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Blood, 15 January 2002, Vol. 99, No. 2, pp. 706-708
BRIEF REPORT
P2X7 receptor expression in evolutive and indolent
forms of chronic B lymphocytic leukemia
Elena Adinolfi,
Loredana Melchiorri,
Simonetta Falzoni,
Paola Chiozzi,
Anna Morelli,
Alessia Tieghi,
Antonio Cuneo,
Gianluigi Castoldi,
Francesco Di
Virgilio, and
Olavio R. Baricordi
From the Department of Experimental and Diagnostic
Medicine, Section of Medical Genetics and General Pathology; Department
of Biomedical Sciences and Advanced Therapy, Section of Hematology; and
Center for the Study of Inflammatory Diseases; University of Ferrara,
Italy.
Human leukocytes express a receptor for extracellular nucleotides,
named P2X7R, that in lymphocytes can either mediate cell death or proliferation, depending on the level of activation. The
authors have investigated P2X7R expression and
function in 21 patients affected by B-cell chronic lymphocytic
leukemia, 13 with an evolutive and 8 with an indolent variant of the
disease. Resting cytoplasmic Ca++ concentration was
significantly higher in lymphocytes from patients with the evolutive
compared with indolent variant. Furthermore, in the former,
P2X7R stimulation triggered a Ca++ influx
significantly larger. Higher Ca++ influx correlated with an
increased P2X7R expression in the lymphocytes from patients
with the evolutive form. Finally, incubation in the presence of
extracellular adenosine triphosphate decreased spontaneous
proliferation of lymphocytes from patients affected with the
evolutive variant but had no effects on lymphocytes from patients with
the indolent form. These results suggest that expression and function
of P2X7R may correlate with the severity of B-cell chronic
lymphocytic leukemia.

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