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12th Congress of the European Hematology ... - Haematologica

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Methods. Several read-out systems were used in this study including RT-<br />

PCR, flow cytometry, Western blotting and phosphorylation assay.<br />

Results. Ror-1 was expressed at <strong>the</strong> gene and protein levels in leukemic<br />

B cells <strong>of</strong> all B-CLL patients (n=100). Ror1 was not expressed in leukocytes<br />

from healthy individuals, enriched B cells, T cells, and granulocytes<br />

but weakly in normal tonsil B cells. A strong activation signal<br />

(PMA/Ionomycin) induced expression <strong>of</strong> Ror1 in normal lymphocytes.<br />

Five different variants <strong>of</strong> <strong>the</strong> Ror1 protein were identified, ranging from<br />

68 to 105 kDa (68, 85, 96, 102, and 105). The 102 and 105 kDa is<strong>of</strong>orms<br />

may represent <strong>the</strong> native Ror-1 molecules and were differentially<br />

expressed in progressive and non-progressive disease. The 68, 85, and 96<br />

kDa is<strong>of</strong>orms were auto-phosphorylated but not <strong>the</strong> 102 and 105 kDa<br />

variants. Conclusions. The ectopic expression <strong>of</strong> auto-phosphorylated<br />

Ror1 in CLL, indicate a potential role <strong>of</strong> this RTK in <strong>the</strong> pathobiology <strong>of</strong><br />

B-CLL.<br />

0513<br />

GENE EXPRESSION COMPARISON BETWEEN B CELLS EXPRESSING HIGH AND LOW<br />

LEVEL OF ZAP-70 MRNA REVEALS DISTINCT PROFILES, POTENTIAL THERAPEUTIC<br />

TARGETS AND NEW PROGNOSTIC FACTORS FOR CHRONIC LYMPHOCYTIC LEUKEMIA<br />

B. Stamatopoulos, C. Equeter, B. Haibe-Kains, A. Soree, C. Sotiriou,<br />

D. Bron, P. Martiat, L. Lagneaux<br />

Bordet Institute, BRUSSELS, Belgium<br />

Background. Chronic Lymphocytic Leukemia (CLL) is a heterogeneous<br />

disease characterized by a highly variable clinical course based on <strong>the</strong><br />

IgVH mutational status currently considered as one <strong>of</strong> <strong>the</strong> powerful prognosis<br />

factors. Because <strong>of</strong> <strong>the</strong> complexity <strong>of</strong> this analysis, several surrogate<br />

genes <strong>of</strong> this mutational status have been found in <strong>the</strong> recent years,<br />

among <strong>the</strong>m Zap-70 seems to be a reliable prognostic factor. Methods.<br />

We compared three predictive markers (Zap-70, lipoprotein lipase and<br />

CD38 expression) in term <strong>of</strong> treatment-free (TFS) and overall (OS) survival<br />

and finally Zap-70 (zeta-associated protein 70) was chosen because<br />

<strong>of</strong> its strong association with <strong>the</strong> IgVH status and high prognostic values.<br />

We developed a quantitative real time PCR to measure Zap-70<br />

mRNA expression in a cohort <strong>of</strong> 100 patients and to classify patients<br />

with high and low Zap-70 expression. Gene expression pr<strong>of</strong>iles <strong>of</strong> high<br />

(Zap-70high , n=7) and low (Zap-70low , n=7) mRNA expression were <strong>the</strong>n<br />

compared using Affymetrix U133 plus 2.0 genechips representing more<br />

than 47000 transcripts. Results. Among genes differently expressed<br />

(p

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