IntroductionThe B cells of patients with chronic lymphocytic leukemia (CLL) can be segregated into one of at least 2 major subsets based upon the mutational status of the expressed immunoglobulin (Ig) heavychain variable region genes (IgV H ). 1 Patients with CLL cells that express unmutated IgV H tend to have a relatively aggressive clinical course when compared with patients who have CLL cells that express IgV H with somatic mutations. 2,3 Although these 2 types share a common gene expression profile, isolated CLL B cells of these 2 subgroups can be distinguished from each other by the differential expression of a relatively small subset of genes. 4 One of these genes encodes the zeta-associated protein of 70 kDa (ZAP-70), a receptor-associated protein tyrosine kinase (PTK) expressed by T lymphocytes and natural killer cells (NK cells) but not by normal B cells or most cases of CLL with mutated IgV H .The functional significance of ZAP-70 gene expression in this subset of CLL B cells is unknown. Irrespective of the expression of ZAP-70, CLL cells generally express similar levels of p72 Syk , a related PTK. 5,6 B cells use p72 Syk for signal transduction via the B-cell receptor (BCR) complex. 7 Following BCR ligation, p72 Syk is recruited to the phosphorylated immunoreceptor tyrosine-based activation motifs (ITAM) of the activated BCR complex, where it subsequently becomes phosphorylated and activated. 8 In normal B cells, activated p72 Syk phosphorylates several proteins, including BLNK (for B-cell linker protein, also known as SLP-65, BASH, or BCA). 9-11 BLNK serves as a docking site for a number of signaling molecules, including Btk, Vav, and phospholipase C-gamma (PLC␥). Phosphorylation and activation of PLC␥ lead to hydrolysis of the polyphosphoinositides and subsequent production of inositol 1,4,5-trisphosphate (IP3) and diacylglycerol (DAG), which serve to increase intracellular calcium (Ca 2ϩ ) and activate protein kinase C (PKC) and Ras, respectively.Recent studies indicate that CLL cells that express ZAP-70 mRNA have levels of ZAP-70 protein that are similar to those of normal blood T cells. 6,12,13 Furthermore, treatment of ZAP-70 ϩ CLL cells with anti-induced significantly greater tyrosine phosphorylation of cytosolic proteins, including p72 Syk , than CLL cells that lacked ZAP-70. 6 Moreover, following treatment with anti-, ZAP-70 underwent tyrosine phosphorylation and became associated with surface and CD79b, arguing that this PTK might enhance BCR receptor signaling in CLL B cells. However, the contributions of ZAP-70 to the activation of downstream adaptor proteins, such as BLNK or PLC␥, or to changes in intracellular Ca 2ϩ in response to Ig receptor signaling in CLL have not been resolved.Resolution of the role that ZAP-70 plays in Ig receptor signaling in CLL is important, as this protein tyrosine kinase is not an obvious candidate to enhance BCR signaling, given that CLL cells generally also express p72 Syk . 6 Indeed, p72 Syk has an approximately 100-fold greater intrinsic PTK activity than...