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Blood, 1 May 2005, Vol. 105, No. 9, pp. 3615-3622.
Prepublished online as a Blood First Edition Paper on January 18, 2005; DOI 10.1182/blood-2004-07-2585.
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Submitted July 13, 2004
Accepted December 22, 2004
Ligands for natural killer cell activating receptors are expressed upon maturation of normal myelomonocytic cells but are low in acute myeloid leukemias
Pegah Nowbakht, Mihai-Constantin S Ionescu, Andreas Rohner, Christian P Kalberer, Emmanuel Rossy, Lucia Mori, David Cosman, Gennaro De Libero, and Aleksandra Wodnar-Filipowicz*
Experimental Hematology and Experimental Immunology, Department of Research, University Hospital Basel, Basel, Switzerland
Amgen Washington Inc., Seattle, WA, USA
* Corresponding author; email: Aleksandra.Wodnar-Filipowicz{at}unibas.ch.
Natural killer (NK) cell-mediated cytolytic activity against tumors requires the engagement of activating NK receptors by the tumor-associated ligands. Here, we studied the role of NKG2D and natural cytotoxicity receptors (NCRs) in the recognition of human leukemia. To detect as yet unknown cell surface molecules recognized by NCRs, we developed soluble forms of NKp30, NKp44 and NKp46 as staining reagents binding the putative cognate ligands. Analysis of ULBP1, ULBP2 and ULBP3 ligands for NKG2D and of potential ligands for NKp30, NKp44 and NKp46 in healthy hematopoietic cells demonstrated the ligand-negative phenotype of bone marrow-derived CD34+ progenitor cells and the acquisition of cell surface ligands during the course of myeloid differentiation. In acute myeloid leukemia (AML), leukemic blasts from about 80% of patients expressed very low levels of ULBPs and NCR-specific ligands. Treatment with differentiation-promoting myeloid growth factors together with interferon-gamma upregulated cell surface levels of ULBP1 and putative NCR ligands on AML blasts, conferring an increased sensitivity to NK cell-mediated lysis. We conclude that the ligand-negative/low phenotype in AML is a consequence of cell maturation arrest upon malignant transformation and that defective expression of ligands for the activating NKG2D and NCR receptors may compromise leukemia recognition by NK cells.

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