Skip to main content

Methods for Investigating VLA-4 (CD49d/CD29) Expression and Activation in Chronic Lymphocytic Leukemia and Its Clinical Applications

  • Protocol
  • First Online:
Chronic Lymphocytic Leukemia

Part of the book series: Methods in Molecular Biology ((MIMB,volume 1881))

Abstract

The integrin heterodimer CD49d/CD29 (a.k.a. Very Late Antigen-4, VLA-4) mediates cell-cell and cell-matrix interaction through the binding of its ligands VCAM-1 and fibronectin. VLA-4 can be present on the cell surface at different conformation states that affect the binding affinity for the ligands. In chronic lymphocytic leukemia (CLL), higher VLA-4 levels, as determined by measuring the expression of CD49d chain by flow cytometry, have been demonstrated to associate with a worse prognosis, in keeping with the role of VLA-4 as key molecule favoring CLL cell localization in protective niches of bone marrow and lymph nodes. Given the emerging clinical relevance of VLA-4 evaluation in CLL, both in the setting of the conventional chemo-immunotherapy and the novel drugs targeting the BCR pathway, here we describe the flow cytometric approaches followed by us to quantify the CD49d expression levels and the VLA-4 activation status in CLL cells.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hemler ME, Elices MJ, Parker C, Takada Y (1990) Structure of the integrin VLA-4 and its cell-cell and cell-matrix adhesion functions. Immunol Rev 114:45–65

    Article  CAS  Google Scholar 

  2. Eksioglu-Demiralp E, Alpdogan O, Aktan M, Firatli T, Ozturk A, Budak T et al (1996) Variable expression of CD49d antigen in B cell chronic lymphocytic leukemia is related to disease stages. Leukemia 10:1331–1339

    CAS  PubMed  Google Scholar 

  3. Zucchetto A, Bomben R, Dal Bo M, Bulian P, Benedetti D, Nanni P et al (2006) CD49d in B-cell chronic lymphocytic leukemia: correlated expression with CD38 and prognostic relevance. Leukemia 20:523–525

    Article  CAS  Google Scholar 

  4. Gattei V, Bulian P, Del Principe MI, Zucchetto A, Maurillo L, Buccisano F et al (2008) Relevance of CD49d protein expression as overall survival and progressive disease prognosticator in chronic lymphocytic leukemia. Blood 111:865–873

    Article  CAS  Google Scholar 

  5. Bulian P, Shanafelt TD, Fegan C, Zucchetto A, Cro L, Nuckel H et al (2014) CD49d is the strongest flow cytometry-based predictor of overall survival in chronic lymphocytic leukemia. J Clin Oncol 32:897–904

    Article  Google Scholar 

  6. Shanafelt TD, Geyer SM, Bone ND, Tschumper RC, Witzig TE, Nowakowski GS et al (2008) CD49d expression is an independent predictor of overall survival in patients with chronic lymphocytic leukaemia: a prognostic parameter with therapeutic potential. Br J Haematol 140:537–546

    Article  CAS  Google Scholar 

  7. Dal Bo M, Bulian P, Bomben R, Zucchetto A, Rossi FM, Pozzo F et al (2016) CD49d prevails over the novel recurrent mutations as independent prognosticator of overall survival in chronic lymphocytic leukemia. Leukemia 30:2011–2018

    Article  CAS  Google Scholar 

  8. Tissino E, Benedetti D, Herman SE, ten Hacken E, Ahn IE, Chaffee KG et al (2017) Inside-out VLA-4 integrin activation is maintained in ibrutinib-treated chronic lymphocytic leukemia expressing CD49d: clinical relevance. Hematol Oncol 35:109–110

    Article  Google Scholar 

  9. Hartmann TN, Grabovsky V, Wang W, Desch P, Rubenzer G, Wollner S et al (2009) Circulating B-cell chronic lymphocytic leukemia cells display impaired migration to lymph nodes and bone marrow. Cancer Res 69:3121–3130

    Article  CAS  Google Scholar 

  10. Rose DM, Han J, Ginsberg MH (2002) Alpha4 integrins and the immune response. Immunol Rev 186:118–124

    Article  CAS  Google Scholar 

  11. Ruoslahti E (1991) Integrins. J Clin Invest 87:1–5

    Article  CAS  Google Scholar 

  12. Zucchetto A, Benedetti D, Tripodo C, Bomben R, Dal BM, Marconi D et al (2009) CD38/CD31, the CCL3 and CCL4 chemokines, and CD49d/vascular cell adhesion molecule-1 are interchained by sequential events sustaining chronic lymphocytic leukemia cell survival. Cancer Res 69:4001–4009

    Article  CAS  Google Scholar 

  13. Burger JA, Ghia P, Rosenwald A, Caligaris-Cappio F (2009) The microenvironment in mature B-cell malignancies: a target for new treatment strategies. Blood 114:3367–3375

    Article  CAS  Google Scholar 

  14. Arana E, Harwood NE, Batista FD (2008) Regulation of integrin activation through the B-cell receptor. J Cell Sci 121:2279–2286

    Article  CAS  Google Scholar 

  15. Liu YJ, Arpin C (1997) Germinal center development. Immunol Rev 156:111–126

    Article  CAS  Google Scholar 

  16. Chigaev A, Waller A, Amit O, Halip L, Bologa CG, Sklar LA (2009) Real-time analysis of conformation-sensitive antibody binding provides new insights into integrin conformational regulation. J Biol Chem 284:14337–14346

    Article  CAS  Google Scholar 

  17. de Rooij MF, Kuil A, Geest CR, Eldering E, Chang BY, Buggy JJ et al (2012) The clinically active BTK inhibitor PCI-32765 targets B-cell receptor- and chemokine-controlled adhesion and migration in chronic lymphocytic leukemia. Blood 119:2590–2594

    Article  Google Scholar 

  18. Herman SE, Mustafa RZ, Jones J, Wong DH, Farooqui M, Wiestner A (2015) Treatment with ibrutinib inhibits BTK- and VLA-4-dependent adhesion of chronic lymphocytic leukemia cells in vivo. Clin Cancer Res 21:4642–4651

    Article  CAS  Google Scholar 

Download references

Acknowledgment

This work was supported in part by the Associazione Italiana Ricerca Cancro (AIRC), Investigator Grants IG-17622; Progetto Giovani Ricercatori no. GR-2011-02346826, Ministero della Salute (MdS), Rome, Italy; 5 × 1000_2010_MdS to the Centro di Riferimento Oncologico of Aviano; Ricerca clinica, traslazionale, di base, epidemiologica e organizzativa, Regione Friuli Venezia Giulia (“Linfo-Check” Project), Trieste, Italy; Associazione Italiana contro le Leucemie, linfomi e mielomi (AIL), Venezia Section, Pramaggiore Group, Italy; PMU research fund-FFF-E-17/25-130-HAH.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Valter Gattei .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Science+Business Media, LLC, part of Springer Nature

About this protocol

Check for updates. Verify currency and authenticity via CrossMark

Cite this protocol

Zucchetto, A., Tissino, E., Chigaev, A., Hartmann, T.N., Gattei, V. (2019). Methods for Investigating VLA-4 (CD49d/CD29) Expression and Activation in Chronic Lymphocytic Leukemia and Its Clinical Applications. In: Malek, S. (eds) Chronic Lymphocytic Leukemia. Methods in Molecular Biology, vol 1881. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-8876-1_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-8876-1_8

  • Published:

  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-8875-4

  • Online ISBN: 978-1-4939-8876-1

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics