To the editor:
A recent article in Blood1 reported that mitochondrial polarization to the immunologic synapse (IS) was required for cytotoxic lymphocyte (CL)–induced death of cells that overexpress Bcl-2. This potentially represented a significant advance in understanding CL-induced death because there is currently no way to determine whether a given CL has made a productive killing synapse (that is, whether any granule contents were transferred to the target cell) unless the target cell goes on to die. Polarization of mitochondria in the target cell would provide an early surrogate assay for this process.
We have been following CL-induced death using time-lapse microscopy and find no evidence to support mitochondrial polarization in target cells. To ensure that our experiments had sufficient temporal and spatial resolution, we followed KHYG1-induced death of HeLa cells stained with MitoTracker Red (Molecular Probes, Eugene, OR), and acquired images every 2 minutes (Figure 1A). For analysis, we segmented the cell into 4 regions, and designated quadrant 1 as the quadrant where the effector cell made contact with its target. The other quadrants were labeled in a clockwise manner. If mitochondria polarized toward the IS, we would expect to observe increased fluorescence in quadrant 1 and a corresponding decrease in fluorescence in quadrant 3. In contrast, we observed a decrease in fluorescence in quadrants 1, 2, and 3 and a corresponding increase in fluorescence in quadrant 4 (Figure 1B). Further, these changes coincided with the target cell rounding and moving into quadrant 4, rather than polarization of the mitochondria within the cell.
To determine whether the data using KHYG1 cells was generally applicable, we followed HeLa-Bcl-2 cells killed by natural killer (NK) cells isolated from human patients, and MC57-Bcl-2 or MS9II-Bcl-2 cells killed by NK cells isolated from C57BL/6 mice. To evaluate multiple target cells in a reproducible manner, we measured MitoTracker fluorescence in each region before any NK cells were added (T = 0, to establish a reference point), directly before CL engagement (Pre-Hit), directly after CL engagement (Post-hit), directly before the target cell rounded up (Pre-rounding), and directly after the target cell rounded (Round). We clearly detected mitochondrial movement when individual target cells rounded up (Figure 1C), but we consistently found equal distribution of mitochondria in all quadrants before target cell rounding (Figure 1D). Mitochondrial polarization in the target cell is therefore not an early event, generally required for CL-induced killing of Bcl-2–overexpressing cells.
Our conclusions contrast with those of Goping et al.1 One explanation for this may be that the previous study analyzed suspension cells at only one time point. The mitochondria in these cells could not be followed over time, and it was not possible to determine whether the conjugates analyzed formed a killing synapse. Our study investigated adherent cells where mitochondria could be tracked in real time, and the conjugates analyzed verifiably involved a killing synapse; parameters that are critically important to objectively address this issue. It does remain possible, however, that mitochondrial polarization is required in some, but not all, models of CL-induced death of cells that overexpress Bcl-2.
Authorship
Conflict-of-interest disclosure: The authors declare no competing financial interests.
Correspondence: Nigel J. Waterhouse, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett Street, Melbourne Victoria 8006, Australia; e-mail: nigel.waterhouse@petermac.org.
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