title: NKG2D ligands expression and NKG2D-mediated NK activity in Sezary patients.
abstract: Sezary syndrome (SS) is a rare lymphoma characterized by the clonal expansion in the skin and in blood of CD4(+)CD158k(+) T cells. Natural killer (NK) activation against tumors in leukemia models is partly based on the recognition of the target through the NKG2D/NKG2D ligands interactions. We analyzed ex vivo SS malignant lymphocytes for the expression of the NKG2D ligands such as the major histocompatibility complex class I-related molecules (MIC) A and B and the UL16 binding proteins (ULBP). The expressions of NKG2D, the natural cytotoxicity receptors (NKp30, NKp44, and NKp46) and the activating receptor DNAM-1 were simultaneously investigated on circulating patients NK and CD8(+) nonmalignant lymphocytes. Interestingly, although at least one of the NKG2D ligands was expressed on the circulating malignant lymphocytes of 9 out of 10 patients, NKG2D was expressed on effector lymphocytes. We found that soluble MICA in patient's sera was increased, which may constitute a mechanism to escape the immune response. In vitro, SS tumor lymphocytes induced the degranulation of perforin by the NKL cell line. More importantly, NKG2D expressed on SS patients NK cells is functional and capable to induce degranulation. Altogether, these data could suggest that stimulating NK function in SS patients may be a promising strategy to reduce tumor invasion.
authors.affiliation: Institut National de la Santé et de la Recherche Médicale U662, Institut Universitaire d'Hématologie, Centre Hayem, Hôpital Saint-Louis, Paris, France. nicolas.dulphy@univ-paris-diderot.fr
authors.forename: Nicolas
authors.initials: N
authors.lastname: Dulphy
authors.forename: Jeannig
authors.initials: J
authors.lastname: Berrou
authors.forename: José A
authors.initials: JA
authors.lastname: Campillo
authors.forename: Martine
authors.initials: M
authors.lastname: Bagot
authors.forename: Armand
authors.initials: A
authors.lastname: Bensussan
authors.forename: Antoine
authors.initials: A
authors.lastname: Toubert