From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Prepublished online May 30, 2007; doi:10.1182/blood-2007-02-076927 2B4 inhibits NK cell fratricide Ruth T Taniguchi, Dustin Guzior and Vinay Kumar Articles on similar topics can be found in the following Blood collections Brief Reports (1615 articles) Immunobiology (4939 articles) Information about reproducing this article in parts or in its entirety may be found online at: http://bloodjournal.hematologylibrary.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://bloodjournal.hematologylibrary.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://bloodjournal.hematologylibrary.org/site/subscriptions/index.xhtml Advance online articles have been peer reviewed and accepted for publication but have not yet appeared in the paper journal (edited, typeset versions may be posted when available prior to final publication). Advance online articles are citable and establish publication priority; they are indexed by PubMed from initial publication. Citations to Advance online articles must include the digital object identifier (DOIs) and date of initial publication. Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. Copyright 2011 by The American Society of Hematology; all rights reserved. Blood First Edition Paper, prepublished online May 30, 2007; DOI 10.1182/blood-2007-02-076927 From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. 2B4 inhibits NK cell fratricide Ruth T. Taniguchi, Dustin Guzior, and Vinay Kumar From the University of Chicago Department of Pathology, Committee on Immunology Chicago, IL 60637, USA Corresponding author and reprints: Ruth T. Taniguchi; University of Chicago Department of Pathology, Committee on Immunology; 5812 S. Ellis Ave., Room S-315, MC 3083, Chicago, IL 60637; email: [email protected]; phone: (773)834-7921; fax: (773)702-9379 R.T.T. designed and executed experiments, analyzed and interpreted data, and wrote the paper; D.G. designed and executed the thymidine proliferation experiments, and analyzed and interpreted this data; V.K. provided guidance for the progress of the project, and wrote the paper; and all authors checked the final version of the manuscript. Copyright © 2007 American Society of Hematology From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Abstract 2B4 (CD244) and its ligand, CD48, are expressed on all NK cells. In studies using 2B4 deficient, CD48 deficient, or wild type NK cells with blocking antibodies, we found that in the absence of 2B4-CD48 interactions, activated murine NK cells kill each other. We also show that NK-NK fratricide in the absence of 2B4-CD48 interaction is dependent on perforin both in vitro and in vivo. 2B4 has been reported to have activating, costimulatory, and inhibitory functions on murine NK cells. 2B4-mediated inhibition of NK cell fratricide explains some of the paradoxes of 2B4 function reported in studies of murine NK cells. We show that in the absence of 2B4 signaling, activated NK cells have defective cytotoxicity and proliferation because of fratricide, and not due the absence of a 2B4dependent activation signal. From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Introduction 2B4 is expressed by all NK cells, as well as a subset of memory CD8+ αβ T cells, γδ T cells, basophils and monocytes1. The ligand to 2B4, CD48, is a GPI- linked molecule expressed on all nucleated hematopoetic cells, including NK cells themselves2. Murine 2B4 has been reported to have activating and inhibitory activities on NK cells 3-8. These studies raise questions of how triggering the same 2B4 receptor on NK cells can lead to variable functional outcomes. Here we show that 2B4 can inhibit NK-NK fratricide, and that fratricide can explain some of the apparent dual functions of 2B4 on murine NK cells. From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Materials and methods Mice Wild type C57BL/6 (B6), Rag KO, β2M KO and Perforin KO mice were purchased from Jackson Laboratories. 