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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 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.

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