Table 2.

Molecular Analysis of T-Cell Clonality

Patient No. Samples Histology TCR Status
Complicated CD  
 1  Duodenum and jejunum  Consistent with untreated CD  C (Vγ3-Jγ)* 
 MLN/Accessory spleen Normal  C (Vγ3-Jγ)* 
 2  Duodenum  Consistent with untreated CD  C (VγI-Jγ)  
 Jejunum (108 days later) Ulcerative jejunitis  C (VγI-Jγ)  
 3  Duodenum Consistent with untreated CD  C (VγI-Jγ; Vγ9-Jγ)* 
 Colon (30 months later)  Small lymphocyte infiltration  C (VγI-Jγ; Vγ9-Jγ)* 
 MLN (30 months later)  Small lymphocyte infiltration  C (VγI-Jγ)  
 4  Duodenum Consistent with untreated CD + ulcerations  C (Vγ8-Jγ)* 
 Jejunum (30 days later)  Consistent with untreated CD  C (Vγ8-Jγ)* 
 Peripheral blood (64 days later)  Large-cell lymphoma  C (Vγ8-Jγ)* 
Untreated CD responsive to GFD  
 5 Duodenum  Consistent with untreated CD  P  
 6 Duodenum  Consistent with untreated CD  P  
 7 Duodenum  Consistent with untreated CD  P  
 8 Duodenum  Consistent with untreated CD  P  
 9 Duodenum  Consistent with untreated CD  P  
 10 Duodenum  Consistent with untreated CD  P  
 11 Duodenum  Consistent with untreated CD  O (faint bands) 
Controls  
 12  Duodenum  Normal villous architecture P  
 13  Duodenum  Normal villous architecture  O (strong bands)  
 14  Duodenum  Normal villous architecture O (faint bands)  
 15  Duodenum  Normal villous architecture  
Patient No. Samples Histology TCR Status
Complicated CD  
 1  Duodenum and jejunum  Consistent with untreated CD  C (Vγ3-Jγ)* 
 MLN/Accessory spleen Normal  C (Vγ3-Jγ)* 
 2  Duodenum  Consistent with untreated CD  C (VγI-Jγ)  
 Jejunum (108 days later) Ulcerative jejunitis  C (VγI-Jγ)  
 3  Duodenum Consistent with untreated CD  C (VγI-Jγ; Vγ9-Jγ)* 
 Colon (30 months later)  Small lymphocyte infiltration  C (VγI-Jγ; Vγ9-Jγ)* 
 MLN (30 months later)  Small lymphocyte infiltration  C (VγI-Jγ)  
 4  Duodenum Consistent with untreated CD + ulcerations  C (Vγ8-Jγ)* 
 Jejunum (30 days later)  Consistent with untreated CD  C (Vγ8-Jγ)* 
 Peripheral blood (64 days later)  Large-cell lymphoma  C (Vγ8-Jγ)* 
Untreated CD responsive to GFD  
 5 Duodenum  Consistent with untreated CD  P  
 6 Duodenum  Consistent with untreated CD  P  
 7 Duodenum  Consistent with untreated CD  P  
 8 Duodenum  Consistent with untreated CD  P  
 9 Duodenum  Consistent with untreated CD  P  
 10 Duodenum  Consistent with untreated CD  P  
 11 Duodenum  Consistent with untreated CD  O (faint bands) 
Controls  
 12  Duodenum  Normal villous architecture P  
 13  Duodenum  Normal villous architecture  O (strong bands)  
 14  Duodenum  Normal villous architecture O (faint bands)  
 15  Duodenum  Normal villous architecture  

Parentheses indicate the oligonucleotides with which monoclonal rearrangements were demonstrated.

*

The Vγ segments used were determined using Vγ specific PCR experiments and confirmed by sequencing.

Abbreviations: C, monoclonal rearrangements; P, polyclonal pattern; O, oligoclonal pattern; MLN, mesenteric lymph nodes.

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