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Prepublished online as a Blood First Edition Paper on February 13, 2003; DOI 10.1182/blood-2002-09-2906.
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Blood, 15 June 2003, Vol. 101, No. 12, pp. 4903-4908
IMMUNOBIOLOGY
High expression of activation-induced cytidine deaminase (AID) and splice variants is a distinctive feature of poor-prognosis chronic lymphocytic leukemia
Helen McCarthy,
William G. Wierda,
Lynn L. Barron,
Candy C. Cromwell,
Jing Wang,
Kevin R. Coombes,
Roberto Rangel,
Kojo S. J. Elenitoba-Johnson,
Michael J. Keating, and
Lynne V. Abruzzo
From the Departments of Leukemia, Hematopathology, Biostatistics, and Immunology, The University of Texas M. D. Anderson Cancer Center, Houston, TX; and the Division of Anatomic Pathology, University of Utah Health Sciences Center, Salt Lake City, UT.
In chronic lymphocytic leukemia (CLL), analysis of immunoglobulin heavy chain variable regions for somatic hypermutation identifies 2 prognostic subsets, mutated and unmutated. Investigators have postulated that unmutated and mutated CLL arises from malignant transformation of pre and postgerminal center (GC) B cells, respectively. Alternatively, unmutated cases may arise from B cells stimulated by T-cellindependent antigens or from GC B cells with inactive somatic hypermutation. Activation-induced cytidine deaminase (AID), a protein essential for somatic hypermutation, is expressed by GC B cells in which this process occurs. We investigated AID mRNA expression in 20 CLL cases. In 8 cases we detected high expression of wild-type AID mRNA and 2 splice variants; in 12 cases and 5 normal peripheral blood B-cell samples we detected no expression using standard conditions. Of 8 CLL cases that highly expressed AID, 7 were unmutated, suggesting that this subset may arise from GC-experienced B cells with inactive somatic hypermutation, and may predict prognosis.

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