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F Mentz, F Ouaaz, A Michel, C Blanc, P Herve, G Bismuth, P Debre, H Merle-Beral and MD Mossalayi
Molecular Immuno-Hematology Group, Pitie-Salpetriere Hospital, Paris,
France.
In this study, we have investigated the ability of various cytokines to
induce the maturation of acute lymphoblastic leukemia (T-ALL) cells with
early T-cell phenotype. Leukemic blasts from 17 untreated T-ALL patients
were assayed for their ability to acquire mature T-cell markers, CD3/T-cell
receptor (TCR) in particular, after incubation with one or a combination of
recombinant human interleukin-1 (IL-1), IL-2, IL-4, IL-7, and CD2-specific
monoclonal antibody (MoAb). IL-7 or IL-2 induced the proliferation of some
leukemic cells, whereas sequential cell treatment with CD2-MoAb and then
IL-2 promoted CD3/TCR expression on nearly all CD2+ cells (15 of 16),
except for 1 T-ALL that developed into CD3-CD16+CD56+ cells.
Differentiation of T-ALL cells was also evidenced through the
downregulation of CD34 precursor cell antigen, the generation of CD4+ and
CD8+ cells from CD4+ CD8+ precursors, and the acquisition of mature T-cell
functions. CD2 ligation induced a progressive increase of surface
expression of IL-2 receptor alpha (IL- 2R alpha) and IL-2R beta and an
accelerated in vitro death of leukemic cells. The ligation of IL-2R by IL-2
rescued T-ALL cells from death and promoted their progression toward more
mature cells expressing extracellular CD3/TCR alpha beta complexes.
Intracellular analysis indicates that TCR alpha transcription and membrane
translocation of both TCR alpha and TCR beta were promoted in these
conditions. Analysis of intracellular signals transduced during T-ALL
differentiation indicated that CD2-ligation induced Ca2+ influx and that
the ligation of CD2 and IL-2R induced distinct tyrosine phosphorylation
patterns. The addition of inhibitors of tyrosine phosphorylation abolished
T-ALL cell differentiation, which suggests the involvement of tyrosine
kinases in this phenomenon. Together, we showed the constant maturation of
leukemic early T cells after stimulation of surface CD2 and the high-
affinity IL-2R.
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| Copyright © 1994 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||