T-cell receptor gene rearrangements as clinical markers of human T-cell lymphomas

N Engl J Med. 1985 Aug 29;313(9):534-8. doi: 10.1056/NEJM198508293130902.

Abstract

The ability to detect immunoglobulin-gene rearrangements has proved useful in confirming diagnoses of suspected B-cell lymphomas and in establishing their monoclonality. By analogy, we employed a cloned DNA probe for the beta chain of the T-cell receptor gene to determine whether gene rearrangements were present in human T-cell neoplasms representing various stages of T-cell development. Gene rearrangements were present in all cases of T-cell disorders except a single case of T gamma lymphocytosis, a disorder that has not been proved to be a clonal T-cell neoplasm. A germline gene configuration was present in all patients with non-T-cell neoplasms and in normal tissues from patients with T-cell lymphoma. The probe promises to be useful for confirming the pathological an immunologic diagnosis in difficult cases of T-cell disorders and for assessing the extent of disease.

MeSH terms

  • B-Lymphocytes
  • Cell Line
  • Clone Cells
  • DNA, Neoplasm / analysis
  • Humans
  • Immunoglobulins / genetics*
  • Leukemia / genetics
  • Lymphoma / diagnosis
  • Lymphoma / genetics*
  • Mycosis Fungoides / genetics
  • Nucleic Acid Hybridization
  • Receptors, Antigen, T-Cell / genetics*
  • Sezary Syndrome / genetics
  • T-Lymphocytes

Substances

  • DNA, Neoplasm
  • Immunoglobulins
  • Receptors, Antigen, T-Cell