Heterogeneous somatic hypermutation status confounds the cell of origin in hairy cell leukemia

Leuk Res. 2005 Feb;29(2):153-8. doi: 10.1016/j.leukres.2004.05.016.

Abstract

Hairy cell leukemia (HCL) is thought to arise from a post-germinal center (GC) B-cell, however the exact normal counterpart remains unclear. We performed VH gene analysis of 32 HCL cases, revealing somatically mutated VH genes (<98% homology) in 27 cases and unmutated VH genes in five cases, four of which displayed germline VH genes. Intraclonal heterogeneity was evident in the majority of eight mutated HCLs investigated, although at a lower level compared to GC-derived lymphomas. A novel finding of preferential VH3-30 gene usage was detected (19% of HCLs). Our data confounds the postulated post-GC origin in HCL considering (1) the finding of unmutated HCLs, generally correlating with a pre-GC origin, and (2) the presence of intraclonal variation in mutated HCLs. The latter suggests that the transformed B-cell was frozen when it still had an active mutation process, implying a closer relation to the GC than previously assumed. Furthermore, restricted VH3-30 usage indicates that antigen selection could be a promoting factor in HCL development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Base Sequence
  • Female
  • Gene Rearrangement, B-Lymphocyte, Heavy Chain*
  • Humans
  • Immunoglobulin Heavy Chains / analysis
  • Immunoglobulin Heavy Chains / genetics*
  • Leukemia, B-Cell / genetics
  • Leukemia, B-Cell / immunology
  • Leukemia, B-Cell / pathology
  • Leukemia, Hairy Cell / genetics*
  • Leukemia, Hairy Cell / immunology
  • Leukemia, Hairy Cell / pathology
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Somatic Hypermutation, Immunoglobulin / genetics*

Substances

  • Immunoglobulin Heavy Chains