(Journal of Leukocyte Biology. 2001;70:219-224.)
© 2001
by Society for Leukocyte Biology
Expression of CD94 and NKG2 molecules on human CD4+ T cells in response to CD3-mediated stimulation
Pilar Romero*,
Consuelo Ortega*,
Agustín Palma*,
Ignacio J. Molina
,
José Peña* and
Manuel Santamaría*
* Departamento de Inmunología, Facultad de Medicina, Hospital Universitario "Reina Sofía," Universidad de Córdoba, Córdoba, Spain, and
Unidad de Inmunología, Facultad de Medicina, Universidad de Granada, Granada, Spain
Correspondence: Dr. Manuel Santamaría, Servicio de Inmunología, Hospital Universitario Reina Sofía, Avenida Menendez Pidal s/n, E-14004 Córdoba, Spain. E-mail:
msantamaria{at}uco.es
 |
ABSTRACT
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We investigated the ability of human peripheral CD4+ cells
to express CD94 and NKG2 molecules as a consequence of
CD3-mediated activation. Using highly purified peripheral
CD4+ T cells, we found expression of both CD94 and NKG2A 15
days after CD3-mediated stimulation of cells. We also determined by
reverse transcriptase-PCR that all gene members of NKG2 familynamely,
NKG2A, -C, -D, and -Eare sequentially expressed on CD4+
cells. We found that this expression is tightly regulated by cytokines,
and we identified transforming growth factor-ß1 and interleukin-10 as
the main factors that, on CD3-dependent stimulation, positively
contribute to the expression of CD94 and NKG2A on CD4+
cells. We also investigated the functional role of NKG2A and found that
coligation of CD3 and NKG2A by specific monoclonal antibodies results
in significant inhibition of interferon
and tumor necrosis factor
production by stimulated CD4+ cells. The presence and
function of these receptors on CD4+ lymphocytes support a
more general role for NKG2 molecules, whose functions were originally
thought to be confined to cytotoxic cells, in the immune system.
Key Words: C-type lectin receptors cytokine regulation TNF-
IFN-
 |
INTRODUCTION
|
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CD94/NKG2 receptors are C-type lectin heterodimers
composed of CD94 covalently associated with one of the NKG2 molecules
[reviewed in references 13]. The invariant component of the
receptors, CD94, is a type II integral membrane protein with a very
short, nonsignaling, intracytoplasmic tail [4
]. To
generate functional receptors, CD94 is disulfide linked with a member
of the NKG2 family, namely NKG2A, -B, -C, or -E molecules
[5
, 6
]. NKG2D does not associate with CD94
[7
] and shares little homology with the other members of
the NKG2 family [8
]. The natural ligand for the
CD94/NKG2 complex is the nonclassical class I human leukocyte antigen
(HLA) E [9
]. NKG2A and -B contain immunoreceptor
tyrosine-based inhibition motifs within their intracellular domains
[10
] that transduce inhibitory signals. Conversely, all
other NKG2 members transduce activation signals because they lack
immunoreceptor tyrosine-based inhibition motif sequences and are linked
with transmembrane proteins such as DAP10 and DAP12 that contain
immunoreceptor tyrosine-based activating motifs
[11
12
13
]. CD94/NKG2 receptors are expressed on natural
killer (NK) cells and some subset of CD8+ (either
ß+ or 
+) T-peripheral lymphocytes
[14
, 15
]. Expression of these receptors on
T-cell populations is dependent on cell activation and is positively
regulated by certain cytokines. In this context, we have recently shown
that interleukin (IL)-10 contributes to the expression of the CD94/NKG2
receptor on long-term-activated human CD8+ T lymphocytes
[16
]. Other cytokines able to induce membrane expression
of CD94/NKG2A on CD8+ T lymphocytes are IL-15
[17
] and transforming growth factor ß (TGF-ß)
[18
]. Functional studies have revealed the relationship
of these receptors to cytotoxicity processes mediated by NK cells and
CD8+ T cells, leading to inhibition or enhancement of cell
lysis [19
20
21
].
