NOTCH1 and acute lymphoblastic leukemia: Recent findings from Notch1-dependent leukemia models (106), suggest that the higher levels of CCL19 found in the splenic microenvironment compared with BM could be responsible for the initial homing of these leukemic cells to the spleen (given their expression of CCR7), and at the same time the splenic microenvironment could stimulate the expression of CCL19 by T-ALL cells establishing a positive feed-back loop, leading to further recruitment of leukemic cells to the spleen (106).