Acute lymphoblastic leukemia (ALL) is the commonest form of childhood cancer and results from clonal proliferation of transformed hemopoietic cells, caused by genetic alterations. Most cases arise from B-cell clones arrested at the pre–B-cell stage of differentiation, but the molecular events involved have been unclear. In the May 22
Jumaa et al. used retroviral vectors and expressed a green fluorescent–SLP-65 fusion protein in SLP-65-/- pre–B-cell lines. They observed that reconstitution of the SLP-65 expression in these cells enhanced differentiation in vitro and prevented the development of pre–B-cell leukemia when the cells were injected into immune-deficient mice. In addition, they showed that 16 of the 34 childhood pre-B ALL samples tested had a...