However, expression of CD94/NKG2 molecules on CD4+ cells
has barely been studied, and therefore its function in this T-cell
subgroup remains unknown. Because CD4+ lymphocytes play a
central role in the regulation of the immune response, we explored
whether CD94/NKG2 receptors are functionally expressed on this
subpopulation of T cells and, if so, the function(s) in which they are
involved. We found that CD3-stimulated CD4+ cells
sequentially express all NKG2 gene family members during the culture
period. We also found that IL-10 and TGF-ß induced CD94/NKG2
expression. Remarkably, cross-linking of CD94/NKG2A inhibited
interferon (IFN)
and tumor necrosis factor
(TNF-
) production
by CD4+ human T lymphocytes.
 |
MATERIALS AND METHODS
|
|---|
Antibodies and reagents
The following phycoerythrin- or fluorescein isothiocyanate
(FITC)-labeled monoclonal antibodies (mAbs) were purchased from Becton
Dickinson (Mountain View, CA): Leu-4-SK7 (anti-CD3), Leu-3a-SK3
(anti-CD4), 25723.11 (anti-IFN
), 6401.1111 (anti-TNF-
), and goat
anti-mouse immunoglobulin (Ig) G (GAM) secondary antibody. FITC-labeled
HP-3D9 (anti-CD94) and JES3-19F1 (anti-IL-10) were obtained from
PharMingen (San Diego, CA). OKT3 (anti-CD3)-producing hybridoma cells
were purchased from the American Type Culture Collection (Manassas,
VA). The culture supernatants were ammonium sulfate cut and purified
over Affi-Gel-protein A columns (Bio-Rad Laboratories, Hercules, CA).
FITC-labeled C15 [anti-T-cell receptor (TCR) V
24] was obtained
from Immunotech (Marseilles, France). The following unconjugated,
purified mAbs were used: Z199 (anti-NKG2A), purchased from Immunotech;
9016.2 (anti-TGF-ß1), from R&D (Minneapolis, MN); 9D7 (anti-IL-10), a
generous gift from M. G. Roncarolo (Hospital San Raffaele, Milan,
Italy); and HP3D1 (anti-CD94), kindly donated by M. López-Botet
(Universitat Pompeu Fabra, Barcelona, Spain). The culture medium used
was RPMI 1640 supplemented with 10% fetal calf serum, 2 mM
L-glutamine, and 100 U/mL of penicillin plus 100 µg/mL of
streptomycin (Bio-Whittaker, Verviers, Belgium). Human recombinant IL-2
was a gift from Hoffman-LaRoche (Nutley, NJ). Lymphocyte density
gradient isolation medium (Lymphoprep) was purchased from Nycomed
Pharma (Oslo, Norway).
Flow cytometry
For direct immunofluorescence assays, 105 cells were
incubated with the mAbs on ice for 30 min, washed with
phosphate-buffered saline, and analyzed on a FACScalibur flow cytometer
(Becton Dickinson). For indirect immunofluorescence, a second
incubation with the isotype-specific, FITC-labeled GAM antibody was
carried out as described above. Live cells were selectively gated on
forward- and side-scatter parameters, and for double-fluorescence
experiments, the flow cytometer was appropriately compensated with
Calli-Brite beads, and the data were analyzed with FACS Comp 4.1
software (Becton Dickinson).
Isolation and culture of T lymphocytes
Peripheral blood lymphocytes were obtained by density gradient
centrifugation. Adherent cells were removed by incubation of the cells
in 100-mm-diameter plastic petri dishes (Nunc, Roskilde, Denmark) at
37°C for 60 min. The cells were then passed over a nylon-wool column
to remove residual B cells and macrophages. This resulted in a
population of T cells that was typically >90% CD3+, <2%
CD56+, <1% CD19+, and <1%
CD14+, as determined by flow cytometry. Further isolation
of the major T-cell subpopulation and removal of CD94+
cells were achieved by negative selection using relevant antibodies
followed by a second incubation with GAM-coupled magnetic beads
(Miltenyi Biotec, Bergisch Gladbach, Germany). The cells that bound to
the immunobeads were removed with a magnetic particle concentrator
(Miltenyi Biotec). The T lymphocytes were resuspended in complete
medium supplemented with 25 U/mL of recombinant (r)IL-2 and cultured at
a concentration of 106/mL in 24-well plates (Nunc), which
had been previously coated in phosphate-buffered saline (pH 8.0) with 2
µg/well of OKT3 mAb in the presence or absence of 2 ng/mL of IL-10
and incubated overnight at 37°C. Every 5 days, the cells were
restimulated in plates freshly coated with OKT3, and the medium and
cytokines were replaced. For functional blocking experiments, 2.5
µg/mL of 9D7 mAb (anti-IL-10) or 1 µg/mL of 9016.2 mAb
(anti-TGF-ß1) were present from the initiation of cultures and
freshly added at each restimulation of the cells. The surface
expression of CD94/NKG2A was determined at day 0 and every 5 days
thereafter.
