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Prepublished online as a Blood First Edition Paper on October 24, 2002; DOI 10.1182/blood-2002-07-2341.

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Submitted August 2, 2002
Accepted October 11, 2002

Both B and T lymphocytes may be clonally involved in myelofibrosis with myeloid metaplasia

Terra L Reeder, Richard J Bailey, Gordon W Dewald, and Ayalew Tefferi*

Department of Hematology and Internal Medicine, Mayo Clinic, Rochester, MN, USA
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA

* Corresponding author; email: tefferi.ayalew{at}mayo.edu.

A combination of magnetic cell sorting (MACS) and fluorescent in situ hybridization (FISH) techniques was used to detect clonal cytogenetic markers in different myeloid and lymphoid cell types of the peripheral blood from 4 patients with myelofibrosis with myeloid metaplasia (MMM) that was associated with either a 13q- or a 20q- karyotypic abnormality. Interphase cytogenetics studies demonstrated abnormal clonal FISH signal patterns in neutrophil, myeloid, erythroid, megakaryocyte, B and T cell preparations in 3 of the 4 patients. In one patient, FISH results were within normal limits in T cells and slightly abnormal in B cells. In general, the percentage of abnormal nuclei was variable in both lymphocyte populations, but always higher in B compared to T lymphocytes. The current study provides direct evidence for the clonal involvement of both B and T lymphocytes in MMM. A larger study is needed to clarify the relevance of the observed inter-patient heterogeneity in clonal constitution.


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