Class Switching in Follicular Lymphoma
Case . | Ig Expression . | Allele 1 . | Allele 2 t(14;18) . | |
---|---|---|---|---|
IgL . | IgH . | |||
FL1 | κ | M | — | γ1 |
FL2 | λ | M | — | — |
FL3 | κ | MD | — | γ1 |
FL4 | κ | M(D) | — | α1 |
FL5 | κ | M | ds rear | γ1 |
FL6 | κ | MD | ds rear | γ1 |
FL7 | κ | M(D) | ds rear | γ4 |
FL8 | κ | M | ds rear | — |
FL9 | κ | M(D) | ds rear | γ1 |
FL10 | λ | M(D) | ds rear\γ4? | γ4 |
FL11 | κ | M | ds rear | γ1 |
FL12 | λ | MD | ds rear | γ1 |
FL13 | (κ) | M | ds rear | α1 |
FL14 | λ | — | ds rear | γ2 |
FL15 | κ | G2 | γ* | γ1 |
FL16 | λ | G1 | γ1 | γ1 + ds rear |
FL17 | κ | G1 | γ1 | γ2 |
FL18 | λ | G2 | γ* | γ1 |
FL19 | κ | G | γ2 | γ1 |
FL20 | κ | G1 | γ1 + ds rear | α1 |
FL21 | λ | G4 | γ* | ds rear |
FL22 | — | — | γ1 | γ1 |
FL23 | (κ) | — | γ* | γ1 |
Case . | Ig Expression . | Allele 1 . | Allele 2 t(14;18) . | |
---|---|---|---|---|
IgL . | IgH . | |||
FL1 | κ | M | — | γ1 |
FL2 | λ | M | — | — |
FL3 | κ | MD | — | γ1 |
FL4 | κ | M(D) | — | α1 |
FL5 | κ | M | ds rear | γ1 |
FL6 | κ | MD | ds rear | γ1 |
FL7 | κ | M(D) | ds rear | γ4 |
FL8 | κ | M | ds rear | — |
FL9 | κ | M(D) | ds rear | γ1 |
FL10 | λ | M(D) | ds rear\γ4? | γ4 |
FL11 | κ | M | ds rear | γ1 |
FL12 | λ | MD | ds rear | γ1 |
FL13 | (κ) | M | ds rear | α1 |
FL14 | λ | — | ds rear | γ2 |
FL15 | κ | G2 | γ* | γ1 |
FL16 | λ | G1 | γ1 | γ1 + ds rear |
FL17 | κ | G1 | γ1 | γ2 |
FL18 | λ | G2 | γ* | γ1 |
FL19 | κ | G | γ2 | γ1 |
FL20 | κ | G1 | γ1 + ds rear | α1 |
FL21 | λ | G4 | γ* | ds rear |
FL22 | — | — | γ1 | γ1 |
FL23 | (κ) | — | γ* | γ1 |
The second column shows immunoglobulin class and subclass expression as determined by immunofluorescence. Brackets were used to indicate weak expression. In case FL19, IgG subclass expression could not be determined. In the right two columns class-switch deletions on nontranslocated (allele 1) and translocated (allele 2) tumor alleles are indicated. In FL10 two nontranslocated alleles were identified, as shown. The question mark is explained in Results. Downstream rearrangements are indicated by ds rear. In cases FL5-14 these alleles had retained the Cμ-Cδ region, in FL16 and FL20 the downstream rearrangement was present together with an apparently normal γ1 switch.
The switch target gene could not be identified due to polymorphisms.