Detection of intracellular cytokines
CD4+ cells that had been stimulated as indicated
above were harvested on day 20 of culture, washed, and resuspended in
complete medium supplemented with 10 µg/mL of Brefeldin A (Sigma) but
lacking IL-2. The cells were stimulated for 6 h in 24-well plates
coated with either 1.5 µg/well of OKT3 mAb alone or a combination of
OKT3 plus 2 µg/well of either mAb Z199 (anti-NKG2A) or mAb HP-3D9
(anti-CD94). After stimulation, the cells were lysed with
fluorescence-activated cell sorter permeabilizing solution (Becton
Dickinson) and incubated for 10 min at room temperature in the dark
with labeled anticytokine antibodies (0.15 µg/106 cells).
The cells were finally analyzed with the flow cytometer. Profiles of
the stimulated cells were overlaid with profiles of the cells cultured
in the presence of isotype-matched irrelevant antibodies,
permeabilized, and stained as indicated in the flow cytometry
methods.
RT-PCR of NKG2 genes
Total RNA from activated CD4+ T cells was extracted
at the indicated time points by the LiCl/urea method. Briefly,
4 µg of total RNA were reverse transcribed using the avian
myeloblastosis virus reverse transcription system (Promega, Madison,
WI), and equal amounts of the resulting cDNA templates were amplified
by PCR using the following specific oligonucleotides previously deduced
[22
] from the NKG2 gene sequences: NKG2A, forward primer
5'-CCAGAGAAGCTCATTGTTGG (spanning nucleotides 202222) and
reverse primer 5'-CCAATCCATGAGGATGGTG (spanning nucleotides 654675);
NKG2C, forward primer 5'-GGAAATATTCCAAGTAGAATTAAAT (spanning
nucleotides 108133) and reverse primer 5'-CTGATGCACTGTAAACGCAAAT
(spanning nucleotides 677700); NKG2D, forward primer
5'-CTGGGAGATGAGTGAATTTCATA (nucleotides 35 to 57), and reverse primer
5-GACTTCACCAGTTTAAGTAAATC (nucleotides 451 to 429); and
NKG2E, forward primer 5-CTGTGCTTCAAAGAACTCTTCT (spanning nucleotides
432454) and reverse 5'-CTGGTCTGATATAAGTCCACGT. After an initial
denaturation step (2 min at 94°C), PCR amplification was carried out
in a Gene-Amp 2400 thermal cycler (Perkin-Elmer, Norwalk, CT) for 30
cycles with the following conditions: annealing, 60°C for 15 s;
extension, 72°C for 75 s; and denaturing, 94°C for 20 s.
There was a final extension of 10 min at 72°C. Aliquots of PCR
products were loaded onto 1.5% agarose gels, and the DNA was stained
with ethidium bromide.
 |
RESULTS
|
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We have investigated the ability of human peripheral
CD4+ cells to express of CD94/NKG2 molecules as a
consequence of CD3-mediated activation. Thus, CD4 cells were obtained
by immunomagnetic selection yielding consistently >95% of the
CD3+ CD4+ populations, as detected by double
immunofluorescence flow cytometry (Fig. 1
, left insert). These CD4+ resting lymphocytes did not
express surface CD94 (Fig. 1
, right insert). The cells were stimulated
with anti-CD3 mAb in the presence of exogenous IL-2 and restimulated as
indicated in Materials and Methods. We detected a time-dependent
expression of CD94 on activated CD4+ cells, which reached
maximum levels at days 2025 of culture (Fig. 1
, open squares).
Because it is known that CD94 may be expressed by fresh peripheral
CD8+ lymphocytes as well as NK cells, we monitored the
presence of these populations throughout the culture. We found 13%
of residual CD8+ contaminant cells on days of maximum CD94
expression, whereas the presence of NK cells was negligible (data not
shown).
