Abstract
Multiple myeloma is a tumor of the B cell lineage, with characteristic monoclonal end stage plasma cells in the bone marrow, responsible for producing large quantities of monoclonal immunoglobulin present in serum, and for triggering osteoclasts to produce lesions of the bone, leading to high blood calcium, the possibility of kidney failure, and severe pathological damage. The proliferative potential of these plasma cells is low, and they express very few surface molecules involved in locomotion and migration. Candidates for spreading of the disease are circulating, monoclonal B cells, which have been reported by us (1, 2) and others (3–8). We have described a large subset of circulating cells belonging to the same clone as the bone marrow plasma cells in myeloma, which represent late stages of B cell differentiation towards pre-plasma cells, predominantly expressing the CD45R0 isoform (1), only found on activated late stage B cells (9). This subset of monoclonal B cells in the peripheral blood was observed among newly diagnosed patients, as well as patients undergoing intermittent chemotherapy, or at stable phases of disease (1), and thus seems unaffected by conventional therapy (see also Pilarski et al., this issue). In contrast to the bone marrow plasma cells, the blood B cells comprise a proliferating subpopulation (2). The monoclonal B cells in the blood of myeloma patients are at a late stage of B cell differentiation, and appear to be continuously progressing towards the plasma cell stage. Significant numbers of plasma cells, however, are only found in the bone marrow, except in terminal or highly aggressive myeloma, where they may be present in the blood as well. These observations suggest that if the blood B cells are, or include, a precursor population for the bone marrow plasma cells of the same clonality, the blood B cells must be capable of extravasating and migration to the bone marrow. It further suggests that in myeloma patients, the blood does not provide the micro environmental stimuli to support the terminal differentiation to end stage plasma cells. The myeloma blood B cells express multiple adhesion molecules, including CD11b, L-Selectin, CD44, α2β1, and α6β1, in contrast to the plasma cells in the myeloma bone marrow. This strongly indicates that the circulating subset is indeed potentially more motile and capable of extravasating and homing to the bone marrow.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Jensen GS, MJ Mant, AJ Belch, JR Berensn, BA Ruether, LM Pilarski (1991) Selective expression of CD45 isoforms defines CALLA + monoclonal B lineage cells in peripheral blood from myeloma patients as late stage B cells. Blood 78:711–719.
Pilarski LM, GS Jensen (1992) Monoclonal circulating B cells in multiple myeloma: A continuously differentiating possibly invasive population as defined by expression of CD45 isoforms and adhesion molecules. Hematology/Oncology Clinics of North America, in press.
Grogan TM, BGM Durie, C Lomen, C Spir, DP Wirt, R Nagle, GS Wilson, L Richter, E Vela, V Maxey, K McDaniel, C Rangel (1987) Delineation of a novel pre-B cell component in plasma cell myeloma: immunochemical, immunophenotypic, genotypic, cytologic, cell culture, and kinetic features. Blood 70:932–942.
King MA, DS Nelson (1989) Tumor cell heterogeneity in multiple myeloma: Antigenic, morphologic, and functional studies of cells from blood and bone marrow. Blood 73:1925–1935.
Berenson J, R Wong, K Kim, N Brown, and A Lichtenstein (1987) Evidence for peripheral blood B lymphocyte but not T lymphocyte involvement in multiple myeloma. Blood 70:1550–1553.
van Riet I, C Heirman, P Lacor, M D. Waee, K Thielemans, B van Camp (1989) Detection of monoclonal B lymphocytes in bone marrow and peripheral blood of multiple myeloma patients by Immunoglobulin gene rearrangement studies. Brit J Haematol 73:289–295.
Chiu EKW, K Ganeshaguru, AV Hoffbrand, AB Metha (1989) Circulating monoclonal B lymphocytes in multiple myeloma. Brit J Haematol 72:28–31.
Berenson JR, AK Lichtenstein (1989) Clonal rearrangement of Immunoglobulin genes in peripheral blood of multiple myeloma patients. Brit J Haematol 73:425–427.
Jensen GS, S Poppema, MJ Mant, LM Pilarski (1989) Transition in CD45 isoform expression during differentiation of normal and abnormal B cells. Int Immunol 1:229–336.
Kuypers TW, D Roos (1989) Leukocyte membrane adhesion proteins LFA-1, CR3, and p150, 95: A review of functional and regulatory aspects. Res Immunol 140:461–486.
Larson RS, TA Springer (1990) Structure and function of Leukocyte Integrins. Immunol Reviews 114:181–217.
Springer TA (1990) Adhesion receptors of the immune system. Nature 346:425–434.
