[CANCERRESEARCH38, 3033-3043,September1978) 0008-5472/78/0038-0000$02.00 Cultural, Morphological, Cell Membrane, Enzymatic, and Neoplastic Properties of Cell Lines Derived from a Hodgkin's Disease Lymph Node1 Audrey N. Roberts,2 Kirby L. Smith, Barry L. Dowell,3 and Andrea K. Hubbard Department of Microbiology, university of Tennessee Center for the Health Sciences, Memphis 38163 (A. N. R., K. L. S., B. L. 0., A. K. H.J, and Department of Hematology-Oncology,St. JudeChildren'sResearchHospital,Memphis,Tennessee38101(K. L. S.! ABSTRACT A neoplasticcell line (designated HuT,,) has been es tablished in continuousculture from an involved lymph node of a patientwith Stage IIA Hodgkin'sdisease of the mixedcellularftytype. The HuT1,line hasbeen morpholog ically heterogeneous,consistingof mononucleatelymph old-like cells, polygonalepithelloidcells, and mono-, bi-, and muftinucleategiant cells. Four clones inftiatedfrom Isolatedbinucleategiant cells of the HuT,, line also have been successfully established as continuous cell lines. The cloned lines have been morphologicallydistinctand more homogeneous, although typical giant cells have consistentlyappearedthroughoutthe long-termcultureof each. The HuT1 lines have grown as monolayers in McCoy's Medium 5A supplementedwith 10% fetal calf serum, with generation times of 12 to 14 hr and high saturation densities. Cytogenetic studies showed that early and later passages of HuT,1cells were aneuplold, and all cell lines were successfullyheterotransplantedin the hamstercheek pouch.Repeatedindirectimmunofluo rescence examinations have shown each cell line to be negative for Epstein-Barrvirus nuclear antigen. Indirect lmmunofluorescence tests In which monospecific immu noglobulinswere used revealed positivemembranereac tions for the y (heavy)-chaIn and K (Iight)-chain of human malignant cell of Hodgkin's disease have been hampered by failure ho establish in vitro monotypic cell lines derived from the characteristic neoplashic cells. Numerous investi gators have explored the cytologic, histochemical, and immunological properties of the large mononuclear cell population and the binucleate or mulhinucleate Reed-Stern berg cells of Hodgkin's disease with the use of fresh biopsy specimens or cells cultured from involved tissues for limited periods. The heterogeneity of these preparations has re suIted in a diversity of suggestions regarding the cell of origin, including the reticulum cell or hishiocyte (1, 24, 66), transformed lymphocytes (40, 47, 60), T-lymphocytes (4, 13, 47), and B-lymphocytes (2, 5, 12, 19, 20, 29, 34, 63). Many short-term cultures have displayed cells of mixed morphol ogy which usually could not be serially passed (15, 52, 62, 65). Other long-term cultures (27, 51, 58) have not been clearly distinguished from lymphoblashoid B-cell lines nat urally infected with EBV4 (46). Recently, Kaplan and Gartner (30, 31) have initiated cultures of mono-, bi-, and mulhinucleale giant cells from involved spleens of Hodgkin's patients. Although perma nent cell lines have not yet been established from these slow-growing cultures, they have been confirmed as neo plastic by demonstration of aneuploidy and heherotrans plantability. Tests on several of these have revealed prop erties characteristic of macrophages, including phagocyto sis formation of IgGEA and IgMEAC rosettes, and synthesis and secretion of lysozyme (31). Long et a!. (38, 39, 69) have successfully established continuous monolayer and sus pension cell lines from Hodgkin's splenic tumor nodules. immunoglobulinG in approximately20% of viable cells in each line; however,direct Immunofluoreecencewith anti humanimmunoglobulinG F(ab')@ reagentfailedto confirm these reactions. Rosefte tests for B- and T-Iymphocyte and macrophage membrane receptors yielded negative Bi- and muihinucleate giant cells have been prominent in results. All cell lines were stronglyphagocyticfor latex each cell line. Cyhogenetic studies on many of these have particles and neutral red dye. Cytochemical stains of the demonstrated aneuploid karyotypes (39), while 4 of the monolayersrevealed abundantesterase, fluoride-resist monolayer cultures have been heterotransplantable when ant nonspecificesterase, acid phosphatase,and leucine tested in nude mice (69). Although distinct differences in amlnopeptldase activities, while lysozyme assays were negative. Although some properties of the HuT,1 lines have suggesteda macrophagederivation,an undifferen tiated lymphoidcell originof the Hodgkin'sneoplasticcell remainsa possibllfty. INTRODUCTION Attempts ho identify and determine the origin of the membrane receptors have been shown between the cells cultured in suspension and monolayers, some of the prop erties uniformly demonstrated by both have suggested a macrophagederivation (39). However,the cells have lacked certain characteristic macrophage functions, such as IgGEA rosette formation and phagocytosis. Thus, the cell cultures established from Hodgkin's tissues have not dem onstrahedconsistent properties. 4 The I These studies were supported in part by funds from the Mid-South Cancer Research Foundation, Memphis, Tenn. 2 To whom requests 3 Present address: for reprints Department should be addressed. of Microbiology and University Medical Center, Durham, N. C. 27710. Received January 30, 1978; accepted June 12, 1978. SEPTEMBER 1978 Immunology, Duke abbreviations used are: EBV, Epstein-Barr virus; IgGEA, lgG anti body-sheepRBC complexes; IgMEAC,1gMantibody-sheepRBC-comple ment complexes; FCS, fetal calf serum; MEM, minimal essential medium; EBNA, Epstein-Barr virus nuclear antigen; SRBC, sheep RBC; E-rosette, erythrocyte (sheep RBC)-forming rosette; IgMEA, 1gM antIbody-sheep RBC complexes; PBS. phosphate-buffered saline (0.15 N NaCl-0.0028 N mono basic sodium phosphate-0.0072 u dibasic sodium phosphate). 