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Blood, 15 January 2007, Vol. 109, No. 2, pp. 693-702. Prepublished online as a Blood First Edition Paper on September 19, 2006; DOI 10.1182/blood-2006-05-020800.
NEOPLASIA Human mesenchymal stem cells isolated from bone marrow and lymphoid organs support tumor B-cell growth: role of stromal cells in follicular lymphoma pathogenesis1 Unité Propre de Recherche de l'Enseignement Superieur Equipe d'Accueil (UPRES EA) 3889, Faculté de médecine, Université Rennes 1, Institut Fédératif de Recherche (IFR)140 Génétique Fonctionnelle Agronomie et Santé (GFAS), Rennes, France; 2 Unité Fonctionnelle Suivi Immunologique et Thérapie Cellulaire (UF SITI), Département Hématologie-Immunologie et Thérapie Cellulaire (HITC), Centre Hospitalo-Universitaire (CHU) Pontchaillou, Rennes, France; 3 Laboratoire d'Anatomie Pathologique, CHU Pontchaillou, Rennes, France; 4 Service d'Hématologie Clinique, CHU Pontchaillou, Rennes, France
Accumulating evidence indicates that the cellular microenvironment plays a key role in follicular lymphoma (FL) pathogenesis, both within tumor lymph nodes (LNs) and in infiltrated bone marrow where ectopic LN-like reticular cells are integrated within malignant B-cell nodular aggregates. In normal secondary lymphoid organs, specific stromal cell subsets provide a highly specialized microenvironment that supports immune response. In particular, fibroblastic reticular cells (FRCs) mediate immune cell migration, adhesion, and reciprocal interactions. The role of FRCs and their postulated progenitors, that is, bone marrow mesenchymal stem cells (MSCs), in FL remains unexplored. In this study, we investigated the relationships between FRCs and MSCs and their capacity to sustain malignant B-cell growth. Our findings strongly suggest that secondary lymphoid organs contain MSCs able to give rise to adipocytes, chondrocytes, osteoblasts, as well as fully functional B-cell supportive FRCs. In vitro, bone marrowderived MSCs acquire a complete FRC phenotype in response to a combination of tumor necrosis factor-
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