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Prepublished online as a Blood First Edition Paper on August 8, 2002; DOI 10.1182/blood-2002-06-1683.
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Blood, 15 December 2002, Vol. 100, No. 13, pp. 4609-4614
NEOPLASIA
Expression of ZAP-70 is associated with increased B-cell receptor
signaling in chronic lymphocytic leukemia
Liguang Chen,
George Widhopf,
Lang Huynh,
Laura Rassenti,
Kanti R. Rai,
Arthur Weiss, and
Thomas J. Kipps
From the Division of Hematology/Oncology, Department of
Medicine, University of California, San Diego for the CLL Research
Consortium, San Diego, CA; Long Island Jewish Hospital, New
York, NY; and the Department of Medicine, Howard Hughes Medical
Institute, University of California, San Francisco.
We examined isolated leukemia B cells of patients with chronic
lymphocytic leukemia (CLL) for expression of zeta-associated protein 70 (ZAP-70). CLL B cells that have nonmutated
immunoglobulin variable region genes (V genes) expressed levels
of ZAP-70 protein that were comparable to those expressed by normal
blood T cells. In contrast, CLL B cells that had mutated immunoglobulin
variable V genes, or that had low-level expression of CD38,
generally did not express detectable amounts of ZAP-70 protein.
Leukemia cells from identical twins with CLL were found discordant for
expression of ZAP-70, suggesting that B-cell expression of ZAP-70 is
not genetically predetermined. Ligation of the B-cell receptor (BCR) complex on CLL cells that expressed ZAP-70 induced significantly greater tyrosine phosphorylation of cytosolic proteins, including p72Syk, than did similar stimulation of CLL cells that did
not express ZAP-70. Also, exceptional cases of CLL cells that expressed
mutated immunoglobulin V genes and ZAP-70 also experienced higher
levels tyrosine phosphorylation of such cytosolic proteins following BCR ligation. Following BCR ligation, ZAP-70 underwent tyrosine phosphorylation and became associated with surface immunoglobulin and
CD79b, arguing for the involvement of ZAP-70 in BCR
signaling. These data indicate that expression of ZAP-70 is associated
with enhanced signal transduction via the BCR complex, which may
contribute to the more aggressive clinical course associated with CLL
cells that express nonmutated immunoglobulin receptors.

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