3033 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. A. N. Roberts et al. The controversy surrounding the identity of the Hodgkin's tumor cell can be resolved only by accumulating further data from additional established cell lines. In this report we describe experiments undertaken to characterize the prop erties of a continuous cell line (designated HuT,, and initiated by Dr. K. L. Smith, St. Jude Children's Research Hospital) initiated from an involved lymph node of a patient with Hodgkin's disease of the mixed cellularity type. The properties of 4 continuous cloned cell lines have been compared with those of the parent HuT1, line. Each clone was established from a binucleate, Reed-Sternberg-like cell isolated from HuT11cultures during early serial passage. Our investigations described herein include cultural char adheristics, morphology, heterotransplantation , immunoflu orescence tests for membrane immunoglobulins, rosette assays for lymphocyte and monocyte surface markers, histochemistry, phagocytosis, and cytogenehic analyses. MATERIALS AND METHODS Tumor Donor. An enlarged cervical lymph node was surgically excised from a 6-year-old female patient. Histo logical examination of a portion of the node confirmed the diagnosis of Hodgkin's disease of the mixed cellularity type. The pathological stage of disease was recorded as lIA after physical examination, chest X-rays, i.v. pyelograms, bone marrow biopsy, and staging laparohomy. This patient was diagnosed 6 months following the detection of Stage IVB Hodgkin's disease of the same type in an 11-year-old male sibling. Cell Preparationand Culture.The lymphnodewas proc essed for culture within 1 hr of excision. The tissue was finely minced ; the fragments were washed in Hanks' bal anced salt solution and then dissociated in 0.1% trypsin:EDTA (1:1)solution by rapidagitation for20 mm at 25°.The residual tissue fragments were allowed ho settle, and the cells were washed and resuspended in McCoy's Medium 5A (Microbiological Associates, Inc., Bethesda, Md.) supplemented with 10% heat-inactivated FCS (Micro biological Associates) and containing penicillin (50 unihs/ ml), shrephomycin (50 @tg/mI),and kanamycin (50 @g/ml); (Kantrex; Bristol Laboratories, Syracuse, N. Y.). This cul lure medium was routinely used for all experiments, unless otherwise specified. The cell suspension was distributed into 75-sq cm Falcon culture flasks (Falcon Plastics, Ox nard, Calif.), 2 ho 3 x 10@cells/flask, and incubated in stationary cultures at 37°.The resulting cell monolayers were first passaged at 2- ho 6-week intervals. After 11 passages, more rapid cell growth occurred, allowing weekly passages at transfer ratios of 1:6 ho i :12. This established cell line has been designated HuT11 and currently is in excess of 200 serial passages. Cultures of Cloned Cell Lines. After approximately 20 passages, HuT,, cells from stock cultures were plated in 60x iS-mm Falcon plastic dishes containing 10 ml of culture medium at a concentration of approximately 50 cells/dish. After overnight culture in a humidified incubator at 37° under 5% CO2, giant binucleate cells were isolated micro scopicaily with a Teflon cylinder attached to the plate with a coal of silicon grease. Fresh medium was added, and incubation was continued for 3 to 5 days ho allow develop 3034 ment of the isolated clones. The clones then were dispersed with 0.1% trypsin, and the cells were washed and subcul lured in 75 sq cm Falcon flasks. Four cloned cell lines have been established and have been designatedHuT11-1 ,-2,-5, and -6. Each clone has been passaged at weekly intervals at transfer ratios of 1:6 to i :i2 and currently is in excess of 150 serial passages. Cell Counts and Viabilfty Determination. Cell counts were performed at x400with a hemacytomeher, and viability was determined by Irypan blue exclusion. An aliquol of the cell suspension was mixed with an equal volume of 0.4% Irypanblueand incubatedat25°for i mm, and a minimum of 500 cells was counted. The results were recorded as the percentage of cells showing dye exclusion. All cell counts reported are viable cell numbers. Preparation of Cells for MorphologicalStudies. Cells from Irypsinized monolayers were resuspended ho 5 x 10@ cells/mi, then planted in i6- x i50-mm culture tubes or Leightontubescontaining 9-x 35-mm covergiasses, 2 mI/ tube, and incubated at 37°until the monolayers reached 50% confluency. The coverglasses were removed, rinsed in 0.oi M PBS, pH 7.2, and fixed for iO mm either in absolute methanol for staining with May-GrUnwald-Giemsa or Wright's Giemsa or in Carnoy's solution for staining with methyl green-pyronin . Morphological observations were made with a Zeiss standard bright-field fluorescence univer sal microscope fitted with xi2.5 eyepieces, x400 and xi000 apochromat oil immersion objectives, and an Ophi var. Photomicrographs were made with the use of a Zeiss camera attachment equipped with a Leica 35-mm camera body and Kodak Plus-X Pan film. Determinationof Cell Size. Aliquotsof diluted suspen sion from trypsmnized monolayers were observed with he macytometers to avoid cell compression. The diameter of each cell was measured at x450 to the nearest i .45-sm unit of an eyepiece reticle, previously calibrated with a stage micrometer (American Optical Co. , Buffalo, N. Y.). The diameters were recorded for a minimum of 300 cells from each preparation. Growth Rate Determinations. Cells were dispersed from cultures in logarithmic growth with the use of 0.i% trypsin in Hanks' balanced salt solution, washed, resuspended in culture medium, and counted. The suspension was ad jushed to a final concentration of 2 x 10@cells/mI and seeded in 60-mm-diameter Falcon No. 3045 multiwell cul lure dishes, 5 mI/well. The cultures were grown at 37°in a humidified incubator under 5% CO2, and the medium was changed at 24-hr intervals. Monolayers from 4 dishes were counted at daily intervals through Day 9. The cells from each dish were dispersed with Irypsin and removed with 3 medium washes and then pelleled by centrifugahion, resus pended, and counted. The same protocol was used for growth rate studies in each of the following: McCoy's medium supplemented with 0.1 , 0.5, 1.0, 5.0, 10, and 20% FCS, 10% newborn calf serum (Microbiological Associates), and 10% human serum (Flow Laboratories, Rockville, Md.); Dulbecco's MEM, Ea gles's MEM, and Roswell Park Memorial Institute Medium 1640 (Microbiological Associates), each supplemented with 10% FCS. All sera were heal inactivated (56°,30 mm) before use. CANCER RESEARCHVOL. 