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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1259-1268.
Prepublished online as a Blood First Edition Paper on June 12, 2008; DOI 10.1182/blood-2007-12-130773.


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Submitted December 27, 2007
Accepted May 13, 2008

PILAR is a novel modulator of human T cell expansion

Eduardo Huarte, Juan R Cubillos-Ruiz, Yolanda C Nesbeth, Uciane K Scarlett, Diana G Martinez, Xavier A Engle, William F Rigby, Patricia A Pioli, Paul M Guyre, and Jose R Conejo-Garcia*

Department of Microbiology and Immunology, Dartmouth Medical School, Lebanon, NH, United States
Department of Medicine, Dartmouth Medical School, Lebanon, NH, United States
Department of Physiology, Dartmouth Medical School, Lebanon, NH, United States

* Corresponding author; email: jose.r.conejo-garcia{at}dartmouth.edu.

Robust T cell responses without autoimmunity are only possible through a fine balance between activating and inhibitory signals. We have identified a novel modulator of T cell expansion, named Proliferation-Induced Lymphocyte-Associated Receptor (PILAR). Surface PILAR is markedly up-regulated on CD4 and, to a lesser extent, on CD8 T cells upon TCR engagement. In the absence of CD28 co-stimulation, PILAR signaling through CD161 supports CD3 antibody-dependent and antigen-specific T cell proliferation by increasing the expression of anti-apoptotic Bcl-xL and induces the secretion of Th1 cytokines. These effects are abrogated by PILAR blockade with specific antibodies, which decrease surface levels of CD28. In contrast, PILAR induces apoptotic death on naive and early activated T cells if CD161 engagement is blocked. PILAR is expressed by ~7-10% of CD4 T cells in two samples of inflammatory synovial fluid, suggesting a potential role in the pathogenesis of joint inflammation. Additionally, in the ovarian cancer microenvironment, effector T cells express PILAR, but not CD161, although the expression of both can be augmented ex vivo. Our results indicate that PILAR plays a central role in modulating the extent of T cell expansion. Manipulation of PILAR signaling may be important for the treatment of autoimmune diseases and cancer.


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