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Prepublished online as a Blood First Edition Paper on February 13, 2003; DOI 10.1182/blood-2002-06-1743.

Submitted June 27, 2002
Accepted January 28, 2003
The resistance of B-CLL cells to DNA damage-induced apoptosis defined by DNA microarrays
Laurent Vallat, Henri Magdelenat, Helene Merle-Beral, Peggy Masdehors, Gabrielle Potocki de Montalk, Frederic Davi, Mogens Kruhoffer, Laure Sabatier, Torben F Orntoft, and Jozo Delic*
Laboratoire de Radiobiologie et Oncologie, CEA, DSV/DRR, Fontenay aux Roses, France; Hematology/Biology, Hospital Pitie-Salpetriere, Paris, France
Laboratoire de Physiopathology, Institute Curie, Paris, France
Hematology/Biology, Hospital Pitie-Salpetriere, Paris, France
Laboratoire de Radiobiologie et Oncologie, CEA, DSV/DRR, Fontenay aux Roses, France
Clinical Biochemistry, Universitethospital, Aarhus, Denmark
* Corresponding author; email: delic{at}dsvidf.cea.fr.
B-cell chronic lymphoid leukemia (B-CLL) is a highly heterogeneous human malignancy, presumably reflecting specific molecular alterations in gene expression and protein activity which are thought to underlie the variable disease outcome. The majority of B-CLL cell samples undergo apoptotic death in response to DNA damage. However, a clinically distinct aggressive subset of B-CLL is completely resistant to in vitro activation of the apoptotic death pathway. We therefore compared gene expression patterns in resistant and sensitive B-CLL cell subsets. DNA microarray analysis was performed for four sensitive and three resistant B-CLL cell samples, before and after apoptotic stimuli, and the specific expression patterns of the selected genes were confirmed by quantitative real-time PCR. We selected 16 genes whose expression varied at least two-fold specifically in resistant cells. Furthermore, we confirmed the expression of these selected genes by real-time PCR on 15 additional B-CLL cell samples not included in the microarray analysis. In this manner, 13 genes were found to be specific for all resistant B-CLL cell samples tested: nuclear orphan receptor TR3, MHC class II glycoprotein HLA-DQA1, mtmr6, c-myc, c-rel, c-IAP1, mat2A and fmod were upregulated while MIP1 /GOS19-1 homolog, stat1, blk, hsp27 and ech1 were downregulated. In some cases, the expression profile was dependent on the status of p53. Some of these genes encode general apoptotic factors but also exhibit lymphoid cell specificities which could potentially be linked to the development of lymphoid malignancies (MIP1 , blk, TR3, mtmr6). Taken together, our data define new molecular markers specific to resistant B-CLLs which might be of clinical relevance.

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