A restricted clonal T-cell receptor αβ repertoire in Sézary syndrome is indicative of superantigenic stimulation

Summary Background  Sézary syndrome (SS) is a cutaneous T‐cell lymphoma characterized by erythroderma, lymphadenopathy and malignant clonal T cells in the skin, lymph nodes and peripheral blood. A role for superantigens in the pathogenesis of SS has been postulated before. Objectives  To investigate...

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Veröffentlicht in:British journal of dermatology (1951) 2011-07, Vol.165 (1), p.78-84
Hauptverfasser: van der Fits, L., Sandberg, Y., Darzentas, N., Zoutman, W.H., Tielemans, D., Wolvers-Tettero, I.L.M., Vermeer, M.H., Langerak, A.W.
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container_end_page 84
container_issue 1
container_start_page 78
container_title British journal of dermatology (1951)
container_volume 165
creator van der Fits, L.
Sandberg, Y.
Darzentas, N.
Zoutman, W.H.
Tielemans, D.
Wolvers-Tettero, I.L.M.
Vermeer, M.H.
Langerak, A.W.
description Summary Background  Sézary syndrome (SS) is a cutaneous T‐cell lymphoma characterized by erythroderma, lymphadenopathy and malignant clonal T cells in the skin, lymph nodes and peripheral blood. A role for superantigens in the pathogenesis of SS has been postulated before. Objectives  To investigate a putative involvement of chronic (super‐)antigenic stimulation in driving T‐cell expansion in SS. Methods  Antigenic specificity of the T‐cell receptor (TCR) was assayed by molecular analysis of the TCRA (n = 11) and TCRB (n = 28) genes, followed by detailed in silico analysis. Results  Sequence analysis of clonally rearranged TCRB genes showed over‐representation of Vβ8, Vβ13, Vβ17, Vβ21 and Vβ22, and under‐representation of Vβ2 and Jβ1.1 when compared with healthy controls. No similarity was detected in amino acid motifs of the complementarity determining region 3 (CDR3). Analysis of TCRA rearrangements showed that there was no common Vα or Jα gene usage, and that TCRA CDR3 amino acid motifs were not highly similar. Conclusions  The lack of clear stereotypic TCRA and TCRB CDR3 amino acid motifs would argue against involvement of a single common antigen in the pathogenesis of SS. Nevertheless, the skewing of Vβ and Jβ gene usage does seem to point to a restricted TCR repertoire, possibly as a result of superantigenic selection prior to neoplastic transformation.
doi_str_mv 10.1111/j.1365-2133.2011.10308.x
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A role for superantigens in the pathogenesis of SS has been postulated before. Objectives  To investigate a putative involvement of chronic (super‐)antigenic stimulation in driving T‐cell expansion in SS. Methods  Antigenic specificity of the T‐cell receptor (TCR) was assayed by molecular analysis of the TCRA (n = 11) and TCRB (n = 28) genes, followed by detailed in silico analysis. Results  Sequence analysis of clonally rearranged TCRB genes showed over‐representation of Vβ8, Vβ13, Vβ17, Vβ21 and Vβ22, and under‐representation of Vβ2 and Jβ1.1 when compared with healthy controls. No similarity was detected in amino acid motifs of the complementarity determining region 3 (CDR3). Analysis of TCRA rearrangements showed that there was no common Vα or Jα gene usage, and that TCRA CDR3 amino acid motifs were not highly similar. Conclusions  The lack of clear stereotypic TCRA and TCRB CDR3 amino acid motifs would argue against involvement of a single common antigen in the pathogenesis of SS. Nevertheless, the skewing of Vβ and Jβ gene usage does seem to point to a restricted TCR repertoire, possibly as a result of superantigenic selection prior to neoplastic transformation.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/j.1365-2133.2011.10308.x</identifier><identifier>PMID: 21410672</identifier><identifier>CODEN: BJDEAZ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Cells, Cultured ; Cohort Studies ; Dermatology ; Female ; Flow Cytometry ; Hematologic and hematopoietic diseases ; Humans ; Leukemias. Malignant lymphomas. Malignant reticulosis. 