38 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. Properties of Hodgkin's Cell Lines Heterotranspiantation.The tumorigenic properties of each cell line were assayed in young female Syrian ham sters (17). Two- to 4-day monolayers were dispersed with 0.1% hrypsin, and the cell suspensions were washed in serum-free Dulbecco's MEM. An aliquot of each suspension was counted , and the cells were diluted to the desired concentration in 0.1 ml. The hamsters were lightly anesthe tized with ether and the cell inoculum was injected s.c. into the cheek pouch. The presence of humor development and the size of humor growth were recorded at weekly intervals, until thehumors became necrotic. For transplantation primary or transplanted humors were excised after 2 weeks of growth and washed with serum free Dulbecco's MEM. Each humor was trimmed of excess epihhelial tissue and finely minced. The tissue fragments were allowed to settle, and the cell suspension then was passed through sterile gauze ho remove residual fragments. The cells were washed twice in medium, resuspended ho the desired concentration, and inoculated as described above. For histological examination slices of primary and transplanted tumors were fixed in neutral formalin, sec honed, and stained with hemahoxylin and eosin. Touch preparations from freshly sliced tumors were fixed and stained with hemaloxylin and eosin or methyl green-py ronin. resuspended in PBS, as described above. The final mono nuclear suspensions usually contained about 90% lympho cytes, and viability was greater than 98%. indirect immunofluorescence was used to detect surface immunoglobulin on the viable cell preparations. The mono specific intermediate antisera included goat anti-human y, a, @, 8, €,K and A chains (Cappel Laboratories, Cochran yule, Pa.). The sera were heat inactivated for 30 mm at 56° and ultracentrifuged (150,000 x g for 30 mm) before use. Monospecificity of the sera was tested in immunoelectro phoresis with normal human serum, human immunoglobu lin reference sera (Kallestad Laboratories, Chaska, Minn.), human K and A Bence Jones proteins (Behring Diagnostics, Somerville, N. J.), and human lgD and IgE reference sera (Behring Diagnostics). The viable cell assay used was mod ified from a method described previously (44). Briefly, in duplicate, 0.2 ml of cell suspension was mixed with 0.2 ml of antiserum (1:2) and incubated at 4°for 60 mm. The cells then were suspended to 10 ml in PBS, pelleted by centrifu gahion, and washed 3 times with 10 ml of PBS ho minimize the possibility of soluble immune complex formation. The cell pellets were resuspended ho the original 0.2-mI vol umes, mixed with 0.2 ml of fluorescein-conjugated rabbit IgG against goat lgG (1:4; Cappel Laboratories), incubated, and washed as before. The final cell pellets were mounted Tests for EBNA. The anticomplementindirectimmuno in phosphate-buffered glycerol, pH 8.0, and observed by fluorescence test (55) was used to detect the presence of fluorescence microscopy. The percentage of positive cells EBNA. Raji lymphoblashoid cells, a nonproducer cell line was determined by counting at least 500 cells in each derived from Burkitt's lymphoma (53), served as the positive preparation. control. The Raji cell line was kindly provided by Dr. Robert Additional controls were included ho rule out possible Naegele (St. Jude Children's Hospital) and grown in station nonspecific globulin binding due to Fc receptors and non specificity due to membrane bound FCS components. ary suspension cultures in McCoy's medium supplemented with 10% FCS. Tests were conducted in duplicate on at These included: (a) the direct tests with undiluted fluores least 2 passage levels of each HuT11cell line. Smears of the cein-conjugated goat IgG F(ab')2 against human lgG F(ab')2 (Cappel Laboratories); (b) the direct test with fluorescein cell suspensions were prepared on 24- x 50-mm cover glasses, air-dried , and fixed in acetone:methanol (1:1) at conjugated rabbit lgG against goat lgG; (C)the indirect test —20° for 3 mm. The positive serum used was obtained with undiluted normal goal serum as the intermediate through the courtesy of Dr. Gertrude Henle (Division of serum; (d) indirect tests with goal anti-bovine serum and Virology, The Children's Hospital of Philadelphia, Philadel goat anti-bovine lgG (1:2; Miles Laboratories, Elkhart, Ind.) phia, Pa.). The procedures for incubation with antiserum as the intermediate globulins; and (e) blocking tests per have been described (55). Observations were made with a formed by incubation with rabbit anti-bovine serum or Zeiss fluorescent illuminator, dark-field condenser, BG 12 rabbit anti-bovine lgG (1:2; Cappel Laboratories) prior to exciter filler, and No. 53 and 44 barrier filters. indirect tests with the monospecific heavy- and light-chain ImmunofluorescenceStudies for Surface Immunoglob antisera. Viabilities of the final cell preparations usually ulins. Tests were conducted with passages 39, 87, and 124 were greater than 90%. of the HuT,, cell line and passages 44 and 80 of each of the Lymphocyteand MonocyteMembraneMarkers. Rosette clones. Normal human peripheral blood lymphocytes and tests with the use of freshly collected SRBC in Alsever's Raji cells were used as positive and negative controls, solution were performed with passages 39, 80, and 132 of respectively. Four- to 6-day monolayers of HuT,1 cells were HuT,, cells and passages 42 and 85 of each of the clones. dislodged from the surface with a rubber policeman and Normal human peripheral blood lymphocytes and Raji cells easily dispersed into a single-cell suspension by rapid, were used as positive and negative