ABSTRACTacute lymphoblastic leukemia (ALL). [21][22][23][24][25] Specifically, high CTGF expression is exclusive to B-lineage ALL and is secreted by pre-B ALL cells, but is not found in T-cell ALL. 21 Moreover, high levels of CTGF expression in ALL are linked to poor outcome in patients 22,24 and a recent study suggested that CTGF promotes leukemia cell engraftment and growth in the BM. 26 To date, at least 21 different types of cancer have been associated with either low or high CTGF expression, and linked to distinct clinical outcomes.27