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1.
Pathol Int ; 68(5): 287-293, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29575591

RESUMEN

The BIOMED-2 PCR protocols targeting IGH and IGK genes may be useful for detecting clonality in Hodgkin lymphoma (HL). The clonality detection rates, however, have not been very high with these methods using paraffin-embedded tumor sections. We previously described the usefulness of the semi-nested BIOMED-2 IGH assay in B-cell malignancies. In this study, we devised a novel semi-nested BIOMED-2 IGK assay. Employing 58 cases of classical HL, we carried out the standard BIOMED-2, BIOMED-2 followed by BIOMED-2 re-amplification, and BIOMED-2 followed by semi-nested BIOMED-2, all targeting IGH and IGK, using paraffin-embedded tissues. In both IGH and IGK assays, semi-nested assays yielded significantly higher clonality detection rates than the standard assays and re-amplification assays. Clonality was detected in 13/58 (22.4%) classical HL cases using the standard IGH/IGK assays while it was detected in 38/58 (65.5%) cases using semi-nested IGH/IGK assays. The detection rates were not associated with the HL subtypes, CD30-positive cell density, CD20-positive cell density, or Epstein-Barr virus (EBV) positivity. In conclusion, tumor clonality was detected in nearly two-thirds of classical HL cases using semi-nested BIOMED-2 IGH/IGK assays using paraffin tumor sections. These semi-nested assays may be useful when the standard IGH/IGK assays fail to detect clonality in histopathologically suspected HLs.


Asunto(s)
Reordenamiento Génico de Cadena Pesada de Linfocito B/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Enfermedad de Hodgkin/inmunología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa/métodos , Células Clonales , Genes de las Cadenas Pesadas de las Inmunoglobulinas/genética , Enfermedad de Hodgkin/genética , Humanos , Cadenas kappa de Inmunoglobulina/genética , Adhesión en Parafina
2.
Mol Immunol ; 65(2): 215-23, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25700344

RESUMEN

The unique specificity of the B cell receptor is generated by an ordered sequence of gene rearrangement events. Once IGH genes have rearranged, rearrangement at the IGK locus is initiated followed by the IGL locus if functional IGK rearrangement is not achieved. Receptor specificity can subsequently be altered by secondary light chain editing based on the features of the heavy and light chain combination. The final profile of expressed genes is not random and biases in this profile are associated with several autoimmune diseases. However, how and when biases are created is not known. To increase our understanding of the processes of selection and editing of IGK rearrangements, we compared four groups of rearrangements of IGK acquired by next generation sequencing. First, expressed rearrangements of IGK from cDNA of IGK expressing B cells. Second, productive rearrangements of IGK from DNA of the same kappa expressing B cells. Third, non-productive rearrangements of IGK from DNA of IGK and IGL expressing B cells, and fourth productively rearranged IGK from DNA of IGL expressing B cells. The latter group would have been rejected during B cell development in favour of rearrangement at the IGL locus and are therefore selected against. We saw evidence that rearranged IGK segments can be selected at a checkpoint where the decision to rearrange the IGL locus is made. In addition, our data suggest that mechanisms regulating the expression or not of IGK rearrangements may also contribute to repertoire development and also that this latter component of the selection process is defective in SLE.


Asunto(s)
Linfocitos B/inmunología , Reordenamiento Génico de Cadena Ligera de Linfocito B/inmunología , Sitios Genéticos/inmunología , Región Variable de Inmunoglobulina/inmunología , Cadenas kappa de Inmunoglobulina/inmunología , Lupus Eritematoso Sistémico/inmunología , Adulto , Linfocitos B/patología , ADN Complementario/genética , ADN Complementario/inmunología , Femenino , Regulación de la Expresión Génica/inmunología , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Humanos , Región Variable de Inmunoglobulina/genética , Cadenas kappa de Inmunoglobulina/genética , Lupus Eritematoso Sistémico/genética , Lupus Eritematoso Sistémico/patología , Masculino
3.
Nature ; 490(7421): 561-5, 2012 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-23023124

RESUMEN

Although most genes are expressed biallelically, a number of key genomic sites--including immune and olfactory receptor regions--are controlled monoallelically in a stochastic manner, with some cells expressing the maternal allele and others the paternal allele in the target tissue. Very little is known about how this phenomenon is regulated and programmed during development. Here, using mouse immunoglobulin-κ (Igκ) as a model system, we demonstrate that although individual haematopoietic stem cells are characterized by allelic plasticity, early lymphoid lineage cells become committed to the choice of a single allele, and this decision is then stably maintained in a clonal manner that predetermines monoallelic rearrangement in B cells. This is accompanied at the molecular level by underlying allelic changes in asynchronous replication timing patterns at the κ locus. These experiments may serve to define a new concept of stem cell plasticity.


