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Blood, 15 February 2004, Vol. 103, No. 4, pp. 1438-1444.
Prepublished online as a Blood First Edition Paper on October 16, 2003; DOI 10.1182/blood-2003-05-1491.

Submitted May 9, 2003
Accepted October 13, 2003
Regulation of MHC class II expression in human T-cell malignancies
Tjadine M Holling, Erik Schooten, Anton W Langerak, and Peter J van den Elsen*
Department of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands
Department of Immunology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
* Corresponding author; email: pjvdelsen{at}lumc.nl.
Expression of MHC class II molecules in human activated T cells is under normal circumstances regulated exclusively by the CIITA-PIII subtype of the class II transactivator (CIITA). In this study, we show that the absence of MHC class II expression in leukemic T cells was due to a lack of expression of CIITA, whereas in T lymphoma cells expression of CIITA correlated with expression of MHC class II. Interestingly, activation of a CIITA-PIII-reporter construct was not affected in leukemic T cells. This revealed that the absence of endogenous CIITA expression was not caused by a lack of transcription factors critical for CIITA-PIII activation but suggests the involvement of an epigenetic silencing mechanism. Subsequent analysis showed that the lack of HLA-DR expression correlated with hyper-methylation of CIITA-PIII in leukemic T-cell lines, and in primary T-ALL and a T-PLL. Treatment of leukemic T-cell lines with a demethylation agent showed re-expression of CIITA-PIII and HLA-DRA. Furthermore, in vitro methylation of CIITA-PIII and subsequent assessment of CIITA-PIII activity in Jurkat leukemic T cells resulted in reduction of constitutive and CREB-1-induced promoter activity. Together, these results argue for an important role of DNA hyper-methylation in the control of CIITA expression in leukemic T cells.

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