A patient with chronic lymphocytic leukemia developed a large cell lym
phoma apparently derived from the same neoplastic B-cell clone (Richte
r's syndrome). At the same time, mitogen-stimulated proliferation of t
he patient's circulating leukemic B-cells was no longer inhibited by t
he regulatory cytokine transforming growth factor-beta (TGF-beta), sug
gesting that such loss of inhibition might be contributing to the clin
ical and biological progression of the disease.