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Blood, 1 August 2005, Vol. 106, No. 3, pp. 1012-1020.
Prepublished online as a Blood First Edition Paper on April 28, 2005; DOI 10.1182/blood-2004-03-0889.
Previous Article | Next Article 
Submitted March 9, 2004
Accepted March 28, 2005
Nurselike cells express BAFF and APRIL, which can promote survival of chronic lymphocytic leukemia cells via a paracrine pathway distinct from that of SDF-1
Mitsufumi Nishio, Tomoyuki Endo, Nobuhiro Tsukada, Junko Ohata, Shinichi Kitada, John C Reed, Nathan J Zvaifler, and Thomas J Kipps*
Department of Medicine, University of California, San Diego, La Jolla, CA, USA
The Burnham Institute, La Jolla, CA, USA
* Corresponding author; email: tkipps{at}ucsd.edu.
We examined expression of B cell-activating factor of the TNF family (BAFF) and a proliferation-inducing ligand (APRIL) on chronic lymphocytic leukemia (CLL) B cells and nurselike cells (NLC), which differentiate from CD14+ cells when cultured with CLL B cells. NLC expressed significantly higher levels of APRIL than monocytes and significantly higher levels of BAFF and APRIL than CLL B cells. Also, the viability of CLL B cells cultured with NLC was significantly reduced when CLL B cells were cultured with decoy receptor of B-cell maturation antigen (BCMA), which can bind both BAFF and APRIL, but not with BAFF-R:Fc, which only binds to BAFF. The effect(s) of BAFF or APRIL on leukemia cell survival appeared additive and distinct from that of stromal cell-derived factor-1 alpha (SDF-1 ), which in contrast to BAFF or APRIL induced leukemia-cell phosphorylation of p44/42 mitogen-activated protein-kinase (ERK 1/2) and AKT. Conversely, BAFF and APRIL, but not SDF-1 , induced CLL-cell activation of the NF- B1, and enhanced CLL-cell expression of the anti-apoptotic protein Mcl-1. However, BAFF, but not APRIL, also induced CLL-cell activation of NF- B2. We conclude that BAFF and APRIL from NLC can function in a paracrine manner to support leukemia cell survival via mechanisms that are distinct from those of SDF-1 , indicating that NLC use multiple distinct pathways to support CLL-cell survival.

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