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Prepublished online as a Blood First Edition Paper on June 14, 2002; DOI 10.1182/blood-2001-12-0217.

Submitted December 14, 2001
Accepted May 23, 2002
Mechanisms of CD47-induced caspase-independent cell death in normal and leukemia cells: link between phosphatidylserine exposure and cytoskeleton organization
Veronique Mateo, Eric J Brown, Guy Biron, Manuel Rubio, Alain Fischer, Francoise Le Deist, and Marika Sarfati*
Immune Regulation Laboratory, Centre de Recherche CHUM, Montreal, QC, Canada; Immunologie Inflammation, Institut Pasteur, Paris, France
Program in Host-Pathogen Interactions, University of California, San Francisco, USA
Immune Regulation Laboratory, Centre de Recherche CHUM, Montreal, QC, Canada
INSERM U429, Hopital Necker, Paris, France
* Corresponding author; email: m.sarfati{at}umontreal.ca.
Dying cells, apoptotic or necrotic, are swiftly eliminated by professional phagocytes. We previously reported that CD47 engagement by CD47 mAb or thrombospondin induced caspase-independent cell death of chronic lymphocytic leukemic B cells (B-CLL). Here we show that human immature dendritic cells (DCs) phagocytosed the CD47 mAb-killed leukemic cells in the absence of caspase 3, 7, 8 and 9 activation in the malignant lymphocytes. Yet, the dead cells displayed the cytoplasmic features of apoptosis including cell shrinkage, phosphatidylserine exposure and decreased mitochondrial transmembrane potential ( m). CD47 mAb-induced cell death also occurred in normal resting and activated lymphocytes, with B-CLL cells demonstrating the highest susceptibility. Importantly, immature DCs and CD34+ progenitors cells were resistant. Structure-function studies in cell lines transfected with various CD47 chimera demonstrated that killing exclusively required the extracellular and transmenbrane domains of the CD47 molecule. Cytochalasin-D, an inhibitor of actin polymerization and antimycin A, an inhibitor of mitochondrial electron transfer, completely suppressed CD47-induced PS exposure. Interestingly, CD47 ligation failed to induce cell death in mononuclear cells isolated from Wiskott-Aldrich syndrome patients suggesting the involvement of Cdc42/WASP signaling pathway. We propose that CD47-induced caspase-independent cell death is mediated by cytoskeletal reorganization. This form of cell death may be relevant to maintenance of homeostasis and as such might be explored for the development of future therapeutic approaches in lymphoid malignancies.

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