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淋巴瘤样丘疹病皮损中表皮及真皮内不同表型肿瘤细胞克隆来源相关性的探讨

Investigate the Clonal Origin of Different Phenotypic Tumor-like Cells in the Epidermis and Dermis of Skin Lesions in Lymphomatoid Papulosis

  • 摘要: 目的 通过对8例淋巴瘤样丘疹病(LyP)A型和C型患者表皮内的MF样细胞和真皮内的R-S样细胞DNA水平的对比性研究,探讨二者克隆来源的相关性。方法 对8例LyP(A型4例、C型4例)的病理组织行免疫表型检测、应用激光捕获显微切割技术(LCM)结合PCR技术对表皮内的MF样细胞和真皮内的R-S样细胞进行T细胞受体(TCR)γ基因重排的对比研究。随机选取1例检测为阳性的PCR产物送测序,进行序列比对。结果 8例中有6例(75%)检测到\TCRγ基因克隆性重排。LyP A型及C型检出率分别为50%(2/4)、100%(4/4)。LyP表皮内MF样细胞及真皮内R-S样细胞\TCRγ基因重排检出率分别为75%(6/8)、75%(6/8)。随机选取的1例MF样细胞和R-S样细胞均有阳性条带的产物的同源性比对分析显示二者同源性达106/108(98%)。结论 LyP表皮内MF样细胞和真皮内R-S样细胞很可能来自同一克隆。

     

    Abstract: Objective To explore the correlation of the clone sources of MF-like cells in the epidermis and RS-like cells in the dermis of lymphomatoid papulosis (LyP), a compartive study of this two type cells in 8 LyP cases was carried out. Methods 8 cases of LyP (4 type A cases and 4 type C cases) were detected the immunophenotype first, and then comparative study between the MF-like cells and RS-like cells was conducted on T-cell receptor (TCR) γ-chain gene rearrangement by combinating laser capture microdissectinon (LCM) and PCR. PCR products of one patient which had positive bands were selected randomly for sequencing and sequence alignment analysis. Results Monoclonal \TCRγ gene rearrangement was detected in 6 cases (75%) of the 8 cases. Detection rates of LyP type A and type C were 50% (2/4) and 100% (4/4), respectively. The rates of MF-like cells and RS-like cells were 75% (6/8) and 75% (6/8), respectively. Homology of the products with positive stripes in both MF-like cells and RS-like cells in one randomly selected case was compared and analyzed, and the results showed the homology of them was 106/108 (98%). Conclusion The MF-like cells in the epidermis and the RS-like cells in the dermis of LyP may be from the same clone.

     

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