CD38 expression labels an activated subset within chronic lymphocytic leukemia clones enriched in proliferating B cells

Blood. 2007 Nov 1;110(9):3352-9. doi: 10.1182/blood-2007-04-083832. Epub 2007 Aug 7.

Abstract

Chronic lymphocytic leukemia (CLL) cells are thought to have diminished cell-cycling capacity, a view challenged by their phenotypic resemblance to activated human B lymphocytes. The present study addresses the cell-cycling status of CLL cells, focusing on those leukemic cells expressing CD38, a molecule involved in signaling and activation that also serves as a prognostic marker in this disease. CD38(+) and CD38(-) members of individual CLL clones were analyzed for coexpression of molecules associated with cellular activation (CD27, CD62L, and CD69), cell-cycle entry (Ki-67), signaling (ZAP-70), and protection from apoptosis (telomerase and Bcl-2). Regardless of the size of the CD38(+) fraction within a CLL clone, CD38(+) subclones are markedly enriched for expression of Ki-67, ZAP-70, human telomerase reverse transcriptase, and telomerase activity. Although the percentage of cells (approximately 2%) entering the cell cycle as defined by Ki-67 expression is small, the absolute number within a clone can be sizeable and is contained primarily within the CD38(+) fraction. Despite these activation/proliferation differences, both CD38(+) and CD38(-) fractions have similar telomere lengths, suggesting that CD38 expression is dynamic and transient. These findings may help explain why high percentages of CD38(+) cells within clones are associated with poor clinical outcome.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • ADP-ribosyl Cyclase 1 / metabolism*
  • Aged
  • Aged, 80 and over
  • Antigens, Surface / metabolism
  • B-Lymphocyte Subsets / metabolism*
  • B-Lymphocyte Subsets / pathology*
  • CD5 Antigens / metabolism
  • Case-Control Studies
  • Cell Proliferation*
  • Flow Cytometry
  • Humans
  • Ki-67 Antigen / metabolism
  • Leukemia, Lymphocytic, Chronic, B-Cell / blood
  • Leukemia, Lymphocytic, Chronic, B-Cell / pathology*
  • Middle Aged
  • Telomerase / metabolism
  • ZAP-70 Protein-Tyrosine Kinase / metabolism

Substances

  • Antigens, Surface
  • CD5 Antigens
  • Ki-67 Antigen
  • ZAP-70 Protein-Tyrosine Kinase
  • ZAP70 protein, human
  • Telomerase
  • ADP-ribosyl Cyclase 1