The expression of different members of the NKG2 family on
CD4+ cells was assessed with both serological and molecular
probes. Thus, the presence of NKG2A on CD4+ cells was
studied with the mAb Z199, and the peak of NKG2A surface expression
paralleled that of CD94 on days 2025 (Fig. 1
, open circles). At these
time points, 1015% of the cells present in the culture expressed
NKG2A, whereas CD94 was detected on nearly 30% of the cells.
Therefore, we investigated the expression of other molecules of the
NKG2 family by RT-PCR because of the lack of mAbs that properly define
other members of the NKG2 family at the protein level. We found
amplification bands of expected sizes that indicated a sequential
expression of NKG2 genes on activated CD4+ cells. Thus,
NKG2D and -E gene products were detected as early as day 10 of culture,
whereas NKG2A was not amplified by RT-PCR until day 15 of culture
(Fig. 2
). The remaining NKG2 member studied, NKG2C, appeared only after 20
days of culture.

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Figure 2. Expression of NKG2 gene family members on CD3-activated human
peripheral CD4+ cells. Total RNA from activated
CD4+ cells was extracted at the indicated time points after
initiation of culture, reverse transcribed into cDNA, and amplified by
PCR with specific oligonucleotide primers that discriminate gene
products from NKG2 family members. Amplification of NKG2A yielded a
325-bp specific band, NKG2C yielded a 619-bp band, NKG2D yielded a
416-bp band, and NKG2E yielded a 225-bp band.
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We studied next whether signals delivered by the cross-linking of the
NKG2A receptor influence the profile of cytokine production by CD4
cells. We found that occupancy of the NKG2A by a specific mAb resulted
in strong inhibition of IFN-
as well as TNF-
production, as
detected by intracytoplasmic staining of cells (Fig. 3
, middle row). The occurrence of extensive cellular crosstalk
mediated by the NKG2A receptor is noteworthy because most of the 34%
of cells producing IFN
or of the 25% of those CD4 cells producing
TNF-
did not express the CD94/NKG2A heterodimer, as indicated in
Figure 1 . Cross-linking of the NKG2A molecule did not influence the
production of IL-10 (Fig. 3)
or other cytokines such as IL-5, -7, -13,
and lymphotoxin (data not shown). Stimulation of the cells with a
combination of anti-CD3 plus anti-CD94 mAbs did not modify the pattern
of cytokine production observed in CD4 cells stimulated with OKT3 alone
(Fig. 3
, bottom row). As expected, incubation of cells with anti-CD94
or anti-NKG2A mAb alone did not induce any cytokine production or
inhibition (data not shown).
Because it is known that IL-10 [16
] and TGF-ß
[18
] induce CD94 expression on CD8 cells, we examined
whether some of these cytokines were involved in the surface induction
of this molecule on CD4 cells. Thus, we performed blocking experiments
with saturating amounts of neutralizing mAbs directed against those
cytokines and found that the blockage of endogenous IL-10 resulted in
inhibition of the number of CD4+ cells expressing CD94
(Fig. 4
) as well as a complete absence of NKG2A surface expression.
Neutralization of TGF-ß1 modestly decreased CD94 expression,
affecting significantly the percentage of cells expressing NKG2A (Fig. 4) . The binding of specific mAbs to other cytokines, such as IL-15, did
not influence the surface expression of the proteins. To address the
functional significance of IL-10 in the process of CD94 induction on
activated CD4 cells, cell cultures were carried out in the continuous
presence of exogenous IL-10. Under these conditions, we observed a
significantly higher level of expression of CD94 surface molecules on
cells cultured in the presence of IL-10 (Fig. 5
, closed squares) than that for the control group of cells grown in
the absence of this cytokine (Fig. 5
, open squares). Thus, >50% of
the CD4 cells cultured with IL-10 expressed CD94, representing a
twofold increase over the maximum percentages of stimulated cells
expressing these molecules in the absence of IL-10. In the absence of
CD3-mediated activation, IL-10 showed no effect on the expression of
CD94/NKG2 on CD4+ T cells (data not shown).

