CD49d governs immune synapse formation through actin rearrangements and synchronizes BCR signaling in CLL

L Laura Polcik (1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany) A Abhishek Pethe (1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany) D Driti Ashok (1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany) E Erika Tissino (3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy) A Adrián Fernández-Rego (4Department of Immunology & Oncology, Centro Nacional de Biotecnología-Consejo Superior de Investigaciones Científicas, Madrid, Spain) F Federico Pozzo (3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy) D Danielle-Justine Danner (1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany) M Manuel Holst C Claudio Martines K Karin Hofmann (7Molecular Hematology Unit, International Center for Genetic Engineering and Biotechnology, Trieste, Italy) A Aleksandar J. Dimovski (8Macedonian Academy of Sciences and Arts, Skopje, North Macedonia) S Sandra Kissel (1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany) A Andrea Härzschel (1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany) L Lixia Li T Tamara Bittolo (3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy) G Geoffroy Andrieux T Theresa Haslauer (10Department of Internal Medicine III with Hematology, Medical Oncology, Hemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute-Laboratory for Immunological and Molecular Cancer Research, Cancer Cluster Salzburg, Paracelsus Medical University, Salzburg, Austria) J Jan Philip Höpner (10Department of Internal Medicine III with Hematology, Medical Oncology, Hemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute-Laboratory for Immunological and Molecular Cancer Research, Cancer Cluster Salzburg, Paracelsus Medical University, Salzburg, Austria) N Nadja Zaborsky R Richard Greil C Cornelius Miething (Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Freiburg, Germany) J Jesus Duque-Afonso (1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany) N Natalie Köhler M Melanie Boerries R Riccardo Bomben (3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy) J Justus Duyster R Robert Grosse G Gianluca Gaidano (13Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy) A Alberto Zamò (14Institute of Pathology, University of Würzburg, Würzburg, Germany) A Antonella Zucchetto (3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy) Y Yolanda R. Carrasco (4Department of Immunology & Oncology, Centro Nacional de Biotecnología-Consejo Superior de Investigaciones Científicas, Madrid, Spain) D Dimitar G. Efremov (7Molecular Hematology Unit, International Center for Genetic Engineering and Biotechnology, Trieste, Italy) V Valter Gattei (3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy) T Tanja Nicole Hartmann (1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany)

Abstract

Abstract B-cell receptor (BCR) signaling is a key determinant of chronic lymphocytic leukemia (CLL) pathophysiology. CD49d, the α4 subunit of the very late antigen 4 integrin, can be activated by BCR signals; however, its role in modulating BCR functionality remains unknown. We used knockout mouse models and primary human CLL stratified by CD49d expression to address this aspect. CD49d was required for bone marrow (BM) infiltration and shaped BM infiltration patterns and patient outcomes in human CLL. In TCL1 transplantation models, the loss of CD49d abrogated BM homing and leukemic cell positioning within splenic niches. At the cellular level, CD49d-deficient murine TCL1 transgenic cells and human CD49d-low CLL cells failed to form efficient immune synapses with antigen-presenting membranes. Transcriptome analyses identified CD49d-dependent regulation of actin-associated pathways and distinct signatures of BCR responsiveness in both human and mouse cells. Consistently, CD49d-low human CLL cells displayed aberrant actin remodeling following BCR stimulation, and a second aggressive murine CLL model reproduced the actin and engraftment defects. Kinome profiling linked impaired antigen-induced BCR responses in CD49d-deficient murine cells to altered kinase activity, and pharmacologic actin perturbation phenocopied CD49d loss. In human CD49d-low CLL cells, a desynchronization of BCR-related downstream Syk and PLCɣ2 activation was found. Mechanistically, the CD49d-BCR interplay involved their colocalization, and CD49d converged with BCR signaling on a focal adhesion kinase–actin axis. In summary, our findings establish CD49d as a key regulator of BCR functionality in CLL, linking integrins to cytoskeletal dynamics and antigen responsiveness.

Article Details

Journal Blood
Volume / Issue Vol. 147, Issue 26
Published June 25, 2026
Pages 3179-3194
ISSN 0006-4971
Publisher Elsevier BV

Journal Info

Blood

Elsevier BV

ISSN: 0006-4971 Health Sciences

Authors (34)

L

Laura Polcik

1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

A

Abhishek Pethe

1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

D

Driti Ashok

1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

E

Erika Tissino

3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy

A

Adrián Fernández-Rego

4Department of Immunology & Oncology, Centro Nacional de Biotecnología-Consejo Superior de Investigaciones Científicas, Madrid, Spain

F

Federico Pozzo

3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy

D

Danielle-Justine Danner

1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

M

Manuel Holst

C

Claudio Martines

K

Karin Hofmann

7Molecular Hematology Unit, International Center for Genetic Engineering and Biotechnology, Trieste, Italy

A

Aleksandar J. Dimovski

8Macedonian Academy of Sciences and Arts, Skopje, North Macedonia

S

Sandra Kissel

1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

A

Andrea Härzschel

1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

L

Lixia Li

T

Tamara Bittolo

3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy

G

Geoffroy Andrieux

T

Theresa Haslauer

10Department of Internal Medicine III with Hematology, Medical Oncology, Hemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute-Laboratory for Immunological and Molecular Cancer Research, Cancer Cluster Salzburg, Paracelsus Medical University, Salzburg, Austria

J

Jan Philip Höpner

10Department of Internal Medicine III with Hematology, Medical Oncology, Hemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute-Laboratory for Immunological and Molecular Cancer Research, Cancer Cluster Salzburg, Paracelsus Medical University, Salzburg, Austria

N

Nadja Zaborsky

R

Richard Greil

C

Cornelius Miething

Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany, Freiburg, Germany

J

Jesus Duque-Afonso

1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany

N

Natalie Köhler

M

Melanie Boerries

R

Riccardo Bomben

3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy

J

Justus Duyster

R

Robert Grosse

G

Gianluca Gaidano

13Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy

A

Alberto Zamò

14Institute of Pathology, University of Würzburg, Würzburg, Germany

A

Antonella Zucchetto

3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy

Y

Yolanda R. Carrasco

4Department of Immunology & Oncology, Centro Nacional de Biotecnología-Consejo Superior de Investigaciones Científicas, Madrid, Spain

D

Dimitar G. Efremov

7Molecular Hematology Unit, International Center for Genetic Engineering and Biotechnology, Trieste, Italy

V

Valter Gattei

3Clinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano, Istituto di Ricovero e Cura a Carattere Scientifico, Aviano, Italy

T

Tanja Nicole Hartmann

1Department of Medicine I, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany