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Cordoba R, Sanchez-Beato M, Herreros B, Domenech E, Garcia-Marco J, Garcia JF, Martinez-Lopez J, Rodriguez A, Garcia-Raso A, Llamas P, Piris MA. Two distinct molecular subtypes of chronic lymphocytic leukemia give new insights on the pathogenesis of the disease and identify novel therapeutic targets. Leuk Lymphoma 2015; 57:134-42. [PMID: 25811675 DOI: 10.3109/10428194.2015.1034706] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Biopsy samples of lymph nodes from 38 patients with CLL were analyzed. We found differential expression in 1092 genes in two different subgroups: 418 overexpressed in one subgroup and 674 in another. Molecular pathways identified in one subgroup appear to be characterized by greater dependence of signaling by cytokines and activation of the NFkB pathway, while in the other seem to depend on cell cycle. Despite having found a differential expression between both subgroups, none of these genes reached FDR < 0.25. We have not found significant association with survival or any prognostic factors. Analysis of the differences between normal lymph node and CLL in 253 genes with difference in the intensity of expression revealed upregulated genes different to BCR: CD40, TCL1, IL-7, and PAX5. Using large-scale molecular analysis, we may obtain information about molecular mechanisms of CLL pathogenesis and may contribute to the identification of new therapeutic targets.
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Affiliation(s)
- Raul Cordoba
- a Lymphoma Unit, Fundacion Jimenez Diaz University Hospital, Health Research Institute IIS-FJD , Madrid , Spain
| | - Margarita Sanchez-Beato
- b Health Research Institute, Hospital Universitario Puerta de Hierro Majadahonda , Madrid , Spain.,c Lymphoma Group, Spanish National Cancer Research Center (CNIO) , Madrid , Spain
| | - Beatriz Herreros
- c Lymphoma Group, Spanish National Cancer Research Center (CNIO) , Madrid , Spain
| | - Elena Domenech
- c Lymphoma Group, Spanish National Cancer Research Center (CNIO) , Madrid , Spain
| | - Jose Garcia-Marco
- b Health Research Institute, Hospital Universitario Puerta de Hierro Majadahonda , Madrid , Spain
| | - Juan-F Garcia
- d Pathology Department, MD Anderson Cancer Center , Madrid , Spain
| | | | - Antonia Rodriguez
- e Hematology Department, Hospital Universitario Doce de Octubre , Madrid , Spain
| | - Aranzazu Garcia-Raso
- a Lymphoma Unit, Fundacion Jimenez Diaz University Hospital, Health Research Institute IIS-FJD , Madrid , Spain
| | - Pilar Llamas
- a Lymphoma Unit, Fundacion Jimenez Diaz University Hospital, Health Research Institute IIS-FJD , Madrid , Spain
| | - Miguel-Angel Piris
- c Lymphoma Group, Spanish National Cancer Research Center (CNIO) , Madrid , Spain.,f Research Institute Marques de Valdecilla (IDIVAL) , Santander , Spain
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Ghamlouch H, Ouled-Haddou H, Guyart A, Regnier A, Trudel S, Claisse JF, Fuentes V, Royer B, Marolleau JP, Gubler B. Phorbol myristate acetate, but not CD40L, induces the differentiation of CLL B cells into Ab-secreting cells. Immunol Cell Biol 2014; 92:591-604. [PMID: 24797583 PMCID: PMC4134517 DOI: 10.1038/icb.2014.37] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Revised: 03/21/2014] [Accepted: 03/24/2014] [Indexed: 11/29/2022]
Abstract
In this study, we investigated the capacity of chronic lymphocytic leukemia (CLL) B cells to undergo terminal differentiation into Ig-secreting plasma cells in T cell-independent and T cell-dependent responses. We used a two-step model involving stimulation with phorbol myristate acetate (PMA) and CD40L, together with cytokines (PMA/c and CD40L/c), for 7 days. We describe immunophenotypic modifications, changes in the levels of mRNA and protein for transcription factors and morphological and functional events occurring during the differentiation of CLL B cells into antibody-secreting cells (ASCs). The induction of differentiation differed significantly between the CD40L/c and PMA/c culture systems. The PMA/c culture system allowed CLL B cells to differentiate into IgM-secreting cells with an immunophenotype and molecular profile resembling those of preplasmablasts. By contrast, CD40L/c-stimulated cells had a phenotype and morphology similar to those of activated B cells and resembling those of the CLL B cells residing in the lymph node and bone marrow. These data suggest that the CLL B cells are not frozen permanently at a stage of differentiation and are able to differentiate into ASCs as appropriate stimulation are provided. The data presented here raise questions about the molecular processes and stimulation required for CLL B-cell differentiation and about the inability of CD40 ligand to induce differentiation of the CLL B cells.
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Affiliation(s)
- Hussein Ghamlouch
- EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France
| | - Hakim Ouled-Haddou
- EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France
| | - Aude Guyart
- EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France
| | - Aline Regnier
- 1] EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France [2] Service d'Hématologie Clinique et Thérapie Cellulaire, CHU d'Amiens, Avenue René Laënnec, Amiens, France
| | - Stéphanie Trudel
- 1] EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France [2] Laboratoire d'Oncobiologie Moléculaire, CHU d'Amiens, Avenue René Laënnec, Amiens, France
| | - Jean-François Claisse
- Service d'Hématologie Clinique et Thérapie Cellulaire, CHU d'Amiens, Avenue René Laënnec, Amiens, France
| | - Vincent Fuentes
- EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France
| | - Bruno Royer
- 1] EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France [2] Service d'Hématologie Clinique et Thérapie Cellulaire, CHU d'Amiens, Avenue René Laënnec, Amiens, France
| | - Jean-Pierre Marolleau
- 1] EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France [2] Service d'Hématologie Clinique et Thérapie Cellulaire, CHU d'Amiens, Avenue René Laënnec, Amiens, France
| | - Brigitte Gubler
- 1] EA4666, Laboratoire d'Immunologie, UFR de Médecine, Université de Picardie Jules Verne, Amiens, France [2] Laboratoire d'Oncobiologie Moléculaire, CHU d'Amiens, Avenue René Laënnec, Amiens, France
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