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Blood, 26 February 2009, Vol. 113, No. 9, pp. 1957-1966.
Prepublished online as a Blood First Edition Paper on November 12, 2008; DOI 10.1182/blood-2008-02-142596.


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Submitted February 28, 2008
Accepted October 28, 2008

Blood diffusion and Th1-suppressive effects of galectin-9-containing exosomes released by Epstein-Barr virus-infected nasopharyngeal carcinoma cells

Jihene Klibi, Toshiro Niki, Alexander Riedel, Catherine Pioche-Durieu, Sylvie Souquere, Eric Rubinstein, Sylvestre Le Moulec, Joel Guigay, Mitsuomi Hirashima, Fethi Guemira, Dinesh Adhikary, Josef Mautner, and Pierre Busson*

Universite Paris-Sud, CNRS UMR 8126, Institut de Cancerologie Gustave Roussy, Villejuif, France
Gal Pharma, Takamatsu, Kagawa, Japan
Clinical Cooperation Group, Institute for Clinical and Molecular Biology, GSF, Munich, Germany
UPR 1983 CNRS-Institut Andre Lwoff, Villejuif, France
INSERM U 602, Institut Andre Lwoff, Villejuif, France
Adult Medicine Department, Institut de Cancerologie Gustave Roussy, Villejuif, France
Cervicofacial Surgery and ENT Department, Institut de Cancerologie Gustave Roussy, Villejuif, France
Department of Immunopathology, Faculty of Medicine, Kagawa University, Takamatsu, Kagawa, Japan
Clinical Biology Department, Institut Salah Azaiz, Tunis, Tunisia

* Corresponding author; email: pbusson{at}igr.fr.

Epstein-Barr virus (EBV)-associated nasopharyngeal carcinoma (NPC) is the third most frequent virus-associated human malignancy. How this tumor escapes immune recognition despite the expression of several viral antigens has remained poorly understood. Our previous in vitro studies have shown that NPC cells release exosomes containing high amounts of galectin-9, a ligand of the membrane receptor Tim-3, which is able to induce apoptosis in mature Th1 lymphocytes. Here, we sought to determine whether galectin-9-carrying exosomes were produced in NPC patients and whether such exosomes might play a role in the immune evasion of NPC cells. We report that galectin-9-containing exosomes are selectively detected in plasma samples from NPC patients and mice xenografted with NPC tumors. The incorporation into exosomes protects galectin-9 against proteolytic cleavage but retains its Tim-3-binding capacity. Importantly, NPC exosomes induce massive apoptosis in EBV-specific CD4+ cells used as a model of target T cells. This effect is inhibited by both anti-Tim-3 and anti-galectin-9 blocking antibodies. These results indicate that blocking galectin-9/Tim-3 interaction in vivo might alleviate the Th1 suppressive effect of NPC exosomes and sustain anti-tumoral T cell responses, and thereby improve clinical efficacy of immunotherapeutic approaches against NPC.


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C. Smith, L. Beagley, and R. Khanna
Acquisition of Polyfunctionality by Epstein-Barr Virus-Specific CD8+ T Cells Correlates with Increased Resistance to Galectin-1-Mediated Suppression
J. Virol., June 15, 2009; 83(12): 6192 - 6198.
[Abstract] [Full Text] [PDF]



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