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Figure 4. The surface expression of CD94/NKG2A on activated CD4+
cells is diminished by the continuous presence in the culture of
anti-TGF-ß1 or anti-IL-10 mAbs. Human peripheral blood CD4 cells were
stimulated via CD3/TCR in the continuous presence of saturating amounts
of indicated anti-cytokine mAbs. Expression of CD94 or CD94/NKG2A on
cells was determined at day 20 of culture. Data are percentages of
inhibition versus cells expressing CD94 or CD94/NKG2A cultured in the
presence of isotype-matched irrelevant antibodies (means ±
SD of three experiments). Statistical analysis (Students
t-test) indicated significant differences between cells
cultured with irrelevant antibodies and those cultured with
anti-TGF-ß1 (P <0.01) or anti-IL-10
(P <0.01 for CD94 and P <0.001 for
NKG2A).
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Figure 5. Exogenous IL-10 enhances surface expression of CD94/NKG2A. Cells
activated via CD3 were cultured in the presence (closed symbols) or
absence (open symbols) of exogenous IL-10. Expression of CD94 (squares)
and NKG2A (circles) was assessed by flow cytometry every 5 days of
culture. Data are means ± SD of three experiments.
Statistical analysis (Students t-test) revealed
statistical differences between the groups of cells expressing CD94 in
the presence or absence of IL-10 (P <0.05 for
cells at day 15 and P <0.01 at day 20).
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 |
DISCUSSION
|
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This study provides evidence that CD3/TCR-mediated cell activation
enabled CD4+ lymphocytes to express de novo CD94/NKG2 gene
products. We observed a strong surface expression of CD94/NKG2A on CD4
cells, noting that the latter molecule was the only NKG2 member that
could be defined by mAbs. A significant expression of NKG2A is detected
only after a prolonged period of culture (1520 days). These results
are consistent with recent reports noting low-level expression of
CD94/NKG2A on CD4+ cells 10 days after stimulation
[18
]. However, the higher expression of NKG2A molecules
on CD4 cells found in this study compared with others might be
explained by differences in the stimuli used, the composition of the
cell population, the length of culture, or the cytokines added
[17
, 18
]. The percentage of cells that
acquired surface expression of CD94 exceeded that of cells expressing
NKG2A. The gap was filled by the coupling of the CD94 molecule to other
members of the NKG2 gene family (NKG2C and -E), as revealed by RT-PCR,
thereby representing the full array of activating and inhibitory
receptors in CD4+ cells. This observation might be of
particular relevance in view of our preliminary data indicating that no
other killer Ig-like receptors are expressed on CD4+ T
lymphocytes [P. Romero, C. Ortega, A. Palma, I. J. Molina, and M.
Santamaria, unpublished observations]. However, the
possibility that some cells express CD94 as homodimers cannot be
excluded, although no function has been ascribed to such a form of CD94
when found on NK cells and CD8+ lymphocytes
[23
]. Remarkably, we have detected expression of NKG2D,
which does not associate with CD94 [7
] but does
associate with DAP10 [11
], forming an activating
receptor that triggers cell-mediated cytotoxicity and that might also
augment production of cytokines initiated by signals delivered by other
receptors. NKG2D does not recognize the HLA-E antigen as other NKG2
members do; instead, it binds several ligands structurally related to
the major histocompatibility complex class I, such as MICA, MICB
[24
], ULBP1, ULBP2, and retinoic acid-inducible genes,
whose products are frequently found on tumor cells [25
].
The existence of a number of inducible ligands for NKG2D and the
ability of ULBP1 and ULBP2 to bind cytomegalovirus (CMV)-encoded UL16
proteins support an active participation of NKG2D receptors in immune
surveillance against tumors and pathogen-infected cells
[3
]. Expression of NKG2D on NK cells,

TCR+ cells, and CD8+
ßTCR+ cells has been described [26
];
however, to the best of our knowledge, this is the first time that
expression of NKG2D molecules has been detected on human
CD4+
ßTCR+ lymphocytes. It is also
noteworthy that, among the NKG2 gene family members, NKG2D mRNA
is the first to appear strongly and that its expression is well
sustained throughout the culture period. However, NKG2D expression at
the protein level in polyclonal CD4+ populations cannot be
demonstrated until specific serological probes become available.
