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Blood, 15 May 2008, Vol. 111, No. 10, pp. 5008-5016.
Prepublished online as a Blood First Edition Paper on March 4, 2008; DOI 10.1182/blood-2007-11-122259.
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Submitted November 14, 2007
Accepted February 20, 2008
A role for interleukin-12/23 in the maturation of human Natural Killer and CD56+ T cells in vivo
Sophie Guia, Celine Cognet, Ludovic de Beaucoudrey, Marlowe S Tessmer, Emmanuelle Jouanguy, Claire Berger, Orchidee Filipe-Santos, Jacqueline Feinberg, Yildiz Camcioglu, Jacob Levy, Suliman Al Jumaah, Sami Al-Hajjar, Jean-Louis Stephan, Claire Fieschi, Laurent Abel, Laurent Brossay, Jean-Laurent Casanova, and Eric Vivier*
Centre d'Immunologie de Marseille-Luminy, Universite de la Mediterranee, Marseille, France
INSERM, U631, and CNRS, UMR6102, Marseille, France
Laboratoire de Genetique Humaine des Maladies Infectieuses, Institute National de la Sante et de la Recherche Medicale, U550, Paris, France
Department of Molecular Microbiology and Immunology, Brown University, Providence, RI, United States
Faculte de Medecine Necker, Universite Paris Rene Descartes, Paris, France
Service de Pediatrie, CHU de St Etienne, St Etienne, France
Department of Pediatrics, Infectious Diseases, Clinical Immunology and Allergy Division, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey
Pediatric Department, Soroka Medical Center, Faculty of Health Science, Ben Gurion University, Beer Sheva, Israel
Department of Pediatrics, King Faysal Hospital and Research Center, Riyadh, Saudi Arabia
Service d'Immunopathologie, Hopital Saint-Louis, Paris, France
Department of Molecular Microbiology and Immunology, Brown University, Providence, RI, France
Unite d'Immuno-Hematologie, Hopital Necker, Paris, France
Hopital de la Conception, Assistance Publique - Hopitaux de Marseille, Marseille, France
* Corresponding author; email: vivier{at}ciml.univ-mrs.fr.
Natural Killer (NK) cells have been originally defined by their "naturally-occuring" effector function. However, only a fraction of human NK cells is reactive toward a panel of prototypical tumor cell targets in vitro, both for the production of interferon- (IFN- ) and for their cytotoxic response. In patients with IL12RB1 mutations that lead to a complete IL-12R 1 deficiency, the size of this "naturally-reactive" NK cell subset is diminished, in particular for the IFN- production. Similar data were obtained from a patient with a complete deficit in IL-12p40. In addition, the size of the subset of effector memory T cells expressing CD56 was severely decreased in IL-12R 1- and IL-12p40-deficient patients. Human NK cells thus require in vivo priming with IL-12/23 to acquire their full spectrum of functional reactivity, while T cells are dependent upon IL-12/23 signals for the differentiation and/or the maintenance of CD56+ effector memory T cells. The susceptibility of IL-12/23 axis-deficient patients to Mycobacteria and Salmonella infections in combination with the absence of mycobacteriosis or salmonellosis in the rare cases of human NK cell deficiencies, point to a role for CD56+ T cells in the control of these infections in humans.

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