Nanopore Sequencing for T-Cell Receptor Rearrangement Analysis in Cutaneous T-Cell Lymphoma

Analysis of T-cell receptor (TCR) clonality is a major diagnostic tool for lymphomas, particularly for cutaneous T-cell lymphomas (CTCL) like Mycosis fungoides and Sézary syndrome. However, a fast and cost-effective workflow is needed to enable widespread use of this method. : We established a proce...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Cancers 2024-11, Vol.16 (21), p.3700
Hauptverfasser: Cieslak, Cassandra, Hain, Carsten, Rückert-Reed, Christian, Busche, Tobias, Klages, Levin Joe, Schaper-Gerhardt, Katrin, Gutzmer, Ralf, Kalinowski, Jörn, Stadler, Rudolf
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 21
container_start_page 3700
container_title Cancers
container_volume 16
creator Cieslak, Cassandra
Hain, Carsten
Rückert-Reed, Christian
Busche, Tobias
Klages, Levin Joe
Schaper-Gerhardt, Katrin
Gutzmer, Ralf
Kalinowski, Jörn
Stadler, Rudolf
description Analysis of T-cell receptor (TCR) clonality is a major diagnostic tool for lymphomas, particularly for cutaneous T-cell lymphomas (CTCL) like Mycosis fungoides and Sézary syndrome. However, a fast and cost-effective workflow is needed to enable widespread use of this method. : We established a procedure for TCR rearrangement analysis via Oxford Nanopore Technology (ONT) sequencing. TCR receptor rearrangements (TCR-gamma and TCR-beta chains) were analyzed in samples from 45 patients with various diagnoses: Mycosis fungoides (37/45), Sézary Syndrome (2/45), folliculotropic CTCL (1/45), and non-CTCL diagnoses as polyclonal controls (5/45). Sample types included formalin-fixed paraffin-embedded (FFPE) samples (27/45), fresh frozen samples (9/45), and CD3-isolated cells (9/45). In addition, DNA of a Jurkat cell line was used as a monoclonal control. TCR amplicons were generated employing an optimized version of the protocol from the Euro Clonality consortium. Sequencing was conducted on the ONT GridION and Illumina MiSeq platforms, followed by similar bioinformatic analysis protocols. The tumor clone frequency (TCF), a crucial prognostic factor for CTCL patients, was used for method comparison. The use of an optimized amplicon protocol and adapted bioinformatic tools demonstrated a strong correlation in TCF values between both sequencing methods across all sample types (range R: 0.992-0.996; range r : 0.984-0.991). : In summary, ONT sequencing was able to detect TCR clonality comparable to NGS, indicating its potential as a faster and more cost-effective option for routine diagnostic use.
doi_str_mv 10.3390/cancers16213700
format Article
fullrecord <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11544856</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A815344408</galeid><sourcerecordid>A815344408</sourcerecordid><originalsourceid>FETCH-LOGICAL-c332t-13cf364d7edbeea188865b098318710c67d0abaff5b7ce0a780a17feb3d57bd33</originalsourceid><addsrcrecordid>eNptkkFv3CAQhVHVqonSnHurLPXSixPw2IBP1WrVtJVWrZSkpx4QxsOGyAYX7Er770O6SZpEgQMDfO_BjIaQ94yeALT01GhvMCbGKwaC0lfksKKiKjlv69eP4gNynNI1zQOACS7ekgNoGyYZyEPy-4f2YQoRiwv8s6A3zm8LG2JxWa5xGIpzNDjNeX-OOkbttziin4uV18MuuVQ4X6yXWXsMS7rXbHbjdBVG_Y68sXpIeHy3HpFfZ18u19_Kzc-v39erTWkAqrlkYCzwuhfYd4iaSSl509FWApOCUcNFT3WnrW06YZBqIalmwmIHfSO6HuCIfN77Tks3Ym_yB6Me1BTdqONOBe3U0xvvrtQ2_FWMNXUtG54dPt05xJCrkGY1umRyLvvEFLBKihqEaDP68Rl6HZaYy_GPatqWA63-U1s9oHLehvywuTVVK8kaqOuaykydvEDl2ePoTPBoXT5_IjjdC0wMKUW0D0kyqm57Qj3riaz48Lg2D_x9B8AN9C2yzQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3125996302</pqid></control><display><type>article</type><title>Nanopore Sequencing for T-Cell Receptor Rearrangement Analysis in Cutaneous T-Cell Lymphoma</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>PMC (PubMed Central)</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><creator>Cieslak, Cassandra ; Hain, Carsten ; Rückert-Reed, Christian ; Busche, Tobias ; Klages, Levin Joe ; Schaper-Gerhardt, Katrin ; Gutzmer, Ralf ; Kalinowski, Jörn ; Stadler, Rudolf</creator><creatorcontrib>Cieslak, Cassandra ; Hain, Carsten ; Rückert-Reed, Christian ; Busche, Tobias ; Klages, Levin Joe ; Schaper-Gerhardt, Katrin ; Gutzmer, Ralf ; Kalinowski, Jörn ; Stadler, Rudolf</creatorcontrib><description>Analysis of T-cell receptor (TCR) clonality is a major diagnostic