Analysis of the immunoglobulin heavy chain gene of secondary diffuse large B-cell lymphoma that subsequently developed in four cases with B-cell chronic lymphocytic leukemia or lymphoplasmacytoid lymphoma (Richter syndrome)

Pathol Int. 2000 Aug;50(8):636-43. doi: 10.1046/j.1440-1827.2000.01094.x.

Abstract

The immunoglobulin heavy chain gene (IgH gene) was analysed in four cases of B-cell Richter syndrome, in order to determine whether a secondary diffuse large B-cell lymphoma (DLBCL) could arise from the same clone as the initial B-cell chronic lymphocytic leukemia (B-CLL) and lymphoplasmacytoid lymphoma (LPL) or be a de novo event, and whether secondary DLBCL shows an intraclonal microheterogeneity. Both the initial B-CLL and secondary DLBCL in two cases expressed CD5 antigen. Both samples of the initial B-CLL or LPL and the secondary DLBCL in three cases were examined for comparison. The polymerase chain reaction-amplified IgH gene of secondary DLBCL in two cases (CD5+ case and CD5- case) were different from those of the initial B-CLL, revealing a new malignant clone. The other case (CD5-) showed that secondary DLBCL had a sequence identical to the initial LPL, indicating the same clonal origin. The variable region of the IgH gene of secondary DLBCL (CD5+ two cases and CD5- two cases) exhibited a 0.5-9.0% somatic mutation range and no intraclonal microheterogeneity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Base Sequence
  • CD5 Antigens / analysis
  • Clone Cells
  • DNA Primers / chemistry
  • Humans
  • Immunoglobulin Heavy Chains / analysis
  • Immunoglobulin Heavy Chains / genetics*
  • Immunohistochemistry
  • Leukemia, Lymphocytic, Chronic, B-Cell / chemistry
  • Leukemia, Lymphocytic, Chronic, B-Cell / genetics*
  • Leukemia, Lymphocytic, Chronic, B-Cell / pathology
  • Lymphoma, B-Cell / chemistry
  • Lymphoma, B-Cell / genetics*
  • Lymphoma, B-Cell / pathology
  • Lymphoma, Large B-Cell, Diffuse / chemistry
  • Lymphoma, Large B-Cell, Diffuse / genetics*
  • Lymphoma, Large B-Cell, Diffuse / pathology
  • Middle Aged
  • Molecular Sequence Data
  • Neoplasm Proteins / analysis
  • Neoplasms, Second Primary / chemistry
  • Neoplasms, Second Primary / genetics*
  • Neoplasms, Second Primary / pathology
  • Polymerase Chain Reaction

Substances

  • CD5 Antigens
  • DNA Primers
  • Immunoglobulin Heavy Chains
  • Neoplasm Proteins