2B4 KO mice were generated in B6-derived ES cells as previously described 8. CD48 -/- were generously provided by Dr. Arlene Sharpe (Harvard University, Boston, MA)9. The mice were maintained at the University of Chicago in a pathogen-free animal housing facility. The mouse protocols have been reviewed and approved by the Institutional Animal Care and Use Committee (IACUC) at the University of Chicago. All knockout mice are derived or crossed onto the B6 background and were used at 5-10 weeks of age for experiments. NK LAK preparation NK LAK were prepared as described previously 10. Antibodies and FACS analysis Anti-2B4, anti-CD48, and anti-CD16/32 blocking antibodies were produced by 2B4, HM48-1, and 2.4G2 hybridoma cell lines, respectively. Fluorescently labeled mAbs purchased from BD biosciences are the following: anti-2B4 (2B4), anti-CD48 (HM48-1), anti-CD3 (145-2C11), and anti-DX5 (DX5). Fluorescently labeled anti-NK1.1 (PK136) mAb was purchased from eBioscience. Apoptosis was detected using BD Pharmingen™ Annexin V-FITC Apoptosis Kit I. From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. In vitro cytotoxicity assay and spontaneous release assay Target NK LAK cells were labeled with 100µl of sodium chromate (51Cr) for 1 hour at 37˚C, washed, then plated at 2000 cells/well. Effecter NK LAK cells were added at the indicated ratios in triplicates. After 6 hours of incubation at 37˚C, supernatants were collected for analysis, and percent lysis was calculated using standard methods. For fratricide assays using blocking mAb, NK LAK cells were labeled with 51Cr as described above. LAK cells were incubated alone at 5E4 cells/well in the presence of 10µ/mL 2.4G2 + indicated blocking mAb, and incubated at 37˚C for 6 hours. %specific lysis was calculated using the following equation: %specific lysis= [(CPM in the presence of blocking mAb)-(spontaneous release without ab)]/[(CPM with 0.5% tritonX)-(spontaneous release without ab)]. Proliferation assay NK LAK proliferation was measured by 3H-thymidine incorporation as described previously 10. N-α-benzyloxycarbonyl-L-lysine thiobenzyl ester (BLT) assay Plates were coated overnight with 15µg/mL αNK1.1 mAb. Coated plates were used to stimulate 3 x 10^5 LAK cells per well in the presence of 10µg/mL 2.4G2 mAb +/10µg/mL αCD48 mAb or α2B4 mAb. After 6 hours of incubation at 37˚, 50µl supernatant was analyzed from triplicate samples for BLT esterase activity as previously described by Cho, D.H. et al.11. % specific esterase release= (experimental esterase release- spontaneous release)/ (maximum release with triton x - spontaneous release). From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. In vivo NK stimulation and analysis Mice were injected with 100µg CpG 1826 (Coley Pharmaceutical) in 100µL PBS i.p. 5 days after injection, NK cells from the blood, liver and spleen were enumerated using Sphero™ AccuCount Blank Particles, 10.2 µm (Spherotech Inc.) and NK1.1+, CD3fluorescent antibody staining. The fold expansion of blood NK cells was calculated by dividing the number of NK per ml in CpG-injected mice to that of non-injected mice. The fold expansions of spleen and liver derived NK cells were calculated by dividing the total number of NK per spleen or liver of CpG-injected mice to that of age and sex matched, non-injected mice. From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Results and discussion 2B4 inhibits NK cytotoxicity against CD48-expressing tumor cells and T cell blasts 8,12,13 . Since all nucleated hematopoetic cells express CD48, we hypothesized that 2B4 can also inhibit NK mediated lysis of other non-transformed leukocyte subsets, including NK cells themselves. To determine if 2B4 inhibits NK-NK fratricide, killing assays were performed using lymphokine activated NK cells (LAK) as both targets and effectors. WT and 2B4 KO LAK cells were used as effectors against WT LAK targets in chromium release assays. As expected, WT