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Prepublished online as a Blood First Edition Paper on August 15, 2002; DOI 10.1182/blood-2002-06-1668.

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2002-06-1668v1
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Submitted June 6, 2002
Accepted August 5, 2002

CTLA-4 is not restricted to the lymphoid cell lineage and can function as a target molecule for apoptosis induction of leukemic cells

Maria Pia Pistillo*, Pier Luigi Tazzari, Giulio Lelio Palmisano, Ivana Pierri, Andrea Bolognesi, Francesca Ferlito, Paolo Capanni, Letizia Polito, Marina Ratta, Stefano Pileri, Milena Piccioli, Giuseppe Basso, Laura Rissotto, Roberto Conte, Marco Gobbi, Fiorenzo Stirpe, and Giovanni Battista Ferrara

Immunogenetics, National Cancer Research Institute, Genova, Italy
Service of Transfusion Medicine, S.Orsola-Malpighi Hospital, Bologna, Italy
Molecular Morphogenesis, National Cancer Research Institute, Genova, Italy
Department of Internal Medicine, University of Genova, Genova, Italy
Department of Experimental Pathology, University of Bologna, Bologna, Italy
Hemolymphopathology Section, University of Bologna, Institute of Hematology and Clinical Oncology L.& A. Seragnoli, Bologna, Italy
Department of Pediatrics, University of Padova Medical School, Padova, Italy
Immunogenetics, National Cancer Research Institute, Genova, Italy; Department of Oncology, Biology and Genetics, University of Genova, Genova, Italy

* Corresponding author; email: mariapia.pistillo{at}istge.it.

The expression of CTLA-4 molecule in human normal and neoplastic hematopoietic cells both on the cell membrane and in the intracellular compartment was evaluated. Flow cytometric analysis carried out with a panel of anti-CTLA-4 human scFv antibodies revealed that CTLA-4 was not expressed on the surface, whereas it was highly expressed within the cytoplasm, in freshly isolated PBMCs, T cells, B cells, CD34+ stem cells and granulocytes. Various treatments with agents able to specifically activate each cell type induced CTLA-4 expression on surface of these cells. Similarly, increased CTLA-4 expression was observed in different hematopoietic cell lines although they expressed surface CTLA-4, at different degrees of intensity, also before activation. Surprisingly, CTLA-4 RNA transcripts were detectable in such cell lines only after nested PCR specific for CTLA-4 extracellular domain, suggesting a very fast CTLA-4 RNA processing accompanied by prolonged CTLA-4 protein accumulation. We further demonstrated surface expression of CTLA-4 in a variety of acute and chronic myeloid (AML and CML) leukemias and B- and T-lymphoid leukemias either adult or pediatric. CTLA-4 was expressed in 25% to 85% of AML and CML depending on the leukemia subtype and the epitope analyzed, whereas in acute B- and T-leukemias CTLA-4 expression was mainly cytoplasmic. Chronic B-leukemias appeared to express CTLA-4 both on surface and in cytoplasm, while few cases tested of chronic T-leukemias were negative. Two anti-CTLA-4 immunotoxins (scFvs-saporin) induced in vitro apoptosis of neoplastic cells from a representative AML suggesting a novel immunotherapeutic approach of AML based on CTLA-4 targeting.


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