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Blood, 15 May 2004, Vol. 103, No. 10, pp. 3837-3844.
Prepublished online as a Blood First Edition Paper on January 15, 2004; DOI 10.1182/blood-2003-08-2806.

Submitted August 14, 2003
Accepted January 5, 2004
IFN -stimulated neutrophils and monocytes release a soluble form of TNF-related apoptosis-inducing ligand (TRAIL/Apo-2 ligand) displaying apoptotic activity on leukemic cells
Cristina Tecchio, Veronica Huber, Patrizia Scapini, Federica Calzetti, Daniela Margotto, Giuseppe Todeschini, Lorenzo Pilla, Giovanni Martinelli, Giovanni Pizzolo, Licia Rivoltini, and Marco A Cassatella*
Pathology, Section of General Pathology, University of Verona, Verona, Italy
Unit of Immunotherapy of Human Tumors, Istituto Nazionale Tumori, Milano, Italy
Department of Clinical and Experimental Medicine, University of Verona, Verona, Italy
Institute of Hematology and Medical Oncology, University of Bologna, Bologna, Italy
* Corresponding author; email: marco.cassatella{at}univr.it.
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) is a member of the TNF superfamily exerting cytotoxic activities towards tumor cells. Herein, we demonstrate that therapeutic concentrations of IFN stimulate the expression of high levels of TRAIL mRNA and the release of elevated amounts of a soluble bioactive form of TRAIL (sTRAIL) in both human neutrophils and monocytes. Supernatants harvested from IFN -treated neutrophils/monocytes elicited, on TRAIL-sensitive leukemic cell lines, pro-apoptotic activities that were significantly reduced by either a combination of TRAIL-R1/Fc and TRAIL-R2/Fc chimeras or neutralizing anti-TRAIL, anti-TRAIL-R1 and anti-TRAIL-R2 antibodies, suggesting that they were mediated by released sTRAIL acting on both TRAIL receptors. Since diseases such as chronic myeloid leukemia (CML) and melanoma are effectively treated with IFN , we also demonstrate that CML neutrophils and PBMC cultured with IFN at therapeutic concentrations retain the capacity of releasing sTRAIL, suggesting that CML leukocytes, in vivo, might represent an important source of sTRAIL. In this regard, we show that sTRAIL serum levels as well as leukocyte-associated TRAIL significantly increase in melanoma patients following IFN administration. Collectively, these findings indicate that sTRAIL released by IFN -activated neutrophils and monocytes contributes not only to the immunoregulatory actions but also to the therapeutic activities of IFN .

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