LAK cells failed to kill other WT cells. However, LAK cells from 2B4 KO mice killed WT LAK cells effectively (Figure 1A). Thus, in the absence of 2B4-mediated inhibition, NK cells can kill each other. To confirm that 2B4CD48 interactions are required for the inhibition of fratricide, WT LAK were used to kill CD48 KO and WT LAK targets in chromium release assays. WT LAK kill CD48 KO LAK, but not WT LAK (Figure 1B), showing that 2B4-CD48 interactions are required for the inhibition of fratricide. We next compared the role of MHC-dependent and 2B4dependent inhibition in regulating fratricide. To test this, we used WT LAK to kill β2m KO and WT LAK targets, with and without anti-CD48 blocking antibodies. β2m KO LAK, which have low MHC class I expression, are killed slightly more than WT LAK, indicating that the presence of self class I MHC can inhibit fratricide (Figure 1C). However, if CD48 on the β2m KO or WT LAK targets are blocked with anti-CD48 antibody, a much higher level of fratricide occurs, indicating that class I dependent inhibition is not as potent as CD48 dependent inhibition in controlling NK LAK fratricide (Figure 1C). From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. NK-mediated lysis of most tumor targets requires perforin 14. To determine whether NK fratricide in the absence of 2B4-CD48 interactions is also dependent on perforin, fratricide among perforin KO and WT LAK cells was compared. WT and perforin KO LAK cells were labeled with 51Cr and incubated in the presence of anti-2B4, anti-CD48 or control blocking antibodies. An increase of chromium release from WT LAK occurs in the presence of anti-2B4 or anti-CD48 blocking antibodies in a dose dependent manner, while control antibodies against H-2Kb and NK1.1 failed to increase the lysis of NK cells (Figure 1D). No chromium release could be detected from perforin KO LAK with any blocking antibody, indicating that NK-NK cell lysis is perforin dependent (Figure 1D). Perforin-dependent NK fratricide in the presence of anti-2B4 or anti-CD48 blocking antibodies was also confirmed via annexin V and PI staining. The percentage of apoptotic WT, but not perforin KO NK cells, is higher in the presence of anti-2B4 and anti-CD48 blocking antibodies compared to control (anti-NK1.1) antibody (Figure 1E), confirming that NK fratricide and apoptosis occurs in the absence of 2B4-CD48 interactions. To rule out the possibility of NK cell death due to antibody dependent cellular cytotoxicity (ADCC), FcR blockage using anti-CD16/32 antibody was performed in all experiments using blocking antibodies. That such blockade was effective in preventing ADCC is supported by the data showing that no cell death could be detected with anti-NK1.1 control antibodies (Figure 1D-E). We and others have previously published that 2B4-CD48 interactions among NK cells are required for optimal NK functions 5,10. There are two distinct mechanisms that can explain these results: 1) 2B4-CD48 signaling may activate optimal NK functions, or 2) From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. 2B4-CD48 signaling may inhibit NK fratricide to allow for optimal NK function. To determine if 2B4-mediated activation or inhibition is required for optimal NK functions, the cytotoxicity of WT and perforin KO NK cells in the absence of 2B4-CD48 interactions were compared. Since perforin KO NK LAK have impaired cytolytic function 14, the cytolytic ability of LAK cells stimulated by anti-NK1.1 antibody coated plates was measured indirectly by using the BLT esterase assay to detect granzyme secretion11. Consistent with previous reports5, WT LAK have decreased esterase release in the presence of anti-2B4 or anti-CD48 blocking antibodies (Figure 2A). In contrast, perforin KO LAK do not exhibit a decrease in esterase activity in the presence of anti-2B4 or anti-CD48 blocking antibodies (Figure 2A). In the absence of 2B4-CD48 interactions, NK cells have also found to have defective