controls, respectively. gentle pipetting. Approximately 3 x 10@cells were washed The cell preparation and washing procedures were as 3 limes with 50 ml of 0.01 M PBS, pH 7.6, at 4°.The cells described in the fluorescence studies, with the use of were resuspended in buffer ho 1 x 10@cells/mI. Viability modified barbital buffer, pH 7.4 (26). The tests for E-rosette usually was greater than 98%. Raji cells were collected and IgGEA, IgMEA, and IgMEAC rosette formation were directly from suspension cultures and prepared in the same conducted essentially as described by Hunter et al. (26). manner. The SRBC used in E-rosette tests were pretreahed with For preparation of normal human lymphocytes, 70 ml of neuraminidase (2.5 units/mI; Calbiochem, La Jolla, Calif.) venous blood containing EDTA were subjected to Ficoll for 30 mm at 37°,washed 3 times in barbital buffer, and Hypaque centrifugation (6), and the mononuclear cells, diluted ho a 0.5% suspension. The lgG and 1gM antisera ho collected from the gradient interphase, were washed and SRBC were obtained from Cordis Laboratories, Miami, Fla. SEPTEMBER1978 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. 3035 A. N. Roberts et al. The CS-deficient complement used to prepare IgMEAC was collected from retired breeder AKR mice (The Jackson Laboratory, Bar Harbor, Maine) and shored at —70°. All rosette tests were performed in triplicate, with incubation at 5°and 25°for 1 to 2 hr. (Fig. 1). The smaller cells (8 to 14 .tm) were round and lymphoid-like or spindle-shaped with a single nucleus pos sessing 1 or more prominent nucleoli. Mononucleate polyg onal cells (12 to 18 @m) and giant cells (30 to 48 @m) with 1 to 8 nuclei also were prevalent. Throughout all passage Phagocytosls.Latex beads, 1.01 @m in diameter (Dow levels the cultures have consistently demonstrated numer ous binucleate giant cells that resemble the typical Reed Diagnostics, Indianapolis, md.), were washed in culture Shernbergcell(Fig. 2). medium, resuspended to 5 x 10@particles/mI, and then Each of the 4 cloned cell lines, initiated from a single added ho 50% confluent monolayers of HuT11 cells (18). binucleahe Reed-Shernberg-like cell of the HuT11line, dem After various intervals of incubation at 37°,the monolayers onstrated a more homogeneous cell morphology. The pre were washed 5 times with 0.01 M PBS, pH 7.2, then dominant cells of clone HuT,1-1 were polygonal, possessing dispersed with hrypsin, and prepared as smears on slides. a single nucleus with 1 or more prominent nucleoli (Fig. 3). The smears were fixed for 5 mm in absolute methanol, stained with eosin, and counted microscopically for cells This clone also contained a few lymphoid-like cells and with membrane-bound and phagocytosed particles. The sparsely distributed bi- and multinucleale giant cells. The majority of cells in clone HuT11-2were lymphoid-like, some smears then were immersed overnight in xylene ho solubil ize exhracellular particles and recounted for cells with with eccentric nuclei (Fig. 4). These cultures also consist internalized particles. In addition, 50% confluent coverglass ently demonstrated a few mononucleate and mulhinucleahe monolayers of HuT11 cells were incubated at 37°with a giant cells that frequently contained inhracytoplasmic vacu 0.01% neutral red solution and then examined microscopi oles. Clone HuT11-5consisted of spindle-shaped and polyg cally as wet-mount preparations for dye incorporation. onal cells with a clustered pattern of growth (Fig. 5). When Enzyme Histochemistryand LysozymeAssays. Mono treated with trypsin, the monolayers tended to disperse in layers of the HuT,1 and cloned cell lines at various passage small aggregates. These cells also showed a greater varia levels were dispersed with Versene and prepared as smears lion in size than did cells of the other cloned lines. Cells that morphologically resembled macrophages predomi on slides for enzyme histochemistry, as described previ ously (42, 43). Buffy coal leukocytes from normal human nated in clone HuT11-6,most of which were mononucleate with prominent nucleoli and numerous cytoplasmic vacu peripheral blood were used as controls. Assays were con oles (Fig. 6). Mono- and binucleate giant cells were more ducted for acid phosphatase (3, 64), alkaline phosphatase prevalent than in the other cloned cell lines. Features in with the use of naphthol AS-TA phosphate (7, 64), nonspe common with all cell lines have included hyperpyroninophi cific esherases with the use of the substrates a-naphlhol acetate and naphthol AS acetate (21, 59, 64), fluoride ha and frequent observation of mitohic figures in binucleate cells. resistant esherase (36), leucine aminopeptidase (8, 64), and Growth Rate. The HuT,1 cell line demonstrated a rapid peroxidase (49). The lysoplahe technique (48) was used to population-doubling time of 12.3 ±0.6 hr during the first 4 assay for the presence of lysozyme in medium from 4-day days of logarithmic growth. The cloned lines had compara HuT11cell monolayers and in each of 3 extracts prepared ble growth rates, ranging from 12.1 ±1.7 (clone HuT,,-2) to from approximately 1 x 10@cells. The extraction proce 13.6 ±0.8 (clone HuT11-6)hr. Comparisons of the growth dures were: (a) incubation for 5 mm at 4°in 0.3 ml of 0.5% rates of early serial passages (passages 32 to 34) with those or 1.0% Nonidet P-40 (Particle Data Laboratories, Ltd., Elmhursh, Ill.); (b) 6 rapid freeze-thaw cycles in 0.3 ml of of long-term cultures (passages 67 to 69 of the clones and passages 92 and 155 of the HuT1, line) revealed no signifi 0.15 M phosphate buffer, pH 6.3; and (C) sonic disruption for three 30-sec cycles (Model 185 sonicalor; Heal-Systems cant differences. The monolayers grew to high saturation densities, ranging from 67 x 10@cells/sq cm (clone HuT,1Ultrasonics, Inc. , Plainview, N. Y.) in 0.3 ml of buffer. Cell debris was removed from all samples by centrifugation at 6) to 74 x 10@cells/sq cm (clone HuT,,-2), after 9 days in culture. The high densities were due to multilayered