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  • 1
    In: Blood, American Society of Hematology, Vol. 108, No. 11 ( 2006-11-16), p. 3899-3899
    Abstract: Celiac disease is induced by gliadin in genetically susceptible individuals expressing HLA-DQ2 or HLA-DQ8. The mechanisms underlying the expansion of interferon g-producing intraepithelial cytotoxic T lymphocytes (CTLs) and the destruction of the epithelial cells (EC) lining the small intestine of celiac patients have remained elusive. Intraepithelial lymphocytes (IELs) can undergo malignant transformation during the course of rare but severe complications of celiac disease: enteropathy associated T-cell lymphomas and refractory sprue. These complications support the idea that celiac disease IELs are permanently submitted to stimuli that promote their expansion and ultimately may favour their transformation. Altogether, these observations underline the importance of understanding the mechanism(s) that drives the expansion of IELs and their role in the pathogenesis of the epithelial lesions. A model enhanced presentation of gliadin peptides by DQ2 or DQ8 molecules to CD4 + cells in the lamina propria which results in secretion of interferon gamma and other cytokines that may be deleterious to gut epithelial cells, however gluten-specific IE-CTL could not be identified. To characterize T cells and protein expression in CD patients in relationship to severe complications, we used for the first time 2D-Dige approaches with well-characterized CD-associated gut biopsies. Fourteen adult patients diagnosed as CD were studied. All patients were characterized for the presence of anti-transglutaminase antibodies, VDJ-TcR and VDJ-BcR genescan pattern, HLA DQ and KIRs/ligand genotypes, villous atrophy, and to clinical response to gluten-free diet (13 out of 14 cases). One of these patients presented a restricted T cell population both in the peripheral blood as well as in the gut biopsy. Another patient presented a concomitant DLCL lymphoma. 2 further patients, with biopsies for intestinal disorders but with HLA-DQ2 and DQ8 negative, were used as controls. Patient with the T cell restriction pattern showed a prevalent Tg clone in peripheral blood and two identical over-expanded Tg clones in the peripheral blood a nd gut biopsy. Moreover in the gut biopsy it was also present a restricted Tb clone. Sequences from these 4 clones were reported in the EMBL database. HLA DQ2+D8 is found only in the case of CD-DLCL associated, 5 cases were DQ2 homozigote, 6 cases were DQ2 heterozygote (including the case with the restricted TCR pattern), 2 cases have neither DQ2 nor DQ8 heterodimer. A complete set of KIR with activating function (KIR2DS1, KIR2DS2, KIR2DS3, KIR2DS5 KIR3DS1) was present only in two samples, one of them with the T cell restricted pattern. Data from comparative protein expression obtained by 2D-Dige analysis, are in course. Although the number of control individuals and patients analysed were still low, the frequency of KIR with activating function was found to be higher in patients, particularly in sprue CD with T cell restriction, than in controls. This indicates that genotypic profiles of NK-T-CD patients may be characterized by an increased presence of activating KIRs.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2006
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  • 2
    In: Blood, American Society of Hematology, Vol. 104, No. 11 ( 2004-11-16), p. 950-950
    Abstract: A somatic hypermutation (SHM) process is known to be ongoing in IgVH genes of B-CLL cells (aka intraclonal IgVH diversification) introducing non-random point-mutations due to the combination of two events: a positive selection operated by the antigen and/or the activation of a yet poorly investigated SHM machinery. We analysed here the expression of DNA polymerases (pol) in 〉 95% pure CD19+cells from 44 B-CLLs, all characterized for IgVH mutations ( 〈 2%,16 cases; 〉 2%, 28 cases) by cloning and sequencing 5–10 transcripts/B-CLL. The investigated DNA pols were pol alpha, delta, epsilon (proof-reading, involved in DNA replication), pol zeta, eta, iota (error-prone, translesion DNA pols) and pol beta (error-prone, involved in base-excision repair, BER). DNA pol expression, investigated by real-time PCR, was reported as relative levels of DNA pol/beta2microglobulin ratio. Expression of DNA pols was also studied in a series of non-CLL