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Blood, 22 January 2009, Vol. 113, No. 4, pp. 856-865. Prepublished online as a Blood First Edition Paper on September 16, 2008; DOI 10.1182/blood-2008-02-139725.
LYMPHOID NEOPLASIA Constitutively activated Notch signaling is involved in survival and apoptosis resistance of B-CLL cells1 Department of Clinical and Experimental Medicine, General Pathology and Immunology Section, University of Perugia, Perugia; 2 Department of Internal Medicine and Public Health, University of L'Aquila, L'Aquila; 3 Didactic and Scientific Division of Terni, Department of Internal Medicine and Rheumatology Unit, University of Perugia, Perugia; and 4 Department of Experimental Medicine, University La Sapienza, Rome, Italy
Notch signaling is involved in tumorigenesis, but its role in B–chronic lymphocytic leukemia (B-CLL) pathogenesis is not completely defined. This study examined the expression and activation of Notch receptors in B-CLL cells and the role of Notch signaling in sustaining the survival of these cells. Our results show that B-CLL cells but not normal B cells constitutively express Notch1 and Notch2 proteins as well as their ligands Jagged1 and Jagged2. Notch signaling is constitutively activated in B-CLL cells, and its activation is further increased in B-CLL cells, which resist spontaneous apoptosis after 24-hour ex vivo culture. Notch stimulation by a soluble Jagged1 ligand increases B-CLL cell survival and is accompanied by increased nuclear factor–kappa B (NF-
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