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Prepublished online as a Blood First Edition Paper on December 12, 2002; DOI 10.1182/blood-2002-08-2432.
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Blood, 15 April 2003, Vol. 101, No. 8, pp. 3082-3084
IMMUNOBIOLOGY
Features of the overexpressed V1-69 genes in the
unmutated subset of chronic lymphocytic leukemia are distinct from
those in the healthy elderly repertoire
Kathleen N. Potter,
Jenny Orchard,
Eustacia Critchley,
C. Ian Mockridge,
Annette Jose, and
Freda K. Stevenson
From the Molecular Immunology Group, Tenovus
Laboratory, Southampton University Hospitals Trust, Southampton,
United Kingdom; and Department of Haematology and
Oncology, Royal Bournemouth Hospital, Bournemouth, United
Kingdom.
Chronic lymphocytic leukemia (CLL) comprises 2 subsets,
distinguished by expression of unmutated or mutated VH
genes, with the former having a worse prognosis. Biased usage
of the V1-69 gene is found in unmutated cases and is
combined with selected D gene segments and JH6. It is
controversial whether this is a CLL-associated feature or mirrors the
normal B-cell pattern. Since CLL is a disease of the elderly,
where changes in the B-cell repertoire may occur, we have analyzed
V1-69 usage in the elderly (older than 75 years)
population. Using monoclonal antibody (MoAb) G6, specific for 51p1-related V1-69 alleles, we
found no increased expression with age. In 51p1-encoded
immunoglobulin M (IgM), complementarity-determining region 3 (CDR3) length and frequency of D and JH genes were
similar to those in the healthy young and distinct from those in CLL. These findings support the concept that CLL arises from B cells driven
by antigen/superantigen and is not a stochastic event in the elderly
B-cell population.

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