ATRA-stimulated NB4 cells. Moreover, as opposed to what was observed with NB4 cells, in primary leukemia cells derived from 5 newly diagnosed APL patients, only CCL2 was consistently up-regulated at mRNA and protein levels. Furthermore, increased levels of CCL2, CCL4, CCL7, and CCL24 were found in plasma of an APL patient with DS and not in 2 APL patients without DS. Finally, by adding ATO alone in NB4-cultured cells, only CCL2 and CCL7 were upregulated more than 5-fold.These results indicate that CCL2 and CCL7 are elevated in a single patient with DS studied and also in the NB4-cultured cells