1. High-sensitive TRBC1-based flow cytometric assessment of T-Cell clonality in T alpha beta-Large granular lymphocytic leukemia
- Author
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Noemí Muñoz-García, F. Morán-Plata, Neus Villamor, Margarida Lima, Susana Barrena, Sheila Mateos, Carolina Caldas, Jacques van Dongen, Alberto Orfao, Julia Almeida, Centro de Investigación Biomédica en Red Cáncer (España), Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación (España), European Commission, and Instituto de Investigación Biomédica de Salamanca
- Subjects
T alpha beta-cell maturation stages ,Cancer Research ,large granular lymphocytic leukemia ,Communication ,Large granular lymphocytes ,Tαβ effector cells ,TCRV beta repertoire ,flow cytometry T-cell clonality assessment ,TCRVβ repertoire ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,chemical and pharmacologic phenomena ,Large granular lymphocytic leukemia ,LGL ,LGLL ,Oncology ,large granular lymphocytes ,T alpha beta effector cells ,Flow cytometry T-cell clonality assessment ,Tαβ-cell maturation stages ,JOVI-1 ,TRBC1 ,RC254-282 - Abstract
Flow cytometric (FCM) analysis of the constant region 1 of the T-cell receptor β chain (TRBC1) expression for assessing Tαβ-cell clonality has been recently validated. However, its utility for the diagnosis of clonality of T-large granular lymphocytic leukemia (T-LGLL) needs to be confirmed, since more mature Tαβ cells (i.e., T-LGL normal-counterpart) show broader TRBC1+/TRBC1− ratios vs. total Tαβ cells. We compared the distribution and absolute counts of TRBC1+ and TRBC1− Tαβ-LGL in blood containing polyclonal (n = 25) vs. clonal (n = 29) LGL. Overall, polyclonal TRBC1+ or TRBC1− Tαβ-LGL ranged between 0.36 and 571 cells/μL (3.2–91% TRBC1+ cells), whereas the clonal LGL cases showed between 51 and 11,678 cells/μL (96% TRBC1+ cells). Among the distinct TCRVβ families, the CD28− effector-memory and terminal-effector polyclonal Tαβ cells ranged between 0 and 25 TRBC1+ or TRBC1− cells/μL and between 0 and 100% TRBC1+ cells, while clonal LGL ranged between 32 and 5515 TRBC1+ or TRBC1− cells/μL, representing 98% TRBC1+ cells. Our data support the utility of the TRBC1-FCM assay for detecting T-cell clonality in expansions of Tαβ-LGL suspected of T-LGLL based on altered percentages of TRBC1+ Tαβ cells. However, in the absence of lymphocytosis or in the case of TαβCD4-LGL expansion, the detection of increased absolute cell counts by the TRBC1-FCM assay for more accurately defined subpopulations of Tαβ-LGL-expressing individual TCRVβ families, allows the detection of T-cell clonality, even in the absence of phenotypic aberrations., This work was supported by the CB16/12/00400 (CIBERONC) and PI20-01346 grants from the Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación (Madrid, Spain) and FONDOS FEDER; the 0639-IDIAL-NET-3-3 grant (INTERREG POCTEP Spain-Portugal) from Fondo Europeo de Desarrollo Regional, and by the EuroFlow Foundation (Leiden, The Netherlands). N.M.-G. was supported by a pre-doctoral grant (Ref. IBPredoc17/00012) from IBSAL (Salamanca, Spain). M.L.,N.V., J.J.M.v.D., A.O. and J.A. are members of the EuroFlow Consortium
- Published
- 2022