Abstract
Tumor-associated macrophages are immune cells with diverse functions in tumor development. Among other functions, they downregulate immune-mediated tumor rejection by depriving lymphocytes of nutrients. The essential amino acid tryptophan is metabolized by the enzymes indoleamine 2,3-dioxygenase 1 and tryptophan 2,3-dioxygenase (TDO). Indoleamine 2,3-dioxygenase 1 is expressed in a large number of human tumors, and inhibitors are in development to improve immunotherapy. Tryptophan 2,3-dioxygenase was also found in human tumors and preclinical working models confirmed its immunosuppressive power. We explored a potential expression of TDO by macrophages. This enzyme could be induced in two human cell lines, THP-1 and U937, by incubation with phorbol myristate acetate, lipopolysaccharide, and interferon gamma. Phorbol-myristate-acetate-mediated induction was inhibited by rottlerin, a protein kinase C inhibitor. In contrast to these monocytic cell lines, other cell lines or fresh human monocytes isolated from peripheral blood mononuclear cells and differentiated into proinflammatory or anti-inflammatory macrophages could not be induced to express TDO. Our results suggest that TDO might play an immunosuppressive role in human monocytic leukemias but not in untransformed macrophages.
Introduction
Macrophages represent an important cell type implicated in all stages of tumor development. During tumor initiation, macrophages create a proinflammatory environment which causes tissue and DNA damage. In established tumors, macrophages stimulate tissue remodeling, angiogenesis, inhibit immune-mediated tumor rejection, and finally, favor metastases formation.1-3
One particular immunosuppressive mechanism of macrophages is nutrient starvation. Immunosuppressive macrophages express the enzyme arginase 1 which impairs T-cell function and proliferation by decreasing arginine and increasing urea concentrations in the tumor microenvironment.4,5 Another example of nutrient starvation is the expression of the enzyme indoleamine 2,3-dioxygenase 1 (IDO1), catalyzing the first and rate-limiting step of tryptophan degradation. Indoleamine 2,3-dioxygenase 1 impacts lymphocyte proliferation and activity in a 2-fold way by nutrient deprivation and metabolite production and favors their differentiation to a regulatory T-cell phenotype.6-9 In normal human tissues, IDO1 expression is mainly restricted to the placenta, where it is believed to favor feto-maternal tolerance 10 and to mature dendritic cells. In addition, IDO1 is induced by IFNγ during inflammation11,12 as a mechanism of retro-control of immune responses. Many human cancers also express IDO1 in order to escape immune-mediated tumor rejection.13,14 Indoleamine 2,3-dioxygenase 1 expression is induced by IFNγ in tumor cells and stromal cells of inflamed tumors, as an adaptive resistance mechanism. 15 Tumor cells may also express IDO1 in a constitutive manner, thereby mediating intrinsic resistance. Constitutive IDO1 expression is triggered in tumor cells by constitutively active COX2, producing prostaglandin which acts in an autocrine manner. 16 Those discoveries led to the synthesis of several small molecule inhibitors which are currently in clinical development. 17
The enzyme tryptophan 2,3-dioxygenase (protein TDO encoded by gene
Materials and Methods
Compounds
PMA was purchased from Sigma (#P8139). Recombinant human IFNγ was purchased from BD Biosciences (#554617). Lipopolysaccharide
Cancer cell lines and in vitro induction of TDO
THP-1 and U937 cell lines were purchased from ATCC. Cells were plated in complete culture medium: 0.016 × 106 cells in 96-well plates for the viability assay, 0.2 × 106 cells in 12-well plates for real-time quantitative polymerase chain reaction (RT-qPCR; except from Figure 2: 0.2-1 × 106 cells) and 1.2 × 106 cells in 60-mm dishes for western blot. PMA (0.5-25 ng/mL), IFNγ (50 ng/mL), LPS (1 µg/mL), and rottlerin (5 nM) were added and cells were incubated for 48 hours at 37°C, 8% CO2.
Isolation of human monocytes and in vitro induction of TDO
Peripheral blood mononuclear cells were isolated from human blood by lymphoprep centrifugation. Monocytes were enriched by negative selection using EasySep Human Monocyte Enrichment Kit without CD16 Depletion (Stemcell, #19058). Five million cells were plated in complete culture medium. PMA (1-20 ng/mL), IFNγ (5 ng/mL), LPS (100 ng/mL), GM-CSF (100 ng/mL), M-CSF (100 ng/mL), IL-4 (20 ng/mL), IL-10 (10 ng/mL), ribomunyl (1 µg/mL), PGE2 (500 ng/mL), TNFα (10 ng/mL), and TGFβ (4 ng/mL) were added, and cells were incubated for indicated durations at 37°C, 8% CO2.
Western blot
The cells were lysed in Pierce Ripa buffer (Thermo Scientific, #89901) with Halt Protease and Phosphatase inhibitor Cocktail (Thermo Scientific, #78446); genomic DNA was then lysed by 15 seconds of sonication; the lysates were shaken for 30 minutes at 4°C, centrifuged for 10 minutes at 20 000
Quantitative RT-PCR
RNA was extracted with NucleoSpin RNA (Macherey Nagel, #740955) according to the manufacturer’s instructions. The RNA was quantified with a NanoDrop 2000c spectrophotometer (Thermo Scientific) and a defined amount of RNA was then retro-transcribed by the RevertAid RT Kit (Thermo Scientific, #K1691) according to the manufacturer’s instructions. Quantitative polymerase chain reaction was performed with Takyon ROX Probe 2X MasterMix dTTP blue (Eurogentec, #UF-RPMT-B0701) in a StepOnePlus thermal cycler (Applied Biosystems) using the following program for
Tryptophan and kynurenine quantification
The cell culture supernatants were harvested and analyzed by high-performance liquid chromatography (HPLC) as previously described. 18
Viability test
Nineteen microliters of MTS (3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium inner salt) and 1 µL of phenazine methosulfate (PMS) were added to the cells (100 µL) which were then incubated for 3 hours and 30 minutes at 37°C. The absorbance was measured with a GloMax spectrophotometer (Promega) at 490 nm with reference at 600 nm.
Results
TDO expression is induced by PMA in human monocytic cell lines
To confirm that TDO is induced in the monocytic cell line THP-1 by PMA-mediated differentiation,
22
we treated two monocytic leukemia/lymphoma cell lines, THP-1 and U937, with increasing concentrations of PMA. As expected, both cell lines became adherent upon treatment with PMA and increased the expression of CD11c, CD14, TNFα, and

