The inhalation of asbestos causes malignant mesothelioma (MM). The mutagenic effect of asbestos is known, whereas its effect on anti-tumor immunity remains unclear. Therefore, the present study examined the effect of asbestos exposure on NK cells.
Methods
We used chrysotile B (CB) asbestos, the cell line of YT-A1, PBMCs and specimens from patients with MM or people positive for pleural plaque (PL), a sign for inhalation of asbestos. Flow cytometry, Bio-plex and realtime PCR were used for NK cell cytotoxicity and cytokine productions.
Results
The analysis for YT-CB5 subline, cultured with CB for 5 months over, showed a decrease in cytotoxicity with low expressions of NKG2D and 2B4. NK cells from MM patients also showed decreased cytotoxicity, accompanied with low expression of NKp46 unlike YT-CB5. The PBMCs cultured with CB for a week resulted in suppressed expression of NKp46 on NK cells, not caused by glass wool, asbestos substitute. The NK cells isolated from CB-exposed PBMCs showed decreased cytotoxicity and low mRNA level of NKp46. The analysis of culture supernatants and cells showed decreases in IL-12 and TNF-α produced by monocyte-lineage cells (MLC) and IFN-γ and IL-17A by Th cells upon exposure to CB. The combined addition of neutralizing antibodies to IL-12, IFN-γ and IL-17A into the culture of PBMCs partially suppressed the level of NKp46 on NK cells. Although cytotoxicity did not differ between PL- and HV-groups, NKp46-low PL-group showed lower cytotoxicity compared with NKp46-high PL-group. Finally, cytotoxicity of NK cells was inversely correlated with the scores of 1, 2 and 3 assigned to NKp46-high PL-, NKp46-low PL- and MM-groups, respectively.
Discussion
These results indicate that exposure to asbestos causes decreased cytotoxicity of NK cells related with low NKp46, partially due to altered production of MCL- or Th-derived cytokines. The diagnosis using NKp46 might contribute to early detection and prevention for MM