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Blood, 1 November 2006, Vol. 108, No. 9, pp. 3135-3142.
Prepublished online as a Blood First Edition Paper on July 11, 2006; DOI 10.1182/blood-2006-02-003921.


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Submitted February 15, 2006
Accepted June 12, 2006

Altered B cell receptor signaling kinetics distinguish human follicular lymphoma B cells from tumor infiltrating non-malignant B cells

Jonathan Michael Irish, Debra K Czerwinski, Garry P Nolan, and Ronald Levy*

Department of Medicine, Oncology Division, Stanford University
Department of Microbiology & Immunology, Stanford University

* Corresponding author; email: levy{at}stanford.edu.

The B cell receptor (BCR) transmits life and death signals throughout B cell development, and altered BCR signaling may be required for survival of B lymphoma cells. We used single-cell signaling profiles to compare follicular lymphoma (FL) B cells and nonmalignant host B cells within individual patient biopsies and identified BCR-mediated signaling events specific to lymphoma B cells. Expression of CD20, Bcl-2, and BCR light chain isotype ({kappa} or {lambda}) distinguished FL tumor B cell and non-tumor host B cell subsets within FL patient biopsies. BCR-mediated signaling via phosphorylation of Syk, Erk1/2, p38, and Btk occurred more rapidly in tumor B cells from FL samples than in infiltrating non-tumor B cells, achieved greater levels of per-cell signaling, and sustained this level of signaling for hours longer than non-tumor B cells. The timing and magnitude of BCR-mediated signaling in non-tumor B cells within a FL sample instead resembled that observed in mature B cells from the peripheral blood of healthy subjects. BCR signaling pathways that are potentiated specifically in lymphoma cells should provide new targets for therapeutic attention.


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