IntroductionB-cell chronic lymphocytic leukemia (CLL) is characterized by the accumulation of a monoclonal population of CD5 ϩ neoplastic B cells in blood, secondary lymphoid tissues, and the marrow. 1 Chemokines are essential for lymphocyte trafficking and homing during immune surveillance. 2 However, the mechanisms that regulate the dissemination of CLL cells to different tissue compartments are largely unknown. Earlier, we reported that the chemokine receptor CXCR4 induces spontaneous migration of CLL cells beneath marrow stromal cells. 3 More recently, the importance of CXCR4 for homing of neoplastic B cells to the marrow was confirmed in vivo. 4 We also reported that a small proportion of monocyte-derived cells from the blood of CLL patients differentiates into large, adherent nurselike cells (NLCs) that attract CLL cells and protect them from undergoing spontaneous or druginduced cell death. [5][6][7] NLCs express high levels of CD68 and can be detected in secondary lymphoid tissues from patients with CLL. 6 NLCs therefore appear to be an integral part of the CLL microenvironment within secondary lymphoid tissues, and may be comparable with lymphoma-associated macrophages (LAMs) in follicular lymphoma. 8 The molecules involved in the cross talk between CLL cells and NLCs are only partially understood. NLCs secrete CXCL12 and thereby attract CLL cells and support their survival. 5,9 Moreover, NLCs express B-cell-activating factor of the tumor necrosis factor (TNF) family (BAFF), a proliferation-inducing ligand (APRIL), 9 CD31, and plexin-B1 10 that also protect CLL cells from apoptosis, indicating that NLCs use multiple distinct pathways to support CLL cell survival.In contrast to CXCR4, which is broadly expressed by normal and malignant hematopoietic and nonhematopoietic cells, 11 the chemokine receptor CXCR5 is expressed only by mature recirculating B cells, a small subset of CD4 ϩ and CD8 ϩ T cells, and skin-derived migratory dendritic cells (reviewed in Muller et al 12 ). CXCR5 initially was isolated from Burkitt lymphoma and designated Burkitt lymphoma receptor 1 (BLR1). 13 CXCR5 gene-deleted mice display defective formation of primary follicles and germinal centers in the spleen and Peyer patches, and lack inguinal lymph nodes. 14 Subsequently, the ligand for CXCR5 was identified and termed B-cell-attracting chemokine 1 (BCA-1). 15,16 According to our current chemokine classification, BCA-1 now is designated CXCL13. 17 CXCL13 is a homeostatic chemokine that is constitutively secreted by stromal cells in B-cell areas of secondary lymphoid tissues (follicles), where B cells encounter antigen and differentiate. Generally, CXCR5 induces recruitment of circulating naive B cells to follicles. 15,[18][19][20] Regarding the microanatomic positioning within the germinal center (GC), dark and light zones of the GC can be distinguished, and centroblasts localize to the dark zones via CXCR4. There, centroblasts rapidly divide and undergo somatic hypermutation of the antibody variable region genes. Subsequently, t...