B cell lines and in purified naive (CD19+CD27−) and memory (CD19+CD27+) B cells from PB samples of 5 healthy donors. DNA pols iota and beta were the major DNA pols in B-CLLs; they were expressed at median levels which were from 4.7 (pol beta, range 3.6–6.7, p 〈 0.001) to 19.8 (pol iota, range 15.1–28.2, p 〈 0.0000) folds higher than those of the other DNA pols; these latter were all expressed at significantly lower levels than in normal (naive/memory) B cells or non-CLL B cell lines. As compared to non-CLL B cell lines, DNA pols beta and iota were expressed at 86.5 (p=0.00012) and 7.7 (p 〈 0.0000) folds higher levels, respectively. In addition, pol beta was the sole DNA pol expressed in B-CLL cells at higher (2.5-fold) levels than in normal naive/memory B cells (p=0.028). Although the high expression, DNA pol beta and iota half-lives (57 and 83 mins, respectively), evaluated by blocking RNA synthesis by 5.0 mg/ml actinomycin D up to 4 hrs, were comparable to those of the other DNA pols (range 44–83 mins). By analysing the pattern of specific IgVH mutations in 57 transcripts from 10 B-CLLs with 〉 2% IgVH mutations and lacking antigen-selection, we demonstrated significant correlations (r 〉 0.70) between pol beta expression and IgVH point-mutations targeting the nucleotide A (A- 〉 C, r=0.72), T (T- 〉 X, r=0.71; T- 〉 C, r=0.82) or C (C- 〉 X, r=0.70). Conversely, no correlations were detected in 145 transcripts from 18 B-CLLs with 〉 2% IgVH mutations and evidence of antigen-selection, suggesting that, in these cases, the effects of DNA pols could be masked by the positive pressure exerted by the antigen. In B-CLL cells, DNA pol beta expression was also compared with the expression of activation-induced cytidine deaminase (AID) and uracil-DNA glycosylase-2 (UNG2), enzymes involved in the preliminary steps of SHM. Interestingly, pol beta expression levels were significantly higher (p=0.014) in UNG2+ (14/44), as compared to UNG2- (29/44) cases (median relative levels=16.8 vs. 3.9). A similiar trend was also observed by comparing AID+ with AID- B-CLLs (median relative levels=11.2 vs. 6.8). Taken together, these findings suggest a non-canonical SHM process being active in B-CLL cells in which AID/UNG2 create the abasic sites, while the error-prone DNA pol beta (and iota) may be responsible of specific IgVH point-mutations mainly through a process (BER) not necessary implying DNA replication.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2004
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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  • 3
    In: Blood, American Society of Hematology, Vol. 95, No. 7 ( 2000-04-01), p. 2397-2406
    Abstract: Engagement of cell surface adhesion receptors with extracellular constituents and with cellular counter-receptors is crucial for the extravasation of blood-borne neoplastic cells and their seeding at distant sites; however, the early events of tumor dissemination—ie, the intravasation step(s)—have been largely neglected. A role for the 4β7 integrin was hypothesized to explain the high leukemogenicity exhibited by one (NQ22) among several T-cell lymphomas studied. To clarify the mechanisms of early aggressivity, the behavior of highly and poorly leukemogenic cell lines were compared in vitro. Cocultivation of physically separated leukemic cells with resting endothelial cells resulted in the up-regulation of VCAM-1 expression. NQ22 cells expressed mRNA of different cytokines that up-regulate VCAM-1 and at higher levels than cells of a nonaggressive lymphoma, and they migrated more efficiently through an activated endothelial cell layer. With the use of neutralizing antibodies against interferon-γ, granulocyte macrophage colony-stimulating factor, and tumor necrosis factor (TNF)-, it was determined that TNF- is one of the soluble factors released by NQ22 cells involved in the up-regulation of VCAM-1. The finding that vascular cells within the early local growth were strongly positive for VCAM-1 indicated that NQ22 cells could activate endothelial cells also in vivo. Finally, cocultivation of preleukemic 4−NQ22 cells with TNF--activated endothelial cells induced the expression of 4 integrins on the former cells. Reciprocal up-regulation and engagement of 4/VCAM-1 pairs determined the sequential transmigration and intravasation steps, and similar mechanisms might affect the aggressivity of human T lymphoblastic lymphomas.
