High-dose IL-2 induces rapid albumin uptake by endothelial cells through Src-dependent caveolae-mediated endocytosis

J Interferon Cytokine Res. 2014 Nov;34(11):915-9. doi: 10.1089/jir.2013.0155. Epub 2014 Jun 25.

Abstract

High-dose interleukin-2 (HDIL2) treatment of patients with metastatic melanoma and renal cell carcinoma is associated with durable responses, but therapy is accompanied by significant toxicity related to vascular leak syndrome (VLS). Currently, the cause of VLS is not well defined; however, based on the role of endothelial cell (EC) permeability in VLS and the commonly observed hypoalbuminemia in patients receiving HDIL2 therapy, we established an in vitro approach utilizing primary human pulmonary microvascular ECs to monitor the effect of HDIL2 therapy on albumin uptake. We found that HDIL2 treatment of ECs results in albumin colocalization with caveolin-1 leading to albumin uptake by ECs. This albumin uptake occurs through caveolae-mediated but not clathrin-mediated endocytosis and is abrogated with inhibition of the Src tyrosine kinase pathway. These findings provide insight into how IL-2 induces VLS and may help identify potential targets for prevention of toxicity without affecting the therapeutic activity of HDIL2.

MeSH terms

  • Albumins / metabolism*
  • Capillary Permeability / drug effects
  • Caveolae / metabolism
  • Caveolin 1 / metabolism*
  • Cells, Cultured
  • Endocytosis / drug effects
  • Endothelial Cells / drug effects*
  • Endothelial Cells / metabolism
  • Humans
  • Interleukin-2 / adverse effects
  • Interleukin-2 / pharmacology*
  • Signal Transduction
  • src-Family Kinases / metabolism

Substances

  • Albumins
  • Caveolin 1
  • Interleukin-2
  • src-Family Kinases