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Blood, 1 November 2007, Vol. 110, No. 9, pp. 3316-3325.
Prepublished online as a Blood First Edition Paper on July 25, 2007; DOI 10.1182/blood-2007-05-089409.
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Submitted May 8, 2007
Accepted July 19, 2007
Overexpression of the CXCR5 chemokine receptor, and its ligand, CXCL13 in B cell chronic lymphocytic leukemia
Andrea Burkle, Matthias Niedermeier, Annette Schmitt-Graff, William G. Wierda, Michael J. Keating, and Jan A. Burger*
Department of Medicine, Division of Hematology/Oncology, Freiburg University Hospital, Freiburg, Germany
Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
Department of Pathology, Freiburg University Hospital, Freiburg, Germany
* Corresponding author; email: jaburger{at}mdanderson.org.
CXCL13 is a homeostatic chemokine for lymphocyte homing and positioning within follicles of secondary lymphoid tissues, acting through its cognate receptor, CXCR5. Moreover, the CXCR5-CXCL13 axis plays a unique role in trafficking and homing of B1 cells. Here, we report that chronic lymphocytic leukemia (CLL) B cells express high levels of functional CXCR5. CXCR5 expression levels were similar on CLL B cells and normal, CD5+ B cells, and higher when compared to normal, CD5 negative B cells, TFH cells, or neoplastic B cells from other B cell neoplasias. Stimulation of CLL cells with CXCL13 induces actin polymerization, CXCR5 endocytosis, chemotaxis, and prolonged activation of p44/42 mitogen-activated protein kinases. Anti-CXCR5 antibodies, pertussis toxin, and wortmannin inhibited chemotaxis to CXCL13, demonstrating the importance of Gi proteins and PI3-kinases for CXCR5 signaling, respectively. Moreover, CLL patients had significantly higher CXCL13 serum levels than volunteers, and CXCL13 levels correlated with 2 microglobulin. We detected CXCL13 mRNA expression by nurselike cells, and high levels of CXCL13 protein in supernatants of CLL nurselike cell cultures. By immunohistochemistry, we detected CXCL13+-expression by CD68+ macrophages in situ within CLL lymph nodes. These data suggest that CXCR5 plays a role in CLL cell positioning and cognate interactions between CLL and CXCL13-secreting CD68+ accessory cells in lymphoid tissues.

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