Clonality in chronic myeloproliferative disorders defined by X‐chromosome linked probes: demonstration of heterogeneity in lineage involvement

N Tsukamoto, K Morita, T Maehara… - British journal of …, 1994 - Wiley Online Library
N Tsukamoto, K Morita, T Maehara, K Okamoto, H Sakai, M Karasawa, T Naruse, M Omine
British journal of haematology, 1994Wiley Online Library
The restriction fragment length polymorphisms (RFLP) of the X‐chromosome
phosphoglycerate kinase (PGK) and hypoxanthine phosphoribosyltransferase (HPRT)
genes were used to study the clonal basis of the chronic myeloproliferative disorders
(CMPD). Analyses were performed on granulocyte and T‐lymphocyte fractions obtained
from 24 females; 13 had essential thrombocythaemia (ET), eight polycythaemia vera (PV)
and three myelofibrosis with myeloid metaplasia (MMM). All 24 of these patients had …
Summary
The restriction fragment length polymorphisms (RFLP) of the X‐chromosome phosphoglycerate kinase (PGK) and hypoxanthine phosphoribosyltransferase (HPRT) genes were used to study the clonal basis of the chronic myeloproliferative disorders (CMPD). Analyses were performed on granulocyte and T‐lymphocyte fractions obtained from 24 females; 13 had essential thrombocythaemia (ET), eight polycythaemia vera (PV) and three myelofibrosis with myeloid metaplasia (MMM). All 24 of these patients had monoclonal patterns of X‐inactivation in the granulocyte fraction. For the T‐lymphocyte fraction, non‐clonal patterns of Xinactivation were observed in 8/13 patients with ET, 7/8 with PV and 1/3 with MMM, while the remaining eight subjects were found to have monoclonal patterns of N inactivation. Our findings suggest that the majority of the CMPD in these patients originated from a relatively committed progenitor cell without the capacity to differentiate into T cells, and convincingly demonstrated heterogeneity of lineage involvement.
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