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Blood, 1 February 2005, Vol. 105, No. 3, pp. 1153-1161.
Prepublished online as a Blood First Edition Paper on September 28, 2004; DOI 10.1182/blood-2004-03-0791.
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Submitted March 2, 2004
Accepted September 16, 2004
SPI-CI and SPI-6 cooperate in the protection from effector cell-mediated cytotoxicity
Michael Bots, Ingrid G Kolfschoten, Sandra A Bres, Mirjam T Rademaker, Guido M de Roo, Margreet Kruse, Kees L Franken, Michael Hahne, Christopher J Froelich, Cornelis J Melief, Rienk Offringa, and Jan P Medema*
Department of Clinical Oncology, Leiden University Medical Center, Leiden, The Netherlands
Division of Tumor Biology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
Department of Immunohematology and Bloodtransfusion, Leiden University Medical Center, Leiden, The Netherlands
Institut de Genetique Moleculaire de Montpellier, CNRS UMR5535, Montpellier, France
Department of Medicine, Evanston Northwestern Healthcare Research Institute, Evanston, IL, USA
* Corresponding author; email: jpmedema{at}lumc.nl.
Tumors have several mechanisms to escape from the immune system. One of these involves expression of intracellular anti-cytotoxic proteins that modulate the execution of cell death. Previously, we have shown that the serpin SPI-6, which inactivates the cytotoxic protease granzyme B (GrB), is capable of preventing cytotoxic T lymphocyte (CTL)-mediated apoptosis. Despite its potent anti-apoptotic activity, SPI-6 does not prevent membranolysis induced by cytotoxic lymphocytes. We now provide evidence that several colon carcinoma cell lines do resist membranolysis and that this protection is dependent on SPI-6, but also requires expression of a closely related serpin called SPI-CI. Expression of SPI-CI is absent from normal colon, but observed in placenta, testis, early during embryogenesis and in cytotoxic lymphocytes. SPI-CI encodes a chymotrypsin-specific inhibitor and irreversible interacts with purified granzyme M. Moreover, SPI-CI can protect cells from purified perforin/GrM-induced lysis. Our data therefore indicate that SPI-CI is a novel immune escape molecule that acts in concert with SPI-6 to prevent cytotoxic lymphocyte-mediated killing of tumor cells.

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