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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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Submitted August 29, 2002
Accepted November 27, 2002

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

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

Department of Cellular and Molecular Biology and Pathology, Federico II University of Naples, Naples, Italy
Department of Molecular and Clinical Oncology, Federico II University of Naples, Naples, Italy
Laboratory of Clinical Chemistry and Microbiology, Monaldi Hospital, Naples, Italy
Department of Clinical and Experimental Medicine and Surgery, Second University of Naples, Naples, Italy
Divisione di Immunologia e Malattie Infettive, Ospedale Bambin Gesu, Tor Vergata, University of Rome, Rome, Italy

* Corresponding author; email: racioppi{at}unina.it.

A subgroup of thymoma patients is affected by severe immunodeficiency clinically resembling an HIV infection (Good's Syndrome). These individuals are characterized by B-lymphopenia with B-lymphopoiesis deficiency. To investigate the pathogenesis of this unique condition, we studied T-cell repertoire in blood and bone marrow samples by hetherogeneity 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 BV8 CD8+ T-cells in five out of five bone marrow samples. No lymphocyte expansions were found in the bone marrow of two thymoma patients with normal B-cell counts, two healthy donors and three patients with thymoma-unrelated diseases. These data suggest that an immune response toward an unknown antigen is taking place in the 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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