We previously demonstrated that the phosphorylation status of hematopoietic cell-specific Lyn substrate 1 (HS1) has a potential prognostic significance in chronic lymphocytic leukemia (CLL), as patients whose leukemic cells carry phosphorylated HS1 have a better prognosis than patients with the hyper-phosphorylated form. We more recently showed in the CLL-prone E-TCL1 transgenic mouse that HS1 is a pivotal molecule in the signal transduction pathway triggered by the B-cell receptor (BCR), interacting with severalcytoskeletalcomponentsandbeinginvolvedintissuetrafficking and homing. Moreover, its inactivation has a profound effect on the development and progression of murine CLL and has a functional parallel with the hyper-phosphorylation status shown by some patients. On this basis our aim was to define if and how the different phosphorylation status of HS1 present in CLL patients may affect the signaling pathway originating from the BCR and the leukemic cell migratory capacity. Initially, we took advantage of the CLL cell line MEC1 silenced for the expression of HS1 and we dissected the signaling pathway downstream from the BCR by western blot and immunoprecipitation. Interestingly, we found that the phosphorylation status of several BCR signaling molecules, including Lyn kinase, SH2-containing tyrosine phosphatase (SHP), extracellular signal-regulated kinases (ERK) and the cytoskeleton-related proteins Vav, Rac and HIP-55, is directly affected by the absence of HS1. We then confirmed a similar pattern of modifications in primary cells from 40 CLL patients showing a different phosphorylation status of HS1. These findings indicate that the pattern of HS1 phosphorylation is associated with a specific biochemical signature characterized by the loss of phosphorylation in several BCR downstream signaling molecules, reflecting a different cytoskeleton activity. Based on this evidence and in order to elucidate possible changes in cell homing and adhesion, we investigated in vivo the migration capacity of human leukemic cells from patients showing different levels of HS1 phosphorylation. CLL cells purified from 8 patients were labeled with different concentrations of carboxyfluorescein succinimidyl ester (CFSE), were then paired into 4 couples according to their HS1 phosphorylation status and injected intravenously into Rag2-/-ϒc-/recipient mice. Each couple included a case with phosphorylated HS1 and a case with hyper-phosphorylated HS1 CLL cells. In 3/4 couples of differentially phosphorylated paired patients, CLL cells with phosphorylated HS1 had a consistent homing rate to the spleen while CLL cells with hyper-phosphorylated HS1 had a preferential homing to the bone marrow (BM). Similar results were obtained after injecting HS1-silenced MEC1 cells into Rag2-/-ϒc -/- mice. Taken together, these observations indicate that: a) the presence of hyperphosphorylatedHS1equalstheabsenceoftheproteinandthus the hyperphosphorylation of HS1 is functionally inhibitory and b) there is a correlation between the status of HS1 phosphorylation and the propensity of human CLL cells to accumulate in distinct environments in vivo. Having this in mind, we investigated the expressionpatternofHS1proteinintheBMandPBofCLLpatientseither lacking or carrying the hyperphosphorylated form of the molecule. Preliminary observations revealed that in the same patient HS1 is differentially expressed in the BM as compared with the PB; specifically BM CLL cells lack HS1 expression when the protein is hyperphosphorylated in PB cells. These data suggest that the expression of HS1 is finely tuned in different compartments and that cells which have switched off the protein expression preferentially accumulate in the BM. These findings strengthen our previous observation that HS1 phosphorylation has an important role in controlling cell migration and homing of leukemic B cells, likely through its involvement in cytoskeleton organization and tissue homing. The fact that HS1 protein expression appears to be finely modulated in CLL patients suggests its crucial role in the development and progression of the disease.
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