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Prepublished online as a Blood First Edition Paper on June 21, 2002; DOI 10.1182/blood-2002-01-0300.

Submitted January 30, 2002
Accepted April 10, 2002
Immunomodulatory effects of RXR rexinoids : Modulation of high affinity IL-2R expression enhances susceptibility to denileukin diftitox
Gullu Gorgun and Francine M Foss*
Hematology Oncology, Tufts New England Medical Center, Boston, MA, USA
* Corresponding author; email: ffoss{at}lifespan.org.
Rexinoids binding to both the RAR and RXR families of rexinoid receptors have demonstrated clinical activity in hematologic malignancies and have been shown to mediate both growth and differentiation-associated genes. RXR rexinoids have demonstrated efficacy in the treatment of cutaneous T-cell lymphomas, but the mechanism of action is unclear. We explored the immunomodulatory effects of RAR and RXR rexinoids in human T and B-cell leukemia cells and demonstrated that RXR rexinoids are capable of upregulating high affinity IL-2R expression. Exposure to either 10-6 M to 10-10 M bexarotene or panretin for 48 hours was associated with increased expression of both the p55 and p74 subunits of the IL2R in T-cell leukemias and p75 in B-cell leukemias. Furthermore, rexinoid exposure enhanced susceptibility of the cells to denileukin diftitox fusion toxin targeting and intoxicating cells expressing high affinity IL-2R. These results suggest a rationale for combining rexinoids with IL2R targeted therapies in lymphoid malignancies as well as possibly in autoimmune diseases.

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