Single-cell analysis reveals oligoclonality among 'low-count' monoclonal B-cell lymphocytosis.

Journal Article (Journal Article)

Monoclonal B-cell lymphocytosis (MBL) is a preclinical hematologic syndrome characterized by small accumulations of CD5(+) B lymphocytes. Most MBL share phenotypic characteristics with chronic lymphocytic leukemia (CLL). Although some MBL progress to CLL, most MBL have apparently limited potential for progression to CLL, particularly those MBL with normal absolute B-cell counts ('low-count' MBL). Most CLL are monoclonal and it is not known whether MBL are monoclonal or oligoclonal; this is important because it is unclear whether MBL represent indolent CLL or represent a distinct premalignant precursor before the development of CLL. We used flow cytometry analysis and sorting to determine immunophenotypic characteristics, clonality and molecular features of MBL from familial CLL kindreds. Single-cell analysis indicated four of six low-count MBL consisted of two or more unrelated clones; the other two MBL were monoclonal. 87% of low-count MBL clones had mutated immunoglobulin genes, and no immunoglobulin heavy-chain rearrangements of V(H) family 1 were observed. Some MBL were diversified, clonally related populations with evidence of antigen drive. We conclude that although low-count MBL share many phenotypic characteristics with CLL, many MBL are oligoclonal. This supports a model for step-wise development of MBL into CLL.

Full Text

Duke Authors

Cited Authors

  • Lanasa, MC; Allgood, SD; Volkheimer, AD; Gockerman, JP; Whitesides, JF; Goodman, BK; Moore, JO; Weinberg, JB; Levesque, MC

Published Date

  • January 2010

Published In

Volume / Issue

  • 24 / 1

Start / End Page

  • 133 - 140

PubMed ID

  • 19946263

Pubmed Central ID

  • PMC2806490

Electronic International Standard Serial Number (EISSN)

  • 1476-5551

Digital Object Identifier (DOI)

  • 10.1038/leu.2009.192


  • eng

Conference Location

  • England