Kimura N, Akiyoshi T, Ohshima K
1st Department of Internal Medicine, Fukuoka University School of Medicine.
Rinsho Byori. 1991 Dec;39(12):1257-63.
We analyzed the T-cell receptors and immunoglobulin genes in 140 cases of hematopoietic malignancies, including ALL/LBL, malignant lymphomas, AILDs, Hodgkin's disease, ATL and CLL. In many cases, the findings obtained by immunoassociated gene analysis were in parallel to the phenotypic findings. Gene analysis is useful to determine the clonality and the lineage of malignant cells. However, 10-30% cases appeared bigenotype. In some cases, oligoclonalities were recognized. The relationship to the prognosis in these cases was discussed. The development of gamma delta- and alpha beta-cells on T-cell ontogeny was elucidated. Some T-cell leukemic lines were found to be pre-alpha beta T-cells with some consensus characteristics. We also analyzed the V beta family of 15 alpha beta T-cell leukemia cell lines using six V beta cDNA probes. This approach may be useful to determine the clonality of T-cell malignancies. The method of using a PCR system on immunoassociated genes has been described. The PCR method, using the super variable region as a tumor specific fragment, is valuable in the detection of the residual cells of lymphoma and leukemia at a concentration of 1/10(5) cells.
我们分析了140例造血系统恶性肿瘤患者的T细胞受体和免疫球蛋白基因,这些患者包括急性淋巴细胞白血病/淋巴母细胞淋巴瘤(ALL/LBL)、恶性淋巴瘤、血管免疫母细胞性淋巴结病(AILD)、霍奇金病、成人T细胞白血病(ATL)和慢性淋巴细胞白血病(CLL)。在许多病例中,免疫相关基因分析的结果与表型结果一致。基因分析有助于确定恶性细胞的克隆性和谱系。然而,10% - 30%的病例出现双基因型。在某些病例中,可识别出寡克隆性。讨论了这些病例与预后的关系。阐明了T细胞个体发育过程中γδ细胞和αβ细胞的发育情况。发现一些T细胞白血病细胞系是具有某些共同特征的前αβ T细胞。我们还使用6种Vβ cDNA探针分析了15个αβ T细胞白血病细胞系的Vβ家族。这种方法可能有助于确定T细胞恶性肿瘤的克隆性。已经描述了在免疫相关基因上使用PCR系统的方法。以超可变区作为肿瘤特异性片段的PCR方法,对于检测浓度为1/10⁵细胞的淋巴瘤和白血病残留细胞很有价值。