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Updated: Jun 16, 2026

Isolating Human Peripheral Blood Mononuclear Cells and CD4+ T cells from Sézary Syndrome Patients for Transcriptomic Profiling
Published on: October 14, 2021
mu-Opioid receptor is induced by IL-13 within lymph nodes from patients with Sézary syndrome
Alan Bénard1, Pierre Cavaillès, Jérôme Boué
1INSERM U563, Centre de Physiopathologie de Toulouse-Purpan, Toulouse, France.
Abstract:
Endogenous opioid peptides mainly produced by neurons are also released by immune cells. They bind to mu- (mu-opioid receptor, MOR), delta-, and kappa-opioid receptors. On the basis of studies on mice showing that MOR is the main mediator of the deleterious effects of opioids on immunity, we wondered whether MOR, absent under normal conditions, is expressed in some pathological situations such as lymphomas. mRNA expression for all three opioid receptors was examined in lymph node biopsy samples from patients with non-Hodgkin's B-cell and T-cell lymphomas. We found that MOR and one of its ligands (enkephalin) are simultaneously expressed almost exclusively in lymph nodes from patients with Sézary cutaneous T cell lymphoma. As MOR was undetectable in circulating malignant T lymphocytes and in normal immune cells, we hypothesized that tumor-released cytokines might induce MOR expression in non-neoplastic lymph node cells. The correlation between mRNA levels of MOR and interleukin-13 (IL-13) within lymph nodes from Sézary patients led us to investigate the ability of IL-13 to upregulate MOR expression in normal immune cell subsets. We found that IL-13 upregulates MOR in activated Langerhans cells. Thus, our data suggest that, under pathological conditions, IL-13 overexpression might allow immune-derived endogenous opioids to down-modulate immune response.
Insights
In Sézary lymphoma, mu-opioid receptor (MOR) is expressed in lymph nodes, not on malignant T cells. Interleukin-13 (IL-13) induces MOR in normal immune cells, suggesting a mechanism for immune suppression.
Area of Science:
- Immunology
- Molecular Biology
- Oncology
Background:
- Endogenous opioid peptides, produced by neurons and immune cells, interact with opioid receptors.
- Mu-opioid receptor (MOR) mediates negative effects of opioids on immunity.
- MOR is typically absent in normal immune cells but may be expressed in pathological conditions.
Purpose of the Study:
- Investigate MOR expression in lymphomas.
- Determine if cytokines induce MOR expression in immune cells.
- Elucidate the role of MOR and IL-13 in immune modulation within lymphomas.
Main Methods:
- Examined mRNA expression of opioid receptors in lymph node biopsies from lymphoma patients.
- Compared MOR expression in normal immune cells versus lymphoma tissues.
- Investigated the effect of IL-13 on MOR expression in normal immune cell subsets.
Main Results:
- MOR and enkephalin were co-expressed almost exclusively in lymph nodes of Sézary cutaneous T-cell lymphoma patients.
- MOR was undetectable in circulating Sézary cells and normal immune cells.
- IL-13 was found to upregulate MOR expression in activated Langerhans cells.
Conclusions:
- MOR expression in lymph nodes during Sézary lymphoma is associated with the tumor microenvironment.
- IL-13 may induce MOR expression on non-neoplastic immune cells, potentially leading to immune suppression.
- This suggests a pathological pathway where endogenous opioids down-modulate immune responses in specific cancer contexts.
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