CBL综合征中B细胞成熟异常与过渡性B细胞增多
Abnormal B-Cell Maturation and Increased Transitional B Cells in CBL Syndrome.
作者信息
Saettini Francesco, Coliva Tiziana Angela, Vendemini Francesca, Galbiati Marta, Bugarin Cristina, Masetti Riccardo, Moratto Daniele, Chiarini Marco, Guerra Fabiola, Iascone Maria, Badolato Raffaele, Cazzaniga Giovanni, Niemeyer Charlotte, Flotho Christian, Biondi Andrea
机构信息
Department of Pediatric Hematology, Fondazione Monza e Brianza per il Bambino e la sua Mamma (MBBM), University of Milano Bicocca, Monza, Italy.
Centro Ricerca Tettamanti, University of Milano Bicocca, Monza, Italy.
出版信息
Front Pediatr. 2022 Jul 28;10:935951. doi: 10.3389/fped.2022.935951. eCollection 2022.
CBL syndrome is a Noonan-like RASopathy with heterogeneous clinical phenotype and predisposition to juvenile myelomonocytic leukemia (JMML). Here we describe two patients with identical germline mutation and clinical and immune-hematological overlapping features with autoimmune lymphoproliferative syndrome (ALPS) and B-cell expansion with NF-κB and T-cell anergy (BENTA) syndrome. Increased immature/transitional B cells can be depicted in CBL syndrome, ALPS, and BENTA. Nonetheless, our patients here described showed peculiar B-cell phenotype due to increased immature/transitional CD34 B cells. This feature differentiates CBL syndrome from BENTA, pointing toward an abnormal proliferation of B-cell early precursors.
CBL综合征是一种具有异质性临床表型且易患青少年骨髓单核细胞白血病(JMML)的努南样RAS病。在此,我们描述了两名患有相同种系突变且具有自身免疫性淋巴增生综合征(ALPS)以及伴有NF-κB的B细胞扩增和T细胞无能(BENTA)综合征的临床及免疫血液学重叠特征的患者。在CBL综合征、ALPS和BENTA中均可发现未成熟/过渡性B细胞增加。尽管如此,我们在此描述的患者由于未成熟/过渡性CD34+B细胞增加而表现出特殊的B细胞表型。这一特征将CBL综合征与BENTA区分开来,表明B细胞早期前体存在异常增殖。