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Microenvironmental Interactions in Chronic Lymphocytic Leukemia: The Master Role of CD49d

  • Michele Dal Bo
  • , Erika Tissino
  • , Dania Benedetti
  • , Chiara Caldana
  • , Riccardo Bomben
  • , Giovanni Del Poeta
  • , Gianluca Gaidano
  • , Francesca Maria Rossi
  • , Antonella Zucchetto
  • , Valter Gattei

Research output: Contribution to journal › Article › peer-review

Abstract

Chronic lymphocytic leukemia (CLL) is a clinically heterogeneous disease characterized by the accumulation/expansion of a clonal population of neoplastic cells with the morphologic appearance of small mature B lymphocytes in blood, bone marrow, and lymphoid organs. A combination of genetic lesions is primarily responsible for the first step(s) of neoplastic transformation, along with microenvironmental signals, which concurrently operate by enhancing proliferation and/or inhibiting apoptosis. In this context, CD49d is known to play a pivotal role in mediating both cell-cell and cell-matrix interactions in CLL-involved tissues, eventually delivering pro-survival signals and protecting CLL cells from drug-induced damages. In the present review, we address, in detail, CD49d activities in the CLL microenvironment, CD49d functional and physical interactions with other microenvironmental receptors (including CD38 and B-cell receptor), and the relationship of CD49d expression with specific cytogenetic features in CLL.

Original languageEnglish
Pages (from-to)168-176
Number of pages9
JournalSeminars in Hematology
Volume51
Issue number3
DOIs
Publication statusPublished - Jul 2014

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