B cell anergy modulated by TLR1/2 and the miR-17∼ 92 cluster underlies the indolent clinical course of chronic lymphocytic leukemia stereotyped subset# 4

S Ntoufa, N Papakonstantinou, B Apollonio… - The Journal of …, 2016 - journals.aai.org
S Ntoufa, N Papakonstantinou, B Apollonio, M Gounari, C Galigalidou, E Fonte…
The Journal of Immunology, 2016journals.aai.org
Chronic lymphocytic leukemia (CLL) patients assigned to stereotyped subset# 4 (mutated
IGHV4-34/IGKV2-30 BCR Ig) display a particularly indolent disease course. Immunogenetic
studies of the clonotypic BCR Ig of CLL subset# 4 suggested a resemblance with B cells
rendered anergic through chronic autoantigenic stimulation. In this article, we provide
experimental evidence that subset# 4 CLL cells show low IgG levels, constitutive ERK1/2
activation, and fail to either release intracellular Ca 2+ or activate MAPK signaling after BCR …
Abstract
Chronic lymphocytic leukemia (CLL) patients assigned to stereotyped subset# 4 (mutated IGHV4-34/IGKV2-30 BCR Ig) display a particularly indolent disease course. Immunogenetic studies of the clonotypic BCR Ig of CLL subset# 4 suggested a resemblance with B cells rendered anergic through chronic autoantigenic stimulation. In this article, we provide experimental evidence that subset# 4 CLL cells show low IgG levels, constitutive ERK1/2 activation, and fail to either release intracellular Ca 2+ or activate MAPK signaling after BCR cross-linking, thus displaying a signature of B cell anergy at both biochemical and functional levels. Interestingly, TLR1/2 triggering restored BCR functionality, likely breaching the anergic state, and this was accompanied by induction of the miR-17∼ 92 cluster, whose members target critical BCR-associated molecules, including MAPKs. In conclusion, we demonstrate BCR anergy in CLL subset# 4 and implicate TLR signaling and the miR-17∼ 92 cluster in the regulation of the anergic state. This detailed signaling profiling of subset# 4 has implications for advanced understanding of the complex regulation of intracellular signaling pathways in CLL, currently a major therapeutic target of the disease.
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