cell 10,000 x g for 10 mm at 4°.All extracts were assayed growth, with loosely attached clusters of rounded cells immediately after preparation. Egg while lysozyme was used as a standard. prevalent in all of the cultures. Trypan blue exclusion tests revealed that over 98% of the clustered cells were viable. Cytogenetlc Analysis. Chromosome preparations were On transfer to new culture dishes, these cells resumed the made from monolayers of HuT1, cells in logarithmic growth. The monolayers were incubated with colchicine (0.05 @g/ typical monolayer pattern of growth. Effects of Serum and Medium on Cell Growth. With ml) for 2 hr at 37°,dispersed with trypsin, and then swelled medium changes at 24-hr intervals, growth rates of the with 0.075 M KCI for 30 mm at room temperature. The cells HuT1, cell monolayers were comparable in McCoy's Medium were fixed with 3 changes of freshly prepared 5A supplemented with 5, 10, and 20% FCS. Logarithmic methanol:glacial acetic acid (3:1) for a total of 30 mm and growth occurred during the first 96 hr, with generation stained with Giemsa (45). times ranging from 12 to 13 hr. A reduced rate of growth was observed in 0.1 , 0.5, and 1.0% FCS, with generation RESULTS times of 34, 29, and 26 hr, respectively. When the cells were Cultural and MorphologicalProperties.The HuT,, cell cultured for 7 days without a medium change, 5% FCS was required to support continued growth. In medium contain line grew as a dense, loosely adherent monolayer of mono-, ing 10% human serum or newborn calf serum, the monolay bi-, and mulhinucleate cells of heterogeneous morphology 3036 CANCER RESEARCH VOL. 38 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. Properties of Hodgkin's Cell Lines ers detached from the culture surface and over 90% of the cells were nonviable after 48 hr. A comparison of the 9-day growth of HuT,1 cells in different culture media supplemented with 10% FCS showed that optimal growth occurred in McCoy's Medium 5A. These cultures reached confluency by 4 days and demonstrated a 12-hr generation time. The cells continued to grow at a reduced rate between 5 and 9 days, with an increase in generation time to 26 hr. Roswell Park Memorial Institute Medium 1640 supported a similar rate of cell growthduringthefirst 3 days,whilegrowthwas reducedin Dulbecco's MEM and minimal in Eagle's MEM. Heterotransplantationof the HuT,, Cell Lines. HuT,1 cells (passage 93) were injected s.c. into hamster cheek pouches at various concentrations to determine the cell dose required for tumor induction. An inoculum of 1 x 10@ cells produced 100% tumor formation, while a minimum dose of 100 cells was required for tumor induction. The vascularized and consisted of malignant cells sparsely infil trated by polymorphonuclear leukocytes, presumably of host origin. The tumor cell morphology resembled a malig nant histiocytic lymphoma, and mihoses were numerous. Giant binucleale Reed-Slernberg-Iike cells were sparsely distributed throughout the mononuclear humor cell masses. ImmunofluorescenceTests for EBNA. Four serial pas sages of the HuT,, cell line (through passage 78) and 2 passages of each clone have been tested in duplicate for EBNA. All observations have been negative. In each test over 95% of the Raji control cells were strongly positive for nuclearfluorescence. Studies for Lymphocyte and Monocyte Membrane Markers. As a marker for B-lymphocytes,membraneim munofluorescence tests for human immunoglobulins were performed with viable cells from various passages of the HuT,, cell line. The results consistently demonstrated ap proximately 20% of cells positive for -yand K when reacted 50% tumor-producing dose was calculated to be 5 x 102 with the monospecific goal antisera (Table 1). The cell cells (54). Tests with earlier serial passages (passages 27 cultures and normal lymphocyte preparations contained a and 45) of HuT,, cells yielded comparable data. The tumors low percentage (average, 4%) of cells that nonspecifically induced by HuT,, cells were transplanted through 3 sequen bound globulin from normal goat serum, suggesting that hal animal transfers. Inocula of 1 x 10@through 1 x 106 these cells possessed Fc receptors. Similar studies on cells produced 100% tumor formation. After the third trans passages 44 and 80 of each cloned line yielded comparable fer a minimum of 100 cells still was required for tumor results. The data supported the conclusion that a consistent percentage of cells in each cell line showed monoclonal induction. Thus, subpassage of the tumor cells produced no apparent enhancement of humorigen icily. synthesis of lgG. However, direct immunofluorescence with goat F(ab')2 reagentdetectedonly0.1ho0.2% of cellswith Passages 32 and 85 of each of the 4 cloned lines induced 100% tumor formation in hamsters within 2 weeks after this B-cell marker, indicating that most of the positive injection with an inoculum of 1 x 10@cells. Cell dose-tumor membrane reactions were nonspecific (67). The predomi induction analyses were not performed with the clones. nant morphological cell types showing positive reactions In animals given injections of 10@to 10@HuT,, cells, with F(ab')2 reagent were mononucleale, ranging in size individual tumors grew to a volume of 3000 cu mm within 4 from 8 to 20 @m. Extensive control tests to detect nonspe weeks, but necrosis frequently occurred in later stages of cific binding of rabbit lgG and FCS components gave growth due to surface abrasion . From sequential measure completely negative results (see “Materials and Methods― ments of tumor size in 3 animals, the average doubling rate fordetails). of tumor volume was 2.2 ±0.6days.This rateremained Specific tests for Fc membrane receptors were unreward relatively constant through 20 days of observation. Tumor ing, with a low, insignificant percentage of cells in each cell regression was never observed. The humors were highly line demonstrating IgGEA and IgMEA rosette formation Table 1 cellsThe Immunofluorescence demonstration of membrane immunoglobulin on viable HuT,, of0.01 cell-antiserum reactions were incubated for 60 mm at 4°,followed by 3 washes in 10 ml M PBS, pH 7.6.