The immunoglobulin genes: structure and specificity in chronic lymphocytic leukemia.

Abstract:

:The rearrangement of the immunoglobulin genes (IG) provides a large diversity of B-cell receptors conformations and allows the immune system to respond differently to foreign antigens. In chronic lymphocytic leukemia (CLL), there are a restricted number of stereotyped B-cell receptors rearranged by the tumor B-cells between CLL patients. These subsets with stereotyped receptors appear to have clinical implications, for example cases that rearrange the IGHV3-21 gene display poor clinical prognosis. The number of subsets with stereotyped receptors has been reported at a frequency of over 20% of CLL cases; however, the specificities of these receptors are still not clearly defined. Reactivity to epitopes from bacterial antigen, cytoskeleton components such as vimentin, and antigens on viable and apoptotic T-cell have been proposed. The role of antigen in CLL development is currently being more clearly defined with identification of stereotyped receptors, and their antigen specificity and the continued role antigen stimulation plays in CLL disease will be an important question in the future.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Tobin G

doi

10.1080/10428190701342034

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

1081-6

issue

6

eissn

1042-8194

issn

1029-2403

pii

779651289

journal_volume

48

pub_type

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