|
|
Prepublished online as a Blood First Edition Paper on June 14, 2002; DOI 10.1182/blood-2002-03-0892.

Submitted April 2, 2002
Accepted May 2, 2002
Inherited predisposition to CLL is detectable as sub-clinical monoclonal B-lymphocyte expansion
Andy C Rawstron, Martin R Yuille, Julie Fuller, Matthew Cullen, Ben Kennedy, Stephen J Richards, Andrew S Jack, Estella Matutes, Daniel Catovsky, Peter Hillmen, and Richard S Houlston*
Academic Unit of Haematology and Oncology, University of Leeds, Leeds, West Yorkshire, United Kingdom
Academic Department of Haematology and Cytogenetics, Institute of Cancer Research, Sutton, Surrey, United Kingdom
Section of Cancer Genetics, Institute of Cancer Research, Sutton, Surrey, United Kingdom
* Corresponding author; email: r.houlston{at}icr.ac.uk.
Monoclonal CLL-phenotype cells are detectable in 3.5% of otherwise normal individuals using flow cytometric analysis of CD5/CD20/CD79b expression on CD19-gated B-cells. To determine whether detection of such CLL-phenotype cells is indicative of an inherited predisposition, we examined 59 healthy first-degree relatives of patients from 21 CLL families. CLL-phenotype cells were detected in 8/59 relatives (13.5%), representing a highly significant increase in risk (p=0.00002). CLL-phenotype cell levels were stable with time, and had the characteristics of indolent CLL. Both indolent and aggressive clinical forms were found in family members, suggesting that initiation and proliferation involves distinct factors. The detection of CLL-phenotype cells provides a surrogate marker of carrier status, potentially facilitating gene identification through mapping in families and direct analysis of isolated CLL-phenotype cells.

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
This article has been cited by other articles:

|
 |

|
 |
 
I. D. Giudice, F. R. Mauro, M. S. De Propris, I. D. Starza, D. Armiento, A. P. Iori, G. F. Torelli, A. Guarini, and R. Foa
Identification of monoclonal B-cell lymphocytosis among sibling transplant donors for chronic lymphocytic leukemia patients
Blood,
September 24, 2009;
114(13):
2848 - 2849.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Dagklis, C. Fazi, C. Sala, V. Cantarelli, C. Scielzo, R. Massacane, D. Toniolo, F. Caligaris-Cappio, K. Stamatopoulos, and P. Ghia
The immunoglobulin gene repertoire of low-count chronic lymphocytic leukemia (CLL)-like monoclonal B lymphocytosis is different from CLL: diagnostic implications for clinical monitoring
Blood,
July 2, 2009;
114(1):
26 - 32.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. R. Goldin, M. Bjorkholm, S. Y. Kristinsson, I. Turesson, and O. Landgren
Elevated risk of chronic lymphocytic leukemia and other indolent non-Hodgkin's lymphomas among relatives of patients with chronic lymphocytic leukemia
Haematologica,
May 1, 2009;
94(5):
647 - 653.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. Caligaris-Cappio and P. Ghia
Novel Insights in Chronic Lymphocytic Leukemia: Are We Getting Closer to Understanding the Pathogenesis of the Disease?
J. Clin. Oncol.,
September 20, 2008;
26(27):
4497 - 4503.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. C. Rawstron, F. L. Bennett, S. J.M. O'Connor, M. Kwok, J. A.L. Fenton, M. Plummer, R. de Tute, R. G. Owen, S. J. Richards, A. S. Jack, et al.
Monoclonal B-Cell Lymphocytosis and Chronic Lymphocytic Leukemia
N. Engl. J. Med.,
August 7, 2008;
359(6):
575 - 583.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Crowther-Swanepoel, R. Wild, G. Sellick, M. J. S. Dyer, F. R. Mauro, R. J. G. Cuthbert, V. Jonsson, E. Matutes, C. Dearden, J. Wiley, et al.
Insight into the pathogenesis of chronic lymphocytic leukemia (CLL) through analysis of IgVH gene usage and mutation status in familial CLL
Blood,
June 15, 2008;
111(12):
5691 - 5693.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. S. Sellick, L. R. Goldin, R. W. Wild, S. L. Slager, L. Ressenti, S. S. Strom, M. J. S. Dyer, F. R. Mauro, G. E. Marti, S. Fuller, et al.
A high-density SNP genome-wide linkage search of 206 families identifies susceptibility loci for chronic lymphocytic leukemia
Blood,
November 1, 2007;
110(9):
3326 - 3333.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Ng, O. Toure, M.-H. Wei, D. C. Arthur, F. Abbasi, L. Fontaine, G. E. Marti, J. F. Fraumeni Jr, L. R. Goldin, N. Caporaso, et al.
Identification of a novel chromosome region, 13q21.33-q22.2, for susceptibility genes in familial chronic lymphocytic leukemia
Blood,
February 1, 2007;
109(3):
916 - 925.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. R. Goldin and S. L. Slager
Familial CLL: Genes and Environment
Hematology,
January 1, 2007;
2007(1):
339 - 345.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. W. L. Yee and S. M. O'Brien
Chronic Lymphocytic Leukemia: Diagnosis and Treatment
Mayo Clin. Proc.,
August 1, 2006;
81(8):
1105 - 1129.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Montserrat, C. Moreno, J. Esteve, A. Urbano-Ispizua, E. Gine, and F. Bosch
How I treat refractory CLL
Blood,
February 15, 2006;
107(4):
1276 - 1283.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Starczynski, C. Pepper, G. Pratt, L. Hooper, A. Thomas, D. Milligan, P. Bentley, and C. Fegan
Common Polymorphism G(-248)A in the Promoter Region of the bax Gene Results in Significantly Shorter Survival in Patients With Chronic Lymphocytic Leukemia Once Treatment Is Initiated
J. Clin. Oncol.,
March 1, 2005;
23(7):
1514 - 1521.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
N. Chiorazzi, K. R. Rai, and M. Ferrarini
Chronic Lymphocytic Leukemia
N. Engl. J. Med.,
February 24, 2005;
352(8):
804 - 815.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. R. Goldin, R. M. Pfeiffer, X. Li, and K. Hemminki
Familial risk of lymphoproliferative tumors in families of patients with chronic lymphocytic leukemia: results from the Swedish Family-Cancer Database
Blood,
September 15, 2004;
104(6):
1850 - 1854.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
P. Ghia, G. Prato, C. Scielzo, S. Stella, M. Geuna, G. Guida, and F. Caligaris-Cappio
Monoclonal CD5+ and CD5- B-lymphocyte expansions are frequent in the peripheral blood of the elderly
Blood,
March 15, 2004;
103(6):
2337 - 2342.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. J. Keating, N. Chiorazzi, B. Messmer, R. N. Damle, S. L. Allen, K. R. Rai, M. Ferrarini, and T. J. Kipps
Biology and Treatment of Chronic Lymphocytic Leukemia
Hematology,
January 1, 2003;
2003(1):
153 - 175.
[Abstract]
[Full Text]
[PDF]
|
 |
|
|
|