tool for lymphomas, particularly for cutaneous T-cell lymphomas (CTCL) like Mycosis fungoides and Sézary syndrome. However, a fast and cost-effective workflow is needed to enable widespread use of this method. : We established a procedure for TCR rearrangement analysis via Oxford Nanopore Technology (ONT) sequencing. TCR receptor rearrangements (TCR-gamma and TCR-beta chains) were analyzed in samples from 45 patients with various diagnoses: Mycosis fungoides (37/45), Sézary Syndrome (2/45), folliculotropic CTCL (1/45), and non-CTCL diagnoses as polyclonal controls (5/45). Sample types included formalin-fixed paraffin-embedded (FFPE) samples (27/45), fresh frozen samples (9/45), and CD3-isolated cells (9/45). In addition, DNA of a Jurkat cell line was used as a monoclonal control. TCR amplicons were generated employing an optimized version of the protocol from the Euro Clonality consortium. Sequencing was conducted on the ONT GridION and Illumina MiSeq platforms, followed by similar bioinformatic analysis protocols. The tumor clone frequency (TCF), a crucial prognostic factor for CTCL patients, was used for method comparison. The use of an optimized amplicon protocol and adapted bioinformatic tools demonstrated a strong correlation in TCF values between both sequencing methods across all sample types (range R: 0.992-0.996; range r : 0.984-0.991). : In summary, ONT sequencing was able to detect TCR clonality comparable to NGS, indicating its potential as a faster and more cost-effective option for routine diagnostic use.</description><identifier>ISSN: 2072-6694</identifier><identifier>EISSN: 2072-6694</identifier><identifier>DOI: 10.3390/cancers16213700</identifier><identifier>PMID: 39518138</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Accuracy ; Bar codes ; Biopsy ; Cloning ; Costs ; Development and progression ; DNA sequencing ; Fungal infections ; Instrument industry ; International economic relations ; Lymphocytes T ; Lymphoma ; Medical prognosis ; Mycoses ; Mycosis ; Mycosis fungoides ; Next-generation sequencing ; Non-Hodgkin's lymphomas ; Nucleotide sequencing ; Patients ; Skin ; T cell receptors ; T cells ; T-cell lymphoma ; Working groups</subject><ispartof>Cancers, 2024-11, Vol.16 (21), p.3700</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 by the authors. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c332t-13cf364d7edbeea188865b098318710c67d0abaff5b7ce0a780a17feb3d57bd33</cites><orcidid>0000-0002-9722-4435 ; 0000-0001-9211-8927 ; 0000-0003-2683-6028 ; 0000-0002-9052-1998 ; 0000-0001-7921-2820</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544856/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544856/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39518138$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cieslak, Cassandra</creatorcontrib><creatorcontrib>Hain, Carsten</creatorcontrib><creatorcontrib>Rückert-Reed, Christian</creatorcontrib><creatorcontrib>Busche, Tobias</creatorcontrib><creatorcontrib>Klages, Levin Joe</creatorcontrib><creatorcontrib>Schaper-Gerhardt, Katrin</creatorcontrib><creatorcontrib>Gutzmer, Ralf</creatorcontrib><creatorcontrib>Kalinowski, Jörn</creatorcontrib><creatorcontrib>Stadler, Rudolf</creatorcontrib><title>Nanopore Sequencing for T-Cell Receptor Rearrangement Analysis in Cutaneous T-Cell Lymphoma</title><title>Cancers</title><addtitle>Cancers (Basel)</addtitle><description>Analysis of T-cell receptor (TCR) clonality is a major diagnostic tool for lymphomas, particularly for cutaneous T-cell lymphomas (CTCL) like Mycosis fungoides and Sézary syndrome. However, a fast and cost-effective workflow is needed to enable widespread use of this method. : We established a procedure for TCR rearrangement analysis via Oxford Nanopore Technology (ONT) sequencing. TCR receptor rearrangements (TCR-gamma and TCR-beta chains) were analyzed in samples from 45 patients with various diagnoses: Mycosis fungoides (37/45), Sézary Syndrome (2/45), folliculotropic CTCL (1/45), and non-CTCL diagnoses as polyclonal controls (5/45). Sample types included formalin-fixed paraffin-embedded (FFPE) samples (27/45), fresh frozen samples (9/45), and CD3-isolated cells (9/45). In addition, DNA of a Jurkat cell line was used as a monoclonal control. TCR amplicons were generated employing