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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2002-01-0203.
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Blood, 15 July 2002, Vol. 100, No. 2, pp. 661-665
NEOPLASIA
Evidence for the involvement of a hematopoietic progenitor cell
in systemic mastocytosis from single-cell analysis of mutations in the
c-kit gene
A. Selim Yavuz,
Peter E. Lipsky,
Sule Yavuz,
Dean D. Metcalfe, and
Cem Akin
From the Autoimmunity Branch, National Institute of
Arthritis and Musculoskeletal and Skin Diseases (NIAMS), and Laboratory
of Allergic Diseases, National Institute of Allergy and Infectious
Diseases (NIAID), National Institutes of Health, Bethesda,
MD.
Mast cells are derived from multipotential hematopoietic
progenitors and are clonally increased in systemic mastocytosis, a
disease associated with point mutations of codon 816 (most commonly Asp816Val) of c-kit. To study the lineage relationship and
the extent of expansion of cells derived from the mutated clone, we examined the occurrence of the Asp816Val c-kit mutation in
genomic DNA of individual sorted peripheral blood T cells, B cells, and monocytes in patients with indolent systemic mastocytosis. The mutation
was detected in varying frequencies in the genomic DNA of individual B
cells and monocytes and bone marrow mast cells in patients with
extensive disease. In B cells, the immunoglobulin repertoire was
polyclonal, indicating that the mutation occurred before
VH/(D)/JH recombination. These results show
that mastocytosis is a disorder of a pluripotential hematopoietic
progenitor cell that gives rise to B cells and monocytes in addition to
mast cells and that the affected clone shows variable expansion in
these lineages in the peripheral blood of patients with systemic mastocytosis.

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