Bacterial toxins fuel disease progression in cutaneous T-cell lymphoma

Andreas Willerslev-Olsen, Thorbjørn Krejsgaard, Lise M. Lindahl, Charlotte Menne Bonefeld, Mariusz A. Wasik, Sergei B. Koralov, Carsten Geisler, Mogens Kilian, Lars Iversen, Anders Woetmann, Niels Odum

Research output: Contribution to journalReview articlepeer-review

76 Scopus citations

Abstract

In patients with cutaneous T-cell lymphoma (CTCL) bacterial infections constitute a major clinical problem caused by compromised skin barrier and a progressive immunodeficiency. Indeed, the majority of patients with advanced disease die from infections with bacteria, e.g., Staphylococcus aureus. Bacterial toxins such as staphylococcal enterotoxins (SE) have long been suspected to be involved in the pathogenesis in CTCL. Here, we review links between bacterial infections and CTCL with focus on earlier studies addressing a direct role of SE on malignant T cells and recent data indicating novel indirect mechanisms involving SE- and cytokine-driven cross-talk between malignant- and non-malignant T cells.

Original languageEnglish
Pages (from-to)1402-1421
Number of pages20
JournalToxins
Volume5
Issue number8
DOIs
StatePublished - Aug 2013
Externally publishedYes

Keywords

  • Cutaneous T-cell lymphoma
  • Enterotoxins
  • Infections
  • Superantigens
  • staphylococcus aureus

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