Increased aggressiveness of this tumor subtype is associated with increased OxPhos; for example, CLL lymphocytes from individuals with advanced Rai stage, ZAP-70-positive disease, or disease with unmutated IGHV show increased OxPhos in contrast to ZAP-70-negative or IGHV-mutated subtypes [8] Microenvironment further aided OxPhos induction. Here, ZAP70 is linked to neoplasm.