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THE ROLE OF CLONAL SELECTION IN THE PATHOGENESIS OF AN AUTOREACTIVE HUMAN B-CELL LYMPHOMA
Author(s): FRIEDMAN DF, CHO EA, GOLDMAN J, CARMACK CE, BESA EC, HARDY RR, SILBERSTEIN LE
Source: JOURNAL OF EXPERIMENTAL MEDICINE    Volume: 174    Issue: 3    Pages: 525-537    Published: SEP 1 1991  
Times Cited: 79     References: 59     
Abstract: To study the association of autoimmunity and human B cell neoplasia, we have established a model of a B cell lymphoma which expresses a pathogenic autoantibody of defined specificity. The Ig V(H) gene expressed in this neoplasm was analyzed longitudinally using clinical specimens taken from the splenic lymphoma (S) at diagnosis and from lymph node relapses 3 and 4 yr later (N3 and N4). Southern analysis and oligonucleotide hybridization experiments demonstrated that clonally related predominant and minor tumor cell populations were present in S at diagnosis, and that the minor population became the predominant population in the relapse specimens, N3 and N4. Although the Ig specificity and idiotype were the same at diagnosis and at both relapses, analysis of the expressed V(H) gene sequences showed 14 base changes between S and N3, and 2 further changes at N4. Little sequence heterogeneity was observed at each sampling time, indicating that the ongoing mutation frequency was low. The relevant germline precursor V(H) gene was determined from autologous germline DNA and compared to the expressed genes. Based on the pattern of shared and unshared mutations, we were able to establish the genealogic relationship of the germline V(H) gene and the expressed clonotypes of S, N3 and N4. Taken together, the findings from Southern blotting, oligonucleotide hybridization, and sequence analysis permit us to describe a molecular aspect of tumor progression, "clonotypic shift", wherein subpopulations of the malignant clone, marked by different V gene clonotypes, emerge and predominate at different time points in the evolution of the lymphoma. Furthermore, the sequential and nonrandom pattern of the V(H) mutations, correlated with the observed conservation of autospecificity and idiotype, implies that clonal selection may have influenced the pathogenesis of the lymphoma.
Document Type: Article
Language: English
Addresses:
1. HOSP UNIV PENN, DEPT PATHOL & LAB MED, PHILADELPHIA, PA 19104 USA
2. CHILDRENS HOSP PHILADELPHIA, DEPT PATHOL, PHILADELPHIA, PA 19104 USA
3. CHILDRENS HOSP PHILADELPHIA, DEPT PEDIAT, PHILADELPHIA, PA 19104 USA
4. FOX CHASE CANC INST, PHILADELPHIA, PA 19111 USA
Publisher: ROCKEFELLER UNIV PRESS, 222 E 70TH STREET, NEW YORK, NY 10021
Subject Category: Immunology; Medicine, Research & Experimental
IDS Number: GC960
ISSN: 0022-1007
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