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Blood, 1 November 2008, Vol. 112, No. 9, pp. 3818-3826.
Prepublished online as a Blood First Edition Paper on August 5, 2008; DOI 10.1182/blood-2008-02-138933.


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Submitted February 27, 2008
Accepted June 28, 2008

IL-4 protein expression and basal activation of Erk in vivo in follicular lymphoma

Katherine R Calvo*, Bhavana Dabir, Alexandra Kovach, Christopher Devor, Russell Bandle, Amelia Bond, Joanna H Shih, and Elaine S Jaffe

Laboratory of Pathology, National Cancer Institute, Bethesda, MD, United States
Clinical Proteomics Core Lab, National Cancer Institute, Bethesda, MD, United States
Division of Cancer Treatment and Diagnosis Biometric Research Branch, National Cancer Institute, Bethesda, MD, United States

* Corresponding author; email: calvok{at}mail.nih.gov.

Follicular lymphoma (FL) is characterized by constitutive expression of Bcl-2 as a consequence of t(14;18). Evidence suggests factors in the lymph node microenvironment, related to intratumoral T-cells, macrophages, and dendritic cells, play a role in the disease process. We generated proteomic cytokine profiles of FL (N=50) and follicular hyperplasia (FH; N=23). Ten cytokines were assayed using ultrasensitive multiplex elisas: IL-1beta, IL-2, IL-4, IL-5, IL-8, IL-10, IL-13, IL-12p70, TNF-alpha, and INF-gamma. Each cytokine showed overall lower protein concentrations in FL, with the exception of IL-4, which was nearly 5 times higher in FL than FH (p= 0.0054). Using reverse-phase protein microarrays (RPMA), we evaluated the activation state of several intracellular signaling proteins downstream of cytokine receptors. Basal Erk phosphorylation was approximately 4 times greater in FL than FH (p < 0.0001) with similar findings for Mek; Stat-6 showed weak basal phosphorylation that was approximately twice as high in FL than in FH (p = 0.012). In conclusion, the FL microenvironment contains increased levels of IL-4, with prominent tumor basal phosphorylation of Erk. These findings suggest IL-4, Erk, and possibly Stat-6 may play a role in the biology of FL and may serve as targets for future therapies.


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