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Blood, 15 July 2006, Vol. 108, No. 2, pp. 618-621.
Prepublished online as a Blood First Edition Paper on March 28, 2006; DOI 10.1182/blood-2005-10-4184.


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Submitted October 21, 2005
Accepted March 7, 2006

Enhancement of ligand dependent activation of human Natural Killer T cells by Lenalidomide: Therapeutic Implications

David H Chang, Nancy Liu, Virginia Klimek, Hani Hassoun, Amitabha Mazumder, Stephen D Nimer, Sundar Jagannath, and Madhav V Dhodapkar*

Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University, New York, NY, USA
Hematology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
St. Vincent's Cancer Center, New York, NY, USA
Laboratory of Tumor Immunology and Immunotherapy, The Rockefeller University, New York, NY, USA; Hematology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA

* Corresponding author; email: dhodapm{at}rockefeller.edu.

Natural-Killer T (NKT) cells are CD1d restricted glycolipid reactive innate lymphocytes that play an important role in protection from pathogens and tumors. Pharmacologic approaches to enhance NKT cell function will facilitate specific NKT targeting in the clinic. Here we show that lenalidomide (LEN), a novel thalidomide (Thal) analogue, enhances antigen-specific expansion of NKT cells in response to NKT ligand, {alpha}-galactosyl-ceramide ({alpha}-GalCer) in both healthy donors and myeloma patients. NKT cells activated in the presence of LEN have greater ability to secrete interferon-{gamma}. Antigen-dependent activation of NKT cells was greater in the presence of dexamethasone (DEX) plus LEN, than with DEX alone. Therapy with LEN / Thal also led to an increase in NKT cells in vivo in patients with myeloma and del5q myelodysplastic syndrome. Together these data demonstrate that LEN and its analogues enhance CD1d mediated presentation of glycolipid antigens and support combining these agents with NKT targeted approaches for protection against tumors.


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