an optimized version of the protocol from the Euro Clonality consortium. Sequencing was conducted on the ONT GridION and Illumina MiSeq platforms, followed by similar bioinformatic analysis protocols. The tumor clone frequency (TCF), a crucial prognostic factor for CTCL patients, was used for method comparison. The use of an optimized amplicon protocol and adapted bioinformatic tools demonstrated a strong correlation in TCF values between both sequencing methods across all sample types (range R: 0.992-0.996; range r : 0.984-0.991). : In summary, ONT sequencing was able to detect TCR clonality comparable to NGS, indicating its potential as a faster and more cost-effective option for routine diagnostic use.</description><subject>Accuracy</subject><subject>Bar codes</subject><subject>Biopsy</subject><subject>Cloning</subject><subject>Costs</subject><subject>Development and progression</subject><subject>DNA sequencing</subject><subject>Fungal infections</subject><subject>Instrument industry</subject><subject>International economic relations</subject><subject>Lymphocytes T</subject><subject>Lymphoma</subject><subject>Medical prognosis</subject><subject>Mycoses</subject><subject>Mycosis</subject><subject>Mycosis fungoides</subject><subject>Next-generation sequencing</subject><subject>Non-Hodgkin's lymphomas</subject><subject>Nucleotide sequencing</subject><subject>Patients</subject><subject>Skin</subject><subject>T cell receptors</subject><subject>T cells</subject><subject>T-cell lymphoma</subject><subject>Working groups</subject><issn>2072-6694</issn><issn>2072-6694</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkkFv3CAQhVHVqonSnHurLPXSixPw2IBP1WrVtJVWrZSkpx4QxsOGyAYX7Er770O6SZpEgQMDfO_BjIaQ94yeALT01GhvMCbGKwaC0lfksKKiKjlv69eP4gNynNI1zQOACS7ekgNoGyYZyEPy-4f2YQoRiwv8s6A3zm8LG2JxWa5xGIpzNDjNeX-OOkbttziin4uV18MuuVQ4X6yXWXsMS7rXbHbjdBVG_Y68sXpIeHy3HpFfZ18u19_Kzc-v39erTWkAqrlkYCzwuhfYd4iaSSl509FWApOCUcNFT3WnrW06YZBqIalmwmIHfSO6HuCIfN77Tks3Ym_yB6Me1BTdqONOBe3U0xvvrtQ2_FWMNXUtG54dPt05xJCrkGY1umRyLvvEFLBKihqEaDP68Rl6HZaYy_GPatqWA63-U1s9oHLehvywuTVVK8kaqOuaykydvEDl2ePoTPBoXT5_IjjdC0wMKUW0D0kyqm57Qj3riaz48Lg2D_x9B8AN9C2yzQ</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Cieslak, Cassandra</creator><creator>Hain, Carsten</creator><creator>Rückert-Reed, Christian</creator><creator>Busche, Tobias</creator><creator>Klages, Levin Joe</creator><creator>Schaper-Gerhardt, Katrin</creator><creator>Gutzmer, Ralf</creator><creator>Kalinowski, Jörn</creator><creator>Stadler, Rudolf</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7TO</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9722-4435</orcidid><orcidid>https://orcid.org/0000-0001-9211-8927</orcidid><orcidid>https://orcid.org/0000-0003-2683-6028</orcidid><orcidid>https://orcid.org/0000-0002-9052-1998</orcidid><orcidid>https://orcid.org/0000-0001-7921-2820</orcidid></search><sort><creationdate>20241101</creationdate><title>Nanopore Sequencing for T-Cell Receptor Rearrangement Analysis in Cutaneous T-Cell Lymphoma</title><author>Cieslak, Cassandra ; Hain, Carsten ; Rückert-Reed, Christian ; Busche, Tobias ; Klages, Levin Joe ; Schaper-Gerhardt, Katrin ; Gutzmer, Ralf ; Kalinowski, Jörn ; Stadler, Rudolf</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-13cf364d7edbeea188865b098318710c67d0abaff5b7ce0a780a17feb3d57bd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Accuracy</topic><topic>Bar codes</topic><topic>Biopsy</topic><topic>Cloning</topic><topic>Costs</topic><topic>Development and progression</topic><topic>DNA sequencing</topic><topic>Fungal infections</topic><topic>Instrument industry</topic><topic>International economic relations</topic><topic>Lymphocytes T</topic><topic>Lymphoma</topic><topic>Medical prognosis</topic><topic>Mycoses</topic><topic>Mycosis</topic><topic>Mycosis fungoides</topic><topic>Next-generation sequencing</topic><topic>Non-Hodgkin's lymphomas</topic><topic>Nucleotide sequencing</topic><topic>Patients</topic><topic>Skin</topic><topic>T cell receptors</topic><topic>T cells</topic><topic>T-cell lymphoma</topic><topic>Working groups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cieslak, Cassandra</creatorcontrib><creatorcontrib>Hain, Carsten</creatorcontrib><creatorcontrib>Rückert-Reed, Christian</creatorcontrib><creatorcontrib>Busche, Tobias</creatorcontrib><creatorcontrib>Klages, Levin