PMID- 14656893 OWN - NLM STAT- MEDLINE DCOM- 20040511 LR - 20210206 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 103 IP - 7 DP - 2004 Apr 1 TI - Possible link between unique chemokine and homing receptor expression at diagnosis and relapse location in a patient with childhood T-ALL. PG - 2806-8 AB - Childhood acute lymphoblastic leukemia (ALL) is often associated with extramedullary infiltration by leukemic cells at diagnosis or at relapse. To understand the mechanisms behind the dissemination of T-cell ALL (T-ALL) cells this study investigated the homing receptor expression on the blast cells of 11 pediatric T-ALL patients at diagnosis. One patient revealed a unique profile with high expression of the chemokine receptor CCR9 and the integrin CD103 on the T-ALL cells. Both of these molecules are specifically associated with homing to the gut. This finding was clinically significant as the patient later suffered a relapse that was confined to the gut. Immunohistochemistry revealed that the leukemic cells in the gut still expressed CCR9 and colocalized with a high expression of the CCR9 ligand, CCL25. These findings suggest that the original expression of CCR9 and CD103 on the leukemic cells contributed to the relapse location in the gut of this patient. FAU - Annels, Nicola E AU - Annels NE AD - Department of Paediatrics, Division of Immunology, Haematology, Oncology, Bone Marrow Transplantation and Autoimmune Diseases, Leiden University Medical Center, The Netherlands. n.e.annels@lumc.nl FAU - Willemze, Annemieke J AU - Willemze AJ FAU - van der Velden, Vincent H J AU - van der Velden VH FAU - Faaij, Claudia M J M AU - Faaij CM FAU - van Wering, Elisabeth AU - van Wering E FAU - Sie-Go, Daisy M D S AU - Sie-Go DM FAU - Egeler, R Maarten AU - Egeler RM FAU - van Tol, Maarten J D AU - van Tol MJ FAU - Revesz, Tom AU - Revesz T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20031204 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Receptors, Chemokine) RN - 0 (Receptors, Lymphocyte Homing) SB - IM MH - Calcium Signaling MH - Child MH - Humans MH - Leukemia, Myeloid, Acute/pathology MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*diagnosis/pathology MH - Receptors, Chemokine/*analysis MH - Receptors, Lymphocyte Homing/*analysis MH - Recurrence EDAT- 2003/12/06 05:00 MHDA- 2004/05/12 05:00 CRDT- 2003/12/06 05:00 PHST- 2003/12/06 05:00 [pubmed] PHST- 2004/05/12 05:00 [medline] PHST- 2003/12/06 05:00 [entrez] AID - S0006-4971(20)43896-0 [pii] AID - 10.1182/blood-2003-06-1812 [doi] PST - ppublish SO - Blood. 2004 Apr 1;103(7):2806-8. doi: 10.1182/blood-2003-06-1812. Epub 2003 Dec 4.