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Blood, 1 July 2007, Vol. 110, No. 1, pp. 296-304.
Prepublished online as a Blood First Edition Paper on March 15, 2007; DOI 10.1182/blood-2006-10-051482.


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Submitted October 16, 2006
Accepted March 6, 2007

Plasma cells from multiple myeloma patients express B7-H1 (PD-L1) and increase expression following stimulation with IFN-{gamma} and TLR ligands via a MyD88-, TRAF6-, and MEK-dependent pathway

Jizhong Liu, Abdelbasset Hamrouni, Darius Wolowiec, Valerie Coiteux, Kazimierz Kuliczkowski, Dominique Hetuin, Aurore Saudemont, and Bruno Quesnel*

INSERM, unite 837, Institut de Recherche sur le Cancer de Lille, Lille, France
Universite de Lille 2, Institut Federatif de Recherche 114, Lille, France
Dept of Hematology, Wroclaw Medical University, Wroclaw, Poland
Service des Maladies du Sang, Centre Hospitalier et Universitaire de Lille, Lille, France

* Corresponding author; email: brunoquesnel{at}hotmail.com.

Multiple Myeloma (MM) cells inhibit certain T-cell functions. We examined the expression of B7-H1 (PD-L1), a B7-related protein that inhibits T-cell responses, in CD138-purified plasma cells isolated from MM patients, monoclonal gammopathy of undetermined significance (MGUS) patients, and healthy donors. We observed that B7-H1 was expressed in most MM plasma cells, but not cells isolated from MGUS or healthy donors. This expression was increased or induced by IFN-{gamma} and Toll-Like Receptor (TLR) ligands in isolated MM plasma cells. Blocking of the MEK/ERK pathway inhibited IFN-{gamma}- and TLR-mediated expression of B7-H1. Inhibition of the MyD88 and TRAF6 adaptor proteins of the TLR pathway not only blocked B7-H1 expression induced by TLR ligands, but also that mediated by IFN-{gamma}. IFN-{gamma} induced STAT1 activation, via MEK/ERK and MyD88/TRAF6, and inhibition of STAT1 reduced B7-H1 expression. MM plasma cells stimulated with IFN-{gamma} or TLR ligands inhibited CTLs generation and this immunosuppressive effect was inhibited by pre-incubation with an anti-B7-H1 antibody, the UO126 MEK inhibitor, or by transfection of a dominant-negative mutant of MyD88. Thus, B7-H1 expression by MM cells represents a possible immune escape mechanism that could be targeted therapeutically through inhibition of MyD88/TRAF6 and MEK/ERK/STAT1


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