A Systematic Search Into The Role Of IGHV Gene Replacement In Shaping The Immunoglobulin Repertoire Of Chronic Lymphocytic Leukemia
Yancopoulos S, Yan X, Agathangelidis A, et al.




Key Points:
  • Immunoglobulin heavy variable (IGHV) gene replacement may represent process whereby unwanted autoreactive antibodies eliminated by normal B-cells and CLL cells

  • Compared with normal B-cells, IGHV rearrangements occur at slightly higher frequency according to results of experiments

  • Higher rates of IGHV replacements seen in certain CLL subgroups including M-CLL, ZAP-70-neg, CD38-neg, 13q del, and non-stereotyped

Implications:
  • IGHV rearrangements may represent mechanism by which certain CLL subsets are less responsive to antigen-drive and autoreactivity


View the original abstract on the ASH website.






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