Immunophenotypic and idiotypic characterisation of the leukaemic B-cells from patients with prolymphocytic leukaemia: evidence for a selective expression of immunoglobulin variable region (IGV) gene products

Leuk Res. 1993 Aug;17(8):669-76. doi: 10.1016/0145-2126(93)90072-s.

Abstract

B-cell prolymphocytic leukaemia (B-PLL) is a rare chronic lymphoproliferative disease characterised by a massive splenomegaly associated with a mild or no lymphadenopathy and a high leukocyte count, mostly representing prolymphocytic features. We have studied membrane expression of certain Ig VK and VH gene products in five patients with B-PLL using a panel of monoclonal anti-subgroup and anti-cross-reactive idiotype (CRI) antibodies. Membrane expression of leukocyte-associated markers has also been investigated. The leukaemic cells from four patients expressed VKIII and VKIIIb subgroup and sub-subgroup kappa light chains. The VKIIIb and VHI-associated CRI identified by the monoclonal antibodies (MoAb) 17-109 and G8 were co-expressed in one patient. No B-cells from the patients expressed the VHIII-associated CRI. The same pattern of CRI expression was observed in a serum paraprotein collected from one of the patients. These results suggest a biased selection for the IG VKIII and VKIIIb light chains in B-PLL.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Antigens, CD / blood
  • B-Lymphocytes / immunology*
  • Female
  • Flow Cytometry
  • Gene Expression Regulation, Neoplastic / immunology*
  • Genes, Immunoglobulin*
  • Humans
  • Immunoglobulin Heavy Chains / blood
  • Immunoglobulin Idiotypes / blood
  • Immunoglobulin Idiotypes / genetics*
  • Immunoglobulin Isotypes / blood
  • Immunoglobulin Isotypes / genetics
  • Immunoglobulin Light Chains / blood
  • Immunoglobulin Variable Region / blood
  • Immunoglobulin Variable Region / genetics*
  • Immunophenotyping
  • Leukemia, Prolymphocytic / blood
  • Leukemia, Prolymphocytic / genetics
  • Leukemia, Prolymphocytic / immunology*
  • Leukocyte Count
  • Lymphocytes / immunology
  • Male
  • Middle Aged

Substances

  • Antigens, CD
  • Immunoglobulin Heavy Chains
  • Immunoglobulin Idiotypes
  • Immunoglobulin Isotypes
  • Immunoglobulin Light Chains
  • Immunoglobulin Variable Region