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A role for superantigens in the pathogenesis of SS has been postulated before. Objectives  To investigate a putative involvement of chronic (super‐)antigenic stimulation in driving T‐cell expansion in SS. Methods  Antigenic specificity of the T‐cell receptor (TCR) was assayed by molecular analysis of the TCRA (n = 11) and TCRB (n = 28) genes, followed by detailed in silico analysis. Results  Sequence analysis of clonally rearranged TCRB genes showed over‐representation of Vβ8, Vβ13, Vβ17, Vβ21 and Vβ22, and under‐representation of Vβ2 and Jβ1.1 when compared with healthy controls. No similarity was detected in amino acid motifs of the complementarity determining region 3 (CDR3). Analysis of TCRA rearrangements showed that there was no common Vα or Jα gene usage, and that TCRA CDR3 amino acid motifs were not highly similar. Conclusions  The lack of clear stereotypic TCRA and TCRB CDR3 amino acid motifs would argue against involvement of a single common antigen in the pathogenesis of SS. Nevertheless, the skewing of Vβ and Jβ gene usage does seem to point to a restricted TCR repertoire, possibly as a result of superantigenic selection prior to neoplastic transformation.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cells, Cultured</subject><subject>Cohort Studies</subject><subject>Dermatology</subject><subject>Female</subject><subject>Flow Cytometry</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Receptors, Antigen, T-Cell, alpha-beta - analysis</topic><topic>Receptors, Antigen, T-Cell, alpha-beta - genetics</topic><topic>Receptors, Antigen, T-Cell, alpha-beta - immunology</topic><topic>Sequence Analysis, DNA</topic><topic>Sezary Syndrome - immunology</topic><topic>Skin Neoplasms - immunology</topic><topic>Superantigens - immunology</topic><topic>T-Lymphocytes - immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van der Fits, L.</creatorcontrib><creatorcontrib>Sandberg, Y.</creatorcontrib><creatorcontrib>Darzentas, N.</creatorcontrib><creatorcontrib>Zoutman, W.H.</creatorcontrib><creatorcontrib>Tielemans, D.</creatorcontrib><creatorcontrib>Wolvers-Tettero, I.L.M.</creatorcontrib><creatorcontrib>Vermeer, M.H.</creatorcontrib><creatorcontrib>Langerak, A.W.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van der Fits, L.</au><au>Sandberg, Y.</au><au>Darzentas, N.</au><au>Zoutman, W.H.</au><au>Tielemans, D.</au><au>Wolvers-Tettero, I.L.M.</au><au>Vermeer, M.H.</au><au>Langerak, A.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A restricted clonal T-cell receptor αβ repertoire in Sézary syndrome is indicative of superantigenic stimulation</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2011-07</date><risdate>2011</risdate><volume>165</volume><issue>1</issue><spage>78</spage><epage>84</epage><pages>78-84</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><coden>BJDEAZ</coden><abstract>Summary Background  Sézary syndrome (SS) is a cutaneous T‐cell lymphoma characterized by erythroderma, lymphadenopathy and malignant clonal T cells in the skin, lymph nodes and peripheral blood. A role for superantigens in the pathogenesis of SS has been postulated before. Objectives  To investigate a putative involvement of chronic (super‐)antigenic stimulation in driving T‐cell expansion in SS. Methods  Antigenic specificity of the T‐cell receptor (TCR) was assayed by molecular analysis of the TCRA (n = 11) and TCRB (n = 28) genes, followed by detailed in silico analysis. Results  Sequence analysis of clonally rearranged TCRB genes showed over‐representation of Vβ8, Vβ13, Vβ17, Vβ21 and Vβ22, and under‐representation of Vβ2 and Jβ1.1 when compared with healthy controls. No similarity was detected in amino acid motifs of the complementarity determining region 3 (CDR3). Analysis of TCRA rearrangements showed that there was no common Vα or Jα gene usage, and that TCRA CDR3 amino acid motifs were not highly similar. Conclusions  The lack of clear stereotypic TCRA and TCRB CDR3 amino acid motifs would argue against involvement of a single common antigen in the pathogenesis of SS. Nevertheless, the skewing of Vβ and Jβ gene usage does seem to point to a restricted TCR repertoire, possibly as a result of superantigenic selection prior to neoplastic transformation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21410672</pmid><doi>10.1111/j.1365-2133.2011.10308.x</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Access via Wiley Online Library; Oxford University Press Journals All Titles (1996-Current)
subjects Adult
Aged
Biological and medical sciences
Cells, Cultured
Cohort Studies
Dermatology
Female
Flow Cytometry
Hematologic and hematopoietic diseases
Humans
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Male
Medical sciences
Middle Aged
Receptors, Antigen, T-Cell, alpha-beta - analysis
Receptors, Antigen, T-Cell, alpha-beta - genetics
Receptors, Antigen, T-Cell, alpha-beta - immunology
Sequence Analysis, DNA
Sezary Syndrome - immunology
Skin Neoplasms - immunology
Superantigens - immunology
T-Lymphocytes - immunology
title A restricted clonal T-cell receptor αβ repertoire in Sézary syndrome is indicative of superantigenic stimulation
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