NKG2 molecules appear sequentially in a time-dependent fashion,
suggesting that each type of receptor might be required at different
stages of the response. Indeed, we showed that coligation of NKG2A and
CD3 resulted in a significant down-modulation of functions mediated by
the CD3/TCR complex, as demonstrated by the inhibition of IFN-
and
TNF-
production. This is consistent with recently reported results
supporting the functional involvement of CD94/NKG2 receptors in either
the up- or down-regulation of IFN
and TNF-
production in both
CD8+ T cells and NK cells [27
]. It is
noteworthy that the production of all the T helper (Th) 2
cytokines studied was not affected by coupling of the NKG2A
receptor, suggesting that NKG2A is mainly involved with the modulation
of Th1 cytokines. The involvement of CD94/NKG2A receptors with the
control of cytokine production in CD4+ cells is plausible
because inhibitory heterodimers act by preventing tyrosine
phosphorylation of activation receptors such as 2B4, whose engagement
triggers IFN
secretion by NK cells [28
,
29
]. The fact that occupancy of the NKG2A receptor, which
was expressed on 1520% of cells, results in selective and complete
inhibition of IFN
and TNF-
, which are produced by a higher
proportion of cells, suggests that there is extensive intercellular
communication. However, because Brefeldin A was used during the assays
and protein secretion was therefore prevented, the signal(s) to
down-regulate the cytokine secretion could not be delivered by a
secreted protein. Thus, the prime candidates for mediating this effect
are membrane-expressed receptor-ligand pair molecules. The ability to
produce large amounts of IFN
and to express CD94/NKG2A might suggest
that the CD4+ cells used in this study belong to the NK
T-cell population, which is defined by expression of
V
24+ TCR and IFN
and IL-4 production
[30
]; however, this possibility is unlikely because
these cells do not express the V
24+ TCR (data not
shown).
The contribution of these receptors to the immunobiology of
CD4+ lymphocytes and the functional characterization of
these populations (i.e., whether they are naïve or memory cells
or polarized, regulatory, effector, or anergic T lymphocytes) need to
be examined. In this context, it could be speculated that the
expression of CD94/NKG2 receptor(s) on human CD4 cells during late
stages of cell activation might contribute to the regulation of chronic
immune responses (i.e., certain viral infections or chronic allograft
rejection). Given the fact that CD94/NKG2 receptors are actively
involved in the regulation of cytotoxic responses, their roles in
CD4+ cells would be related to control of cytotoxicity by
modulating cytokine production. In light of our results, it is
conceivable that inhibitory and activating receptors of the CD94/NKG2
family might help to adjust the overall Th1 cytokine levels on
interaction with its ligand, the HLA-E molecule, thereby leading to
either inhibition or enhancement of cytotoxic function by
CD8+ and NK cells. It is interesting that HLA-E antigen,
which may be expressed on all nucleated cells, is strongly up-regulated
in human CMV infection [31
]. This model also
accommodates very recent data showing that NKG2D, which does not
associate with CD94, acts as a surrogate costimulatory molecule for
CMV-specific CD8+
ß+ CD28-
effector T cells. Remarkably, the ligand for NKG2D, MIC, is also
strongly up-regulated during CMV infection, and it has been suggested
that cytokine modulation also plays a role in this costimulatory
process [32
]. The data reported here showing the
expression of CD94/NKG2 receptors as well as NKG2D molecules on
CD4+ cells, together with the ability of NKG2D to function
as either an inhibitory or an activating receptor, provide new
insights regarding the resources available to CD4+ cells to
control and drive immune responses.
 |
ACKNOWLEDGEMENTS
|
|---|
This work was supported by CICYT grants SAF98-0165-CO2-02 and
FIS99-862 (to M. S.), SAF98-0165-CO2-01 (to I. J. M.),
and FIS98-1051 (to J. P.). P. R. is supported by a fellowship
grant from Pharmacia Diagnostic (Spain).
We are grateful to Miguel López-Botet and Maria Grazia Roncarolo
for their generous gifts of antibodies. We are also indebted to
Hoffman-LaRoche for their continuous supply of rIL-2.
 |
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B. T. Wilhelm, J.-R. Landry, F. Takei, and D. L. Mager
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J. Immunol.,
October 15, 2003;
171(8):
4219 - 4226.
[Abstract]
[Full Text]
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