Asunto(s)
Alelos , Linaje de la Célula , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Cadenas kappa de Inmunoglobulina/genética , Células Precursoras de Linfocitos B/citología , Células Precursoras de Linfocitos B/metabolismo , Animales , Inmunoprecipitación de Cromatina , Células Clonales/citología , Células Clonales/inmunología , Células Clonales/metabolismo , Momento de Replicación del ADN , Femenino , Hematopoyesis , Humanos , Cadenas kappa de Inmunoglobulina/inmunología , Masculino , Ratones , Ratones Endogámicos BALB C , Modelos Animales , Modelos Inmunológicos , Células Precursoras de Linfocitos B/inmunología , Procesos Estocásticos
5.
J Immunol ; 186(9): 5356-66, 2011 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-21441452

RESUMEN

Nonbiased V gene usage for V(D)J joining is essential for providing an optimal immune system, but no cis-acting sequence with this function has been uncovered. We previously identified a recombination silencer and heterochromatin targeting element in the Vκ-Jκ intervening sequence of germline Igκ transgenes, which we termed Sis. We now have generated Sis knockout mice in the endogenous locus. Intriguingly, Sis(-/-) mice exhibit a skewed Igκ repertoire with markedly decreased distal and enhanced proximal Vκ gene usage for primary rearrangement, which is associated with reduced occupancy of Ikaros and CCCTC-binding factor in the Vκ-Jκ intervening sequence in pre-B cells, proteins believed to be responsible for dampening the recombination of nearby Vκ genes and altering higher-order chromatin looping. Furthermore, monoallelic heterochromatin localization is significantly reduced in Sis(-/-) mice for Igκ in cis and IgH loci in trans in pre-B cells. Because Sis(-/-) mice still allelically excluded Igκ and IgH loci and still exhibited IgL isotype exclusion, we concluded that stable localization at pericentromeric heterochromatin is neither necessary nor sufficient for the establishment or maintenance of allelic exclusion. Hence, Sis is a novel multifunctional element that specifies repertoire and heterochromatin localization to Ig genes.


Asunto(s)
Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Genes de Inmunoglobulinas/genética , Inmunoglobulinas/genética , Células Precursoras de Linfocitos B , Animales , Separación Celular , Inmunoprecipitación de Cromatina , Citometría de Flujo , Heterocromatina/genética , Cadenas Pesadas de Inmunoglobulina/genética , Región Variable de Inmunoglobulina/genética , Hibridación Fluorescente in Situ , Ratones , Ratones Noqueados , Células Precursoras de Linfocitos B/inmunología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
6.
J Exp Med ; 207(6): 1209-21, 2010 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-20498019

RESUMEN

BCL6 protects germinal center (GC) B cells against DNA damage-induced apoptosis during somatic hypermutation and class-switch recombination. Although expression of BCL6 was not found in early IL-7-dependent B cell precursors, we report that IL-7Ralpha-Stat5 signaling negatively regulates BCL6. Upon productive VH-DJH gene rearrangement and expression of a mu heavy chain, however, activation of pre-B cell receptor signaling strongly induces BCL6 expression, whereas IL-7Ralpha-Stat5 signaling is attenuated. At the transition from IL-7-dependent to -independent stages of B cell development, BCL6 is activated, reaches expression levels resembling those in GC B cells, and protects pre-B cells from DNA damage-induced apoptosis during immunoglobulin (Ig) light chain gene recombination. In the absence of BCL6, DNA breaks during Ig light chain gene rearrangement lead to excessive up-regulation of Arf and p53. As a consequence, the pool of new bone marrow immature B cells is markedly reduced in size and clonal diversity. We conclude that negative regulation of Arf by BCL6 is required for pre-B cell self-renewal and the formation of a diverse polyclonal B cell repertoire.


Asunto(s)
Linfocitos B/citología , Linfocitos B/inmunología , Proteínas de Unión al ADN/inmunología , Factores de Ribosilacion-ADP/metabolismo , Animales , Apoptosis , Secuencia de Bases , Proliferación Celular , Supervivencia Celular , Células Cultivadas , Citoprotección , Daño del ADN/genética , Regulación hacia Abajo/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Humanos , Interleucina-7/metabolismo , Linfopoyesis , Ratones , Datos de Secuencia Molecular , Receptores de Células Precursoras de Linfocitos B/metabolismo , Células Precursoras de Linfocitos B/citología , Células Precursoras de Linfocitos B/metabolismo , Proteínas Proto-Oncogénicas c-bcl-6 , Proteínas Proto-Oncogénicas c-myc/metabolismo , Recombinación Genética/genética , Transducción de Señal , Transcripción Genética , Regulación hacia Arriba/genética
7.
Zhonghua Bing Li Xue Za Zhi ; 38(11): 739-44, 2009 Nov.
Artículo en Chino | MEDLINE | ID: mdl-20079012

