Differential expression of very late activation antigen-3 (VLA-3)/VLA-4 in
B-cell non-Hodgkin lymphoma and B-cell chronic lymphocytic leukemia
L Baldini, L Cro, R Calori, L Nobili, I Silvestris and AT Maiolo
Department of Hematology, Centro G. Marcora, Ospedale Maggiore IRCCS,
Milan, Italy.
The expression of beta 1 (very late activation antigens, VLA 1-6) and beta
2 integrins (leukocyte adhesion molecules [Leu-CAM]) in cell suspensions
from the peripheral blood of 70 patients with B-cell chronic lymphocytic
leukemia (B-CLL), 15 patients with leukemic lymphocytic lymphoma of
intermediate differentiation (IDL), as well as from the lymph nodes of 20
patients with low/intermediate-grade non- Hodgkin's lymphoma (NHL) was
studied with the aim of characterizing their adhesive phenotype and
evaluating its relationship to clinical behavior. CD11a(LFA-1) was more
expressed in NHL and IDL than in B-CLL (P = .047), although it was
demonstrable in 74.2% of cases; CD11c was more expressed in B-CLL (P less
than .0001), and its expression was preserved in almost all of the cases of
small lymphocytic lymphoma. In NHL patients, including the cases of IDL,
VLA-3 expression was observable in 8 of 35 cases (although always at a low
level of intensity), while VLA-4 was almost constantly expressed in a way
that was similar to its expression in control normal B cells. On the
contrary, in B-CLL patients, VLA-3 was expressed (prevalently at high
levels) in 87.1% of cases and VLA-4 only in 37.1%. No correlation was found
between adhesion molecule patterns and the clinical features of the
diseases. The biofunctional significance of the imbalance of VLA-3 and
VLA-4 expression in B-CLL is not easy to explain, but it has undoubted
intrinsic value as an additional marker for distinguishing B- CLL from, in
particular, those B-cell neoplasms (such as IDL) that share many of the
immunocytomorphologic characteristics and the putative normal counterpart
(the mantle zone) of B-CLL.
Volume 79,
Issue 10,
pp. 2688-2693,
05/15/1992
Copyright © 1992 by The American Society of Hematology