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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1990-4-30
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pubmed:abstractText |
Immunoglobulin and T-cell receptor gene rearrangement assays are sensitive methods of detecting clonality in lymphoproliferative disorders. The lack of lineage specificity of immunoglobulin heavy chain and T-cell receptor beta and gamma gene probes in acute leukemia is well established. However, immunoglobulin light chain gene rearrangement traditionally has been considered a highly specific indicator of a clonal B-lineage process. The authors describe a case of T-cell acute lymphoblastic leukemia in which Southern blot hybridization studies showed rearrangement of the T-cell receptor beta chain gene. Unexpectedly, the immunoglobulin kappa light chain gene also was rearranged; no immunoglobulin heavy chain gene rearrangement was seen. Kappa rearrangement was confirmed with the use of three restriction endonucleases. No rearrangements were seen from normal skin tissue, making a restriction enzyme site polymorphism highly unlikely. Northern blot studies showed a normal-size, T-cell receptor beta chain gene transcript; no immunoglobulin RNA was identified. These results describe the first reported case of kappa light chain gene rearrangement in a T-cell acute lymphoblastic leukemia. The findings emphasize the necessity of interpreting molecular hybridization studies in conjunction with routine morphology and immunophenotyping studies.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0002-9173
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
93
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
563-8
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2157334-Aged,
pubmed-meshheading:2157334-Bone Marrow,
pubmed-meshheading:2157334-Gene Rearrangement, T-Lymphocyte,
pubmed-meshheading:2157334-Gene Rearrangement, beta-Chain T-Cell Antigen Receptor,
pubmed-meshheading:2157334-Genes, Immunoglobulin,
pubmed-meshheading:2157334-Humans,
pubmed-meshheading:2157334-Immunoglobulin Light Chains,
pubmed-meshheading:2157334-Leukemia-Lymphoma, Adult T-Cell,
pubmed-meshheading:2157334-Male,
pubmed-meshheading:2157334-Phenotype
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pubmed:year |
1990
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pubmed:articleTitle |
Kappa light chain gene rearrangement in T-cell acute lymphoblastic leukemia.
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pubmed:affiliation |
Department of Pathology, University of Michigan Medical School, Ann Arbor 48109-0602.
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pubmed:publicationType |
Journal Article,
Case Reports
|