Induction of TDO by PMA. THP-1 and U937 cells were treated for 2 days with PMA ranging from 0.5 to 25 ng/mL and
Induction of TDO by PMA depends on cell density
It is known that the cell density during culture can change the impact of PMA on the cell phenotype and cytokine expression of THP-1 cells. 29 We confirmed that the induction of TDO also depends on cell density because the induction of TDO decreased dramatically when the cell density of THP-1 and U937 cells increased (Figure 2).

Impact of the cell density on the induction of TDO. THP-1 and U937 cells were plated in 12-well plates ranging from 0.2 to 1 × 106 cells per well and were treated for 2 days with 1 ng/mL of PMA.
The induction of TDO by PMA is PKC-dependent
We next wondered which signaling pathway leads to the induction of TDO in those monocytic cell lines. As the protein kinase C (PKC) is a known target of PMA, we treated the cells with rottlerin, a PKC inhibitor which primarily inhibits PKCδ. When the cells were treated simultaneously with PMA and rottlerin, the induction of TDO was efficiently inhibited (Figure 3A to C). Although the viability of THP-1 cells was only mildly affected, the reduced expression of TDO in U937 could be biased by a high percentage of cell death upon rottlerin treatment (Figure 3D).

Inhibition of the PKC pathway. THP-1 and U937 cells were treated for 2 days with 10 ng/mL of PMA, 5 nM of rottlerin or DMSO and
TDO expression is induced by LPS and IFNγ
Beside PMA, monocytic cell lines can be differentiated and stimulated by LPS and IFNγ. We observed that LPS induced TDO in THP-1 cells, whose expression was further increased by IFNγ, whereas IFNγ alone had little impact on TDO expression (Figure 4A to C). U937 cells needed the combined treatment of IFNγ and LPS to strongly induce TDO, compared to their small response to LPS alone. As IFNγ and LPS also induced IDO1 (Figure 5), kynurenine was probably partially produced by IDO1 and not exclusively by TDO in these conditions. THP-1 cells tolerated well the treatment with LPS and IFNγ, whereas the viability of U937 cells was reduced to 65% (Figure 4D).

Induction of TDO by IFNγ and LPS. THP-1 and U937 cells were treated for 2 days with 50 ng/mL of IFNγ and/or 1 µg/mL of LPS.