    Type of Medium: Online Resource
    ISSN: 1528-0020 , 0006-4971
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2000
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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  • 4
    In: Blood, American Society of Hematology, Vol. 126, No. 11 ( 2015-09-10), p. 1394-1397
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2015
    detail.hit.zdb_id: 1468538-3
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  • 5
    In: Blood, American Society of Hematology, Vol. 120, No. 21 ( 2012-11-16), p. 1772-1772
    Abstract: Abstract 1772 CD49d (α4 integrin chain) is a strong negative prognosticator in chronic lymphocytic leukemia (CLL) with a key role in CLL cell microenvironmental interactions. CD49d triggering by its main ligands Vascular Cell Adhesion Molecule-1 (VCAM-1) and non-RGD sites (CS-1 fragments) of fibronectin (FN) activates signalling pathways delivering pro-survival signals, and promoting resistance to drug-induced apoptosis in CLL. Recently, the globular (g) C1q-like domain of Elastin MIcrofibriL INterfacer1 (EMILIN1), an adhesive extracellular matrix constituent, was described as a new ligand for CD49d, where it operates as a negative modulator of proliferation signals in substrate-adherent non-hematopoietic CD49d+ cells (Danussi et al, J Cell Biol, 2011). Here, we investigated the distribution of EMILIN1 in normal and CLL-involved tissues, and the effects of EMILIN1/CD49d interaction in CLL in terms of adhesion and survival. By taking advantage of a specific anti-human EMILIN1 monoclonal antibody (Spessotto et al, J Biol Chem, 2003), exploratory staining in reactive lymphoid tissues (tonsil) indicated a clear extracellular EMILIN1 specific reactivity in the outer zone of the mantle/marginal areas. When investigated in lymph node tissues from CLL cases (n=3) by both immunohistochemical and immunofluorescence analyses, a clear EMILIN1 positive staining was detected intermingled with the neoplastic component. To verify whether EMILIN1 could promote CLL cell adhesion, we took advantage of the CLL-derived CD49d+ Mec-1 CLL-like cell model, previously demonstrated by us to adhere to both VCAM-1 and FN (Zucchetto et al, Leukemia, 2012). Results demonstrated similar adhesion levels of Mec-1 cells on VCAM-1, CS-1 fragment of FN and the gC1q-like EMILIN1 domain (mean number of adherent cells per field 267±24, 272±7 and 317±21, respectively).Consistently, adhesion experiments with primary CLL cells characterized by high and homogeneous CD49d expression confirmed similar levels of adhesion on both VCAM-1 and EMILIN1 (mean number of adherent cells per field 141±55 and 135±76, respectively). In all cases adhesion was specifically blocked by pre-treatment with the anti-CD49d HP1/2 blocking antibody. Immunofluorescence analysis with Mec-1 and primary CLL cells showed the recruitment of phospho-Vav-1 at the CD49d/EMILIN1 adhesion sites, with concomitant F-actin reorganization, confirming the activation of the integrin signalling pathway. The effects of EMILIN1/CD49d interactions in CLL were next investigated performing short-term adhesion experiments (2 and 5 minutes) on gC1q-like EMILIN1 domain and VCAM-1 using CLL cells from three CD49d+ cases, and verifying the phosphorylation of Akt and ERK1/2 kinases, key mediators of survival signals by western blotting. In all cases, an increased intensity of Akt and ERK1/2 phosphorylation was documented after two-minutes of adhesion on both EMILIN1 (mean fold increase =1.2±0.1, and =5.0±1.0 as compared to controls, respectively) and VCAM-1 (mean fold increase =1.6±0.2, and =4.0±1.9, respectively). The phosphorylation was even greater after five minutes (mean fold increase =2.4±0.5, and =10.0±4.0, for EMILIN1 and =2.4±0.6 and =5.0±0.7 for VCAM-1, respectively). The concomitant increase of phospho-Vav-1 confirmed the activation of the integrin signalling pathway. Finally, we verified whether CD49d/EMILIN1 interaction was able to protect CLL cells from spontaneous apoptosis, by culturing purified cells from 6 CLL cases on gC1q-like EMILIN1 domain, VCAM-1, or control substrate (1% BSA), and checking cell viability after 5 days. Both VCAM-1 and EMILIN1 were able to protect CLL cells from spontaneous apoptosis (p=0.03 and p=0.001, respectively), the viability obtained on EMILIN1 being also significantly higher than that observed on VCAM-1 (p=0.007). In conclusion, we showed here for the first time that EMILIN1 is present in normal and CLL-involved lymphoid tissues, and it is able to efficiently bind to CD49d, as expressed by CLL cells. At variance of what demonstrated in non-hematopoietic models, EMILIN1 was shown to be able to deliver anti-apoptotic/pro-survival signals to circulating CLL cells. EMILIN1/CD49d interactions may have a role in the maintenance of the neoplastic clone in CD49d-expressing CLL. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2012
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    detail.hit.zdb_id: 80069-7
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  • 6
    In: Blood, American Society of Hematology, Vol. 104, No. 11 ( 2004-11-16), p. 2797-2797
