Abstract | BACKGROUND: Numerous subsets of patients with chronic lymphocytic leukemia display similar immunoglobulin gene usage with almost identical complementarity determining region 3 sequences. Among IGHV4-34 cases, two such subsets with "stereotyped" B-cell receptors were recently identified, i.e. subset #4 (IGHV4-34/IGKV2-30) and subset #16 (IGHV4-34/IGKV3-20). Subset #4 patients appear to share biological and clinical features, e.g. young age at diagnosis and indolent disease, whereas little is known about subset #16 at a clinical level. DESIGN AND METHODS: We investigated the global gene expression pattern in sorted chronic lymphocytic leukemia cells from 25 subset/non-subset IGHV4-34 patients using Affymetrix gene expression arrays. RESULTS: Although generally few differences were found when comparing subset to non-subset 4/16 IGHV4-34 cases, distinct gene expression profiles were revealed for subset #4 versus subset #16. The differentially expressed genes, predominantly with lower expression in subset #4 patients, are involved in important cell regulatory pathways including cell-cycle control, proliferation and immune response, which may partly explain the low-proliferative disease observed in subset #4 patients. CONCLUSIONS: Our novel data demonstrate distinct gene expression profiles among patients with stereotyped IGHV4-34 B-cell receptors, providing further evidence for biological differences in the pathogenesis of these subsets and underscoring the functional relevance of subset assignment based on B-cell receptor sequence features.
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Authors | Millaray Marincevic, Mahmoud Mansouri, Meena Kanduri, Anders Isaksson, Hanna Göransson, Karin Ekström Smedby, Jesper Jurlander, Gunnar Juliusson, Fred Davi, Kostas Stamatopoulos, Richard Rosenquist |
Journal | Haematologica
(Haematologica)
Vol. 95
Issue 12
Pg. 2072-9
(Dec 2010)
ISSN: 1592-8721 [Electronic] Italy |
PMID | 20801898
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Immunoglobulin Heavy Chains
- Immunoglobulin Variable Region
- Receptors, Antigen, B-Cell
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Amino Acid Sequence
- Cluster Analysis
- Female
- Gene Rearrangement, B-Lymphocyte, Heavy Chain
- Humans
- Immunoglobulin Heavy Chains
(genetics)
- Immunoglobulin Variable Region
(genetics)
- Leukemia, Lymphocytic, Chronic, B-Cell
(classification, genetics)
- Male
- Middle Aged
- Molecular Sequence Data
- Oligonucleotide Array Sequence Analysis
- Receptors, Antigen, B-Cell
(genetics, metabolism)
- Reverse Transcriptase Polymerase Chain Reaction
- Transcriptome
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