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胎儿型DJH连接在B前体淋巴细胞白血病幼儿中占优势,提示子宫内存在转化事件。

Predominance of fetal type DJH joining in young children with B precursor lymphoblastic leukemia as evidence for an in utero transforming event.

作者信息

Wasserman R, Galili N, Ito Y, Reichard B A, Shane S, Rovera G

机构信息

Division of Oncology, Children's Hospital of Philadelphia, Pennsylvania.

出版信息

J Exp Med. 1992 Dec 1;176(6):1577-81. doi: 10.1084/jem.176.6.1577.

Abstract

The presence of N sequences in the complementarity determining region 3 (CDR3) of the rearranged immunoglobulin H chain is developmentally regulated: N regions are generally present in the DJH joinings of adult B cells but are often absent in fetal B cells. Analysis of the CDR3 in 61 B precursor acute lymphoblastic leukemias indicated that 87.5% of the leukemias obtained from children < or = 3 yr old lacked N regions at the DJH junction. In contrast, in children > 3 yr old, only 11.1% of the leukemias lacked N regions at this junction, a frequency similar to what we have observed in B cells from children and adults. These findings suggest that the majority of leukemias presenting within the first 3 yr of age arise from an in utero transforming event.

摘要

重排免疫球蛋白H链互补决定区3(CDR3)中N序列的存在受发育调控:N区通常存在于成年B细胞的DJH连接中,但在胎儿B细胞中常不存在。对61例B前体急性淋巴细胞白血病的CDR3分析表明,87.5%来自3岁及以下儿童的白血病在DJH连接处缺乏N区。相比之下,在3岁以上儿童中,只有11.1%的白血病在该连接处缺乏N区,这一频率与我们在儿童和成人B细胞中观察到的相似。这些发现表明,大多数在3岁内出现的白血病源自子宫内的转化事件。

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