Joe</creatorcontrib><creatorcontrib>Schaper-Gerhardt, Katrin</creatorcontrib><creatorcontrib>Gutzmer, Ralf</creatorcontrib><creatorcontrib>Kalinowski, Jörn</creatorcontrib><creatorcontrib>Stadler, Rudolf</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cieslak, Cassandra</au><au>Hain, Carsten</au><au>Rückert-Reed, Christian</au><au>Busche, Tobias</au><au>Klages, Levin Joe</au><au>Schaper-Gerhardt, Katrin</au><au>Gutzmer, Ralf</au><au>Kalinowski, Jörn</au><au>Stadler, Rudolf</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nanopore Sequencing for T-Cell Receptor Rearrangement Analysis in Cutaneous T-Cell Lymphoma</atitle><jtitle>Cancers</jtitle><addtitle>Cancers (Basel)</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>16</volume><issue>21</issue><spage>3700</spage><pages>3700-</pages><issn>2072-6694</issn><eissn>2072-6694</eissn><abstract>Analysis of T-cell receptor (TCR) clonality is a major diagnostic tool for lymphomas, particularly for cutaneous T-cell lymphomas (CTCL) like Mycosis fungoides and Sézary syndrome. However, a fast and cost-effective workflow is needed to enable widespread use of this method. : We established a procedure for TCR rearrangement analysis via Oxford Nanopore Technology (ONT) sequencing. TCR receptor rearrangements (TCR-gamma and TCR-beta chains) were analyzed in samples from 45 patients with various diagnoses: Mycosis fungoides (37/45), Sézary Syndrome (2/45), folliculotropic CTCL (1/45), and non-CTCL diagnoses as polyclonal controls (5/45). Sample types included formalin-fixed paraffin-embedded (FFPE) samples (27/45), fresh frozen samples (9/45), and CD3-isolated cells (9/45). In addition, DNA of a Jurkat cell line was used as a monoclonal control. TCR amplicons were generated employing an optimized version of the protocol from the Euro Clonality consortium. Sequencing was conducted on the ONT GridION and Illumina MiSeq platforms, followed by similar bioinformatic analysis protocols. The tumor clone frequency (TCF), a crucial prognostic factor for CTCL patients, was used for method comparison. The use of an optimized amplicon protocol and adapted bioinformatic tools demonstrated a strong correlation in TCF values between both sequencing methods across all sample types (range R: 0.992-0.996; range r : 0.984-0.991). : In summary, ONT sequencing was able to detect TCR clonality comparable to NGS, indicating its potential as a faster and more cost-effective option for routine diagnostic use.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>39518138</pmid><doi>10.3390/cancers16213700</doi><orcidid>https://orcid.org/0000-0002-9722-4435</orcidid><orcidid>https://orcid.org/0000-0001-9211-8927</orcidid><orcidid>https://orcid.org/0000-0003-2683-6028</orcidid><orcidid>https://orcid.org/0000-0002-9052-1998</orcidid><orcidid>https://orcid.org/0000-0001-7921-2820</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2072-6694
ispartof Cancers, 2024-11, Vol.16 (21), p.3700
issn 2072-6694
2072-6694
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11544856
source MDPI - Multidisciplinary Digital Publishing Institute; PMC (PubMed Central); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access
subjects Accuracy
Bar codes
Biopsy
Cloning
Costs
Development and progression
DNA sequencing
Fungal infections
Instrument industry
International economic relations
Lymphocytes T
Lymphoma
Medical prognosis
Mycoses
Mycosis
Mycosis fungoides
Next-generation sequencing
Non-Hodgkin's lymphomas
Nucleotide sequencing
Patients
Skin
T cell receptors
T cells
T-cell lymphoma
Working groups
title Nanopore Sequencing for T-Cell Receptor Rearrangement Analysis in Cutaneous T-Cell Lymphoma
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T07%3A07%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Nanopore%20Sequencing%20for%20T-Cell%20Receptor%20Rearrangement%20Analysis%20in%20Cutaneous%20T-Cell%20Lymphoma&rft.jtitle=Cancers&rft.au=Cieslak,%20Cassandra&rft.date=2024-11-01&rft.volume=16&rft.issue=21&rft.spage=3700&rft.pages=3700-&rft.issn=2072-6694&rft.eissn=2072-6694&rft_id=info:doi/10.3390/cancers16213700&rft_dat=%3Cgale_pubme%3EA815344408%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3125996302&rft_id=info:pmid/39518138&rft_galeid=A815344408&rfr_iscdi=true