Quantitative follow-up and FACS sorting of lymphocytes with individual allele-specific oligonucleotide (ASO) primer
Patient no. . | LGL lymphocytosis . | Gene . | Quantitative follow-up . | Lymphocyte population . | Cell-surface TCR expression . |
---|---|---|---|---|---|
1 | Yes | Incomplete TCRD | Yes | NK cell | NA |
1 | Yes | Complete TCRG | Yes | CD8+ T cell | TCR αβ+ |
2 | Yes | Incomplete TCRD | Yes | CD8+ T cell | ND |
2 | Yes | Complete TCRD | Yes | CD8+ T cell | TCR γδ+ |
2 | Yes | Complete TCRG | Yes | CD4+ T cell | TCR αβ+ |
2 | Yes | Complete TCRG | Yes | CD4+ T cell | ND |
4 | Yes | Incomplete TCRD | No | NK cell | NA |
5 | Yes | Incomplete TCRD | Yes | CD4+ T cell | TCR γδ+ |
5 | Yes | Complete TCRG | Yes | CD4+ T cell | TCR αβ+ |
6 | Yes | Incomplete TCRD | No | NK cell | NA |
7 | Yes | Incomplete TCRD | No | NK cell | NA |
8 | Yes | Complete TCRG | Yes | CD8+ T cell | ND |
10 | Yes | Incomplete TCRD | No | ND | ND |
10 | Yes | Complete TCRG | No | CD8+ T cell | ND |
12 | No | Complete TCRG | Yes | ND | ND |
17 | No | Complete TCRG | No | CD8+ T cell | ND |
18 | No | Complete TCRG | Yes | CD8+ T cell | ND |
18 | No | Complete TCRG | Yes | CD8+ T cell | ND |
Patient no. . | LGL lymphocytosis . | Gene . | Quantitative follow-up . | Lymphocyte population . | Cell-surface TCR expression . |
---|---|---|---|---|---|
1 | Yes | Incomplete TCRD | Yes | NK cell | NA |
1 | Yes | Complete TCRG | Yes | CD8+ T cell | TCR αβ+ |
2 | Yes | Incomplete TCRD | Yes | CD8+ T cell | ND |
2 | Yes | Complete TCRD | Yes | CD8+ T cell | TCR γδ+ |
2 | Yes | Complete TCRG | Yes | CD4+ T cell | TCR αβ+ |
2 | Yes | Complete TCRG | Yes | CD4+ T cell | ND |
4 | Yes | Incomplete TCRD | No | NK cell | NA |
5 | Yes | Incomplete TCRD | Yes | CD4+ T cell | TCR γδ+ |
5 | Yes | Complete TCRG | Yes | CD4+ T cell | TCR αβ+ |
6 | Yes | Incomplete TCRD | No | NK cell | NA |
7 | Yes | Incomplete TCRD | No | NK cell | NA |
8 | Yes | Complete TCRG | Yes | CD8+ T cell | ND |
10 | Yes | Incomplete TCRD | No | ND | ND |
10 | Yes | Complete TCRG | No | CD8+ T cell | ND |
12 | No | Complete TCRG | Yes | ND | ND |
17 | No | Complete TCRG | No | CD8+ T cell | ND |
18 | No | Complete TCRG | Yes | CD8+ T cell | ND |
18 | No | Complete TCRG | Yes | CD8+ T cell | ND |
To quantify the amount of lymphocyte clone in correlation with the lymphocyte count and to identify the lymphocyte fraction where clonal cells reside, patient-specific ASO primers were designed for 11 patients. Patients 1 to 10 had persistent lymphocytosis with large granular lymphocyte (LGL) morphology during dasatinib treatment. In patients 12, 17, and 18, lymphocyte counts were normal during the therapy. No sorting was done from patient 12 because of small number of cells.
NK cell indicates CD3neg CD16/56+; CD8+ T cell, CD3+CD8+; CD4+ T cell, CD3+CD8neg; ND, not done; and NA, not applicable.