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Blood, 15 December 2006, Vol. 108, No. 13, pp. 4094-4101.
Prepublished online as a Blood First Edition Paper on August 15, 2006; DOI 10.1182/blood-2006-03-011742.
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IMMUNOBIOLOGY
Antigen recognition induces phosphatidylserine exposure on the cell surface of human CD8+ T cells
Karin Fischer,
Simon Voelkl,
Jana Berger,
Reinhard Andreesen,
Thomas Pomorski, and
Andreas Mackensen
From the Department of Hematology and Oncology, University of Regensburg, Regensburg, Germany; and Institute of Biology, Cell Biophysics, Humboldt University Berlin, Berlin, Germany.
In eukaryotic cells the phospholipid phosphatidylserine (PS) is restricted to the inner plasma-membrane leaflet. This lipid asymmetry, which is maintained by the concerted action of phospholipid transport proteins, is mainly lost during apoptosis. Here, we demonstrate that primary human CD8+ cytotoxic T lymphocytes (CTLs) expose PS on T-cell receptor (TCR)mediated antigen (Ag) recognition. In contrast to PS externalization on apoptotic cells, activation-induced PS exposure is less pronounced and reversible. Fluorescence microscopic analysis revealed that PS is distributed nonhomogenously over the plasma membrane and concentrated in membrane lipid raft domains at the immunologic synapse. By studying the activity of PS transport proteins using a fluorescence-labeled PS analogue, we found that activation of CTLs inhibited the flippase-mediated inward-directed PS transport without affecting the outward transport. Shielding of exposed PS by annexin V protein during Ag recognition diminished cytokine secretion, activation, and cell-to-cell clustering of Ag-specific CTLs. In summary, our data demonstrate for the first time that externalized PS on Ag-stimulated CTLs is linked to T-cell activation and probably involved in cell-to-cell contact formation at the immunologic synapse.

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