Clonal B cells in Waldenström's macroglobulinemia exhibit functional features of chronic active B-cell receptor signaling Academic Article uri icon


MeSH Major

  • B-Lymphocytes
  • Receptors, Antigen, B-Cell
  • Signal Transduction
  • Waldenstrom Macroglobulinemia


  • Waldenström's macroglobulinemia (WM) is a B-cell non-Hodgkin's lymphoma (B-NHL) characterized by immunoglobulin M (IgM) monoclonal gammopathy and the medullary expansion of clonal lymphoplasmacytic cells. Neoplastic transformation has been partially attributed to hyperactive MYD88 signaling, secondary to the MYD88 L265P mutation, occurring in the majority of WM patients. Nevertheless, the presence of chronic active B-cell receptor (BCR) signaling, a feature of multiple IgM+ B-NHL, remains a subject of speculation in WM. Here, we interrogated the BCR signaling capacity of primary WM cells by utilizing multiparametric phosphoflow cytometry and found heightened basal phosphorylation of BCR-related signaling proteins, and augmented phosphoresponses on surface IgM (sIgM) crosslinking, compared with normal B cells. In support of those findings we observed high sIgM expression and loss of phosphatase activity in WM cells, which could both lead to signaling potentiation in clonal cells. Finally, led by the high-signaling heterogeneity among WM samples, we generated patient-specific phosphosignatures, which subclassified patients into a 'high' and a 'healthy-like' signaling group, with the second corresponding to patients with a more indolent clinical phenotype. These findings support the presence of chronic active BCR signaling in WM while providing a link between differential BCR signaling utilization and distinct clinical WM subgroups.

publication date

  • May 2016



  • Academic Article



  • eng

PubMed Central ID

  • PMC4858584

Digital Object Identifier (DOI)

  • 10.1038/leu.2016.8

PubMed ID

  • 26867669

Additional Document Info

start page

  • 1116

end page

  • 25


  • 30


  • 5