Evidence map›Paper›PMID 41648949›Full record

ArticleDisease models & mechanisms2026

A 3D lymph node model for chronic lymphocytic leukaemia recapitulates microenvironmental features and drug response in vitro.

Daniela Belloni, Dafne Barozzi, Giulia Milani, Federica Barbaglio, Aswin Raj Puthukkunnath, Pamela Ranghetti, Eleonora Perotta, Teresa Musco, Marta Sampietro, Maurilio Ponzoni and 3 more

Abstract read
In one paragraph

Article in Disease models & mechanisms, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

13 authors.

Daniela BelloniUnit of Malignant B Cells Biology and 3D Modelling, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.ORCID 0000-0002-3487-4203
Dafne BarozziUnit of Malignant B Cells Biology and 3D Modelling, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Giulia MilaniUnit B Cell Neoplasia, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Federica BarbaglioUnit of Malignant B Cells Biology and 3D Modelling, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Aswin Raj PuthukkunnathUnit B Cell Neoplasia, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Pamela RanghettiUnit B Cell Neoplasia, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Eleonora PerottaUnit B Cell Neoplasia, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Teresa MuscoUnit B Cell Neoplasia, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Marta SampietroUnit of Malignant B Cells Biology and 3D Modelling, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Maurilio PonzoniPathology Unit, IRCCS Ospedale San Raffaele, 20132 Milan, Italy.
Lydia ScarfòUnit B Cell Neoplasia, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Paolo GhiaUnit B Cell Neoplasia, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.
Cristina ScielzoUnit of Malignant B Cells Biology and 3D Modelling, Division of Experimental Oncology, IRCCS Ospedale San Raffaele, Comprehensive Cancer Center, 20132 Milan, Italy.ORCID 0000-0001-7988-2824

Funding

European Commission Next Generation EU - NRRP M6C2 - Investment 2.1 Enhancement and strengthening of biomedical research in the NHS - PNRR-MCNT2-2023-12378474European Hematology Association 2020European Hematology Association Advanced Research Grant 2020Fondazione AIRC per la ricerca sul cancro ETS 5 per mille #2119Fondazione AIRC per la ricerca sul cancro ETS IG 2018-ID. 21332Fondazione AIRC per la ricerca sul cancro ETS IG 2018 - ID. 21332 and IG 2023 - ID. 28750Fondazione AIRC per la ricerca sul cancro ETS IG 2023-ID. 28750NextGenerationEU PNRR-MCNT2-2023-12378474Ospedale San Raffaele
6 · The paper itself

Abstract

Chronic lymphocytic leukaemia (CLL) cells circulate between the blood, bone marrow (BM) and lymphoid organs, where interactions with the lymph node (LN) microenvironment enhance their survival, proliferation and drug resistance. Most in vitro models fail to reproduce the spatial and cellular complexity of the LN niche, limiting studies of tissue-specific drug responses. To address this, we developed a 3D LN model using a gelatine scaffold and a clinorotator bioreactor previously validated for a BM system. The scaffold was seeded with human lymphatic fibroblasts and endothelial cells, which deposited extracellular matrix and supported patient-derived CLL cell viability and proliferation. Consistent with in vivo observations, CLL cells within the scaffold downregulated the chemokine receptor CXCR4, further reduced upon proliferative stimulation. Final validation involved treatment with targeted therapies: the BCL-2 antagonist venetoclax and the BTK inhibitor ibrutinib. Venetoclax treatment revealed greater CLL protection within the LN environment than in BM, whereas the mobilizing effect of ibrutinib was comparable between these two niches. This 3D LN model offers an effective ex vivo platform for studying microenvironment-tumour interactions and tissue-specific drug responses.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellLymph NodesModels, BiologicalTumor MicroenvironmentAntineoplastic AgentsCell ProliferationCell SurvivalFibroblastsHumansMicrophysiological SystemsPiperidinesReceptors, CXCR4Antineoplastic AgentsPiperidinesReceptors, CXCR43D cell culturesChronic lymphocytic leukaemiaLymph nodeTargeted therapies

Identifiers

PMID41648949
PMCPMC13072081

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.