title: Blood-derived nurse-like cells protect chronic lymphocytic leukemia B cells from spontaneous apoptosis through stromal cell-derived factor-1.
abstract: A subset of blood cells from patients with B-cell chronic lymphocytic leukemia (CLL) spontaneously differentiates in vitro into large, round, or fibroblast-like adherent cells that display stromal cell markers, namely vimentin and STRO-1. These cells also express stromal cell-derived factor-1 (SDF-1), a CXC chemokine that ordinarily is secreted by marrow stromal cells. Leukemia B cells attach to these blood-derived adherent cells, down-modulate their receptors for SDF-1 (CXCR4), and are protected from undergoing spontaneous apoptosis in vitro. Neutralizing antibodies to SDF-1 inhibit this effect. Moreover, the rapid deterioration in the survival of CLL B cells, when separated from such cells, is mitigated by exogenous SDF-1. This chemokine also results in the rapid down-modulation of CXCR4 and activation of p44/42 mitogen-activated protein-kinase (ERK 1/2) by CLL B cells in vitro. It is concluded that the blood of patients with CLL contains cells that can differentiate into adherent nurse-like cells that protect leukemia cells from undergoing spontaneous apoptosis through an SDF-1-dependent mechanism. In addition to its recently recognized role in CLL B-cell migration, SDF-1-mediated CLL B-cell activation has to be considered a new mechanism involved in the microenvironmental regulation of CLL B-cell survival. (Blood. 2000;96:2655-2663)
authors.affiliation: Department of Medicine, Division of Hematology/Oncology, University of California at San Diego, La Jolla, 92093-0663, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Burger
authors.forename: N
authors.initials: N
authors.lastname: Tsukada
authors.forename: M
authors.initials: M
authors.lastname: Burger
authors.forename: N J
authors.initials: NJ
authors.lastname: Zvaifler
authors.forename: M
authors.initials: M
authors.lastname: Dell'Aquila
authors.forename: T J
authors.initials: TJ
authors.lastname: Kipps
mesh_terms: D017209:Apoptosis / Q000502:physiology*; D001402:B-Lymphocytes / Q000166:cytology* / Q000187:drug effects; D001773:Blood Cells / Q000737:chemistry / Q000502:physiology*; D002450:Cell Communication; D002454:Cell Differentiation; D002470:Cell Survival; D054377:Chemokine CXCL12; D019743:Chemokines, CXC / Q000037:antagonists & inhibitors / Q000096:biosynthesis / Q000235:genetics / Q000276:immunology / Q000502:physiology*; D002882:Chromosomes, Human, Pair 13; D018920:Coculture Techniques; D015536:Down-Regulation; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology / Q000494:pharmacology; D016130:Immunophenotyping; D017404:In Situ Hybridization, Fluorescence; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000097:blood / Q000235:genetics / Q000473:pathology*; D020935:MAP Kinase Signaling System / Q000187:drug effects; D009363:Neoplasm Proteins / Q000096:biosynthesis / Q000235:genetics / Q000502:physiology*; D014411:Neoplastic Stem Cells / Q000166:cytology* / Q000187:drug effects; D012333:RNA, Messenger / Q000097:blood; D012334:RNA, Neoplasm / Q000097:blood; D019718:Receptors, CXCR4 / Q000096:biosynthesis*; D017154:Stromal Cells / Q000737:chemistry / Q000502:physiology; D014314:Trisomy; D014407:Tumor Cells, Cultured
chemical_list: C515255:CXCL12 protein, human; D054377:Chemokine CXCL12; D019743:Chemokines, CXC; D007074:Immunoglobulin G; D009363:Neoplasm Proteins; D012333:RNA, Messenger; D012334:RNA, Neoplasm; D019718:Receptors, CXCR4