cell lines, and RANTES/CCL5-
            effector NK-cell/target-cell conjugates show that NK-cell   dependent, anti-cancer NK-cell killing of melanoma cells
            binding to target cells is mainly by attachment of the NK   leads to immune-mediated melanoma regression. In vivo
            leading edge to the target cell. The ezrin-tethered adhesion   mouse models of human melanoma show LCMV infection
            receptors  ICAM-1  and  ICAM-3  are  redistributed  to  the   and replication, resulting in RANTES/CCL5  secretion,
            rear uropod, which recruits more NK cells to attack the   activation and recruitment of NK cells, induction of NK
            target cells. NK cells also respond to RANTES/CCL5 by   cell invasion of tumors, and fast tumor regression. 72
            synthesizing chemotactic factors, such as IL-8, MIP-1α, and
            MIP-1β, which attract more NK cells and CTLs. In NK cells,   5. Transcription, translation, and secretion
            RANTES/CCL5 stimulates Ca  mobilization and cytolytic   of RANTES/CCL5
                                    2+
            granule release, regulates adhesiveness, and promotes
            cytotoxic activity. During the formation of NK-cell/target-  The adaptive immunity amplifier  RANTES/CCL5 is
            cell conjugates, NK cells also produce more RANTES/CCL5.  transcribed  from  the  CCL5  gene  into mRNA in  the
                                                               nucleus, translated into a 91-amino acid precursor protein
              NK cell polarization can be induced in 30 min in vitro   in the endoplasmic reticulum, cleaved into 68-amino
            with 1 – 10 ng/mL RANTES/CCL5, which is essential for   acid RANTES/CCL5, which is, then, secreted into the
            the formation of conjugates between NK cells and their   extracellular medium through the Golgi apparatus. The
            target cells. In contrast, inhibition of cell polarization and   expression of RANTES/CCL5 occurs  in epithelial cells,
            adhesion receptor redistribution blocks the formation of   fibroblasts, monocytes/macrophages, and T-cells, but the
            NK-cell/target-cell conjugates and the cytotoxic activity   regulation  and  kinetics  of  RANTES/CCL5  expression
            of NK cells. ADP-ribosylation of the GTP-binding protein   varies between cell types.
            RhoA also blocks cell polarization and the induction of
            cytotoxic activity of NK cells, indicating the key role of   5.1. Induction of RANTES/CCL5 expression by viral
            multi-protein complexes of EBP50+RhoA+ezrin+ICAM-1   infection
            in the process. 71                                 In epithelial cells, fibroblasts, monocytes, and macrophages,
                                                               virus infection induces mRNA transcription of the CCL5
            4.12. Anti-cancer effect of RANTES/CCL5: Induction   gene within a few hours, followed by protein translation.
            of NK cells that target tumors
                                                               There is a complex pattern of cooperation between various
            Tumor antigen-specific cytotoxic CD8  T-cells, activated   transcription factors that bind to the promoter region
                                           +
            natural killer (NK) cells, and antibody-mediated cytotoxicity   of the RANTES/CCL5 gene, and multiple transcription

            Volume 1 Issue 1 (2024)                         12                               doi: 10.36922/mi.2474
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