Van Epps DE, J Potter, M Vachula, CW Smih, DC Anderson (1989) Suppression of human lymphocyte Chemotaxis and transendothelial migration by anti-LFA-1 antibody. J Immunol 143:3207–3210.
Oppenheimer-Marks N, LS Davis, PE Lipsky (1990) Human T lymphocyte adhesion to endothelial cells and transendothelial migration. Alteration of receptor use relates to activation status of both the T cell and the endothelial cell. J Immunol 145:140–148.
Hemler ME, MJ Elices, C Parker, Y Takada (1990) Structure of the integrin VLA-4 and its cell-cell and cell-matrix adhesion functions. Immunol Rev 114:45–66.
Klingemann H-G, S Dedhar (1989) Distribution of integrins on human peripheral blood mononuclear cells. Blood 74:1348–1354.
Campanero MR, R Pulido, MA Ursa, M Rodriguez-Moa, MO de Landazuri, F Sanchez-Madrid (1990) An alternative leukocyte homotypic adhesion mechanism, LFA-1/ICAM-l-independent, triggered through the human VLA-4 integrin. J Cell Biology 110:2157–2165.
Elices MJ, L Osborn, Y Takada, C Croue, S Luhowskyj, ME Hemler, RR Lobb (1990) VCAM-1 on activated endothelium interacts with the leukocyte integrin VLA-4 at a site distinct from the VLA-4/fibronectin binding site. Cell 60:577–584.
Stupack DG, S Stewart, WG Carter, EA Waynr, JA Wilkins (1991) B lymphocyte fibronectin receptors: Expression and utilization. Scand J Immunol 34:761–769.
Kohn FR, ME Grigg, H-G Klingemann (1991) Fibronectin receptor subunit (a5, a4, and b1) mRNA and cell surface expression in human peripheral blood B lymphocytes. Immunology Letters 28:27–30.
Ballard LL, EJ Brown, VM Holers (1991) Expression of the fibronectin receptor VLA-5 is regulated during human B cell differentiation and activation. Clin Exp Immunol 84:336–346.
Spertini OS, GS Kansas, JM Munro, JD Griffn, TF Tedder (1991) Regulation of leukocyte migration by activation of the leukocyte adhesion molecule-1 (LAM-1) selectin. Nature 349:691–694.
Tedder TF, CM Isaacs, TJ Ernst, GD Demeti, DA Adler, CM Disteche (1989) Isolation and chromosomal location of cDNAs encoding a novel human lymphocyte cell surface molecule, LAM-1. Homology with the mouse homing receptor and other human adhesion proteins. J Exp Med 170:123–133.
Kansas GS, GS Wood, EG Engleman (1985) Maturational and functional diversity of human B lymphocytes delineated with anti-Leu8. J Immunol 134:3003–3006.
Kansas GS, MO Dailey (1989) Expression of adhesion structures during B cell development in man. J Immunol 142:3058–3062.
Stamenkovic I, M Amiot, JM Pesando, B Seed (1989) A lymphocyte molecule implicated in lymph node homing is a member of the cartilage link protein family. Cell 56:1057–1062.
Coombe DR, CC Rider (1989) Lymphocyte homing receptors cloned — a role for anionic Polysaccharides in lymphocyte adhesion. Immunol Today 10:289–291.
Gallatin WM, IL Weissman, EC Butcher (1983) A cell-surface molecule involved in organ-specific homing of lymphocytes. Nature 304:30–34.
Haynes BF, MJ Telen, LP Hale, SM Denning (1989) CD44 — A molecule involved in leukocyte adherence and T cell activation. Immunol Today 10:423–428.
Chan BMC, N Matsuura, Y Takada, BR Zetter, ME Hemler (1991) In vitro and in vivo consequences of VLA-2 expression on rhabdosarcoma cells. Science 251:1600–1602.
Klein CE, T Steinmayer, D Kaufmann, L Weber, E Brocker (1991) Identification of a melanoma progression antigen as integrin VLA-2. J Invest Dermatol 96:281–284.
Dedhar S, R Saulnier (1990) Alterations in integrin receptor expression on chemically transformed cells: Specific enhancement of laminin and collagen receptor complexes. J Cell Biol 110:481–489.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Jensen, G.S., Belch, A.R., Mant, M.J., Ruether, B.A., Pilarski, L.M. (1992). Expression of Multiple Adhesion Molecules on Circulating Monoclonal B Cells in Myeloma. In: Potter, M., Melchers, F. (eds) Mechanisms in B-Cell Neoplasia 1992. Current Topics in Microbiology and Immunology, vol 182. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77633-5_22
Download citation
DOI: https://doi.org/10.1007/978-3-642-77633-5_22
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-77635-9
Online ISBN: 978-3-642-77633-5
eBook Packages: Springer Book Archive