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Blood, 1 February 2006, Vol. 107, No. 3, pp. 1108-1115.
Prepublished online as a Blood First Edition Paper on October 4, 2005; DOI 10.1182/blood-2005-04-1492.


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Submitted April 12, 2005
Accepted September 18, 2005

Skin-homing of Sezary cells involves SDF-1-CXCR4 signaling and downregulation of CD26/dipeptidylpeptidase IV

Maria G Narducci*, Enrico Scala, Antonella Bresin, Elisabetta Caprini, Maria C Picchio, Daniele Remotti, Gianluca Ragone, Francesca Nasorri, Marina Frontani, Diego Arcelli, Stefano Volinia, Giuseppe A Lombardo, Giannandrea Baliva, Monica Napolitano, and Giandomenico Russo

Istituto Dermopatico dell'Immacolata, IDI - IRCCS. Laboratorio di Oncologia Molecolare, III e V Divisione Dermatologica, Laboratorio di Immunologia e Laboratorio di Patologia Vascolare, Rome, Italy
Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy
Dipartimento di Morfologia ed Embriologia, Universita' di Ferrara, Ferrara, Italy

* Corresponding author; email: narducci{at}idi.it.

Sezary Syndrome (SS) is a rare form of Cutaneous T-Cell Lymphoma (CTCL) characterised by a distinct metastatic pattern mainly involving blood and skin. Chemokines and their receptors play a critical role in cellular recruitment and homing to tissues and in the metastatic process of several tumors including non-Hodgkin T-cell lymphomas (NHL). Here we report that SS cells express a functionally active CXCR4 and that its ligand SDF-1 is abundantly produced in the skin, which represents the main destination of SS cells spreading. SDF-1 is normally inactivated by proteolytic cleavage by the CD26/dipeptidylpeptidase IV (DPPIV). The lack of CD26 from the cell surface is a hallmark of circulating SS cells. We also show that the CD26 negative phenotype is maintained also in skin-infiltrating neoplastic T lymphocytes and that SS-affected individuals exhibit a reduced activity of plasma soluble CD26. Finally, we observe that the addition of soluble CD26 reduces the migratory response of SS cells to SDF-1 whereas the inhibition of the CD26 peptidase activity in Hut78, a CD26-positive CTCL cell line, enhances the SDF-1-induced migration of these cells. Our findings suggest that the SDF-1-CXCR4 axis could play an important role in skin homing of SS through the regulatory activity of CD26.


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