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用于猫肠道T细胞淋巴瘤分子诊断的猫T细胞受体γ(TCRG)可变区基因的特征分析

Characterization of feline T cell receptor gamma (TCRG) variable region genes for the molecular diagnosis of feline intestinal T cell lymphoma.

作者信息

Moore Peter F, Woo Jennifer C, Vernau William, Kosten Sandra, Graham Petra S

机构信息

Department of Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.

出版信息

Vet Immunol Immunopathol. 2005 Jul 15;106(3-4):167-78. doi: 10.1016/j.vetimm.2005.02.014.

Abstract

A diagnosis of intestinal lymphoma is currently made on the basis of clinical and morphologic criteria. This can prove problematic for many reasons that include inadequate sample size, the coexistence of lymphoma and inflammation, and the inability to assess architectural integrity of all tissue compartments in biopsy specimens obtained endoscopically. The detection of a clonal population of cells in a lymphoproliferative lesion represents an important criterion for the diagnosis of neoplasia, but this has not been assessed in feline intestinal lymphoma. T cell receptor gamma (TCRG) gene rearrangement analysis using polymerase chain reaction (PCR) is a methodology that can be used to detect clonality in T cell populations. The basis of this assay depends on the assessment of the junctional diversity that results from rearrangement of TCRG V (variable) and J (joining) gene segments. Feline TCRG transcripts from normal small intestine and spleen were obtained using a rapid amplification of cDNA ends (5'RACE) method. Limited diversity of TCRG V and J gene segments was observed. The high degree of sequence homology in the TCRG V and J gene segments was exploited to develop a PCR test for the assessment of TCRG V--J junctional diversity and hence clonality determination of T cell populations in cats. Molecular clonality determination was applied to feline intestinal lymphoplasmacytic inflammatory bowel disease (IBD) (9 cats), and transmural and mucosal T cell lymphoma (28 cats). Clonal rearrangement of the TCRG V--J junction was detected in 22 of 28 intestinal T cell lymphomas, and oligoclonality was detected in 3 intestinal T cell lymphomas. This contrasted with the detection of polyclonal rearrangement in normal intestinal tissues (3 cats) and in lymphoplasmacytic IBD (9 cats). It is proposed that assessment of TCRG V--J junctional diversity for the detection of clonality represents an important adjunctive tool for the diagnosis of T cell lymphoma in the cat.

摘要

目前,肠道淋巴瘤的诊断是基于临床和形态学标准。由于多种原因,这可能会带来问题,包括样本量不足、淋巴瘤与炎症并存,以及无法评估通过内镜获取的活检标本中所有组织成分的结构完整性。在淋巴增殖性病变中检测到细胞克隆群体是肿瘤诊断的一项重要标准,但尚未在猫肠道淋巴瘤中进行评估。使用聚合酶链反应(PCR)进行T细胞受体γ(TCRG)基因重排分析是一种可用于检测T细胞群体克隆性的方法。该检测方法的基础取决于对TCRG V(可变)和J(连接)基因片段重排产生的连接多样性的评估。使用cDNA末端快速扩增(5'RACE)方法获得了来自正常猫小肠和脾脏的TCRG转录本。观察到TCRG V和J基因片段的多样性有限。利用TCRG V和J基因片段的高度序列同源性,开发了一种PCR检测方法,用于评估TCRG V-J连接多样性,从而确定猫T细胞群体的克隆性。分子克隆性测定应用于猫肠道淋巴浆细胞性炎症性肠病(IBD)(9只猫)、透壁性和黏膜性T细胞淋巴瘤(28只猫)。在28例肠道T细胞淋巴瘤中有22例检测到TCRG V-J连接的克隆重排,3例肠道T细胞淋巴瘤检测到寡克隆性。这与在正常肠道组织(3只猫)和淋巴浆细胞性IBD(9只猫)中检测到的多克隆重排形成对比。有人提出,评估TCRG V-J连接多样性以检测克隆性是猫T细胞淋巴瘤诊断的一项重要辅助工具。

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