Myeloma Ig heavy chain V region sequences reveal prior antigenic selection and marked somatic mutation but no intraclonal diversity
Journal Article
·
· Journal of Immunology
OSTI ID:160165
- Veterans` Affairs Medical Center, Los Angeles, CA (United States); and others
The IgV{sub H} region sequence in 48 patients with multiple myeloma (MM) was analyzed to characterize the malignant cell of origin. The sequences were obtained after amplification of bone marrow cDNA by using V{sub H} family-specific and C{sub H} primers, then compared with either directly sequenced patient germ-line or published V{sub H} gene sequences to assay for somatic mutation. Because somatic hypermutation of the V{sub H} gene occurs late in B cell development, its presence has been helpful in determining the cell of origin in other B cell malignancies. Overall, a median of 8.2% of the nucleotides had evidence of substitution within each V{sub H} gene sequence (range = 2.7% to 16.5%), which is more prevalent than in any other reported tumor type. Strong evidence of prior antigenic selection pressure was also evident. The ratio of nucleotide substitutions that resulted in amino acid replacement was significantly higher in the complementarity-determining region than in the framework region (3.25 vs. 1.56, respectively; p < 0.00005). No V{sub H} gene intraclonal diversity was noted, despite sequencing multiple clones (3-16) from each patient, nor was there evidence of further V{sub H} gene somatic mutation over the course of three patients` disease. These findings strongly imply that the malignant clone in MM evolves from a cell late in B cell development. 63 refs., 4 figs., 2 tabs.
- OSTI ID:
- 160165
- Journal Information:
- Journal of Immunology, Journal Name: Journal of Immunology Journal Issue: 5 Vol. 155; ISSN JOIMA3; ISSN 0022-1767
- Country of Publication:
- United States
- Language:
- English
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