proliferation5. To determine if defective proliferation in the absence of 2B4CD48 interactions was due to a lack of an activation signal or a lack of inhibition signal, the proliferation of NK cells from WT and perforin KO mice in the presence of anti-2B4, anti-CD48, or control antibody was measured by 3H-thymidine following culture with IL-2. Blocking 2B4-CD48 interactions among WT, but not perforin KO NK cells decreased proliferation in IL-2 (Figure 2B). This data indicates that the 2B4-CD48 interactions among NK LAK do not activate optimal NK proliferation, but inhibit perforin-mediated fratricide. Together these data show that in the absence of 2B4 signaling, activated NK cells have defective function in vitro, due to a lack of inhibition leading to fratricide. To determine if perforin-dependent NK fratricide in the absence of 2B4-CD48 interactions affect NK proliferation in vivo, WT, 2B4 KO, perforin/2B4 (perf/2B4) DKO and perforin (perf) KO mice were injected with CpG i.p. NK proliferation the blood, liver From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. and spleen of these mice were compared 5 days after CpG injection. The numbers of NK cells in untreated WT, 2B4 KO, perf/2B4 DKO and perf KO are similar8 (supplementary Figure 1). The degree of NK expansion in the blood and livers of 2B4 KO mice was less than that of the WT mice (Figure 2C). This defect in expansion of NK cells was not seen in perf KO mice or perf/2B4 DKO mice (Figure 2C). This data indicates that the decrease in expansion of NK cells in the blood and livers of 2B4 KO mice compared to the WT mice is perforin-dependent. NK proliferation in the spleen and migration out of the spleen can be detected during infection15 or under lymphopenic conditions16 with different kinetics. However, 5 days after injection with CpG, expansion of activated NK cells in the spleens of WT and 2B4 KO could not be detected, possibly due to NK migration into other tissues at this time point. Therefore, 2B4-dependent inhibition of fratricide could not be detected in the spleen, 5 days after injection with CpG (supplementary Figure 1). Unlike in NK cells from B6 mice, 2B4-CD48 interactions predominantly activate human NK cells 17. The molecular bases for the different functions of 2B4 across different species are unclear and are currently under investigation in our laboratory. Here we restricted our examination of 2B4 function to B6 murine NK cells. Some studies of B6 mouse models indicate that 2B4-CD48 interactions augment NK cell functions5-7,10, while other studies indicate that 2B4 inhibit functions 3,4,8,12. The data here shows that 2B4 can inhibit NK cell fratricide among activated NK cells, and that fratricide provides an explanation for some of these conflicting findings. We demonstrate that in the absence of 2B4, activated NK cells have defective proliferation and cytotoxicity due to fratricide, and not the absence of an activation signal. In addition to blocking fratricide, 2B4-CD48 interactions among NK cells can also inhibit IFN-γ production (supplementary Figure 2). From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Together these data suggests that there are activation signals between NK cells that can stimulate cytotoxicity and cytokine production, which can be inhibited by 2B4. Since 2B4 inhibition of fratricide is only apparent on NK cells activated with IL-2 in vitro, or CpG in vivo, another possibility is that activated NK cells constitutively degranulate, and adhesion among NK is sufficient to induce granule polarization18 leading to fratricide. In any case, the specific receptor and/or adhesion molecule interactions that 2B4 inhibits among NK cells are unknown and warrant more studies. In addition to providing an explanation to some of the conflicting findings in studies of 2B4, this work provides evidence for a non-MHC-related mechanism of self tolerance required for activated NK cells. Since CD48 is expressed on all nucleated