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Blood, 15 June 2005, Vol. 105, No. 12, pp. 4813-4819.
Prepublished online as a Blood First Edition Paper on February 24, 2005; DOI 10.1182/blood-2004-10-4054.


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NEOPLASIA

CLL, but not normal, B cells are dependent on autocrine VEGF and {alpha}4{beta}1 integrin for chemokine-induced motility on and through endothelium

Kathleen J. Till, David G. Spiller, Robert J. Harris, Haijuan Chen, Mirko Zuzel, and John C. Cawley

From the Department of Haematology, Duncan Building, Daulby Street; and Centre for Cell Imaging, Life Sciences Building, Crown Street, University of Liverpool, United Kingdom.

Vascular endothelial cell growth factor (VEGF) is a multifunctional cytokine involved in tumor formation. In chronic lymphocytic leukemia (CLL), it is known that the malignant cells secrete VEGF and possess VEGF receptors. This suggests that an autocrine loop might be important in the pathogenesis of CLL. Here we show that, in patients with lymphadenopathy, autocrine VEGF and {alpha}4{beta}1 integrin are involved in the chemokine-dependent motility of CLL cells on and through endothelium—processes important for the invasion of lymphoreticular tissues, a major determinant of disease outcome. In contrast, normal lymphocytes were not dependent on autocrine VEGF or {alpha}4{beta}1 for either type of cell movement. Moreover, in contrast to normal B lymphocytes, CLL cells failed to cluster and activate {alpha}L{beta}2 in response to chemokines, unless VEGF receptor(s) and {alpha}4{beta}1 were also engaged by their respective ligands. This is the first demonstration that autocrine VEGF is involved in CLL-cell motility, and that the {alpha}L{beta}2 on the malignant cells is functionally altered compared with that of normal B cells in not undergoing activation in response to chemokine alone. Given the importance of cell motility for tissue invasion, the present results provide a rationale for a trial of VEGF and {alpha}4 blockade in patients with CLL who have tissue disease. (Blood. 2005;105:4813-4819)


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