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Blood, Vol. 94 No. 3 (August 1), 1999: pp. 994-1002

T-Cell Receptor-Independent Activation of Clonal Th2 Cells Associated With Chronic Hypereosinophilia

Florence Roufosse, Liliane Schandené, Catherine Sibille, Bernard Kennes, André Efira, Elie Cogan, and Michel Goldman

From the Departments of Immunology and Internal Medicine, Hôpital Erasme, Université Libre de Bruxelles, Brussels; the Institute of Pathology and Genetics, Loverval, Gerpinnes; the Department of Internal Medicine, Centre Hospitalo-Universitaire Vésale, Montigny le Tilleul; and the Department of Internal Medicine, Hôpital St. Pierre, Université Libre de Bruxelles, Brussels, Belgium.

We recently observed a clonal expansion of CD3-CD4+ T cells secreting Th2-type cytokines in patients presenting chronic hypereosinophilia. As clonal T cells isolated from such patients did not spontaneously secrete cytokines in vitro, we reasoned that costimulatory signals delivered by antigen-presenting cells might be required to induce their full activation. To address this question, we investigated in two such patients the responses of CD3-CD4+ T cells to dendritic cells (DC). DC elicited proliferation and production of interleukin-5 (IL-5) and IL-13 by clonal cells from patient 1 and upregulated their expression of CD25 (IL-2R-alpha ). These effects were abolished when blocking monoclonal antibodies (MoAbs) against IL-2R-alpha and IL-2 were added to cocultures, indicating critical involvement of an autocrine IL-2/IL-2R pathway. Cells from patient 2 were stimulated by DC to produce Th2 cytokines only when rIL-2 or rIL-15 was added to cocultures. In both patients, addition of inhibitory MoAbs against B7-1/B7-2 or CD2 to cocultures resulted in dramatic reduction of cytokine production and inhibited CD25 upregulation. Thus, TCR/CD3-independent activation of clonal Th2 cells by DC is an IL-2-dependent process, which requires signaling through CD2 and CD28.


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