hematopoetic cells, we hypothesize that 2B4-mediated inhibition may play an important role in activated NK cell tolerance of other leukocyte subsets as well. From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Acknowledgements This work was supported by the Molecular and Cellular Biology Training Grant (3T32GM007183-31S1). We thank the NIH AIDS Research and Reagent Program, Division of AIDS, NIAID, NIH for the generous gift of h-rIL-2. We also thank Megan McNerney for helpful comments on this work and manuscript. The authors have no financial conflict of interest. References 1. McNerney ME, Lee KM, Kumar V. 2B4 (CD244) is a non-MHC binding receptor with multiple functions on natural killer cells and CD8(+) T cells. Mol Immunol. 2005;42:489-494 2. Kumar V, McNerney ME. A new self: MHC-class-I-independent natural-killercell self-tolerance. Nat Rev Immunol. 2005;5:363-374 3. McNerney ME, Guzior D, Kumar V. 2B4 (CD244) - CD48 interactions provide a novel MHC class I-independent system for NK cell self-tolerance in mice. Blood. 2005 4. Lee KM, McNerney ME, Stepp SE, Mathew PA, Schatzle JD, Bennett M, Kumar V. 2B4 acts as a non-Major Histocompatibility Complex binding inhibitory receptor on mouse natural killer cells. J Exp Med. 2004;199:1245-1254 5. Lee KM, Forman JP, McNerney ME, Stepp S, Kuppireddi S, Guzior D, Latchman YE, Sayegh MH, Yagita H, Park CK, Oh SB, Wulfing C, Schatzle J, Mathew PA, Sharpe AH, Kumar V. Requirement of homotypic NK cell interactions through 2B4(CD244)/CD48 in the generation of NK effector functions. Blood. 2005 6. Bloch-Queyrat C, Fondaneche MC, Chen R, Yin L, Relouzat F, Veillette A, Fischer A, Latour S. Regulation of natural cytotoxicity by the adaptor SAP and the Srcrelated kinase Fyn. J Exp Med. 2005;202:181-192 7. Roncagalli R, Taylor JE, Zhang S, Shi X, Chen R, Cruz-Munoz ME, Yin L, Latour S, Veillette A. Negative regulation of natural killer cell function by EAT-2, a SAPrelated adaptor. Nat Immunol. 2005;6:1002-1010 8. Vaidya SV, Stepp SE, McNerney ME, Lee JK, Bennett M, Lee KM, Stewart CL, Kumar V, Mathew PA. Targeted disruption of the 2B4 gene in mice reveals an in vivo role of 2B4 (CD244) in the rejection of B16 melanoma cells. J Immunol. 2005;174:800-807 9. Gonzalez-Cabrero J, Wise CJ, Latchman Y, Freeman GJ, Sharpe AH, Reiser H. CD48-deficient mice have a pronounced defect in CD4(+) T cell activation. Proc Natl Acad Sci U S A. 1999;96:1019-1023 From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. 10. Assarsson E, Kambayashi T, Schatzle JD, Cramer SO, von Bonin A, Jensen PE, Ljunggren HG, Chambers BJ. NK cells stimulate proliferation of T and NK cells through 2B4/CD48 interactions. J Immunol. 2004;173:174-180 11. Cho DH, Song HK, Kang HS, Yoon SR, Lee HG, Pyun KH, Lee WJ, Kim YB, Choi I. Ligation of ICAM-1 molecules inhibits target cell-induced granule exocytosis of IL-12-activated natural killer cells. Cell Immunol. 2000;199:1-7 12. Mooney JM, Klem J, Wulfing C, Mijares LA, Schwartzberg PL, Bennett M, Schatzle JD. The murine NK receptor 2B4 (CD244) exhibits inhibitory function independent of signaling lymphocytic activation molecule-associated protein expression. J Immunol. 2004;173:3953-3961 13. Lee KM, Bhawan S, Majima T, Wei H, Nishimura MI, Yagita H, Kumar V. Cutting edge: the NK cell receptor 2B4 augments antigen-specific T cell cytotoxicity through CD48 ligation on neighboring T cells. J Immunol. 2003;170:4881-4885 14. Kagi D, Ledermann B, Burki K, Seiler P, Odermatt B, Olsen KJ, Podack ER, Zinkernagel RM, Hengartner H. Cytotoxicity mediated by T cells and natural killer cells is greatly impaired in perforin-deficient mice. Nature. 1994;369:31-37 15. Prlic M, Gibbs J, Jameson SC. Characteristics of NK cell migration early after vaccinia infection. J Immunol. 2005;175:2152-2157 16. Jamieson AM, Isnard P, Dorfman JR, Coles MC, Raulet DH. Turnover and proliferation of NK cells in steady state and lymphopenic conditions. J Immunol. 