High-grade lymphomas arising from mature B cells are constituted by Burkitt lymphoma (BL) and diffuse large B-cell lymphoma (DLBCL). The latter represents the most common form of adult NHL. DLBCL is widely accepted for its heterogeneity, best reflected by differences in clinical responses to chemotherapy. 1 DLBCL heterogeneity was recently molecularly identified with gene-expression array studies. 2 Despite the significant improvement achieved in the therapy of this disease with the emergence of B-cell-specific (anti-CD20) monoclonal antibody treatment, resistant DLBCL remain a significant clinical problem. Indeed, the recent report analyzing the effect of chemotherapy combined with anti-CD20 indicates that 40% of patients do not survive in a 5-year follow-up period. 3 Future improvements to DLBCL therapy are therefore likely to result from the identification of key molecular targets in the treatmentresistant subtypes.APRIL (also known as TALL-2) and BAFF (also known as BLys, TALL-1) are closely related ligands of the TNF superfamily. They share 2 receptors, BCMA and TACI, whereas BAFF binds to a third receptor BAFF-R (also known as BR3). 4 BAFF-R, TACI, and BCMA are predominantly expressed on B cells, consistent with a role for these 2 TNF ligands in humoral immune responses. The BAFF/BAFF-R pathway is crucial for the maturation and maintenance of peripheral B cells. 5,6 BAFF participates also in humoral immune responses by providing B-cell costimulation and inducing Ig switch. 7,8 APRIL has no obvious role in B-cell development 9 but, like BAFF, is involved in humoral immune responses. 7,8,10 Dysregulation of the BAFF/APRIL pathways has been associated with several autoimmune diseases. 11 In addition to a role in autoimmune pathologies, APRIL and BAFF have been recently implicated in the development of tumors. 12 In animal models, APRIL and BAFF overexpression induces development of B-cell neoplasia. 13,14 The involvement of these 2 TNF ligands in B-cell tumors has been substantiated with in vitro studies on human cell lines. Exogenous APRIL confers a survival advantage to NHL, 15-17 and multiple myeloma. [18][19][20] Recently, APRIL binding to the heparan sulfate side chains of proteoglycans (HSPG) was demonstrated. 21,22 In contrast, BAFF does not bind HSPG, suggesting differences in APRIL and BAFF biology. Here, we analyzed in situ APRIL expression in human NHL. We observed that APRIL was only up-regulated in highgrade B-cell lymphomas and found that proteoglycans contribute to a tumor-promoting role of APRIL in these lymphomas. For personal use only. on May 9, 2018. by guest www.bloodjournal.org From
Patients, materials, and methods
Cells and reagentsAll culture media were RPMI-1640 supplemented with 10% FCS. The DLBCL lines SU-DHL-4 and -7 and OCI-Ly3, OCI-Ly7, and OCI-Ly10 were obtained from Dr A. Wiestner (NIH, Bethesda, MD). Dendritic cells were obtained from peripheral monocytes treated with GM-CSF/IL-4 as previously described. 23 Granulocytes were obtained from bone marrow CD34 ϩ cells as previously ...