RESUMEN

OBJECTIVE: To evaluate the efficiency of the BIOMED-2 PCR assay and its implication in the diagnosis of mature B-cell non-Hodgkin's lymphomas. METHODS: Clinical, morphological and immunohistochemical features of 72 cases of non-Hodgkin's lymphomas were studied, including 25 reactive lymphoid hyperplasia, 37 diffuse large B cell lymphomas (DLBCL) and 35 extranodal marginal zone lymphomas of mucosa associated lymphoid tissues (MALT lymphoma and in addition, 25 cases of reactive lymphoid hyperplasia were used as the controls). DNA was exacted from the paraffin embedded formalin fixed tissue blocks and the quality of DNA was assessed using the BIOMED-2 specimen control reaction. Adequate samples were then analyzed by BIOMED-2 for immunoglobulin heavy and kappa light chain rearrangements. RESULTS: Adequate DNA was obtained in 83 of 97 samples, including 60 mature B cell lymphomas and 23 reactive lymphoid hyperplasia. Clonal B-cell gene rearrangements were detected in 57 of 60 (95%) lymphomas. In contrast, clonal Ig gene rearrangements were not detected in any of the 23 cases of reactive lymphoid hyperplasia. CONCLUSION: BIOMED-2 assay is highly sensitive and specific for the detection of clonal B cell gene rearrangement using routine paraffin embedded formalin fixed specimens.


Asunto(s)
Reordenamiento Génico de Linfocito B/genética , Genes de Inmunoglobulinas , Linfoma de Células B/genética , Linfoma de Células B Grandes Difuso/genética , Antígenos CD20/metabolismo , Antígenos CD79/metabolismo , ADN de Neoplasias/genética , Reordenamiento Génico de Cadena Pesada de Linfocito B/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Humanos , Inmunofenotipificación , Linfoma de Células B/inmunología , Linfoma de Células B/patología , Linfoma de Células B de la Zona Marginal/genética , Linfoma de Células B de la Zona Marginal/inmunología , Linfoma de Células B de la Zona Marginal/patología , Linfoma de Células B Grandes Difuso/inmunología , Linfoma de Células B Grandes Difuso/patología , Adhesión en Parafina , Seudolinfoma/genética , Seudolinfoma/inmunología , Seudolinfoma/patología , Sensibilidad y Especificidad
8.
J Immunol ; 180(9): 6094-106, 2008 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-18424731

RESUMEN

In response to encounter with self-Ag, autoreactive B cells may undergo secondary L chain gene rearrangement (receptor editing) and change the specificity of their Ag receptor. Knowing at what differentiative stage(s) developing B cells undergo receptor editing is important for understanding how self-reactive B cells are regulated. In this study, in mice with Ig transgenes coding for anti-self (DNA) Ab, we report dsDNA breaks indicative of ongoing secondary L chain rearrangement not only in bone marrow cells with a pre-B/B cell phenotype but also in immature/transitional splenic B cells with little or no surface IgM (sIgM(-/low)). L chain-edited transgenic B cells were detectable in spleen but not bone marrow and were still found to produce Ab specific for DNA (and apoptotic cells), albeit with lower affinity for DNA than the unedited transgenic Ab. We conclude that L chain editing in anti-DNA-transgenic B cells is not only ongoing in bone marrow but also in spleen. Indeed, transfer of sIgM(-/low) anti-DNA splenic B cells into SCID mice resulted in the appearance of a L chain editor (Vlambdax) in the serum of engrafted recipients. Finally, we also report evidence for ongoing L chain editing in sIgM(low) transitional splenic B cells of wild-type mice.


Asunto(s)
Anticuerpos Antinucleares/inmunología , Autoinmunidad , Linfocitos B/inmunología , Células de la Médula Ósea/inmunología , Reordenamiento Génico de Cadena Ligera de Linfocito B/inmunología , Receptores de Antígenos de Linfocitos B/inmunología , Animales , Anticuerpos Antinucleares/genética , Afinidad de Anticuerpos , Apoptosis/genética , Apoptosis/inmunología , Autoinmunidad/genética , Linfocitos B/trasplante , Médula Ósea/inmunología , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Inmunoglobulina M/genética , Inmunoglobulina M/inmunología , Transfusión de Linfocitos , Ratones , Ratones Noqueados , Ratones SCID , Especificidad de Órganos/genética , Especificidad de Órganos/inmunología , Receptores de Antígenos de Linfocitos B/genética , Bazo/inmunología
9.
Immunity ; 28(2): 161-70, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18261939

RESUMEN

The recombining sequence (RS) of mouse and its human equivalent, the immunoglobulin (Ig) kappa deleting element (IGKDE), are sequences found at the 3' end of the Ig kappa locus (Igk) that rearrange to inactivate Igk in developing B cells. RS recombination correlates with Ig lambda (Iglambda) light (L) chain expression and likely plays a role in receptor editing by eliminating Igk genes encoding autoantibodies. A mouse strain was generated in which the recombination signal of RS was removed, blocking RS-mediated Igk inactivation. In RS mutant mice, receptor editing and self-tolerance were impaired, in some cases leading to autoantibody formation. Surprisingly, mutant mice also made fewer B cells expressing lambda chain, whereas lambda versus kappa isotype exclusion was only modestly affected. These results provide insight into the mechanism of L chain isotype exclusion and indicate that RS has a physiological role in promoting the formation of lambda L chain-expressing B cells.