% reactions@'Human of cells showing positive immunoglobulin specificity of intermediate goat antiserumb Serial @ F(ab')@'HuT, Cells tested passage 39 0.187 0.2124 0.1Lymphocytes'@ 0.3Rajicells lgG ‘y a j@ 20.2 20.4 0 0 0 0 21.0 3.3 0 0 0 11.7 0 (1 Each number represents 0 the average 0 percentage a sc 0 0 0 0 19.6 20.8 0 0 0 1.5 0 0 20.2 10.1 0 2.7 0 0 determined from A 0 500 0 to 1000 cells lgG; all 0 counted in duplicatepreparations. U Reactions were revealed with fluorescein-conjugated rabbit anti-goat cells tested showed an average 4% (range 3.7 to 4.2%) nonspecific reaction with normal goat serum that has been subtracted from the recorded values. C Direct immunofluorescence (I Separated from normal with human goat lgG peripheral F(ab')2 blood against human in Ficoll-Hypaque lgG F(ab')2. gradients; each percentage was derived from counts of duplicate lymphocyte preparations from each of 3 normal donors. SEPTEMBER1978 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. 3037 A. N. Roberts et al. (Table 2). Likewise, tests for IgMEAC rosette formation were essentially negative, demonstrating the absence of complement receptors. A consistent but low percentage of cells of each line formed weakly adherent, spontaneous E rosettes with SRBC. These reactions were not convincing as a marker for T-lymphocyles. A high percentage of cells of the cells had incorporated delectable levels of neutral (Table 3). Clone 1, however, showed weaker enzyme reac tivities, and all cell lines were negative for alkaline phospha tase and peroxidase. The cells retained nonspecific ester ase staining in the presence of 4 x 10_2M sodium fluoride, as did the monocytes in control leukocyte preparations. Lysoplale lysozyme assays of 4-day culture medium and extracts prepared from HuT,, cells were negative. Cytogenetic Analysis. Chromosome counts of 50 mitohic figures on each of 30 melaphase preparations from passage 42 of the HuT,, cell line showed a variation of 37 ho 190 chromosomes. Of these 405 were hypodiploid with a mode of 44 chromosomes, 900 were hyperdiploid with a mode of red, which increased 54 chromosomes, from various serial passages of all cell lines exhibited phagocytosis in the presence of latex particles and neutral red dye (Table 2). Maximum uptake of the particles was observed after 2 hr of incubation at 37°,with an average of 14 particles/positive cell. After 15 mm of incubation, in intensilywith continued most incubation. The dye was localized in cytoplasmic vacuoles and perinu clearareas. 183 were hypoletraploid with 77 ho 91 chromosomes, and 12 were hyperochoploid with approxi malely 190 chromosomes. Frequent milotic abnormalities were observed, including Iripolar and quadripolar spindles, lagging chromosomes, and chromosome bridges. Similar ranges in aneuploid chromosome numbers and comparable EnzymeProperties.Cylochemicalstainsof the HuT,, cell lines revealed strongly positive reactions for nonspecific esterase, acid phosphalase, and leucine aminopeptidase 2Membrane Table receptors and phagocytic properties of HuT, cellsPellets aftergentle of treated SRBC and test cells (100:1) were incubated at 5°and 25°for 1 to 2 hr; wasdetermined resuspension, the percentage of rosette-forming cells (surrounded by 3 or more SRBC) by counting a minimum of 200 cells. The percentage of phagocytic cells was determined particlesand from counts of 500 cells after incubation of each monolayer at 37°with latex neutral red dye for 2 hr and 15 mln, respectively.Rosette-forming (%)(‘Serial cells (%)@) Phagocytosis NeutralCells redHuT1, tested passage1 98HuT,-1 97HuT,,-2 93HuT,,-5 97HuT,-6 E IgGEA 39 42 42 42 22 21 22 19 8 6 5 3 4 7 3 3 2 3 1 2 86 85 82 91 42 23 36 7 27 4 17 2 16 93 4 98 0 5 0 93 0 0 Leukocytesd 5Rajicells (1 Tests on b Average different serial percentage passages of of positive each cells cell IgMEA line in triplicate gave IgMEAC consistent tests. Cell Latex results. viabilities were greater than 98% and comparable rosette formation occurred at 5°and 25°. C Average percentage of positive cells in triplicate tests of monolayers incubated with 5 x 10@ latex particles (1.01 @m) and 0.01% neutral red dye. (I Buffy coat leukocytes collected from normal human peripheral blood; rosette studies used mononuclear cells prepared by Ficoll-Hypaque gradient separation. Each percentage was derived from counts of triplicate cell preparations from each of 3 normal donors. Table 3 Enzymeproperties of HuT1,cell monolayers Histochemistry studies were performed on at least 2 passage levels of each HuT,, cell line, with the use of cell smears prepared from Versene-d ispersed monolayers. histochemistryHuT,HuT,-1HuT,-2HuT,-5HuT,-6Leukocytes@'Acidphosphatase Enzyme ++(Ia-Naphthol Alkalinephosphatase++b +“a-Naphthol esterase+ +efluorideNaphtholacetate esterase + sodium+ +@‘Leucine AS —+ acetate esterase+ +@‘Peroxidase—————++c aminopeptidase+ a Buffy coat leukocytes —++++++++c ++ +±+ +++ +++ ++ ++ ++ +++ ++ ++ ++ ++ ++ ++++ prepared from human peripheral blood; replicate smears were prepared from 3 normal donors. b Positive reactions are scored C Polymorphonuclear leukocytes (1 Polymorphonuclear leukocytes. from and strong (++) to weak (±) intensity of stain observed in the majority of cells. monocytes. e Monocytes. 