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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1259-1268.
Prepublished online as a Blood First Edition Paper on June 12, 2008; DOI 10.1182/blood-2007-12-130773.


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IMMUNOBIOLOGY

PILAR is a novel modulator of human T-cell expansion

Eduardo Huarte1,*, Juan R. Cubillos-Ruiz1,*, Yolanda C. Nesbeth1,*, Uciane K. Scarlett1, Diana G. Martinez1, Xavier A. Engle1, William F. Rigby1,2, Patricia A. Pioli3, Paul M. Guyre1,3, and Jose R. Conejo-Garcia1,2

Departments of1 Microbiology and Immunology, 2 Medicine, and 3 Physiology, Dartmouth Medical School, Lebanon, NH

Robust T-cell responses without autoimmunity are only possible through a fine balance between activating and inhibitory signals. We have identified a novel modulator of T-cell expansion named proliferation-induced lymphocyte-associated receptor (PILAR). Surface PILAR is markedly up-regulated on CD4 and, to a lesser extent, on CD8 T cells on T-cell receptor engagement. In absence of CD28 costimulation, PILAR signaling through CD161 supports CD3 antibody-dependent and antigen-specificT-cell proliferation by increasing the expression of antiapoptotic Bcl-xL and induces secretion of T helper type 1 cytokines. These effects are abrogated by PILAR blockade with specific antibodies, which decrease surface levels of CD28. In contrast, PILAR induces apoptotic death on naive and early activated T cells if CD161 engagement is blocked. PILAR is expressed by approximately 7% to 10% of CD4 T cells in 2 samples of inflammatory synovial fluid, suggesting a potential role in the pathogenesis of joint inflammation. In addition, in the ovarian cancer microenvironment, effector T cells express PILAR, but not CD161, although expression of both can be augmented ex vivo. Our results indicate that PILAR plays a central role in modulating the extent of T-cell expansion. Manipulation of PILAR signaling may be important for treatment of autoimmune diseases and cancer.


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