Asunto(s)
Linfocitos B/inmunología , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Tolerancia Inmunológica , Cadenas kappa de Inmunoglobulina/genética , Cadenas kappa de Inmunoglobulina/inmunología , Cadenas lambda de Inmunoglobulina/metabolismo , Animales , Anticuerpos Antinucleares/sangre , Linfocitos B/metabolismo , Reordenamiento Génico de Cadena Ligera de Linfocito B/inmunología , Genes de Inmunoglobulinas , Hibridomas , Cadenas lambda de Inmunoglobulina/genética , Cadenas lambda de Inmunoglobulina/inmunología , Ratones , Ratones Endogámicos C57BL , Ratones Mutantes , Ratones Transgénicos , Proteínas Proto-Oncogénicas/metabolismo , Proteínas Proto-Oncogénicas c-bcl-2 , Recombinación Genética
10.
Leuk Res ; 31(9): 1231-6, 2007 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-17462732

RESUMEN

Of 166 hairy cell leukemia (HCL) patients, 81 had kappa and 80 had lambda expression. IGKV-J and IGLV-J rearrangement structure was analyzed in 21 HCL patients (11 kappa, 10 lambda). For kappa, IGKV1-5 was most frequent, and the KJ2 gene was over-utilized. For lambda HCL, LJ3 was over-utilized compared to normal. This study significantly adds to previous studies of light chain usage in HCL and is the first to report light chain gene usage. In HCL, we confirm the lack of kappa predominance observed in normal lymphocytes and in chronic lymphocytic leukemia, and note over-representation of several light chain genes.


Asunto(s)
Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Cadenas Ligeras de Inmunoglobulina/genética , Región Variable de Inmunoglobulina/genética , Cadenas kappa de Inmunoglobulina/genética , Leucemia de Células Pilosas/genética , Citometría de Flujo , Humanos
11.
Am J Surg Pathol ; 31(3): 438-46, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17325486

RESUMEN

We analyzed 42 splenic marginal-zone lymphoma (SMZL) cases diagnosed on splenectomy specimens after established World Health Organization criteria. A predominantly nodular growth pattern was observed in 24 cases; the remainder showed predominantly (11/42) or exclusively (7/42) diffuse infiltration. Twenty-one cases showed the "classic" biphasic appearance; 13 cases exhibited marginal-zone morphology; finally, 8 cases were composed predominantly of small cells. CD21 and CD35 were expressed by 12/42 and 17/38 cases, respectively. DBA.44 was detected in 24/42 cases. Seventeen of 37 cases were surface IgD (SIgD)-positive. Twenty-one of 22 analyzed cases were SIgM-positive (12/21 coexpressed SIgD). Five of 37 cases were SIgG-positive. CD27 staining was observed in 21/35 cases; 7/18 CD27-positive cases coexpressed SIgD; 7/14 CD27-negative cases were SIgD-positive. Forty IGHV-D-J rearrangements were amplified in 34/42 cases: the IGHV4-34 gene predominated, followed by IGHV1-2. Using the 98% homology cut-off, 25/40 (62.5%) IGHV sequences were considered as "mutated": 10/11 cases with monomorphous, marginal-zone morphology were IGHV-mutated; in contrast, 4/6 cases with monomorphous, small-cell morphology were IGHV-unmutated. Five of 7 cases expressing IGHV1 subgroup genes had biphasic morphology, whereas 6/9 IGHV3-expressing cases had monomorphous, marginal-zone morphology. Most IGHV-mutated cases (14/20; 70%) were SIgD-negative; in contrast, 8/11 IGHV-unmutated cases expressed SIgD. CD27 was detected in 10/17 IGHV-mutated and 6/10 IGHV-unmutated cases. Seven of 11 CD27-negative cases were IGHV-mutated; 5/7 CD27-negative/IGHV-mutated cases expressed DBA.44. These results confirm the considerable histologic, immunohistochemical, and molecular heterogeneity of SMZL and indicate an origin from the diverse resident B-cell populations of the normal SMZ.


Asunto(s)
Linfoma/patología , Bazo/patología , Neoplasias del Bazo/patología , Biomarcadores de Tumor/metabolismo , Análisis Mutacional de ADN , ADN de Neoplasias/análisis , Reordenamiento Génico de Cadena Pesada de Linfocito B/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Humanos , Cadenas Pesadas de Inmunoglobulina/genética , Cadenas Ligeras de Inmunoglobulina/genética , Inmunofenotipificación , Linfoma/genética , Linfoma/metabolismo , ARN Neoplásico/análisis , Esplenectomía , Neoplasias del Bazo/genética , Neoplasias del Bazo/metabolismo
12.
Mol Immunol ; 44(7): 1793-802, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17005252

RESUMEN

V(D)J recombination proceeds from a site-specific cleavage to an imprecise end joining, via generation and resolution of recombination ends. Although rearranged antigen receptor genes isolated from zebrafish (Danio rerio) resemble those made in mammals, differences may arise during evolution from lower to higher vertebrates, in regard to efficiency, fidelity and regulation of this recombination. To elucidate the V(D)J recombination reaction in zebrafish, we characterized recombination ends transiently produced by zebrafish lymphocytes, as well as joining products. Similar to their mammalian counterpart, zebrafish lymphocytes make perfect signal joints and normal coding joints, indicating their competent end resolution machinery. However, recombination ends recovered from the same zebrafish lymphoid tissues exhibit some features that are not readily seen in normal mammalian counterpart: deleted signal ends and accumulation of opened coding ends. These results indicate that the recombination reaction in zebrafish lymphocytes is inefficient and less stringently regulated, which may result from unstable post-cleavage complexes, and/or slow transition from cleavage to resolution. Our data suggests that the V(D)J recombination machinery may have undergone evolution selection to become more efficient in higher jawed vertebrates.


