Lymphotoxin-alpha (LT-α) formerly known astumor necrosis factor-beta (TNF-β)[5][6] is aprotein that in humans is encoded by theLTAgene.[7][8] Belonging to thehematopoietic cell line, LT-α exhibits anti-proliferative activity and causes the cellular destruction of tumor cell lines.[7] As acytotoxic protein, LT-α performs a variety of important roles in immune regulation depending on the form that it is secreted as. Unlike other members of theTNF superfamily, LT-α is only found as a soluble homotrimer, when found at the cell surface it is found only as a heterotrimer with LTβ.[6]
LT-α has a significant impact on the maintenance of the immune system including the development ofsecondary lymphoid organs.[9][10] Absence of LT-α leads to the disruption of gastrointestinal development, preventsPeyer's patch development, and results in a disorganized spleen.[11]
As a signaling molecule, LT-α is involved in the regulation of cell survival,proliferation,differentiation, andapoptosis.[12] LT-α plays an important role ininnate immune regulation and its presence has been shown to prevent tumor growth and destroy cancerous cell lines.[13] In contrast, unregulated expression of LT-α can result in a constantly active signaling pathway, thus leading to uncontrolled cellular growth and creation oftumors.[12] Hence depending on the context, LT-α may function to prevent growth of cancer cells or facilitate the development of tumors. Furthermore, LT-α effects depend on the type of organ it acts upon, type of cancer cells, cellular environment, gender, and time of effect during an immune response.[14][13]
LT-α is translated as a 25 kDa glycosylated polypeptide with 171 amino acid residues.[8] Furthermore, human LT-α is 72% identical to mouse LT-α at the protein's primary sequence.[17]
LTα expression is highly inducible and when secreted, forms a soluble homotrimeric molecule. LT-α can also form heterotrimers withlymphotoxin-beta, which anchors lymphotoxin-alpha to the cell surface. The interaction between LT-α andLT-β results in the formation of a membrane bound complex (LT-α1-β2).[10]
Lymphotoxin alpha, a member of thetumor necrosis factor superfamily, is a cytokine produced bylymphocytes. LT-α1-β2 can interact with receptors such asLT-β receptors.[12] Absence of LT-β on cell surfaces will diminish the ability of LT-α to form LT-α1-β2, thus decreasing its effective ability as acytokine.[9][10] LT-α mediates a large variety ofinflammatory, immunostimulatory, and antiviral responses. LT-α is also involved in the formation of secondary lymphoid organs during development and plays a role in apoptosis.[18]
In LT-αknockout mice,Peyer's patches and lymph nodes will fail to develop, thus illustrating the cytokine's essential role in immunological development.[19]
As a cytotoxic protein, LT-α causes the destruction of cancerous cell lines, activates signaling pathways, and effectively kills transformed tumor cells.[9][12] However, mice with overexpression of LT-α or LT-β showed increased tumor growth andmetastasis in several models of cancer. In other studies, mice withgene knockout of LT-α showed enhanced tumor growth, implicating possible protective role of LT-α in cancer. However, these studies utilized mice with complete LT-α deficiency that did not allow to distinguish effects of soluble versus membrane-associated LT.[20]
As a member of theTNF family, LT-α binds to various receptors and activates theNF-κB pathway, thus promoting immune regulation through theinnate immune response.[12] In order for activation to occur, LT-α must form a complex with LT-β to form the LT-α1-β2 complex. Formation of LT-α1-β2 complex enables binding to LT-β receptors and subsequent activation of signaling pathways.[21] Activation of signaling pathways such as NF-κB ultimately leads to various cellular fates, including cell proliferation and cell death. After LT-β receptor activation, IKK-α, β, and γ are produced, which increases degradation ofI-κB, an inhibitor of NF-kB, and produce NF-kB1 (p50) and ReIA (p60).[21] The production of NF-kB1 and ReIA increases rates of gene transcription of cytokines and inflammatory-inducing molecules.[21][22]
Activation of LT-β receptors is capable of inducing cell death of cancerous cells and suppressing tumor growth.[23][24] The process of cell death is mediated by the presence of IFN-γ and can involve apoptotic or necrotic pathways.[23] It is seen that LT-β receptors facilitate the upregulation of adhesion molecules and recruit lymphocytes to tumor cells to combat tumor growth.[7][12] In other words, LT-α interactions with LT-β receptors can increase anti-tumor effects through direct destruction of tumor cells.
However, recent studies have shown the contribution of LT-α mediated signaling to the development of cancer.[9][12][13][14] As mentioned previously, LT-α signaling can promote inflammatory responses, but prolonged inflammation can cause serious cellular damage and increase the risk of certain diseases including cancer.[13] Thus, mutations in regulatory factors in LT-α signaling pathways can promote cell signaling disruptions and encourage the creation of cancerous cell lines. One of these mutations includes constant binding of LT-α1-β2 complex to LT-β receptors, which results in the constant activation of the NF-κB alternative pathway.[12][13] Presence of a constitutively active NF-κB pathway manifests inmultiple myeloma and other cancer-related diseases.[12] Removal of LT-β receptors has shown to inhibit tumor growth and decreaseangiogenesis.[13] Thus, lymphotoxin and its downstream signaling via the NF-κB pathway illustrate the cytokine's influence on tumor development and metastasis.
A fully humanized anti-LT-α antibody (Pateclizumab or MLTA3698A) has been shown to react with both LT-α and LT-β.[9] Clinical trials involving this antibody have yet to be employed, but the creation of this antibody offers alternative inhibitory methods for the NF-κB pathway.
During embryonic development, LT-α signaling plays an active part in the formation of the gastrointestinal immune system.[11] In particular, LT-α mediated signaling is responsible for the development of intestinal lymphoid structures such asPeyer’s patches.[25][26] This intestinal lymphoid follicle plays an important role in the immune system of the digestive tract.
Peyer’s patches are highly specialized lymphoid nodules located in the intestine. They are surrounded by follicle-associated epithelium and are able to interact with other immune cells through thetranscytosis of foreign antigens.[27] In addition to this function, Peyer’s patches facilitate the productionIg-A producing immunocytes, thus increasing the efficacy of theadaptive immune system.[28]
The development of Peyer’s patches requires the binding and activation of LT-β receptor with LT-α1-β2 complex. Experiments involving transgenic mice have shown that the absence of LT-α resulted in the lack of Peyer’s patches and other lymph nodes.[11] The lack of Peyer’s patches and other lymph nodes have also been shown to reduce levels of Ig-A.[11] Being the most produced immunoglobulin, Ig-A protects against mucosalpathogens by regulating bacterial growth and inhibiting antigenadhesion to the intestine under normal conditions.[29] Reduced levels of Ig-A greatly diminishes gut immune regulation and deregulate protection against microbes, thereby emphasizing the importance of LT-mediated response for the expression of Ig-A.
Discovered by Granger and his research group in 1968, LT-alpha was known as lymphotoxin.[30] As years progressed, its name was changed to tumor necrosis factor-beta (TNF-β).[31] Later discovery of LT-β and LT-α1-β2 complex prompted the disposal of TNF-β and the subdivision of LT into two classes: LT-α and LT-β.[32][33]
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