3038 CANCER RESEARCH VOL. 38 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. Properties of Hodgkin's Cell Lines mononucleate cells, similar to those described by Kaplan and Gartner (31). Clones HuT,,-1 and -5 have demonstrated a predominance of polygonal, epithelioid cells interspersed with a few rounded and spindle-shaped cells and have more closely resembled the Hodgkin's monolayer cell lines de DISCUSSION scribed by Long et al. (39). All of the morphological types In this investigation properties of the HuT,, cell line, characteristic of the cloned lines have persisted in the derived from an involved lymph node of a patient with Stage heterogeneous parent line, with no apparent exclusion or selection of any cell types due ho long-term culture. Also, IIA Hodgkin's disease, have satisfied the criteria of neopla mono-, bi-, and mulhinucleate giant cells have consistently sia. A consistent proportion of HuT1, cells morphologically resembled the in vivo tumor cell population, and the cells appeared in the 5 cell lines, with more abundant distribution have demonstrated a rapid growth rate through long-term in the parent line and clone 5. Thus, the clonal investiga continuous culture. Early and long-term serial passages of lions have revealed that progeny arising from an isolated, binucleate giant cell may demonstrate considerable varia HuT,, cells have shown consistent aneuploid karyolypes and have been heterotransplantable, inducing rapid humor lion in cell morphology. These observations are suggestive growth in the hamster cheek pouch with a minimum inocu that the Hodgkin's neoplastic cells have characteristics of lum of 100 cells. Repealed tests for EBNA have been more primitive, undifferentiated, stem-line cells. However, negative, thus distinguishing the HuT,1 line from lympho morphological variation of in vitro cultured cells is, at best, a weak parameter for conclusive interpretation. blastoid B-cell lines frequently initialed from human lymph oid tissues and peripheral blood specimens (46). Indirect immunofluorescence tests for EBNA on different serial passages of the HuT,1 cell lines have been negative, Four cloned cell lines have been established from iso laled, binucleate, Reed-Slernberg-like cells of the HuT11 indicating the absence of EBV genome expression. The line. To our knowledge, these are the first such cloned cell possible role of EBV in Hodgkin's disease has been ex lines to be described. The capacity of the binucleate Hodg plored by numerous investigators, due to the detection of kin's cell for replication has long been a subject of contro high EBV antibody liters in Hodgkin's disease patients (9, versy. Cytological studies of tissues from Hodgkin's pa 22, 23, 25, 28, 33, 57). Interpretations from these serological hients provided little evidence for milosis or DNA synthesis studies have implicated EBV as a causative agent of the in binucleate or multinucleahe Reed-Sternberg cells (41, disease (22). Others have accounted for the enhanced 50). It was concluded that these cells are “end stage,―with levels of anhi-EBV antibodies on the basis of compensating humoral responses in patients with impaired cell-mediated little or no capacity for replication. However, Boeckeretal. (5) demonstrated clonal proliferation of aneuploid, hypote immunity (33, 35). Although there has been a distinct traploid cells derived from Hodgkin's tissues in diffusion association of high anhi-EBV liters with lymphocyte deple chambers implanted i.p. into mice. More recently, observa lion and sarcomahous types of Hodgkin's disease (28, 56), lions of Inhaled thymidine incorporation into nuclear DNA Chan et al. (9) have demonstrated an increased cell-me and of milotic figures in binucleate cells of neoplastic dialed immune response to Epstein-Barr virion antigen in Hodgkin's cultures have provided further evidence for their Hodgkin's disease patients. The ehiological significance of mihohic capability (31). In our studies, the successful clonal elevated anti-EBV responses has been challenged, how growth from isolated binucleate cells has confirmed their ever, by data from a recent 2-year serological case control capacityforreplication. study that failed ho reveal a relationship between antibody The cultural characteristics of the HuT1, cloned lines have titers and disease prognosis (23). EBNA tests on the HuT,1 been very similar to those of the parent line. Each has cell lines, likewise, have failed to provide evidence for an demonstrated a rapid growth rate, with a doubling time of etiological roleof EBV in the mixed cellularity type of 12 to 14 hr, thus producing monolayers of high saturation disease. Positive membrane reactions for lgG and K were revealed density. Sustained cell growth has been accomplished only in medium supplemented with FCS. Human serum and in approximately 20% of viable cells in each HuT,, line by newborn calf serum obtained from commercial sources indirect immunofluorescence with heavy- and light-chain failed to support growth or even maintain cell viability. monospecific immunoglobulmns. Although tests for the Although the cause for growth inhibition by these sera has other class-specific heavy-chain antigens and A light chain not been explored, other investigators who have used were negative, as were numerous controls ho detect non human serum or pleural fluid in culture media have encoun specific globulin binding and FCS components, this per tered difficulties in establishing permanent Hodgkin's cell centage of positive cells was not confirmed by direct im lines(31). munofluorescence with a specific IgG F(ab')2 reagent (67). Distinct differences have been observed in the morpho Numerous immunofluorescence and immunohislochemical logical characteristics of each cell line. Cells of the parent studies of Hodgkin's cells in fresh tissue specimens, cell line have remained morphologically heterogeneous through suspensions, and short-term cultures from involved tissues more than 200 serial passages, while each cloned line has have suggested that the giant tumor cells are derived from been composed of a somewhat more homogeneous cell transformed B-lymphocytes (2, 5, 12, 19, 20, 29, 34, 63). population. Rounded, lymphoid-like cells, 8 to 12 @min Pitfalls in these approaches, however, have included failure diameter, have predominated in clone HuT11-2,while clone to identify nonspecific membrane-binding of test reagents HuT11-6has been composed primarily of large (25 to 40 @tm) and hodistinguish cell-synthesized globulin from that which chromosome abnormalities have been observed in meta phase preparations of passages 24, 82, and 150 of this cell line. SEPTEMBER1978 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. 