Distinct homotypic B-cell receptor interactions shape the outcome of chronic lymphocytic leukaemia

C Minici, M Gounari, R Übelhart, L Scarfò, M Dühren-von Minden, D Schneider, A Tasdogan, A Alkhatib, A Agathangelidis, S Ntoufa, N Chiorazzi, H Jumaa, K Stamatopoulos, P Ghia, M Degano

Research output: Contribution to journalArticlepeer-review

Abstract

Cell-autonomous B-cell receptor (BcR)-mediated signalling is a hallmark feature of the neoplastic B lymphocytes in chronic lymphocytic leukaemia (CLL). Here we elucidate the structural basis of autonomous activation of CLL B cells, showing that BcR immunoglobulins initiate intracellular signalling through homotypic interactions between epitopes that are specific for each subgroup of patients with homogeneous clinicobiological profiles. The molecular details of the BcR-BcR interactions apparently dictate the clinical course of disease, with stronger affinities and longer half-lives in indolent cases, and weaker, short-lived contacts mediating the aggressive ones. The diversity of homotypic BcR contacts leading to cell-autonomous signalling reconciles the existence of a shared pathogenic mechanism with the biological and clinical heterogeneity of CLL and offers opportunities for innovative treatment strategies.
Original languageEnglish
Article number15746
JournalNature Communications
Volume8
Issue number11
DOIs
Publication statusPublished - 2017

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