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Prepublished online as a Blood First Edition Paper on December 19, 2002; DOI 10.1182/blood-2002-08-2638.

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Blood, 15 April 2003, Vol. 101, No. 8, pp. 3106-3108

IMMUNOBIOLOGY
Brief report

Clonal expansion of CD8+ BV8 T lymphocytes in bone marrow characterizes thymoma-associated B lymphopenia

Anna Maria Masci, Giovannella Palmieri, Laura Vitiello, Liliana Montella, Francesco Perna, Paola Orlandi, Gianfranco Abbate, Serafino Zappacosta, Raffaele De Palma, and Luigi Racioppi

From the Dipartimento di Biologia e Patologia Cellulare e Molecolare, Federico II University of Naples, Italy; the Dipartimento di Oncologia molecolare e clinica, Federico II University of Naples, Italy; the Laboratorio di Microbiologia e Chimica Clinica, Monaldi Hospital, Naples, Italy; the Divisione di Immunologia e Malattie Infettive, Ospedale Bambin Gesù, "Tor Vergata" University of Rome, Rome, Italy; and the Dipartimento di Inernistica Clinica e Sperimentale, Second University of Naples, Naples, Italy.

A subgroup of thymoma patients is affected by severe immunodeficiency clinically resembling an HIV infection (Good syndrome). These individuals are characterized by B lymphopenia with B-lymphopoiesis deficiency. To investigate the pathogenesis of this unique condition, we studied the T-cell repertoire in blood and bone marrow samples by heterogeneity length analysis of CDR3 beta variable regions of the T-cell receptor (spectratyping). While no alterations were found in the peripheral blood, we detected an oligoclonal population of beta  variable 8 (BV8) CD8+ T cells in 5 of 5 bone marrow samples. No lymphocyte expansions were found in the bone marrow of 2 thymoma patients with normal B-cell counts, 2 healthy donors, and 3 patients with diseases unrelated to thymoma. These data suggest that an immune response toward an unknown antigen is taking place in the bone marrow of B-lymphopenic thymoma patients. We propose that BV8 CD8+ T cells may play a role in the pathogenesis of this immunodeficiency syndrome.

© 2003 by The American Society of Hematology.
 

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