3039 A. N. Roberts et al. is bound or internalized from external sources. In contrast, studies by Kaplan et al. (30, 31) and Long et a!. (39) have contributed mounting evidence against a B-cell origin of the Hodgkin's neoplastic cell. The questions posed by our immunofluorescence results remain to be resolved by fu lure kinetic studies, possibly with mihogenic stimuli, ho reveal de novo lgG synthesis, since the low percentage (0.1 ho 0.2%) of positive cell reactions with lgG F(ab')2 reagent, although suggestive, cannot alone serve as convincing evidence for the presence of B-lymphocytes. The HuT1, cell lines lacked characteristic B-lymphocyte and macrophage membrane markers, as shown by essen hially negative rosette formation with IgGEA, IgMEA, and IgMEAC. Other continuous Hodgkin's monolayer cell lines also have failed ho demonstrate these markers (39), while the shorter-term giant cell cultures of Kaplan and Gartner (31) possessed Fc and complement receptors characteristic of macrophages. Long et al. (39), however, have shown that in vitro culture conditions may have a dramatic influence on the expression of membrane markers, since suspension cell lines that spontaneously arose from long-term negative monolayers gave positive Fc and complement receptor reactions. In contrast a high percentage of monolayer cells demonstrated nonspecific E-rosette formation, while the suspension cultures were negative. The HuT,, monolayers also demonstrated a low percentage of weakly adherent E rosettes. Although it has been demonstrated conclusively that human T-Iymphocytes possess a receptor for SRBC that can be isolated as a discrete molecular species (10), many human cell lines unrelated to T-cells show nonspe cific E-rosette formation after long-term culture in vitro (68). These findings strongly emphasize that attempts to identify cells of continuous cell lines through membrane receptor functions should be approached with caution until the sources of nonspecific reactivity have been revealed. In addition, a profound effect of cell cycle kinetics on the expression of membrane markers has recently been dem onstrahed (32), indicating that cell synchronization may be required for accurate receptor quantitahion. Cylochemical stains of the HuT1, cell lines revealed abun dant esterase, fluoride-resistant nonspecific eslerase, acid phosphalase, and leucine aminopephidase activities, al though clone HuT,,-1 showed somewhat weaker enzyme reactivities. These enzymes are comparable with those demonstrated in other continuous monolayer cell lines (39). However, lysoplale lysozyme assays of HuT,1 cell extracts and culture medium have been negative. Lysozyme secre lion, a characteristic of macrophages, has been a consist ent property of the short- and long-term Hodgkin's cell cultures described by other investigators (31, 39). The HuT,, cell lines demonstrated strong phagocytic activity for both latex particles and neutral red dye. The giant monolayer Hodgkin's cultures of Kaplan and Gartner (31) also have been strongly phagocytic. In conclusion, although some of the enzyme and phago cytic properties of the neoplashic HuT,, cell lines suggest a derivation from the hishiocyhe-macrophage family of cells (11, 14, 16, 61), other more definitive macrophage markers such as Fc (37) and complement receptors and lysozyme secretion have been lacking. Tests for characteristic B- and 3040 T-lymphocyte functions also have not been convincing, although further kinetic studies will be necessary to clarify the immunofluorescence results indicative of monoclonal lgG synthesis. Since malignant transformation usually leads ho some functional dedifferenhiahion of cells that may be reflected by loss or gain of enzyme activities and mem brane markers, we believe that our investigations have not conclusively ruled out either a lymphocyte or macrophage origin of the Hodgkin's neoplashic cell. ACKNOWLEDGMENTS The authors wish to thank Dr. Robert Neagele, St. Jude Children's Research Hospital, for his assistance with the EBNA tests. We also are grateful to Dr. RameshwarSharmafor providing helpful commentson the manuscript. REFERENCES 1, Ackerman,G. A., Knouff, A. A., and Hoster, H. A. Cytochemistryand Morphologyof Neoplasticand NonneoplasticHumanLymphNodeCells with SpecialReferenceto Hodgkin'sDisease.J. NatI. CancerInst., 12: 465-489, 1951. 2. 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Heterogeneous HuT,, cell monolayer (pas sage 45) composed of polygonal, spindle-shaped, and lymphoid-like cells, as well as numerous mono-, bi-, and multinucleate giant cells. Giemsa, x 200. Fig. 2. Typical binucleate Reed-Sternberg-like cell of the HuT1,cell monolayer. Giemsa, x 1000. ,@ @ . @.‘ A ‘@ 4 3042 CANCER RESEARCH VOL. 38 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. @ @. I w I, S @ I ‘ .y I. I @ 3 ‘.@,‘, ,&.*, Ip. 4@@4 ‘I', $.. .@ a' S ,@ tö. F p @p Fig. Fig. Fig. Fig. 3. 4. 5. 6. t 9 6@ Spindle-shaped, rounded, and larger mononucleate polygonal cells of clone HuT,,-1 monolayer (passage 21). May-Grunwald-Giemsa. x 1000. Monolayer of clone HuT-2 (passage 38) showing a predominance of rounded lymphoid-like cells. May-Grunwald-Giemsa, x 1000. Clone HuT-5 monolayer (passage 38) composed of polygonal, rounded, and spindle-shaped cells. May-Grunwald-Giemsa, x 1000. Mononucleate giant cells of clone HuT,,-6 (passage 46), showing the cytoplasmic vacuolization characteristic of this cell line. May-Grunwald Giemsa,x 1000. 3043 Downloaded from cancerres.aacrjournals.org on June 18, 2017. © 1978 American Association for Cancer Research. Cultural, Morphological, Cell Membrane, Enzymatic, and Neoplastic Properties of Cell Lines Derived from a Hodgkin's Disease Lymph Node Audrey N. Roberts, Kirby L. Smith, Barry L. Dowell, et al. Cancer Res 1978;38:3033-3043. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/38/9/3033 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. 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