Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma

Cutaneous T-cell lymphoma (CTCL) is characterized by proliferation of malignant T cells in a chronic inflammatory environment. With disease progression, bacteria colonize the compromised skin barrier and half of CTCL patients die of infection rather than from direct organ involvement by the malignan...

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Main Authors: Willerslev-Olsen, Andreas, Krejsgaard, Thorbjørn, Lindahl, Lise M., Litvinov, Ivan V., Fredholm, Simon, Petersen, David L., Nastasi, Claudia, Gniadecki, Robert, Mongan, Nigel P., Sasseville, Denis, Wasik, Mariusz A., Bonefeld, Charlotte M., Geisler, Carsten, Woetmann, Anders, Iversen, Lars, Kilian, Mogens, Koralov, Sergei B., Odum, Niels
Format: Article
Published: American Society of Hematology 2016
Online Access:https://eprints.nottingham.ac.uk/36666/
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author Willerslev-Olsen, Andreas
Krejsgaard, Thorbjørn
Lindahl, Lise M.
Litvinov, Ivan V.
Fredholm, Simon
Petersen, David L.
Nastasi, Claudia
Gniadecki, Robert
Mongan, Nigel P.
Sasseville, Denis
Wasik, Mariusz A.
Bonefeld, Charlotte M.
Geisler, Carsten
Woetmann, Anders
Iversen, Lars
Kilian, Mogens
Koralov, Sergei B.
Odum, Niels
author_facet Willerslev-Olsen, Andreas
Krejsgaard, Thorbjørn
Lindahl, Lise M.
Litvinov, Ivan V.
Fredholm, Simon
Petersen, David L.
Nastasi, Claudia
Gniadecki, Robert
Mongan, Nigel P.
Sasseville, Denis
Wasik, Mariusz A.
Bonefeld, Charlotte M.
Geisler, Carsten
Woetmann, Anders
Iversen, Lars
Kilian, Mogens
Koralov, Sergei B.
Odum, Niels
author_sort Willerslev-Olsen, Andreas
building Nottingham Research Data Repository
collection Online Access
description Cutaneous T-cell lymphoma (CTCL) is characterized by proliferation of malignant T cells in a chronic inflammatory environment. With disease progression, bacteria colonize the compromised skin barrier and half of CTCL patients die of infection rather than from direct organ involvement by the malignancy. Clinical data indicate that bacteria play a direct role in disease progression, but little is known about the mechanisms involved. Here, we demonstrate that bacterial isolates containing staphylococcal enterotoxin A (SEA) from the affected skin of CTCL patients, as well as recombinant SEA, stimulate activation of signal transducer and activator of transcription 3 (STAT3) and upregulation of interleukin (IL)-17 in immortalized and primary patient-derived malignant and nonmalignant T cells. Importantly, SEA induces STAT3 activation and IL-17 expression in malignant T cells when cocultured with nonmalignant T cells, indicating an indirect mode of action. In accordance, malignant T cells expressing an SEA-nonresponsive T-cell receptor variable region β chain are nonresponsive to SEA in monoculture but display strong STAT3 activation and IL-17 expression in cocultures with SEA-responsive nonmalignant T cells. The response is induced via IL-2 receptor common γ chain cytokines and a Janus kinase 3 (JAK3)-dependent pathway in malignant T cells, and blocked by tofacitinib, a clinical-grade JAK3 inhibitor. In conclusion, we demonstrate that SEA induces cell cross talk-dependent activation of STAT3 and expression of IL-17 in malignant T cells, suggesting a mechanism whereby SEA-producing bacteria promote activation of an established oncogenic pathway previously implicated in carcinogenesis.
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spelling nottingham-366662020-05-04T17:42:21Z https://eprints.nottingham.ac.uk/36666/ Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma Willerslev-Olsen, Andreas Krejsgaard, Thorbjørn Lindahl, Lise M. Litvinov, Ivan V. Fredholm, Simon Petersen, David L. Nastasi, Claudia Gniadecki, Robert Mongan, Nigel P. Sasseville, Denis Wasik, Mariusz A. Bonefeld, Charlotte M. Geisler, Carsten Woetmann, Anders Iversen, Lars Kilian, Mogens Koralov, Sergei B. Odum, Niels Cutaneous T-cell lymphoma (CTCL) is characterized by proliferation of malignant T cells in a chronic inflammatory environment. With disease progression, bacteria colonize the compromised skin barrier and half of CTCL patients die of infection rather than from direct organ involvement by the malignancy. Clinical data indicate that bacteria play a direct role in disease progression, but little is known about the mechanisms involved. Here, we demonstrate that bacterial isolates containing staphylococcal enterotoxin A (SEA) from the affected skin of CTCL patients, as well as recombinant SEA, stimulate activation of signal transducer and activator of transcription 3 (STAT3) and upregulation of interleukin (IL)-17 in immortalized and primary patient-derived malignant and nonmalignant T cells. Importantly, SEA induces STAT3 activation and IL-17 expression in malignant T cells when cocultured with nonmalignant T cells, indicating an indirect mode of action. In accordance, malignant T cells expressing an SEA-nonresponsive T-cell receptor variable region β chain are nonresponsive to SEA in monoculture but display strong STAT3 activation and IL-17 expression in cocultures with SEA-responsive nonmalignant T cells. The response is induced via IL-2 receptor common γ chain cytokines and a Janus kinase 3 (JAK3)-dependent pathway in malignant T cells, and blocked by tofacitinib, a clinical-grade JAK3 inhibitor. In conclusion, we demonstrate that SEA induces cell cross talk-dependent activation of STAT3 and expression of IL-17 in malignant T cells, suggesting a mechanism whereby SEA-producing bacteria promote activation of an established oncogenic pathway previously implicated in carcinogenesis. American Society of Hematology 2016-03-10 Article PeerReviewed Willerslev-Olsen, Andreas, Krejsgaard, Thorbjørn, Lindahl, Lise M., Litvinov, Ivan V., Fredholm, Simon, Petersen, David L., Nastasi, Claudia, Gniadecki, Robert, Mongan, Nigel P., Sasseville, Denis, Wasik, Mariusz A., Bonefeld, Charlotte M., Geisler, Carsten, Woetmann, Anders, Iversen, Lars, Kilian, Mogens, Koralov, Sergei B. and Odum, Niels (2016) Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma. Blood, 127 (10). pp. 1287-1296. ISSN 1528-0020 http://www.bloodjournal.org/content/127/10/1287 doi:10.1182/blood-2015-08-662353 doi:10.1182/blood-2015-08-662353
spellingShingle Willerslev-Olsen, Andreas
Krejsgaard, Thorbjørn
Lindahl, Lise M.
Litvinov, Ivan V.
Fredholm, Simon
Petersen, David L.
Nastasi, Claudia
Gniadecki, Robert
Mongan, Nigel P.
Sasseville, Denis
Wasik, Mariusz A.
Bonefeld, Charlotte M.
Geisler, Carsten
Woetmann, Anders
Iversen, Lars
Kilian, Mogens
Koralov, Sergei B.
Odum, Niels
Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma
title Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma
title_full Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma
title_fullStr Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma
title_full_unstemmed Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma
title_short Staphylococcal enterotoxin A (SEA) stimulates STAT3 activation and IL-17 expression in cutaneous T-cell lymphoma
title_sort staphylococcal enterotoxin a (sea) stimulates stat3 activation and il-17 expression in cutaneous t-cell lymphoma
url https://eprints.nottingham.ac.uk/36666/
https://eprints.nottingham.ac.uk/36666/
https://eprints.nottingham.ac.uk/36666/