Asunto(s)
Reordenamiento Génico de Cadena Pesada de Linfocito B/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Pez Cebra/genética , Animales , Secuencia de Bases , Datos de Secuencia Molecular , Recombinación Genética , VDJ Recombinasas/metabolismo , Pez Cebra/inmunología
13.
Hematol Oncol ; 24(4): 212-9, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-16897790

RESUMEN

Post-transplant lymphoproliferative disorders (PTLD) derive from antigen-experienced B-cells and represent a major complication of solid organ transplantation. We characterized usage, mutation frequency and mutation pattern of immunoglobulin variable (IGV) gene rearrangements in 50 PTLD (polymorphic PTLD, n=10; diffuse large B-cell lymphoma, n=35; and Burkitt/Burkitt-like lymphoma, n=5). Among PTLD yielding clonal IGV amplimers, a functional IGV heavy chain (IGHV) rearrangement was found in 40/50 (80.0%) cases, whereas a potentially functional IGV light chain rearrangement was identified in 36/46 (78.3%) PTLD. By combining IGHV and IGV light chain rearrangements, 10/50 (20.0%) PTLD carried crippling mutations, precluding expression of a functional B-cell receptor (BCR). Immunohistochemistry showed detectable expression of IG light chains in only 18/43 (41.9%) PTLD. Failure to detect a functional IGV rearrangement associated with lack of IGV expression. Our data suggest that a large fraction of PTLD arise from germinal centre (GC)-experienced B-cells that display impaired BCR. Since a functional BCR is required for normal B-cell survival during GC transit, PTLD development may implicate rescue from apoptosis and expansion of B-cells that have failed the GC reaction. The high frequency of IGV loci inactivation appears to be a peculiar feature of PTLD among immunodeficiency-associated lymphoproliferations.


Asunto(s)
Linfoma de Burkitt/genética , Cadenas Pesadas de Inmunoglobulina/genética , Cadenas Ligeras de Inmunoglobulina/genética , Región Variable de Inmunoglobulina/genética , Neoplasias Primarias Secundarias/genética , Trasplante de Órganos , Apoptosis/genética , Linfoma de Burkitt/metabolismo , Linfoma de Burkitt/patología , Femenino , Regulación Leucémica de la Expresión Génica , Reordenamiento Génico de Cadena Pesada de Linfocito B/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Centro Germinal/metabolismo , Centro Germinal/patología , Humanos , Inmunoglobulina G/biosíntesis , Inmunoglobulina G/genética , Cadenas Ligeras de Inmunoglobulina/biosíntesis , Región Variable de Inmunoglobulina/biosíntesis , Inmunohistoquímica , Masculino , Mutación , Proteínas Proto-Oncogénicas c-bcr/biosíntesis , Proteínas Proto-Oncogénicas c-bcr/genética , Hipermutación Somática de Inmunoglobulina/genética
14.
Am J Clin Pathol ; 126(2): 222-9, 2006 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16891197

RESUMEN

We describe a composite lymphoma with recurrent Hodgkin lymphoma and diffuse large B-cell lymphoma components manifesting as a single, perforated small intestinal tumor in a 56-year-old man with a history of classical Hodgkin lymphoma and recent relapse in the bone marrow. The resected mass had 2 morphologically and immunophenotypically distinct components; 1 showed a pleomorphic cellular infiltrate with fibrosis and contained numerous, large Hodgkin/Reed-Sternberg-like cells and variants. The tumor cells were CD30+ and focally positive for CD15 but CD20-, CD79a-, and PAX-5-. In situ hybridization for Epstein-Barr virus (EBV) was strongly positive in the large pleomorphic tumor cells. The adjacent component displayed sheets of relatively uniform, large lymphoid cells with typical morphologic features of diffuse large cell lymphoma. The tumor cells showed uniform expression of tested B-cell antigens, absence of CD30 or CD15, and complete absence of EBV-encoded RNA. Separate molecular studies with immunoglobulin heavy and k light chain gene rearrangements clearly demonstrated an identical rearrangement pattern, indicating derivation from the same clone, which was confirmed by direct DNA sequencing analysis. Such distinctly different morphology, immunophenotype, and EBV status in different components within a clonally related single tumor mass is striking.


