Circulating B-cell chronic lymphocytic leukemia cells display impaired migration to lymph nodes and bone marrow

Tanja Nicole Hartmann1, Valentin Grabovsky, Wei Wang

  • 1Laboratory for Immunological and Molecular Cancer Research, Third Medical Department, Salzburg University Hospital, Salzburg, Austria. t.hartmann@salk.at

Cancer Research
|March 19, 2009
PubMed

Insights

Chronic lymphocytic leukemia (CLL) cells show reduced homing to lymph nodes and bone marrow due to impaired integrin function. Targeting lymphocyte function antigen-1 (LFA-1) may block CLL cell migration to survival niches.

Area of Science:

  • Immunology
  • Hematology
  • Cell Biology

Background:

  • Leukemic cell homing to secondary lymphoid organs and bone marrow is crucial for disease progression.
  • Integrins, such as lymphocyte function-associated antigen-1 (LFA-1) and very late antigen-4 (VLA-4), play key roles in lymphocyte trafficking.

Purpose of the Study:

  • To investigate the roles of LFA-1 and VLA-4 in the homing and transmigration of chronic lymphocytic leukemia (CLL) cells.
  • To determine the impact of integrin expression and function on CLL cell localization in lymphoid organs.

Main Methods:

  • Analysis of LFA-1 and VLA-4 expression on CLL cells.
  • Assessment of CLL cell transmigration across endothelial cells expressing ICAM-1, VCAM-1, and CXCL12.
  • In vivo homing studies using immunodeficient mice and tracking of normal B cells and CLL cells.

Main Results:

  • CLL cells exhibited significantly reduced LFA-1 expression, linked to low beta2 integrin transcripts.
  • VLA-4 expression was heterogeneous and activated by CXCL12, but CLL cells failed to transmigrate endothelium without sufficient LFA-1.
  • Normal B cells homed to lymph nodes dependently on LFA-1, while CLL cells showed impaired homing to lymph nodes and bone marrow, but not the spleen.

Conclusions:

  • CLL cells possess a diminished ability to adhere to and transmigrate through various endothelial barriers.
  • CLL cells exhibit poor homing to lymphoid organs, except for the spleen.
  • Integrin-blocking strategies could potentially prevent CLL cell migration to protective niches in lymph nodes and bone marrow.