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Updated: Jun 8, 2026

A Chromatin Immunoprecipitation Assay to Identify Novel NFAT2 Target Genes in Chronic Lymphocytic Leukemia
Published on: December 4, 2018
The lymph node microenvironment promotes B-cell receptor signaling, NF-kappaB activation, and tumor proliferation in
Yair Herishanu1, Patricia Pérez-Galán, Delong Liu
1National Heart, Lung and Blood Institute, National Institutes of Health , Bethesda, MD, USA.
Insights
The lymph node microenvironment fuels chronic lymphocytic leukemia (CLL) progression by activating B-cell receptor signaling. Targeting these interactions may offer new therapeutic strategies for CLL patients.
Area of Science:
- Hematology
- Oncology
- Immunology
Background:
- Chronic lymphocytic leukemia (CLL) is an incurable B-cell malignancy where the tumor microenvironment's role in vivo is unclear.
- Understanding tumor-host interactions is crucial for elucidating CLL pathogenesis.
Purpose of the Study:
- To investigate the in vivo effects of tumor-host interactions on CLL pathogenesis.
- To identify key sites and molecular pathways driving CLL progression.
Main Methods:
- Gene expression profiling of CLL cells from blood, bone marrow, and lymph nodes of 24 treatment-naive patients.
- Analysis of B-cell receptor (BCR) and nuclear factor-κB (NF-κB) signaling pathways.
- Quantification of tumor proliferation using gene expression and Ki67 staining.
Main Results:
- Lymph nodes (LN) are identified as a key site for CLL pathogenesis.
- CLL cells in LN exhibit activated BCR and NF-κB signaling, with stronger BCR target gene expression in aggressive disease.
- Tumor proliferation is highest in LN and correlates with clinical disease progression.
Conclusions:
- The lymph node microenvironment significantly contributes to CLL pathogenesis through BCR signaling.
- Disrupting tumor microenvironment interactions and inhibiting BCR signaling are potential therapeutic strategies for CLL.
Abstract:
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-κB activation. Consistent with antigen-dependent BCR signaling and canonical nuclear factor-κB activation, we detected phosphorylation of SYK and IκBα, 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.
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