Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2011-1-14
pubmed:databankReference
pubmed:abstractText
Chronic lymphocytic leukemia (CLL), an incurable malignancy of mature B lymphocytes, involves blood, bone marrow, and secondary lymphoid organs such as the lymph nodes (LN). A role of the tissue microenvironment in the pathogenesis of CLL is hypothesized based on in vitro observations, but its contribution in vivo remains ill-defined. To elucidate the effects of tumor-host interactions in vivo, we purified tumor cells from 24 treatment-naive patients. Samples were obtained concurrently from blood, bone marrow, and/or LN and analyzed by gene expression profiling. We identified the LN as a key site in CLL pathogenesis. CLL cells in the LN showed up-regulation of gene signatures, indicating B-cell receptor (BCR) and nuclear factor-?B activation. Consistent with antigen-dependent BCR signaling and canonical nuclear factor-?B activation, we detected phosphorylation of SYK and I?B?, respectively. Expression of BCR target genes was stronger in clinically more aggressive CLL, indicating more effective BCR signaling in this subtype in vivo. Tumor proliferation, quantified by the expression of the E2F and c-MYC target genes and verified with Ki67 staining by flow cytometry, was highest in the LN and was correlated with clinical disease progression. These data identify the disruption of tumor microenvironment interactions and the inhibition of BCR signaling as promising therapeutic strategies in CLL. This study is registered at http://clinicaltrials.gov as NCT00019370.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1528-0020
pubmed:author
pubmed:issnType
Electronic
pubmed:day
13
pubmed:volume
117
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
563-74
pubmed:dateRevised
2011-3-4
pubmed:meshHeading
pubmed-meshheading:20940416-Adult, pubmed-meshheading:20940416-Cell Proliferation, pubmed-meshheading:20940416-Cell Separation, pubmed-meshheading:20940416-Female, pubmed-meshheading:20940416-Flow Cytometry, pubmed-meshheading:20940416-Gene Expression Profiling, pubmed-meshheading:20940416-Humans, pubmed-meshheading:20940416-In Situ Hybridization, Fluorescence, pubmed-meshheading:20940416-Leukemia, Lymphocytic, Chronic, B-Cell, pubmed-meshheading:20940416-Lymph Nodes, pubmed-meshheading:20940416-Male, pubmed-meshheading:20940416-Middle Aged, pubmed-meshheading:20940416-NF-kappa B, pubmed-meshheading:20940416-Oligonucleotide Array Sequence Analysis, pubmed-meshheading:20940416-Receptors, Antigen, B-Cell, pubmed-meshheading:20940416-Signal Transduction, pubmed-meshheading:20940416-Tumor Microenvironment
pubmed:year
2011
pubmed:articleTitle
The lymph node microenvironment promotes B-cell receptor signaling, NF-kappaB activation, and tumor proliferation in chronic lymphocytic leukemia.
pubmed:affiliation
National Heart, Lung and Blood Institute, National Institutes of Health , Bethesda, MD, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, N.I.H., Extramural, Research Support, N.I.H., Intramural