Asunto(s)
Enfermedad de Hodgkin/patología , Linfoma de Células B/patología , Linfoma de Células B Grandes Difuso/patología , Recurrencia Local de Neoplasia , Neoplasias Primarias Múltiples/patología , Antígenos CD/análisis , Biomarcadores de Tumor/análisis , Células Clonales/química , Células Clonales/patología , ADN de Neoplasias/análisis , Infecciones por Virus de Epstein-Barr/complicaciones , Infecciones por Virus de Epstein-Barr/patología , Resultado Fatal , Reordenamiento Génico de Cadena Pesada de Linfocito B/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Herpesvirus Humano 4/genética , Herpesvirus Humano 4/aislamiento & purificación , Enfermedad de Hodgkin/metabolismo , Enfermedad de Hodgkin/virología , Humanos , Linfoma de Células B/química , Linfoma de Células B/virología , Linfoma de Células B Grandes Difuso/química , Linfoma de Células B Grandes Difuso/virología , Masculino , Persona de Mediana Edad , Neoplasias Primarias Múltiples/química , Neoplasias Primarias Múltiples/virología , ARN Viral/análisis , Células de Reed-Sternberg/patología
15.
Immunity ; 24(4): 405-15, 2006 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-16618599

RESUMEN

Allelic exclusion ensures that individual B lymphocytes produce only one kind of antibody molecule. Previous studies have shown that allelic exclusion of the mouse Igkappa locus occurs by the combination of monoallelic silencing and a low level of monoallelic activation for rearrangement combined with a negative feedback loop blocking additional functional rearrangements. Using yeast artificial chromosome-based single-copy isotransgenic mice, we have identified a cis-acting element that negatively regulates rearrangement in this locus, specifically in B cells. The element, termed Sis, resides in the V-J intervening sequence. Sis specifies the targeting of Igkappa transgenes in pre-B and B cells to centromeric heterochromatin and associates with Ikaros, a repressor protein that also colocalizes with centromeric heterochromatin. Significantly, these are hallmarks of silenced endogenous germline Igkappa genes in B cells. These results lead us to propose that Sis participates in the monoallelic silencing aspect of allelic exclusion regulation.


Asunto(s)
Heterocromatina/genética , Factor de Transcripción Ikaros/genética , Cadenas kappa de Inmunoglobulina/genética , Recombinación Genética/genética , Elementos Reguladores de la Transcripción/genética , Animales , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Silenciador del Gen , Genes de Inmunoglobulinas , Imagenología Tridimensional , Hibridación Fluorescente in Situ , Ratones , Ratones Transgénicos , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
16.
Arch Pathol Lab Med ; 129(11): 1487-90, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16253033

RESUMEN

We report a case of the nonsecretory variant of immunoproliferative small intestinal disease involving the distal small bowel and the mesenteric and retroperitoneal lymph nodes in a 19-year-old woman from Mexico. This variant extranodal marginal zone B-cell lymphoma appeared similar in the different sites of involvement, with more interspersed large cells and greater plasmacytic differentiation present in intestinal specimens. Characteristic lymphoepithelial lesions and follicular colonization were seen in intestinal and lymph node sections, respectively. The neoplastic B cells were cytoplasmic immunoglobulin (Ig) A heavy-chain restricted and lacked surface and cytoplasmic light-chain expression by flow cytometric analysis. Serum and urine protein electrophoresis/immunofixation revealed hypogammaglobulinemia with no paraprotein. Molecular studies showed absence of immunoglobulin heavy-chain (IgH) gene rearrangement, with a nonfunctional clonotypic rearrangement of the kappa light-chain gene. This case highlights the role for kappa light-chain gene evaluation in immunoproliferative small intestinal disease, because IgH gene rearrangement analysis is often negative.


Asunto(s)
Enfermedad Inmunoproliferativa del Intestino Delgado/patología , Ganglios Linfáticos/patología , Linfoma de Células B de la Zona Marginal/patología , 2-Piridinilmetilsulfinilbencimidazoles , Adulto , Amoxicilina/uso terapéutico , Antibacterianos/uso terapéutico , Bencimidazoles/uso terapéutico , Quimioterapia Combinada , Femenino , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Humanos , Inmunofenotipificación , Enfermedad Inmunoproliferativa del Intestino Delgado/genética , Enfermedad Inmunoproliferativa del Intestino Delgado/inmunología , Intestino Delgado/patología , Mesenterio , Metronidazol/uso terapéutico , Omeprazol/análogos & derivados , Omeprazol/uso terapéutico , Pantoprazol , Espacio Retroperitoneal , Sulfóxidos/uso terapéutico
17.
Blood ; 106(10): 3575-83, 2005 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-16076869

