title: Distribution of t(14;18)-positive, putative lymphoma precursor cells among B-cell subsets in healthy individuals.
abstract: The t(14;18)(q32;q21) is the characteristic chromosomal translocation of follicular lymphoma (FL). Highly sensitive polymerase chain reaction (PCR) techniques can also detect t(14;18)-sequences in the blood and lymphoid tissues of healthy individuals (HI). The aim of this study was to determine the immunophenotypic markers of t(14;18)-positive cells in HI and to relate these features to lymphocyte maturation. B cells from 10 subjects with t(14;18)-positive and three subjects with t(14;18)-negative peripheral blood mononuclear cells (PBMC) were fluorescence-activated cell sorted for antigen-naïve (CD27(-)), immunoglobulin M (IgM) memory (IgM(+)CD27(+)) and switched memory (IgM(-) CD27(+)) cells. t(14;18)-recombinations were detected by quantitative PCR. Among PBMC-positive subjects, t(14;18)-frequency was significantly higher in IgM memory (median: 380/10(6)) than in antigen-naïve (median: 16/10(6)) or switched memory (median: 5/10(6)) B cells. All PBMC-negative subjects nevertheless had detectable t(14;18) in sorted B cells; levels were lower than in PBMC-positive subjects, but had the same relative predominance. These results suggest that t(14;18) is generated during early B-cell development in the bone marrow and that affected cells may mature and expand in germinal centres. t(14;18)-frequency was highest in IgM memory cells, a B-cell subset that shares immunophenotypic similarities with FL. The significance of these cells as lymphoma precursors or indicators of lymphoma risk remains to be established.
authors.affiliation: Viral Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD, USA. hirtonko@uni-greifswald.de
authors.forename: Carsten
authors.initials: C
authors.lastname: Hirt
authors.forename: Gottfried
authors.initials: G
authors.lastname: Dölken
authors.forename: Siegfried
authors.initials: S
authors.lastname: Janz
authors.forename: Charles S
authors.initials: CS
authors.lastname: Rabkin
mesh_terms: D016175:B-Lymphocyte Subsets / Q000378:metabolism*; D002883:Chromosomes, Human, Pair 14; D002887:Chromosomes, Human, Pair 18; D002999:Clone Cells; D005787:Gene Frequency; D015322:Gene Rearrangement, B-Lymphocyte; D005803:Genes, Immunoglobulin; D019254:Genes, bcl-2; D006801:Humans; D007156:Immunologic Memory; D016130:Immunophenotyping; D008228:Lymphoma, Non-Hodgkin / Q000276:immunology; D016133:Polymerase Chain Reaction; D014178:Translocation, Genetic