Extensive phenotype analysis of cutaneous T-cell lymphoma (CTCL) malignant cell lines revealed surface expression of receptors usually not detected on normal circulating CD4 ؉ CD45RO ؉ lymphocytes. We previously found that CTCL malignant cells express the killer cell immunoglobulinlike receptor (KIR) KIR3DL2/CD158k, whereas they fail to express the other KIRs. In the present study, we report for the first time that the CD85j/immunoglobulin (Ig)-like transcript 2 (ILT2) receptor is found on Sé zary cell lines and on circulating Sé zary malignant CD4 ؉ cells, while it is hardly detectable on circulating CD4 ؉ lymphocytes from healthy individuals. We demonstrate that ILT2 is functional on CTCL cells, as its triggering leads to the recruitment of Src homology 2 domaincontaining tyrosine phosphatase (SHP-1) and to the specific inhibition of CTCL malignant cell proliferation induced by CD3/T-cell receptor (TCR) stimulation. Interestingly, we found that separated CD4 ؉ ILT2 ؉ circulating malignant Sé zary cells are less susceptible to anti-CD3 monoclonal antibody (mAb)-induced cell death than autologous CD4 ؉ ILT2 ؊ lymphocytes. Therefore, the resistance to apoptosis of Sé zary cells may result from distinct mechanisms including cytokineinduced high levels of bcl-2 and specific expression of inhibitory receptors involved in lymphocyte survival. (Blood.