    Abstract: Studies of gene expression profiling of B-CLL cells revealed a phenotype related to experienced B cells, although only a subset of B-CLLs has IgVH mutations. With the aim to identify the immunophenotypic profile associated with a different prognosis, we investigated by flow cytometry the expression of 36 surface molecules (cell-adhesion molecules, integrins, complement activity regulators, myeloid, T and B markers) in 125 B-CLLs, all characterized for IgVH mutations and survival. To recognize the surface molecules with survival predictive power, univariate Cox proportional-hazards analysis was applied to antigen expression values with overall survival as dependent variable. Once identified the antigens whose expression correlated with a z score of ±2.5 (P & lt;0.005) or greater, the maximally selected log-rank statistics were applied to define the optimal cut-off values yielding the best separation of two subgroups with different survival. According to this approach, the following eight antigens were selected (cut-off values in parenthesis): CD55 (30%), CD62L (30%), CD49c (40%), CD11c (20%), CD54 (50%), CD25 (15%), CD79b (65%), CD38 (30%). The first six antigens had negative z score and therefore were identified as favorable prognosticators, while CD79b and CD38 had positive z score, hence were associated with shorter overall survival (negative prognosticators). To build-up a scoring system, we assigned score “1” to each positive prognosticator when its expression was above the designated cut-off (score “0” if below), and score “0” to each negative prognosticator when its expression was above the cut-off (score “1” if below). A total score ranging from 0 to 8 points was therefore obtained in 102/125 cases in which the expression of all the eight markers was available. Three risk groups were identified: i) high-risk (29 cases), score 0–3; ii) intermediate-risk (38 cases), score 4–6; iii) low-risk (35 cases), score 7–8. These three groups differed greatly for survival probabilities (p=5x10–13 by the log-rank test). All patients belonging to the low-risk group were alive throughout the follow-up duration, whereas mean survivals for intermediate- and high-risk groups were 173 months (p=0.032) and 61 months (p=2.0x10–9), respectively. Several relationship between risk groups and other variables was studied: i) patients included in high- and intermediate-risk groups had the same male to female (M:F) ratio (1.4), while the M:F ratio of patients included in low-risk group (group 3) was lower (0.7); ii) Rai’s stage distribution was comparable in the three groups, with the exception of stage “0”, which was significantly less frequent in the high-risk group (p=0.04); iii) if % IgVH mutations (2% cut-off) was checked, mutated to unmutated (M:UM) ratios were 4.8, 2.6 and 0.8 in low-, intermediate- and high-risk groups, respectively (p=0.006); iv) as compared to high-risk group, low- and intermediate-risk groups were characterized by a higher number of B-CLL cases with a IgVH mutational status consistent with antigen-driven selection (20/24 and 17/26 vs. 7/13). In conclusion, the present study introduces a novel predictive tool based on the expression of eight surface molecules, easily investigable, which can stratifies populations of B-CLL patients in three distinct risk categories.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2004
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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  • 7
    In: Blood, American Society of Hematology, Vol. 95, No. 7 ( 2000-04-01), p. 2397-2406
    Abstract: Engagement of cell surface adhesion receptors with extracellular constituents and with cellular counter-receptors is crucial for the extravasation of blood-borne neoplastic cells and their seeding at distant sites; however, the early events of tumor dissemination—ie, the intravasation step(s)—have been largely neglected. A role for the 4β7 integrin was hypothesized to explain the high leukemogenicity exhibited by one (NQ22) among several T-cell lymphomas studied. To clarify the mechanisms of early aggressivity, the behavior of highly and poorly leukemogenic cell lines were compared in vitro. Cocultivation of physically separated leukemic cells with resting endothelial cells resulted in the up-regulation of VCAM-1 expression. NQ22 cells expressed mRNA of different cytokines that up-regulate VCAM-1 and at higher levels than cells of a nonaggressive lymphoma, and they migrated more efficiently through an activated endothelial cell layer. With the use of neutralizing antibodies against interferon-γ, granulocyte macrophage colony-stimulating factor, and tumor necrosis factor (TNF)-, it was determined that TNF- is one of the soluble factors released by NQ22 cells involved in the up-regulation of VCAM-1. The finding that vascular cells within the early local growth were strongly positive for VCAM-1 indicated that NQ22 cells could activate endothelial cells also in vivo. Finally, cocultivation of preleukemic 4−NQ22 cells with TNF--activated endothelial cells induced the expression of 4 integrins on the former cells. Reciprocal up-regulation and engagement of 4/VCAM-1 pairs determined the sequential transmigration and intravasation steps, and similar mechanisms might affect the aggressivity of human T lymphoblastic lymphomas.
    Type of Medium: Online Resource
    ISSN: 1528-0020 , 0006-4971
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2000
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Location Call Number Limitation Availability
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