OLIGOCLONAL B-CELL LEUKEMIA CHARACTERIZED BY SPONTANEOUS CELL-DIVISION AND TELOMERE ASSOCIATION

被引:15
作者
CROSSEN, PE [1 ]
TULLY, SM [1 ]
BENJES, SM [1 ]
HOLLINGS, PE [1 ]
BEARD, MEJ [1 ]
NIMMO, JC [1 ]
MORRISON, MJ [1 ]
机构
[1] CHRISTCHURCH HOSP,DEPT HEMATOL,CHRISTCHURCH,NEW ZEALAND
关键词
D O I
10.1002/gcc.2870080109
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cytogenetic analysis of unstimulated cultures from a female patient with chronic B-cell leukemia (CLL) revealed three cytogenetically distinct clones, suggesting that the patient's leukemia was oligoclonal. Immunoglobulin heavy chain gene rearrangement studies revealed 1 germline and 4 rearranged bands, indicative of an oligoclonal leukemic population. Further evidence of oligoclonality was provided by X-linked RFLP studies. This is the first report of oligoclonality in CLL demonstrated by cytogenetic, immunoglobulin gene rearrangement, and X-chromosome inactivation studies. In addition to oligoclonality, the patient's leukemic cells exhibited telomere association, a Robertsonian translocation, and clonal evolution, suggesting an underlying genomic instability. (C) 1993 Wiley-Liss, Inc.
引用
收藏
页码:49 / 59
页数:11
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