KIR3DL2/CpG ODN Interaction Mediates Sézary Syndrome Malignant T Cell Apoptosis  Bouchra Ghazi, Nicolas Thonnart, Martine Bagot, Armand Bensussan, Anne.

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KIR3DL2/CpG ODN Interaction Mediates Sézary Syndrome Malignant T Cell Apoptosis  Bouchra Ghazi, Nicolas Thonnart, Martine Bagot, Armand Bensussan, Anne Marie-Cardine  Journal of Investigative Dermatology  Volume 135, Issue 1, Pages 229-237 (January 2015) DOI: 10.1038/jid.2014.286 Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Downmodulation of KIR3DL2 expression on tumoral Sézary T-cell clone upon CpG ODN-C treatment. (a) The Sézary cell line (Pno) or PBMCs from Sézary patients were left untreated (NT) or incubated in the presence of CpG ODN-C or control ODN (10 μg ml−1) for 8 or 48 hours, respectively. Cells were labeled with anti-KIR3DL2 mAb (Q66) plus FITC-conjugated goat anti-mouse IgM secondary antibodies, anti-TCRVβ-PE, -CD3-PC5, and CD4-PC7 mAbs. TCRVβ/KIR3DL2 staining corresponding to the gated CD3+CD4+ T lymphocyte population is shown. The mean fluorescence intensity (MFI) of KIR3DL2 labeling is indicated. (b) Graphical representation of KIR3DL2 MFI observed on the CD3+CD4+ T cells from Sézary patients (n=12), following incubation in medium alone (NT) or supplemented with CpG ODN-C or control ODN. *P=0.004 compared with NT condition. ODN, oligodeoxynucleotide; PBMCs, peripheral blood mononuclear cells. Journal of Investigative Dermatology 2015 135, 229-237DOI: (10.1038/jid.2014.286) Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 Internalization of KIR3DL2 following ODN-C treatment. Cells were left untreated (a) or incubated 6 hours in the presence of control ODN (b), ODN-C (c), or FITC-conjugated ODN-C (d). Immunolabelings were then performed using FITC–coupled ODN-C, anti-LAMP1, and/or anti-KIR3DL2 antibodies, as indicated. Scale bar=10 μm. ODN, oligodeoxynucleotide. Journal of Investigative Dermatology 2015 135, 229-237DOI: (10.1038/jid.2014.286) Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 3 CpG ODN-C induces malignant Sézary cell apoptosis. (a) The Pno Sézary cell line was left untreated (NT) or incubated with CpG ODN-C or control ODN for 24 hours at 37 °C. Apoptotic cells were detected by 7AAD labeling. Mean±SD of four independent experiments is shown. (b) Sézary patient PBMCs were incubated with CpG ODN-C or control ODN at 37 °C. Immunolabeling was performed after 3, 7, or 10 days of incubation using anti-TCRVβ3-PE and -CD4-FITC mAb and 7AAD. (c) Graphical representation of the percentage of 7AAD–positive cells within the TCRVβ+CD4+ population of Sézary patients (n=8) after 7 days of incubation with CpG ODN-C (black) or control ODN (gray). *P=0.006. ODN, oligodeoxynucleotide; PBMCs, peripheral blood mononuclear cells. Journal of Investigative Dermatology 2015 135, 229-237DOI: (10.1038/jid.2014.286) Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 4 CpG ODN-C–induced apoptosis is associated with caspase activation. (a) The Sézary cell line or purified CD4+ T cells (98% of which were KIR3DL2+, see Supplementary Figure S4 online) from three Sézary patients were left untreated or incubated with CpG ODN-C. Post-nuclear lysates were prepared at the indicated incubation time and processed for SDS-PAGE and immunoblotting. Blots were probed successively with anti-cleaved-caspase 7, -caspase 3, -PARP, and Erk1/2 antibodies. (b) Densitometric and statistical analyses of the results shown in a on day 7. Data show fold-changes for each protein in treated samples as compared with the corresponding NT control. ODN, oligodeoxynucleotide. Journal of Investigative Dermatology 2015 135, 229-237DOI: (10.1038/jid.2014.286) Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 5 Dephosphorylation of STAT3 upon ODN-C treatment of Sézary cells. (a) The Sézary cell line Pno or sorted CD4+ T cells from Sézary patients were treated as in Figure 4. Blots were then revealed using anti-phospho-STAT3 antibodies, dehybridized, and reprobed with STAT3 antibodies. (b) Densitometric and statistical analyses of the immunoblots shown in a. ODN, oligodeoxynucleotide; STAT3, signal transducer and activator of transcription 3. Journal of Investigative Dermatology 2015 135, 229-237DOI: (10.1038/jid.2014.286) Copyright © 2015 The Society for Investigative Dermatology, Inc Terms and Conditions