Evidence map›Paper›PMID 39061955›Full record

ArticleBiomedicines2024

Chronic Lymphocytic Leukemia (CLL)-Derived Extracellular Vesicles Educate Endothelial Cells to Become IL-6-Producing, CLL-Supportive Cells.

Orit Uziel, Lian Lipshtein, Zinab Sarsor, Einat Beery, Shaked Bogen, Meir Lahav, Alon Regev, Vitali Kliminski, Roded Sharan, Asia Gervits and 4 more

Abstract read
In one paragraph

Article in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Extracellular vesicles in malignant and normal B lymphocyte growth and development.Extracellular vesicles and circulating nucleic acids · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Orit UzielThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.ORCID 0000-0001-8613-121X
Lian LipshteinThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.
Zinab SarsorThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.
Einat BeeryThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.
Shaked BogenInstitute of Hematology, Davidoff Cancer Center, Petah Tikva 49100, Israel.
Meir LahavThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.ORCID 0000-0002-6574-2510
Alon RegevThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.
Vitali KliminskiThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.
Roded SharanBlavatnik School of Computer Science, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel.ORCID 0000-0001-8363-4882
Asia GervitsBlavatnik School of Computer Science, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel.
Lorenzo Federico SignoriniBlavatnik School of Computer Science, Tel-Aviv University, Ramat-Aviv, Tel Aviv 69978, Israel.
Shai ShimonyThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.
Pia RaananiThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.
Uri RozovskiThe Felsenstein Medical Research Center, Rabin Medical Center Petah-Tikva, Petah Tikva 49100, Israel.

Funding

Dotan Grant of the CBRC, Tel Aviv University none
6 · The paper itself

Abstract

We hypothesized that via extracellular vesicles (EVs), chronic lymphocytic leukemia (CLL) cells turn endothelial cells into CLL-supportive cells. To test this, we treated vein-derived (HUVECs) and artery-derived (HAOECs) endothelial cells with EVs isolated from the peripheral blood of 45 treatment-naïve patients. Endothelial cells took up CLL-EVs in a dose- and time-dependent manner. To test whether CLL-EVs turn endothelial cells into IL-6-producing cells, we exposed them to CLL-EVs and found a 50% increase in IL-6 levels. Subsequently, we filtered out the endothelial cells and added CLL cells to this IL-6-enriched medium. After 15 min, STAT3 became phosphorylated, and there was a 40% decrease in apoptosis rate, indicating that IL-6 activated the STAT3-dependent anti-apoptotic pathway. Phospho-proteomics analysis of CLL-EV-exposed endothelial cells revealed 23 phospho-proteins that were upregulated, and network analysis unraveled the central role of phospho-β-catenin. We transfected HUVECs with a β-catenin-containing plasmid and found by ELISA a 30% increase in the levels of IL-6 in the culture medium. By chromatin immunoprecipitation assay, we observed an increased binding of three transcription factors to the IL-6 promoter. Importantly, patients with CLL possess significantly higher levels of peripheral blood IL-6 compared to normal individuals, suggesting that the inducers of endothelial IL-6 are the neoplastic EVs derived from the CLL cells versus those of healthy people. Taken together, we found that CLL cells communicate with endothelial cells through EVs that they release. Once they are taken up by endothelial cells, they turn them into IL-6-producing cells.

Indexed as

CLLendothelial cellsEVs

Identifiers

PMID39061955
PMCPMC11273944

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.