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Blood, 1 February 2005, Vol. 105, No. 3, pp. 1274-1279.
Prepublished online as a Blood First Edition Paper on September 28, 2004; DOI 10.1182/blood-2004-07-2546.
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Submitted July 7, 2004
Accepted September 16, 2004
Leukotriene B4 plays a pivotal role in CD40 dependent activation of chronic B lymphocytic leukemia cells
Gudmundur Runarsson, Anquan Liu, Yilmaz Mahshid, Stina Feltenmark, Annika Pettersson, Eva Klein, Magnus Bjorkholm, and Hans-Erik Claesson*
Department of Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden
Microbiology and Tumour Biology Center, Karolinska Institutet, Stockholm, Sweden
Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden
Division of Molecular Neurobiology, Wallenberg Neuroscience Center, Lund University, Lund, Sweden
Department of Medicine, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
* Corresponding author; email: hans-erik.claesson{at}mbb.ki.se.
Biosynthesis of leukotrienes occurs in human myeloid cells and B lymphocytes. However, the function of leukotrienes in B lymphocytes is unclear. Here we report that B-cell chronic lymphocytic leukemia (B-CLL) cells produce leukotriene (LT) B4 and that specific leukotriene biosynthesis inhibitors counteracted CD40-dependent activation of B-CLL cells. Studies on the expression of the high affinity receptor for LTB4 (BLT1) by flow cytometry analysis showed that the receptor was expressed, to a varying degree, in all investigated B-CLL clones. The drugs BWA4C (a specific 5-lipoxygenase inhibitor) and MK-886 (a specific 5-lipoxygenase activating protein inhibitor), at a concentration of 100 nM, markedly inhibited CD40-induced DNA synthesis (45% and 38%, respectively) and CD40-induced expression of CD23, CD54 and CD150. Addition of exogenous LTB4 (150 nM) almost completely reversed the effect of the inhibitors on DNA synthesis and antigen expression.
Taken together, the results of the present study suggest that leukotriene biosynthesis inhibitors may have a therapeutic role in B-CLL.

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