In a healthy child, T cells (a type of white blood cell) are formed in the bone marrow and are programmed to find and fight diseases. T-cell acute lymphoblastic leukaemia (T-ALL) is a common type of childhood cancer, in which malignant T-cells that can’t perform normal functions accumulate in the bone marrow. In order to understand how T-ALL cells survive, researchers studied the environment surrounding them in the bone marrow. Non-cancerous neighbouring dendritic cells (stained green) were seen to send messages to the T cells (stained blue), creating conditions that allowed T-ALL cells to grow, spread and survive. When this interaction was eliminated, the cancer cells were unable to multiply and were not sustained. This new insight into how T-ALL interacts with its environment could lead to alternative cancer therapies.
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