Expansions of clonal and oligoclonal T cells in B‐cell chronic lymphocytic leukemia are primarily restricted to the CD3+CD8+ T‐cell population

CL Goolsby, M Kuchnio, WG Finn, LA Peterson - Cytometry, 2000 - Wiley Online Library
CL Goolsby, M Kuchnio, WG Finn, LA Peterson
Cytometry, 2000Wiley Online Library
B‐cell chronic lymphocytic leukemia (B‐CLL) is characterized by the accumulation of mature‐
appearing clonal B cells exhibiting coexpression of CD5 and CD23. In addition to the
accumulation of neoplastic B cells, numerous T‐cell abnormalities also occur in B‐CLL
patients. In this study, the presence, and distribution within the T‐cell subsets, of
clonal/oligoclonal T cells was studied. Multicolor flow cytometric techniques were employed
using combinations of anti‐CD3, anti‐CD4, and anti‐CD8 antibodies coupled with …
Abstract
B‐cell chronic lymphocytic leukemia (B‐CLL) is characterized by the accumulation of mature‐appearing clonal B cells exhibiting coexpression of CD5 and CD23. In addition to the accumulation of neoplastic B cells, numerous T‐cell abnormalities also occur in B‐CLL patients. In this study, the presence, and distribution within the T‐cell subsets, of clonal/oligoclonal T cells was studied. Multicolor flow cytometric techniques were employed using combinations of anti‐CD3, anti‐CD4, and anti‐CD8 antibodies coupled with antibodies specific for Vα and Vβ T‐cell receptor (TCR) epitopes. Molecular studies of TCR gene sequences were done to confirm the presence of clonal/oligoclonal T‐cell populations. In the flow cytometric studies, examination of Vα/Vβexpression found evidence of clonal/oligoclonal expansion in 9 of 19 patients studied. In eight of the nine patients, the expansions were restricted to the CD3+CD8+ cell population. Molecular analyses were performed in 16 patients, 12 of whom showed a clonal or oligoclonal pattern. Of the four patients who were negative in the molecular analyses, all demonstrated flow cytometric evidence of clonal/oligoclonal expansions. Thus, when the flow cytometric and molecular analyses were considered together, all 16 patients for whom parallel analyses were done showed evidence of clonal/oligoclonal expansions. These results confirm previous work demonstrating that the majority of B‐CLL patients harbor clonal/oligoclonal expansions within the T‐cell population. Additionally, based on the relative numbers of cells expressing specific Vα or Vβepitopes, these results show that these expansions occur primarily within the CD3+CD8+ T‐cell population. Cytometry (Comm. Clin. Cytometry) 42:188–195, 2000. © 2000 Wiley‐Liss, Inc.
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