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Blood, 15 April 2007, Vol. 109, No. 8, pp. 3325-3332. Prepublished online as a Blood First Edition Paper on December 19, 2006; DOI 10.1182/blood-2006-04-017863.
Submitted April 18, 2006
IMB, University of Copenhagen, Copenhagen, Denmark * Corresponding author; email: n.odum{at}immi.ku.dk.
Bacterial toxins including staphylococcal enterotoxins (SE) have been implicated in the pathogenesis of cutaneous T cell lymphomas (CTCL). Here, we investigate SE-mediated interactions between non-malignant T cells and malignant T-cell lines established from skin and blood of CTCL patients. The malignant CTCL cells express MHC class II molecules which are high- affinity receptors for SE. Although treatment with SE has no direct effect on the growth of the malignant CTCL cells, the SE- treated CTCL cells induce vigorous proliferation of the SE-responsive non-malignant T cells. In turn, the non-malignant T cells enhance proliferation of the malignant cells in the SE- and MHC II-dependant manner. Furthermore, SE- and, in addition, alloantigen- presentation by malignant CTCL cells to irradiated non-malignant CD4+ T cell lines also enhances proliferation of the malignant cells. The growth-promoting effect depends on direct cell-cell contact and soluble factors such as interleukin-2. In conclusion, we demonstrate that SE triggers a bi-directional cross-talk between non-malignant T cells and malignant CTCL cells that promotes growth of the malignant cells. This represents a novel mechanism by which infections with SE- producing bacteria may
contribute to pathogenesis of CTCL.
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