Scrideli Carlos A, Queiróz Rosane G P, Kashima Simone, Sankarankutty Bianca O M, Tone Luiz G
Department of Pediatrics, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Av Bandeirantes, 3900, 14049-900-Ribeirão Preto, SP, Brazil.
Leuk Res. 2004 Mar;28(3):267-73. doi: 10.1016/j.leukres.2003.07.001.
The high frequency of T cell receptor gamma (TCRG) gene rearrangements in both B-lineage and T cell acute lymphoblastic leukemia (ALL), its easy detection and the lower incidence of oligoclonality make this gene one of the main target for the detection of minimal residual disease by PCR in childhood ALL. We analyzed the frequency and type of TCRG rearrangements in DNA samples obtained from the bone marrow of 102 Brazilian children at diagnosis using PCR and automatic sequencing. TCRG rearrangements were found in 69% of patients with B-lineage ALL and in 94% of patients with T cell ALL. In contrast to other studies, rearrangements involving the Vgamma9 segment reported to be uncommon were the most frequent both in B-lineage and T cell ALL and involved 49/109 (45%) of the rearranged alleles. This fact should be considered when standardizing consensus primers for the study of minimal residual disease in different populations.
T细胞受体γ(TCRG)基因重排在B系和T细胞急性淋巴细胞白血病(ALL)中出现频率较高,易于检测且寡克隆性发生率较低,这使得该基因成为通过聚合酶链反应(PCR)检测儿童ALL微小残留病的主要靶点之一。我们使用PCR和自动测序技术分析了102名巴西儿童诊断时从骨髓获取的DNA样本中TCRG重排的频率和类型。在69%的B系ALL患者和94%的T细胞ALL患者中发现了TCRG重排。与其他研究不同,据报道不常见的涉及Vγ9节段的重排在B系和T细胞ALL中都是最常见的,并且在109个重排等位基因中占49个(45%)。在为不同人群微小残留病研究标准化共识引物时应考虑这一事实。