2004;172:864-870 17. Valiante NM, Trinchieri G. Identification of a novel signal transduction surface molecule on human cytotoxic lymphocytes. J Exp Med. 1993;178:1397-1406 18. Bryceson YT, March ME, Barber DF, Ljunggren HG, Long EO. Cytolytic granule polarization and degranulation controlled by different receptors in resting NK cells. J Exp Med. 2005;202:1001-1012 From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Figure 1. In the absence of 2B4-CD48 interactions, activated NK cells undergo perforin-dependent fratricide. NK LAK cells activated with IL-2 in vitro were used as effectors and targets in cytotoxicity assays. (A) WT and 2B4 KO NK LAK were used as effectors against WT NK LAK. (B) WT NK LAK cells were used as effectors against WT and CD48 KO NK LAK. (C) WT LAK cells were used as effectors against untreated, or anti-CD48 antibody coated WT, or β2m KO NK LAK. To coat NK LAK targets, cells were incubated for 15 minutes in 10µg/mL anti-CD48 antibody at room temperature. Coated cells were then washed and used in killing assays. (D) WT and perforin KO LAK were loaded with chromium and incubated in the presence of anti-CD16/CD32 blocking antibody plus anti-2B4, anti-CD48, anti-NK1.1, or anti-H-2Kb antibody. Chromium release, which indicates lysis due to fratricide, was measured after 6 hours of incubation. (E) WT and perforin KO LAK were incubated in the presence of anti-CD16/CD32 blocking antibody plus anti-2B4, anti-CD48, or anti-NK1.1 antibody. Annexin V and PI staining was measured after 6-7 hours of incubation with blocking antibody. Results are representative of four independent experiments. Figure 2. Perforin-dependent fratricide causes defective NK function in the absence of 2B4-CD48 interactions. (A) WT and perforin KO NK LAK cells were stimulated with anti-NK1.1 mAb coated plates, the presence of anti-2B4 or anti-CD48 blocking antibodies. After 6 hours of stimulation, culture supernatants were measured for granzyme secretion via the BLT esterase assay. *, indicates P<0.05. Results are representative of three independent experiments. (B) WT and perforin KO NK cells were cultured in complete media supplemented with IL-2, in the presence of anti-2B4 or anti-CD48 blocking From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. antibodies. Thymidine incorporation was measured at different times during culture. Results are representative of three independent experiments. (C) 5 days after injection with CpG, NK cells from WT, 2B4 KO, perf KO, and perf/2B4 DKO mice were counted. Fold expansions were calculated by dividing NK numbers of mice injected with CpG by NK numbers in non-injected control mice. N= 3 mice per group and data is representative of 2 independent experiments. From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Figure 1 A B WT LAK Effectors WT LAK Targets WT Effector 20% 2B4 KO Effector Specific Lysis (%) C 10% 30% Specific Lysis (%) 30% WT Target CD48 KO Target 20% 10% 0% 100:1 50:1 25:1 12:1 0% 100:1 50:1 25:1 -10% E:T Ratio E:T Ratio C WT LAK Effectors Specific Lysis (%) 30% WT 20% WT + αCD48 β2m KO 10% β2m KO + αCD48 0% 100:1 50:1 E:T Ratio 25:1 12:1 From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Figure 1 D WT LAK Perforin KO LAK Specific Lysis (%) Specific Lysis (%) 25% 20% 15% 10% 5% 0% -5% 15 5 1.7 0.6 0.2 0.1 ug/mL antibody E 25% α2B4 20% αCD48 15% αNK1.1 10% αH-2Kb 5% 0% -5% 15 5 1.7 0.6 0.2 0.1 ug/mL antibody From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Figure 2 A Specific BLT Esterase Release (%) 30% 25% 20% 15% no block * * α2B4 αCD48 10% 5% 0% WT Perforin KO B WT 12 CPM (*10^4) CPM (*10^4) 10 8 6 4 2 0 Day 3 Day 4 Day 5 16 14 12 10 8 6 4 2 0 Perforin KO α2B4 αCD48 IgG no block Day 3 Day 4 Day 5 From bloodjournal.hematologylibrary.org at PENN STATE UNIVERSITY on February 23, 2013. For personal use only. Figure 2 fold expansion of NK C 12 10 25 8 6 4 2 0 15 WT 20 2B4 KO perf KO 10 5 perf/2B4 DKO 0 blood liver
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