RESUMEN

Immunoglobulin kappa (IGK) and immunoglobulin lambda (IGL) light chain repertoire was analyzed in 276 chronic lymphocytic leukemia (CLL) cases and compared with the relevant repertoires from normal, autoreactive, and neoplastic cells. Twenty-one functional IGKV genes were used in IGKV-J rearrangements of 179 kappa-CLL cases; the most frequent genes were IGKV3-20(A27), IGKV1-39/1D-39(O2/O12), IGKV1-5(L12), IGKV4-1(B3), and IGKV2-30(A17); 90 (50.3%) of 179 IGK sequences were mutated (similarity < 98%). Twenty functional IGLV genes were used in IGLV-J rearrangements of 97 lambda-CLL cases; the most frequent genes were IGLV3-21(VL2-14), IGLV2-8(VL1-2), and IGLV2-14(VL1-4); 44 of 97 IGL sequences (45.4%) were mutated. Subsets with "CLL-biased" homologous complementarity-determining region 3 (CDR3) were identified: (1) IGKV2-30-IGKJ2, 7 sequences with homologous kappa CDR3 (KCDR3), 5 of 7 associated with homologous IGHV4-34 heavy chains; (2) IGKV1-39/1D-39-IGKJ1/4, 4 unmutated sequences with homologous KCDR3, 2 of 4 associated with homologous IGHV4-39 heavy chains; (3) IGKV1-5-IGKJ1/3, 4 sequences with homologous KCDR3, 2 of 4 associated with unmutated nonhomologous IGHV4-39 heavy chains; (4) IGLV1-44-IGLJ2/3, 2 sequences with homologous lambda CDR3 (LCDR3), associated with homologous IGHV4-b heavy chains; and (5) IGLV3-21-IGLJ2/3, 9 sequences with homologous LCDR3, 3 of 9 associated with homologous IGHV3-21 heavy chains. The existence of subsets that comprise given IGKV-J/IGLV-J domains associated with IGHV-D-J domains that display homologous CDR3 provides further evidence for the role of antigen in CLL pathogenesis.


Asunto(s)
Leucemia Linfocítica Crónica de Células B/genética , Hipermutación Somática de Inmunoglobulina/genética , Adulto , Anciano , Anciano de 80 o más Años , Regiones Determinantes de Complementariedad/genética , Femenino , Reordenamiento Génico de Cadena Pesada de Linfocito B/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Humanos , Región Variable de Inmunoglobulina/genética , Cadenas kappa de Inmunoglobulina/genética , Cadenas lambda de Inmunoglobulina/genética , Leucemia Linfocítica Crónica de Células B/mortalidad , Leucemia Linfocítica Crónica de Células B/patología , Masculino , Persona de Mediana Edad
18.
J Immunol ; 174(10): 6176-83, 2005 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-15879114

RESUMEN

Except for the expression of IgM and IgD, DNA recombination is constantly needed for the expression of other Ig classes and subclasses. The predominant path of class switch recombination (CSR) is intrachromosomal, and the looping-out and deletion model has been abundantly documented. However, switch regions also occasionally constitute convenient substrates for interchromosomal recombination, since it is noticeably the case in a number of chromosomal translocations causing oncogene deregulation in the course of lymphoma and myeloma. Although asymmetric accessibility of Ig alleles should theoretically limit its occurrence, interallelic CSR was shown to occur at low levels during IgA switching in rabbit, where the definition of allotypes within both V and C regions helped identify interchromosomally derived Ig. Thus, we wished to evaluate precisely interallelic CSR frequency in mouse B cells, by using a system in which only one allele (of b allotype) could express a functional VDJ region, whereas only interallelic CSR could restore expression of an excluded (a allotype) allele. In our study, we show that interchromosomal recombination of V(H) and Cgamma or Calpha occurs in vivo in B cells at a frequency that makes a significant contribution to physiological class switching: trans-association of V(H) and C(H) genes accounted for 7% of all alpha mRNA, and this frequency was about twice higher for the gamma3 transcripts, despite the much shorter distance between the J(H) region and the Cgamma3 gene, thus confirming that this phenomenon corresponded to site-specific switching and not to random recombination between long homologous loci.


Asunto(s)
Alelos , Linfocitos B/inmunología , Linfocitos B/metabolismo , Reordenamiento Génico de Cadena Pesada de Linfocito B , Cambio de Clase de Inmunoglobulina/genética , Recombinación Genética , Animales , Diferenciación Celular/genética , Diferenciación Celular/inmunología , Células Cultivadas , Exones/genética , Femenino , Reordenamiento Génico de Cadena Pesada de Linfocito B/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Tamización de Portadores Genéticos , Homocigoto , Inmunoglobulina A/biosíntesis , Inmunoglobulina A/sangre , Inmunoglobulina A/genética , Regiones Constantes de Inmunoglobulina/genética , Cadenas J de Inmunoglobulina/genética , Inmunoglobulina M/biosíntesis , Inmunoglobulina M/genética , Región Variable de Inmunoglobulina/genética , Cadenas alfa de Inmunoglobulina/genética , Cadenas gamma de Inmunoglobulina/genética , Cadenas kappa de Inmunoglobulina/genética , Masculino , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Ratones Mutantes , Microscopía Confocal , Mutagénesis Insercional , Células Plasmáticas/inmunología , Células Plasmáticas/metabolismo
19.
J Immunol ; 174(1): 367-75, 2005 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-15611260

