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Blood, 15 January 2007, Vol. 109, No. 2, pp. 693-702. Prepublished online as a Blood First Edition Paper on September 19, 2006; DOI 10.1182/blood-2006-05-020800.
Submitted May 2, 2006
Faculte de Medecine, University Rennes, Rennes, France * Corresponding author; email: karin.tarte{at}univ-rennes1.fr.
There is accumulating evidence that cellular microenvironment plays a key role in follicular lymphoma (FL) pathogenesis, both within tumor lymph nodes and in infiltrated bone marrow where ectopic lymph node-like reticular cells are integrated within malignant B-cell nodular aggregates. In normal secondary lymphoid organs, specific stromal cell subsets provide a highly specialized microenvironment that supports immune response. In particular, fibroblastic reticular cells (FRC) mediate immune cell migration, adhesion, and reciprocal interactions. The role of FRC and their postulated progenitors, i.e. bone marrow mesenchymal stem cells (MSC), in FL remains unexplored. In this study, we have investigated the relationships between FRC and MSC and their capacity to sustain malignant B-cell growth. Our findings strongly suggest that secondary lymphoid organs contain MSC able to give rise to adipocytes, chondrocytes, osteoblasts, as well as fully functional B-cell supportive FRC. Bone marrow-derived MSC acquire in vitro a complete FRC phenotype in response to a combination of tumor necrosis factor-
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