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Blood, 1 July 2007, Vol. 110, No. 1, pp. 296-304.
Prepublished online as a Blood First Edition Paper on March 15, 2007; DOI 10.1182/blood-2006-10-051482.


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NEOPLASIA

Plasma cells from multiple myeloma patients express B7-H1 (PD-L1) and increase expression after stimulation with IFN-{gamma} and TLR ligands via a MyD88-, TRAF6-, and MEK-dependent pathway

Jizhong Liu1,2, Abdelbasset Hamrouni1,2, Darius Wolowiec3, Valérie Coiteux4, Kazimierz Kuliczkowski3, Dominique Hetuin1,2, Aurore Saudemont1,2, and Bruno Quesnel1,2,4

1 Institut National de la Santé et de la Recherche Médicale (INSERM), Unité 837, Institut de Recherche sur le Cancer de Lille, France; 2 Université de Lille 2, Institut Fédératif de Recherche, France; 3 Department of Hematology, Wroclaw Medical University, Poland; 4 Service des Maladies du Sang, Centre Hospitalier et Universitaire de Lille, France

Multiple myeloma (MM) cells inhibit certain T-cell functions. We examined the expression of B7-H1 (PD-L1), a B7-related protein that inhibits T-cell responses, in CD138-purified plasma cells isolated from MM patients, monoclonal gammopathy of undetermined significance patients, and healthy donors. We observed that B7-H1 was expressed in most MM plasma cells, but not cells isolated from monoclonal gammopathy of undetermined significance or healthy donors. This expression was increased or induced by IFN-{gamma} and Toll-like receptor (TLR) ligands in isolated MM plasma cells. Blocking the MEK/ERK pathway inhibited IFN-{gamma}–mediated and TLR-mediated expression of B7-H1. Inhibition of the MyD88 and TRAF6 adaptor proteins of the TLR pathway blocked not only B7-H1 expression induced by TLR ligands but also that mediated by IFN-{gamma}. IFN-{gamma}–induced STAT1 activation, via MEK/ERK and MyD88/TRAF6, and inhibition of STAT1 reduced B7-H1 expression. MM plasma cells stimulated with IFN-{gamma} or TLR ligands inhibited cytotoxic T lymphocytes (CTLs) generation and this immunosuppressive effect was inhibited by preincubation with an anti-B7-H1 antibody, the UO126 MEK inhibitor, or by transfection of a dominant-negative mutant of MyD88. Thus, B7-H1 expression by MM cells represents a possible immune escape mechanism that could be targeted therapeutically through inhibition of MyD88/TRAF6 and MEK/ERK/STAT1.


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