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Blood, 15 April 2004, Vol. 103, No. 8, pp. 2900-2907.
Prepublished online as a Blood First Edition Paper on November 20, 2003; DOI 10.1182/blood-2003-06-1891.

Submitted June 12, 2003
Accepted November 5, 2003
Unique SDF-1 induced activation of human precursor-B ALL cells due to altered CXCR4 expression and signaling
Asaf Spiegel, Orit Kollet, Amnon Peled, Loya Abel, Arnon Nagler, Bella Bielorai, Gideon Rechavi, Josef Vormoor, and Tsvee Lapidot*
Department of Immunology, Weizmann Institute of Science, Rehovot, Israel
Gene Therapy Institute, Hadassah University Hospital, Jerusalem, Israel
Department of Bone Marrow Transplantation, Sheba Medical Center, Ramat-Gan, Israel
Department of Pediatric Hemato-Oncology, Sheba Medical Center, Ramat-Gan, Israel
Sackler School of Medicine, Tel Aviv University, Tel-Aviv, Israel
Department of Pediatric Hematology and Oncology, University Children's Hospital, Meunster, Germany
* Corresponding author; email: Tsvee.Lapidot{at}weizmann.ac.il.
The mechanisms governing migration and extramedullary dissemination of leukemic cells remain obscure. In this study the migration and in vivo homing to the bone marrow of NOD/SCID mice injected with human precursor-B ALL cells in comparison to normal CD34+ progenitors (both cord blood and mobilized peripheral blood) was investigated. Though migration and homing of both cell populations was SDF-1/CXCR4 dependent, major differences in receptor expression as well as the migratory capacity towards various concentrations of SDF-1 were found. Furthermore, unlike normal CD34+ progenitors, in vivo homing of the leukemic cells was superior when recipient NOD/SCID mice were not irradiated prior to transplantation. In addition, we report differences in the adhesion molecules activated upon SDF-1 stimulation, documenting a major role for VLA-4, but not VLA-5 and LFA-1, in homing of precursor-B ALL cells. Interestingly, Toxin-B and pertusis toxin inhibited the homing of the leukemic cells, but not that of normal CD34+ progenitors or normal CD10+/CD19+ precursor-B cells, revealing differences in CXCR4 signaling pathways that are based on changes acquired by the leukemic cells. Altogether, our data provides new insights into different SDF-1-induced signaling, activation and consequent motility between normal CD34+ and precursor-B ALL progenitors, which may lead to improved clinical protocols.

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