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Blood, 1 June 2005, Vol. 105, No. 11, pp. 4383-4389.
Prepublished online as a Blood First Edition Paper on January 27, 2005; DOI 10.1182/blood-2004-08-3269.


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Submitted August 24, 2004
Accepted December 30, 2004

SAP controls the cytolytic activity of CD8+ T cells against EBV-infected cells

Loic Dupre, Grazia Andolfi, Stuart G Tangye, Rita Clementi, Franco Locatelli, Maurizio Arico, Alessandro Aiuti, and Maria-Grazia Roncarolo*

San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milan, Italy
Centenary Institute of Cancer Medicine and Cell Biology, Newtown, Australia
Pediatric Hematology/Oncology, IRCCS Policlinico San Matteo, Pavia, Italy
Children's Hospital G. Di Cristina, Palermo, Italy
San Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy

* Corresponding author; email: m.roncarolo{at}hsr.it.

The adaptor protein SAP regulates signaling through SLAM-family receptors expressed on T and NK cells. In patients affected by X-linked lymphoproliferative (XLP) disease, mutations in the SH2D1A gene result in defective lytic activity. However, the mechanism by which SAP controls cytotoxic activity remains unclear. TCR activation of CD8+ cytotoxic T cells (CTL) results in down-regulation of SAP, suggesting that this protein is involved in early activation events. Here, we show that SAP-deficient CTL from patients with XLP and hemophagocytic lympho-histiocytosis (HLH) display a specific lytic defect against autologous and allogeneic EBV-positive B cells. This defect is associated with the defective polarization of 2B4, perforin and lipid rafts at the contact area of CTL with EBV-positive targets. Blockade of 2B4 in normal CTL reproduces the defects in lysis and polarization observed in SAP-deficient CTL. Expression and regulation of the SLAM-family receptors SLAM, CD84 and 2B4. as well as the lytic effectors perforin and granzyme-B are normal in SAP-deficient CTL. In addition, TCR stimulation leads to normal proliferation and production of IL-2, IL-4 and IFN-{gamma}. These results demonstrate that the SAP/2B4 pathway plays a key role in CTL lytic activity against EBV-positive targets by promoting the polarization of the lytic machinery.


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