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Blood, 15 September 2004, Vol. 104, No. 6, pp. 1778-1783.
Prepublished online as a Blood First Edition Paper on May 27, 2004; DOI 10.1182/blood-2003-08-2820.
Previous Article | Next Article 
Submitted August 15, 2003
Accepted April 13, 2004
Direct bacterial protein PAMPs recognition by human NK cells involves TLRs and triggers -defensin production
Anick Chalifour, Pascale Jeannin, Jean-Francois Gauchat, Aline Blaecke, Martine Malissard, Thien N'Guyen, Nathalie Thieblemont, and Yves Delneste*
Cancerologie Experimentale, Centre Immunologie Pierre Fabre, St-Julien-en-Genevois, France
Cancerologie Experimentale, Centre Immunologie Pierre Fabre, St-Julien-en-Genevois, France; INSERM U564, Angers, France
CNRS-FRE 2444, Paris, France
* Corresponding author; email: yves.delneste{at}med.univ-angers.fr.
Although human CD56+CD3- NK cells participate to immune responses against microorganisms, their capacity to directly recognize and be activated by pathogens remains unclear. These cells encode members of the Toll-like receptor (TLR) family, involved in innate cell activation upon recognition of pathogen-associated molecular patterns (PAMPs). We therefore evaluated whether the two bacterial protein PAMPs, the outer membrane protein A from Klebsiella pneumoniae (KpOmpA) and flagellin, which signal via TLR2 and TLR5, respectively, may directly stimulate human NK cells. These proteins induce IFN production by NK cells and synergize with IL-2 and pro-inflammatory cytokines in PAMPs-induced activation. Similar results were obtained using CD56+CD3+ (NKR-expressing) T cells. NK cells from TLR2-/- mice fail to respond to KpOmpA, demonstrating TLR involvement in this effect. Defensins are antimicrobial peptides expressed mainly by epithelial cells and neutrophils that disrupt bacterial membrane, leading to pathogen death. We show that NK cells and NKR-expressing T cells constitutively express -defensins and that KpOmpA and flagellin rapidly induce their release. These data demonstrate for the first time that highly purified NK cells directly recognize and respond to pathogen components via TLRs and also evidence defensins as a novel and direct cytotoxic pathway involved in NK cell-mediated protection against microorganisms.

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