T-cell receptor gamma and delta gene rearrangements in T-cell acute lymphoblastic leukemia in Indian patients

Leuk Lymphoma. 2000 Jan;36(3-4):331-8. doi: 10.3109/10428190009148854.

Abstract

T-cell acute lymphoblastic leukemia (T-ALL) is a clonal lymphoid malignancy and junctional sequences of rearranged T-cell receptor (TCR) represent the best suitable marker to study clonality in these patients. A sensitive, non-radioactive, and rapid approach of PCR coupled with heteroduplex analysis was used to analyse clonality of TCR gamma and delta gene rearrangements in 26 Indian T-ALL patients. Amongst TCR gamma gene family, VgammaI-Jgamma1.3/2.3 sequences were most utilized (53.9%) while from TCRdelta repertoire Vdelta1-Jdelta1 sequences were preferentially rearranged (23.1%) in these patients. 19.2% of Indian T-ALL patients demonstrated both clonal TCR gamma and delta gene rearrangements along with surface expression of TCRgammadelta. Although the majority of T-ALL patients showed surface expression of TCRalphabeta, the small fraction (19.2%) of TCRgammadelta+ T-ALL represent a distinct subgroup which needs further evaluation.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Child
  • Child, Preschool
  • Chlorambucil / therapeutic use
  • Female
  • Gene Rearrangement, delta-Chain T-Cell Antigen Receptor*
  • Gene Rearrangement, gamma-Chain T-Cell Antigen Receptor*
  • Humans
  • Immunophenotyping
  • India
  • Leukemia-Lymphoma, Adult T-Cell / drug therapy
  • Leukemia-Lymphoma, Adult T-Cell / genetics*
  • Leukemia-Lymphoma, Adult T-Cell / immunology
  • Leukemia-Lymphoma, Adult T-Cell / mortality
  • Male
  • Middle Aged
  • Mitoxantrone / therapeutic use
  • Prednisolone / therapeutic use
  • Sex Factors
  • T-Lymphocytes / immunology*

Substances

  • Chlorambucil
  • Prednisolone
  • Mitoxantrone

Supplementary concepts

  • MCP protocol