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Blood, 15 December 2004, Vol. 104, No. 13, pp. 4142-4149.
Prepublished online as a Blood First Edition Paper on August 24, 2004; DOI 10.1182/blood-2004-03-1190.
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Submitted March 30, 2004
Accepted August 11, 2004
Enhancement of the host immune responses in cutaneous T Cell lymphoma by CpG oligodeoxynucleotides and IL-15
Maria Wysocka*, Bernice M Benoit, Sarah Newton, Livio Azzoni, Luis J Montaner, and Alain Rook
Department of Dermatology, University of Pennsylvania, Philadelphia, PA, USA
The Wistar Institute, Philadelphia, PA, USA
* Corresponding author; email: mwysocka{at}mail.med.upenn.edu.
Patients with advanced cutaneous T cell lymphoma (CTCL) exhibit profound defects in cell-mediated immunity. Host immune functions appear to play an integral role in mediating disease-controlling responses in CTCL, therefore we investigated the effects of synthetic oligodeoxynucleotides with CpG motifs (CpG ODN), which have been recognized as immune stimulatory by virtue of activation of DCs following binding to Toll like receptor (TLR) 9. Peripheral blood mononuclear cells (PBMC) from patients with advanced CTCL (erythroderma with circulating malignant T cells) and normal volunteers were cultured with either CpG-A or CpG-B ODN. Patients' PBMC exhibited marked induction of IFN- release following culture with CpG-A. Similarly significant activation of NK cells and CD8 T cells occurred as assessed by up-modulation of CD69 expression and by natural killer lytic activity. Nevertheless, the PBMC of patients exhibited blunted responses to CpG-A compared to normal volunteers. In such cases, IL-15 was capable of producing levels of NK activation that were superior to CpG-A, while the combined effects of CpG-A plus IL-15 induced maximal activation of NK cells and further enhanced activation of CD8 T cells. These findings have important implications for the potential enhancement of anti-tumor immunity among patients with advanced CTCL.

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