In the present minireview we have discussed several types of model systems which have given valuable clues to the ways in which leukemia and lymphoma cells mediate organ specific metastasis. Most patent is that these types of malignancies probably utilize
(1) Normal organ cells have receptors for determinants on metastatic variants 17
(2) metastatic variants have receptors for determinants expressed on endothelial cells 2 , 19 ; and
(3) an undefined interaction occurs between normal organ cells and metastatic variants 16 .
A great deal of evidence suggests that organ specific metastasis is at least partially mediated through carbohydrate determinants which are recognized by receptors. It is possible that these receptors may be part of a larger family of recognition molecules which mediate normal cell-cell interactions. Despite this, a role for a “microenvironmental” mechanism cannot be ruled out and, indeed, is not mutually exclusive of the receptor-mediated adherence mechanism. In fact, in our bone marrow model our preliminary results suggest the existence of growth factors which are secreted by adherent bone marrow cells and which strongly stimulate the growth of the leukemia cell lines. Nevertheless, the avid binding of leukemia cells to the adherent cells of the bone marrow appears to be an important mechanism whereby leukemia cells are “held” in the bone marrow. The continued development of MAbs which recognize organ specific receptors on tumor cells, the isolation of these receptors, and their molecular biology should reveal whether a multigene family for organ specific recognition exists. These receptors will serve as