Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases

T cells undergo a series of complex phenotypic changes before achieving maturation. Discrete stages of T-cell differentiation are simplified to four stages (pro-, pre-, cortical and mature-T cell) and used in the classification of T-cell leukaemia. HLA-DR has been reported to be expressed in immatur...

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Main Authors: Abdullah, Maha, Gan, Gin Gin, Koh, Chong Lek
Format: Article
Language:English
Published: Maney Publishing 2010
Subjects:
Online Access:http://psasir.upm.edu.my/id/eprint/16179/
http://psasir.upm.edu.my/id/eprint/16179/1/Phenotype%20and%20TCR.pdf
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author Abdullah, Maha
Gan, Gin Gin
Koh, Chong Lek
author_facet Abdullah, Maha
Gan, Gin Gin
Koh, Chong Lek
author_sort Abdullah, Maha
building UPM Institutional Repository
collection Online Access
description T cells undergo a series of complex phenotypic changes before achieving maturation. Discrete stages of T-cell differentiation are simplified to four stages (pro-, pre-, cortical and mature-T cell) and used in the classification of T-cell leukaemia. HLA-DR has been reported to be expressed in immature T-cell acute lymphoblastic leukemia (ALL) and also confer a poorer treatment outcome. Simultaneously, the genotype goes through distinct pattern changes due to rearrangement of T-cell receptor (TCR) genes. TCR gene rearrangement is important in the diagnosis of clonality and used as markers to detect minimal residual disease in lymphoproliferative disorders. We identified a subset within Pro-T and Pre-T cell cases distinguished by the expression of HLA-DR. These subgroups appeared to be more immature as rearrangement of the TCR-gamma gene was either at germline or involved only the first constant region (C1) unlike a more rearranged pattern in the HLA-DR-subgroups. We also observed a higher incidence of mediastinal mass (67%) in the HLA-DR-subgroup in the Pre-T stage. These characteristics may be useful as markers to further refine staging of T-cell ALL and determine prognosis.
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spelling upm-161792016-02-03T06:33:45Z http://psasir.upm.edu.my/id/eprint/16179/ Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases Abdullah, Maha Gan, Gin Gin Koh, Chong Lek T cells undergo a series of complex phenotypic changes before achieving maturation. Discrete stages of T-cell differentiation are simplified to four stages (pro-, pre-, cortical and mature-T cell) and used in the classification of T-cell leukaemia. HLA-DR has been reported to be expressed in immature T-cell acute lymphoblastic leukemia (ALL) and also confer a poorer treatment outcome. Simultaneously, the genotype goes through distinct pattern changes due to rearrangement of T-cell receptor (TCR) genes. TCR gene rearrangement is important in the diagnosis of clonality and used as markers to detect minimal residual disease in lymphoproliferative disorders. We identified a subset within Pro-T and Pre-T cell cases distinguished by the expression of HLA-DR. These subgroups appeared to be more immature as rearrangement of the TCR-gamma gene was either at germline or involved only the first constant region (C1) unlike a more rearranged pattern in the HLA-DR-subgroups. We also observed a higher incidence of mediastinal mass (67%) in the HLA-DR-subgroup in the Pre-T stage. These characteristics may be useful as markers to further refine staging of T-cell ALL and determine prognosis. Maney Publishing 2010-12 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/16179/1/Phenotype%20and%20TCR.pdf Abdullah, Maha and Gan, Gin Gin and Koh, Chong Lek (2010) Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases. Hematology, 15 (6). pp. 382-390. ISSN 1024-5332, ESSN: 1607-8454 http://dx.doi.org/10.1179/102453310X12719010991902 Leukemia - T-Cell 10.1179/102453310X12719010991902
spellingShingle Leukemia - T-Cell
Abdullah, Maha
Gan, Gin Gin
Koh, Chong Lek
Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases
title Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases
title_full Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases
title_fullStr Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases
title_full_unstemmed Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases
title_short Phenotype and TCR-gamma gene rearrangements in a Malaysian cohort of T-cell leukaemia/lymphoma cases
title_sort phenotype and tcr-gamma gene rearrangements in a malaysian cohort of t-cell leukaemia/lymphoma cases
topic Leukemia - T-Cell
url http://psasir.upm.edu.my/id/eprint/16179/
http://psasir.upm.edu.my/id/eprint/16179/
http://psasir.upm.edu.my/id/eprint/16179/
http://psasir.upm.edu.my/id/eprint/16179/1/Phenotype%20and%20TCR.pdf