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Blood, 15 April 2007, Vol. 109, No. 8, pp. 3325-3332. Prepublished online as a Blood First Edition Paper on December 19, 2006; DOI 10.1182/blood-2006-04-017863.
IMMUNOBIOLOGY Nonmalignant T cells stimulate growth of T-cell lymphoma cells in the presence of bacterial toxins1 Institute of Molecular Biology and 2 Institute of Medical Microbiology and Immunology, University of Copenhagen, Denmark; 3 Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia; 4 Department of Clinical Immunology, University Hospital of Copenhagen (Rigshospitalet), Denmark Bacterial toxins including staphylococcal enterotoxins (SEs) have been implicated in the pathogenesis of cutaneous T-cell lymphomas (CTCLs). Here, we investigate SE-mediated interactions between nonmalignant T cells and malignant T-cell lines established from skin and blood of CTCL patients. The malignant CTCL cells express MHC class II molecules that are high-affinity receptors for SE. Although treatment with SE has no direct effect on the growth of the malignant CTCL cells, the SE-treated CTCL cells induce vigorous proliferation of the SE-responsive nonmalignant T cells. In turn, the nonmalignant T cells enhance proliferation of the malignant cells in an SE- and MHC class IIdependent manner. Furthermore, SE and, in addition, alloantigen presentation by malignant CTCL cells to irradiated nonmalignant CD4+ T-cell lines also enhance proliferation of the malignant cells. The growth-promoting effect depends on direct cell-cell contact and soluble factors such as interleukin-2. In conclusion, we demonstrate that SE triggers a bidirectional cross talk between nonmalignant T cells and malignant CTCL cells that promotes growth of the malignant cells. This represents a novel mechanism by which infections with SE-producing bacteria may contribute to pathogenesis of CTCL.
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| Copyright © 2007 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||||