The Significance of B-cell Receptor Stereotypy in Chronic Lymphocytic Leukemia: Biological and Clinical Implications.
B-cell receptor
Chronic lymphocytic leukemia
IGHV genes
Immunogenetics
Immunoglobulin
Somatic hypermutation
Stereotypy
Journal
Hematology/oncology clinics of North America
ISSN: 1558-1977
Titre abrégé: Hematol Oncol Clin North Am
Pays: United States
ID NLM: 8709473
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
entrez:
27
6
2021
pubmed:
28
6
2021
medline:
5
3
2022
Statut:
ppublish
Résumé
The finding that (quasi)identical, stereotyped B-cell receptor (BcR) immunoglobulins IGs) are expressed in a significant fraction of chronic lymphocytic leukemia (CLL) highlighted the importance of antigen selection in disease pathogenesis. Subsets of patients sharing the same stereotyped BcR IG display consistent biological features and, at least for certain subsets, clinical presentation and outcome, including the response to particular treatment. On these grounds, BcR IG stereotypy emerges as a useful tool for dissecting the pronounced heterogeneity of CLL toward refining risk stratification and therapeutic management aligned with the principles of precision medicine.
Identifiants
pubmed: 34174980
pii: S0889-8588(21)00035-6
doi: 10.1016/j.hoc.2021.03.003
pii:
doi:
Substances chimiques
Immunoglobulin Variable Region
0
Receptors, Antigen, B-Cell
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
687-702Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure K. Stamatopoulos has received honoraria and research support from AbbVie, Janssen, AstraZeneca, and Gilead. Conflict of Interest The authors declare no conflict of interest.