Microenvironmental Interactions in Chronic Lymphocytic Leukemia: The Master Role of CD49d

被引:37
作者
Dal Bo, Michele [1 ]
Tissino, Erika [1 ]
Benedetti, Dania [1 ]
Caldana, Chiara [1 ]
Bomben, Riccardo [1 ]
Del Poeta, Giovanni [2 ,3 ]
Gaidano, Gianluca [4 ]
Rossi, Francesca Maria [1 ]
Zucchetto, Antonella [1 ]
Gattei, Valter [1 ]
机构
[1] IRCCS, Ctr Riferimento Oncol, Clin & Expt Oncohematol Unit, I-33081 Aviano, PN, Italy
[2] S Eugenio Hosp, Div Hematol, Rome, Italy
[3] Univ Roma Tor Vergata, Rome, Italy
[4] Amedeo Avogadro Univ Eastern Piedmont, Dept Clin & Expt Med, Div Hematol, Novara, Italy
关键词
B-CELL RECEPTOR; TYROSINE KINASE INHIBITOR; IN-SITU HYBRIDIZATION; MARROW STROMAL CELLS; BONE-MARROW; ALPHA-4-BETA-1; INTEGRIN; ANTIGEN-RECEPTOR; LYMPH-NODES; SPONTANEOUS APOPTOSIS; DEPENDENT REGULATION;
D O I
10.1053/j.seminhematol.2014.05.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chronic lymphocytic leukemia (CLL) is a clinically heterogeneous disease characterized by the accumulation/expansion of a clonal population of neoplastic cells with the morphologic appearance of small mature B lymphocytes in blood, bone marrow, and lymphoid organs. A combination of genetic lesions is primarily responsible for the first step(s) of neoplastic transformation, along with microenvironmental signals, which concurrently operate by enhancing proliferation and/or inhibiting apoptosis. In this context, CD49d is known to play a pivotal role in mediating both cell-cell and cell-matrix interactions in CLL-involved tissues, eventually delivering pro-survival signals and protecting CLL cells from drug-induced damages. In the present review, we address, in detail, CD49d activities in the CLL microenvironment, CD49d functional and physical interactions with other microenvironmental receptors (including CD38 and B-cell receptor), and the relationship of CD49d expression with specific cytogenetic features in CLL. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:168 / 176
页数:9
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