Induction of IDO1 by IFNγ and LPS. THP-1 and U937 cells were treated for 2 days with 50 ng/mL of IFNγ and/or 1 µg/mL of LPS.
Treatments with other substrates
It was previously reported that the expression of TDO increased in liver cells upon dexamethasone treatment, a synthetic glucocorticoid,30,31 as well as in uterine stromal cells upon decidualization with progesterone and estrogen. 32 We treated THP-1 and U937 cells with dexamethasone, progesterone, and estrogen. None of those substrates induced TDO in these monocytic cell lines (data not shown).
TDO is not expressed by normal monocytes and macrophages
We finally studied the induction of TDO in normal monocytes or macrophages. If confirmed, this would support the hypothesis that TDO can represent an immunosuppressive mechanism exerted by macrophage infiltration in tumors and other pathologies. The differentiation of freshly isolated monocytes into a macrophage-like phenotype and their subsequent exposure to proinflammatory or anti-inflammatory cytokines and chemokines did not induce TDO expression (Table 1 and Supplementary Figure 3).
Differentiation of freshly isolated monocytes.
The table lists all tested differentiation protocols and treatments of freshly isolated human monocytes. Cells were isolated from peripheral blood mononuclear cells and treated with either one single dose of cytokines for 2 or 5 days or differentiated for 5 days and subsequently treated with cytokines for 2 other days. The corresponding
Abbreviations: GM-CSF, granulocyte-macrophage colony-stimulating factor; IFN, interferon; IL, interleukin; LPS, lipopolysaccharide; M-CSF, macrophage colony-stimulating factor; PMA, phorbol 12-myristate 13-acetate; TGF, transforming growth factor; TNF, tumor necrosis factor.
Taken together, we found that TDO expression can be induced in monocytic cell lines by PMA, LPS, and IFNγ, but freshly isolated monocytes and other cell lines failed to induce TDO.
Discussion
We found that TDO can be induced in THP-1 and U937 monocytic leukemia/lymphoma cell lines upon differentiation with PMA or a combination of LPS and IFNγ. The level of protein TDO and its mRNA mostly correlated well, except for THP-1 cells treated with the combination of LPS and IFNγ. In this condition, the mRNA was comparable to LPS treatment alone, but the protein level was lower in the presence of IFNγ (Figure 4A and B). This might be explained by the complete degradation of tryptophan by IDO1 (data not shown), which is massively induced when combining LPS and IFNγ (Figure 5). It was recently shown that the protein TDO is degraded in a proteasome-dependent manner in the absence of its substrate tryptophan, although the mRNA remains unaffected (Klaessens et al., in preparation). 33 Indoleamine 2,3-dioxygenase 1 was induced to a lesser extent in U937 cells (Figure 5). Tryptophan was not completely degraded (data not shown) and indeed, TDO protein and mRNA correlated well.
Tryptophan 2,3-dioxygenase expression and kynurenine production also correlated well, except for THP-1 cells treated with PMA (Figure 1A to C). Surprisingly, kynurenine concentrations decreased at PMA concentrations higher than 5 ng/mL (Figure 1C). We think that high PMA concentrations might induce downstream enzymes leading to the degradation of kynurenine.
We observed that TDO is probably induced by a PKC-mediated pathway (Figure 3 for PMA and data not shown for LPS and IFNγ), but we ignore the exact mechanism below PKC. Tryptophan 2,3-dioxygenase could be directly induced by this pathway or indirectly by the induction of new cytokines. For example, the differentiation of the cells leads to an increased expression and secretion of cytokines, like IL-1β and TNFα (Supplementary Figure 1),34,35 which could induce TDO in an autocrine manner. Interestingly, D’Amato and co-workers found that triple-negative breast cancer (TNBC) cells induce TDO when losing attachment to the cell culture support. 36 These observations contrast with our results because nonadhering THP-1 and U937 cells start attaching to the cell culture support when differentiated to a macrophage-like phenotype with PMA or treated with LPS. On the contrary, we might confirm their results showing that TDO is induced by NFκB signaling 36 because PMA, 37 LPS, and IFNγ activate NFκB signaling. We did not test this hypothesis due to high cell mortality upon NFκB inhibition.
In our experiments, the induction of TDO was specific for THP-1 and U937 cell lines and could not be observed in other tumor-derived myeloid cell lines. In addition, it contrasted with the lack of TDO expression in freshly isolated monocytes. In line with this last observation, we described recently the expression profile of TDO in solid tumors and showed that TDO is mostly expressed by tumor-associated pericytes or vascular smooth muscle cells and, in some rare cases, in tumor cells surrounding TDO-positive vessels. 23 We did not observe TDO expression in tumor-associated macrophages. Therefore, the induction of TDO seems to be restricted to tumoral monocytic cell lines. Other human tumor lines are known to express TDO, including glioblastoma lines and lines of colorectal, head and neck, and lung and gall-bladder carcinomas. 18 Expression of TDO in mouse tumor cells allows them to resist immune rejection.8,18 It remains to be determined whether TDO expression in differentiated THP-1 and U937 cells also provides them the ability to resist immune attack.
Given the widespread use of THP-1 and U937 cells, our report of TDO induction in these lines by PMA or LPS and IFNγ might help interpreting the results of experiments performed with these lines. In addition, a mechanistic study of TDO induction in these lines could help characterizing the regulation of TDO expression in normal and pathological contexts.
Supplemental Material
Supplementary_Figures_cx1 – Supplemental material for Induction of tryptophan 2,3-dioxygenase expression in human monocytic leukemia/lymphoma cell lines THP-1 and U937
Supplemental material, Supplementary_Figures_cx1 for Induction of tryptophan 2,3-dioxygenase expression in human monocytic leukemia/lymphoma cell lines THP-1 and U937 by Delia Hoffmann, Luc Pilotte, Vincent Stroobant and Benoit J Van den Eynde in International Journal of Tryptophan Research
Footnotes
Acknowledgements
The authors thank iTeos Therapeutics for providing TDO-specific antibodies; Rui Cheng, Violette Ferrari, and Tereza Dvorakova for their experimental help; the group from Prof. Pierre Coulie for sharing with them their
Funding:
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Declaration of conflicting interests:
Benoît Van den Eynde is the co-founder of, has ownership interest in, and is an SAB member of iTeos Therapeutics.
Author Contributions
Conception and design: DH, LP and BJVdE
Methodology:DH, LP and BJVdE
Acquisition of data: DH, VS
Writing: DH and BJVdE
Study supervision: BJVdE
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References
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