作者
Riccardo Bomben, Michele Dal Bo, Daniela Capello, Francesco Forconi, Rossana Maffei, Luca Laurenti, Davide Rossi, Maria Ilaria Del Principe, Antonella Zucchetto, Francesco Bertoni, Francesca Maria Rossi, Pietro Bulian, Ilaria Cattarossi, Fiorella Ilariucci, Elisa Sozzi, Valeria Spina, Emanuele Zucca, Massimo Degan, Francesco Lauria, Giovanni Del Poeta, Dimitar G Efremov, Roberto Marasca, Gianluca Gaidano, Valter Gattei
发表日期
2009/2
期刊
British journal of haematology
卷号
144
期号
4
页码范围
492-506
出版商
Blackwell Publishing Ltd
简介
A fraction of chronic lymphocytic leukaemia (CLL) cases carry highly homologous B‐cell receptors (BCR), i.e. characterized by non‐random combinations of immunoglobulin heavy‐chain variable (IGHV) genes and heavy‐chain complementarity determining region‐3 (HCDR3), often associated with a restricted selection of IGVK/L light chains. Such ‘stereotyped’ BCR occur more frequently in CLL with unmutated (UM) than mutated (M) IGHV genes. We analysed 1426 IG rearrangements (from 1398 CLL cases) by a clustering driven by HCDR3 similarities. Molecular findings were correlated to time‐to‐treatment (TTT) and presence of known prognosticators. Sixty‐nine clusters (319 IG‐rearrangements, 22·4%) with stereotyped BCR were identified. Among 30 confirmed clusters (≥3 IG‐rearrangements/cluster), we found 14 novel clusters, of which 11 had M IG rearrangements (M clusters) and predominantly (8/11 …
引用总数
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