IntroductionZAP-70 is a 70-kDa T-cell antigen receptor (TCR) z-chainassociated cytoplasmic protein tyrosine kinase (PTK) that initially was identified in T lymphocytes. 1,2 Following ligation of the TCR, tyrosine-containing immunoreceptor tyrosine-based activation motifs (ITAMs) within the cytoplasmic tails of the CD3 molecules and the TCR zeta chain (CD247) are phosphorylated by the Src kinase, Lck. 3 ZAP-70 is recruited to the phosphorylated ITAMs and becomes activated via tyrosine phosphorylation. The activated ZAP-70 in turn can induce activation of downstream signaling pathways, such as the phospholipase Cg/Ca 2ϩ (PLC-␥) signaling pathway and the Ras/mitogen-activated protein kinase (MAPK) pathway. 4 B cells generally lack ZAP-70, but instead use a related PTK, called p72 Syk , to mediate signaling via the B-cell receptor (BCR) complex. 5 Similar to p72 Syk is recruited to the phosphorylated ITAMs of the accessory molecules of the BCR complex, namely CD79a and CD79b, whereupon p72 Syk becomes activated. 6,7 As such, ZAP-70 and p72 Syk play similar roles in antigen-receptor signaling pathways.Previous studies demonstrated that chronic lymphocytic leukemia (CLL) B cells that express unmutated immunoglobulin heavychain variable region genes (IGHV) generally express ZAP-70, in contrast to normal B cells or most patients with CLL that use mutated IGHV, 8,9 allowing ZAP-70 to be used as a surrogate marker for expression of unmutated IGHV. 10 Patients with CLL cells that use unmutated IGHV and/or express ZAP-70 have a relatively short median time from diagnosis to initial treatment than patients with leukemia cells that use mutated IGHV. Recent studies have found that leukemia-cell expression of ZAP-70 actually might be a stronger risk factor for aggressive disease than use of unmutated IGHV genes by CLL cells. 11,12 Conceivably, ZAP-70 contributes to the relatively aggressive clinical behavior of CLL cells that express unmutated IGHV genes.Indeed, the repertoire of Ig expressed in CLL is highly restricted, suggesting that leukemia cells are selected based upon their capacity to interact with some unknown antigen(s). 13,14 More recent studies have found that expression of ZAP-70 in CLL is associated with enhanced Ig receptor signaling. 8,15,16 This is despite the fact that most CLL cells also express p72 Syk at levels similar to that of normal B cells, which do not require ZAP-70 for efficient BCR signaling. Moreover, the introduction of ZAP-70 into CLL cells that previously lacked this tyrosine kinase could enhance their capacity to undergo phosphorylation of P72 Syk , B-cell linker protein (BLNK), and PLC-␥, and to experience intracellular calcium flux in response to surface IgM ligation. 17 These studies demonstrated that ZAP-70 could enhance BCR signaling in CLL B cells. However, they did not establish whether this effect was dependent upon the kinase activity of ZAP-70. This would be important to resolve prior to the development of specific inhibitors of the ZAP-70 kinase for the treatment of patients with ...