RESUMEN

The BCR-ABL1 kinase expressed in acute lymphoblastic leukemia (ALL) drives malignant transformation of pre-B cells and prevents further development. We studied whether inhibition of BCR-ABL1 kinase activity using STI571 can relieve this differentiation block. STI571 treatment of leukemia patients induced expression of the Ig L chain-associated transcription factors IRF4 and SPIB, up-regulation of RAG1 and RAG2, Ckappa and Clambda germline transcription, and rearrangement of Ig kappa L chain (IGK) and Ig lambda L chain (IGL) genes. However, STI571-treated pre-B ALL cells expressed lambda L, but almost no kappa L chains. This could be explained by STI571-induced rearrangement of the kappa-deleting element (KDE), which can delete productively rearranged Vkappa-Jkappa joints. Amplifying double-strand breaks at recombination signal sequences within the IGK, KDE, and IGL loci revealed a coordinated sequence of rearrangement events induced by STI571: recombination of IGK gene segments was already initiated within 1 h after STI571 treatment, followed by KDE-mediated deletion of Vkappa-Jkappa joints 6 h later and, ultimately, IGL gene rearrangement after 12 h. Consistently, up-regulation of Ckappa and Clambda germline transcripts, indicating opening of IGK and IGL loci, was detected after 1 and 6 h for IGK and IGL, respectively. Continued activity of the recombination machinery induced secondary IGK gene rearrangements, which shifted preferential usage of upstream located Jkappa- to downstream Jkappa-gene segments. Thus, inhibition of BCR-ABL1 in pre-B ALL cells 1) recapitulates early B cell development, 2) directly shows that IGK, KDE, and IGL genes are rearranged in sequential order, and 3) provides a model for Ig L chain gene regulation in the human.


Asunto(s)
Linfocitos B/efectos de los fármacos , Reordenamiento Génico de Cadena Ligera de Linfocito B/efectos de los fármacos , Leucemia-Linfoma Linfoblástico de Células Precursoras/genética , Inhibidores de Proteínas Quinasas/uso terapéutico , Células Madre/efectos de los fármacos , Linfocitos B/metabolismo , Benzamidas , Cartilla de ADN , Proteínas de Unión al ADN/efectos de los fármacos , Proteínas de Unión al ADN/metabolismo , Citometría de Flujo , Proteínas de Fusión bcr-abl , Regulación Neoplásica de la Expresión Génica , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Factores de Intercambio de Guanina Nucleótido/efectos de los fármacos , Factores de Intercambio de Guanina Nucleótido/metabolismo , Proteínas de Homeodominio/efectos de los fármacos , Proteínas de Homeodominio/metabolismo , Humanos , Mesilato de Imatinib , Inmunoglobulinas/genética , Proteínas Nucleares , Piperazinas/uso terapéutico , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamiento farmacológico , Proteínas Tirosina Quinasas/antagonistas & inhibidores , Pirimidinas/uso terapéutico , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Células Madre/metabolismo , Factores de Transcripción/efectos de los fármacos , Factores de Transcripción/metabolismo
20.
J Immunol Methods ; 294(1-2): 199-207, 2004 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-15604028

RESUMEN

This protocol describes the application of a polymerase chain reaction to allow the cloning and sequencing of new functional kappa light chain cDNAs from murine hybridomas co-expressing aberrant endogenous kappa chain mRNAs. The presence of kappa light chain aberrant mRNAs can hinder or even prevent determination of the sequence of functional murine kappa light chain cDNAs amplified by PCR from hybridomas. The method described here employs a panel of kappa primers in the presence of molar excess of a primer complementary to the complementary determining region (CDR) 3 of the known aberrant chain sequence. Analysis of the PCR products reveals two bands for some reactions: one the functional, full-length kappa chain cDNA (approximately 400 bp) and another shorter (approximately 100 bp) band corresponding to short aberrant chain kappa CDR3-constant region. The full-length product is gel purified and cloned prior to sequencing and aligned with V-region germline sequences available in NCBI and GenBank databases. This method is used routinely in our laboratory and demonstrates consistency and reliability for sequence determination of kappa light chain V-gene cDNA of mAbs to diverse antigens. This protocol is a rapid and convenient method for determining the sequence of murine V kappa region genes from hybridomas expressing aberrant kappa chain mRNAs.


Asunto(s)
Secuencia de Aminoácidos/genética , Regiones Determinantes de Complementariedad/genética , ADN Complementario/genética , Reordenamiento Génico de Cadena Ligera de Linfocito B/genética , Hibridomas , Cadenas kappa de Inmunoglobulina/genética , Análisis de Secuencia de ADN/métodos , Eliminación de Secuencia/genética , Animales , Anticuerpos Monoclonales/biosíntesis , Anticuerpos Monoclonales/genética , Clonación Molecular , Cartilla de ADN/genética , Bases de Datos de Ácidos Nucleicos , Regulación de la Expresión Génica , Ratones , Datos de Secuencia Molecular , Reacción en Cadena de la Polimerasa , ARN Mensajero/genética , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Alineación de Secuencia
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