Human CD23 is a 45-kD type II membrane glycoprotein, which functions a
s a low-affinity receptor for IgE and as a ligand for the CD21 and CD1
1b/CD11c differentiation antigens. CD23 is released from the surface o
f cells as soluble fragments, and a 25-kD species of soluble CD23 (sCD
23) appears to act as a multifunctional cytokine. In this report, sCD2
3 is shown to sustain the growth of low cell density cultures of a hum
an pre-B-acute lymphocytic leukemia cell line, SMS-SB: no other cytoki
ne tested was able to induce this effect. Flow cytometric analysis ind
icates that sCD23 acts to prevent apoptosis of SMS-SB cells. SMS-SB ce
lls cultured at low cell density possess low levels of bcl-2 protein.
Addition of sCD23 to cells at low cell density maintained bcl-2 expres
sion at levels equivalent to those observed in SMS-SB cells cultured a
t higher cell densities. No CD23 mRNA was found in SMS-SB cells, rulin
g out an autocrine function for CD23 in this cell line model. Although
SMS-SB cells do not express the known receptors for CD23, namely CD21
, CD11b-CD18, or CD11c-CD18, the cells specifically bind CD23-containi
ng liposomes, but not glycophorin-containing liposomes, Binding of CD2
3-containing liposomes is inhibited by anti-CD23 but not by anti-CD21
or anti-CD11b/c monoclonal antibodies, The data show that sCD23 preven
ts apoptosis of the SMS-SB cell line by acting through a novel recepto
r. (C) 1997 by The American Society of Hematology.