Du är här

High-density screening reveals a different spectrum of genomic aberrations in chronic lymphocytic leukemia patients with 'stereotyped' IGHV3-21 and IGHV4-34 B-cell receptors

Författare:
  • Millaray Marincevic
  • Nicola Cahill
  • Rebeqa Gunnarsson
  • Anders Isaksson
  • Mahmoud Mansouri
  • Hanna Goransson
  • Markus Rasmussen
  • Mattias Jansson
  • Fergus Ryan
  • Karin Karlsson
  • Hans-Olov Adami
  • Fred Davi
  • Jesper Jurlander
  • Gunnar Juliusson
  • Kostas Stamatopoulos
  • Richard Rosenquist
Publiceringsår: 2010
Språk: Engelska
Sidor: 1519-1525
Publikation/Tidskrift/Serie: Haematologica-The Hematology Journal
Volym: 95
Nummer: 9
Dokumenttyp: Artikel
Förlag: Ferrata Storti Foundation

Sammanfattning

Background The existence of multiple subsets of chronic lymphocytic leukemia expressing 'stereotyped' B-cell receptors implies the involvement of antigen(s) in leukemogenesis. Studies also indicate that 'stereotypy' may influence the clinical course of patients with chronic lymphocytic leukemia, for example, in subsets with stereotyped IGHV3-21 and IGHV4-34 B-cell receptors; however, little is known regarding the genomic profile of patients in these subsets. Design and Methods We applied 250K single nucleotide polymorphism-arrays to study copy-number aberrations and copy-number neutral loss-of-heterozygosity in patients with stereotyped IGHV3-21 (subset #2, n=29), stereotyped IGHV4-34 (subset #4, n=17; subset #16, n=8) and non-subset #2 ICHV3-21 (n=13) and non-subset #4/16 IGHV4-34 (n=34) patients. Results Over 90% of patients in subset #2 and non-subset #2 carried copy-number aberrations, whereas 75-76% of patients in subset #4 and subset #16 showed copy-number aberrations. Subset #2 and non-subset #2 patients also displayed a higher average number of aberrations compared to patients in subset #4. Deletion of 13q was the only known recurrent aberration detected in subset #4 (35%); this aberration was even more frequent in subset #2 (79%). del(11q) was more frequent in subset #2 and non-subset #2 (31% and 23%) patients than in subset #4 and non-subset #4/16 patients. Recurrent copy-number neutral loss-of-heterozygosity was mainly detected on chromosome 13q, independently of B-cell receptor stereotypy. Conclusions Genomic aberrations were more common in subset #2 and non-subset #2 than in subset #4. The particularly high frequency of del(11q) in subset #2 may be linked to the adverse outcome reported for patients in this subset. Conversely, the lower prevalence of copy-number aberrations and the absence of poor-prognostic aberrations in subset #4 may reflect an inherently low-proliferative disease, which would prevent accumulation of genomic alterations.

Disputation

Nyckelord

  • Medicine and Health Sciences
  • antigens
  • chronic lymphocytic leukemia
  • stereotyped B-cell receptors
  • leukemogenesis.

Övriga

Published
Yes
  • ISSN: 0390-6078

Box 117, 221 00 LUND
Telefon 046-222 00 00 (växel)
Telefax 046-222 47 20
lu [at] lu [dot] se

 

Fakturaadress: Box 188, 221 00 LUND
Organisationsnummer: 202100-3211
Om webbplatsen