Chronic lymphocytic leukemia B cells express restricted sets of mutated and unmutated antigen receptors
Chronic lymphocytic leukemia B cells express restricted sets of mutated and unmutated antigen receptors
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DOI:
10.1172/jci3009
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发表时间:
1998-10-15
影响因子:
15.9
通讯作者:
Chiorazzi, N
中科院分区:
文献类型:
--
作者:
Fais, F;Ghiotto, F;Chiorazzi, N
To better understand the stage(s) of differentiation reached by B-type chronic lymphocytic leukemia (B-CLL) cells and to gain insight into the potential role of antigenic stimulation in the development and diversification of these cells, we analyzed the rearranged V-H genes expressed by 83 B-CLL cells (64 IgM(+) and 19 non-IgM(+)). Our results confirm and extend the observations of a bias in the use of certain V-H, D, and J(H) genes among B-CLL cells. In addition, they indicate that the V-H genes of similar to 50% of the IgM(+) B-CLL cells and similar to 75% Of the non-IgM(+) B-CLL cells can exhibit somatic mutations. The presence of mutation varies according to the V-H family expressed by the B-CLL cell (V(H)3 expressers displaying more mutation than V(H)1 and V(H)4 expressers). In addition, the extent of mutation can be sizeable with similar to 32% of the IgM(+) cases and similar to 68% of the non-IgM(+) cases differing by > 5% from the most similar germline gene. Approximately 20% of the mutated V-H genes display replacement mutations in a pattern consistent with antigen selection. However, CDR3 characteristics (D and J(H) gene use and association and HCDR3 length, composition, and charge) suggest that selection for distinct B cell receptors (BCR) occurs in many more B-CLL cells. Based on these data, we suggest three prototypic BCR, representing the V-H genes most frequently encountered in our study. These data suggest that many B-CLL cells have been previously stimulated, placing them in the "experienced" or "memory" CD5(+) B cell subset.